Park Ji-Eun, Ryu Yeonhee, Cho Sung-Il
Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea.
Korea Institute of Oriental Medicine, Daejeon, Republic of Korea.
Alcohol Alcohol. 2017 May 1;52(3):344-350. doi: 10.1093/alcalc/agw089.
To assess whether health changes affect cessation of alcohol consumption and to compare the health status of former drinkers and abstainers.
Cohort data from 9001 Korean participants aged 40-69 years old were analyzed. Alcohol consumption was assessed every 2 years for 10 years. Participant age, sex, marital status, education level, employment status, smoking, chronic disease, perceived health and changes in these variables were analyzed to identify factors associated with quitting alcohol drinking. The number of diseases and perceived health of former drinkers and people who at baseline were lifetime abstainers were compared.
Among 4037 drinkers at baseline, 673 (16.7%) were classed as quitters and 3364 (83.3%) were classed as non-quitters. Sex, age and worsened perception of health were significantly associated with cessation of drinking. Women and individuals >60 years were more likely to cease drinking. There was a significant association between disease onset or treatment and alcohol cessation for cancer cases, but not for cardiovascular disease or chronic disease cases. There was no significant difference in number of diseases or perceived health between former drinkers and people who at baseline were lifetime abstainers.
The effect of disease onset or treatment on alcohol consumption cessation depended on disease type. Former drinkers did not show significantly worse health than people who at baseline were lifetime abstainers. Further studies of alcohol consumption and its effects on health are needed to consider disease occurrence and changes in alcohol consumption.
Disease onset or treatment significantly affected alcohol consumption cessation for cancer cases, but not for cardiovascular disease or other chronic disease cases. There was no significant difference in health status between former drinkers and lifetime abstainers.
评估健康状况变化是否会影响戒酒情况,并比较既往饮酒者和戒酒者的健康状况。
对9001名年龄在40 - 69岁的韩国参与者的队列数据进行分析。在10年时间里,每2年评估一次饮酒情况。分析参与者的年龄、性别、婚姻状况、教育水平、就业状况、吸烟情况、慢性病、自我感知健康状况以及这些变量的变化,以确定与戒酒相关的因素。比较既往饮酒者和基线时即为终生戒酒者的疾病数量和自我感知健康状况。
在基线时的4037名饮酒者中,673人(16.7%)被归类为戒酒者,3364人(83.3%)被归类为未戒酒者。性别、年龄和健康感知恶化与戒酒显著相关。女性和60岁以上的人更有可能戒酒。癌症病例的疾病发作或治疗与戒酒之间存在显著关联,但心血管疾病或慢性病病例则不然。既往饮酒者和基线时即为终生戒酒者在疾病数量或自我感知健康方面没有显著差异。
疾病发作或治疗对戒酒的影响取决于疾病类型。既往饮酒者的健康状况并不比基线时即为终生戒酒者明显更差。需要进一步研究饮酒及其对健康的影响,以考虑疾病的发生和饮酒量的变化。
疾病发作或治疗对癌症病例的戒酒有显著影响,但对心血管疾病或其他慢性病病例则不然。既往饮酒者和终生戒酒者的健康状况没有显著差异。