Aix Marseille Univ, INSERM, IRD, SESSTIM, Economics and Social Sciences Applied to Health & Analysis of Medical Information, Marseille, France.
ORS PACA, Southeastern Health Regional Observatory, Marseille, France.
Eur J Public Health. 2017 Aug 1;27(4):705-710. doi: 10.1093/eurpub/ckx024.
Worldwide, millions of deaths each year are attributed to alcohol. We sought to examine French people's beliefs about the risks of alcohol, their correlates, and their associations with alcohol use.
Data came from the 2010 Baromètre Cancer survey, a random cross-sectional telephone survey of the French general population (n = 3359 individuals aged 15-75 years). Using principal component analysis of seven beliefs about alcohol risks, we built two scores (one assessing risk denial based on self-confidence and the other risk relativization). Two multiple linear regressions explored these scores' socio-demographic and perceived information level correlates. Multiple logistic regressions tested the associations of these scores with daily drinking and with heavy episodic drinking (HED).
About 60% of the respondents acknowledged that alcohol increases the risk of cancer, and 89% felt well-informed about the risks of alcohol. Beliefs that may promote risk denial were frequent (e.g. 72% agreed that soda and hamburgers are as bad as alcohol for your health). Both risk denial and risk relativization scores were higher among men, older respondents and those of low socioeconomic status. The probability of daily drinking increased with the risk relativization score and that of HED with both scores.
Beliefs that can help people to deny the cancer risks due to alcohol use are common in France and may exist in many other countries where alcoholic beverages have been an integral part of the culture. These results can be used to redesign public information campaigns about the risks of alcohol.
全世界每年有数百万人的死亡归因于酒精。我们试图研究法国人对酒精风险的看法、这些看法的相关性以及它们与饮酒行为的关联。
数据来自于 2010 年的癌症调查，这是一项针对法国普通人群（年龄在 15-75 岁之间的 3359 人）的随机横断面电话调查。我们使用对七种关于酒精风险的信念进行主成分分析，构建了两个得分（一个基于自信评估风险否认，另一个评估风险相对化）。两个多元线性回归分析了这些得分的社会人口统计学和感知信息水平相关性。多因素逻辑回归检验了这些得分与每日饮酒和重度饮酒事件（HED）的关联。
约 60%的受访者承认酒精会增加患癌症的风险，89%的人认为自己对酒精的风险有很好的了解。可能促进风险否认的信念很常见（例如，72%的人同意苏打水和汉堡包对健康的危害与酒精一样大）。风险否认和风险相对化得分在男性、年龄较大的受访者和社会经济地位较低的受访者中较高。风险相对化得分与每日饮酒的概率增加有关，而两个得分都与 HED 的概率增加有关。
在法国，常见的有助于人们否认因饮酒而导致的癌症风险的信念可能存在于许多其他国家，这些国家的酒精饮料一直是其文化的一部分。这些结果可用于重新设计有关酒精风险的公共信息宣传活动。
