Yoshimoto Hisashi, Takayashiki Ayumi, Goto Ryohei, Saito Go, Kawaida Kyoko, Hieda Rika, Kataoka Yoshihiro, Aramaki Maie, Sakamoto Naoto, Maeno Tetsuhiro, Kobayashi Yoshinao, Takemura Yousuke C
Department of Primary Care and Medical Education, Faculty of Medicine, University of Tsukuba.
Department of Family Medicine, Mie University Graduate School of Medicine.
Tohoku J Exp Med. 2017 Jun;242(2):157-163. doi: 10.1620/tjem.242.157.
Alcohol-related injuries in college students are a major public health problem worldwide. We clarified the association between excessive drinking and alcohol-related injuries in Japanese college students. This was a cross-sectional study with a self-administered questionnaire. From January to March 2013, we sampled all college students and graduate students aged 20 years or older during annual health examinations at three colleges in Mie Prefecture in Japan. The questionnaire assessed the frequency of alcohol drinking, amount of alcohol consumed per day, binge drinking during the past year, alcohol-related injuries during the past year, and demographic data. Logistic regression analysis was conducted on the association between excessive alcohol use and alcohol-related injuries. A total of 2,842 students underwent health examinations, of whom 2,177 (76.6%) completed the questionnaire. Subjects included 1,219 men (56.0%) and 958 women (44.0%). Eighty-eight men (7.2%) and 93 women (9.7%) were classified as excessive weekly drinkers, while 693 men (56.8%) and 458 women (47.8%) were determined to be binge drinkers. Eighty-one men (6.6%) and 26 women (2.7%) had experienced alcohol-related injuries during the past year. In the logistic regression analysis, binge drinkers (odds ratio 25.6 [8.05-81.4]) and excessive weekly drinkers (odds ratio 3.83 [2.41-6.09]) had a history of significantly more alcohol-related injuries, even after adjusting for age and sex. In conclusion, alcohol-related injuries in college students in Japan were strongly associated with excessive drinking. As a strategy for preventing such injuries in this population, an interventional study is required to identify effective methods for reducing excessive alcohol use.
大学生中与酒精相关的伤害是一个全球性的重大公共卫生问题。我们阐明了日本大学生过度饮酒与酒精相关伤害之间的关联。这是一项采用自填式问卷的横断面研究。2013年1月至3月，我们在日本三重县三所大学的年度健康检查期间，对所有20岁及以上的大学生和研究生进行了抽样。问卷评估了饮酒频率、每日饮酒量、过去一年中的暴饮情况、过去一年中与酒精相关的伤害以及人口统计学数据。对过度饮酒与酒精相关伤害之间的关联进行了逻辑回归分析。共有2842名学生接受了健康检查，其中2177名（76.6%）完成了问卷。受试者包括1219名男性（56.0%）和958名女性（44.0%）。88名男性（7.2%）和93名女性（9.7%）被归类为每周过度饮酒者，而693名男性（56.8%）和458名女性（47.8%）被确定为暴饮者。81名男性（6.6%）和26名女性（2.7%）在过去一年中经历过与酒精相关的伤害。在逻辑回归分析中，即使在调整年龄和性别后，暴饮者（优势比25.6 [8.05 - 81.4]）和每周过度饮酒者（优势比3.83 [2.41 - 6.09]）有更多与酒精相关伤害的病史。总之，日本大学生中与酒精相关的伤害与过度饮酒密切相关。作为预防该人群此类伤害的一项策略，需要进行一项干预性研究，以确定减少过度饮酒的有效方法。
