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一个酗酒滋事的国度:英国酒精使用与滥用情况的全国性横断面调查

A drunk and disorderly country: a nationwide cross-sectional survey of alcohol use and misuse in Great Britain.

作者信息

Craig D G, Dakkak M, Gilmore I T, Hawkey C J, Rhodes J M, Sheron N

机构信息

Gastroenterology Programme, School of Postgraduate Medicine, Yorkshire and the Humber Postgraduate Deanery, Leeds, UK.

Department of Gastroenterology, Hull and East Yorkshire Hospitals NHS Trust, Hull, UK.

出版信息

Frontline Gastroenterol. 2012 Jan;3(1):57-63. doi: 10.1136/flgastro-2011-100047. Epub 2011 Oct 27.

DOI:10.1136/flgastro-2011-100047
PMID:28839633
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5517251/
Abstract

OBJECTIVES

To explore current alcohol drinking patterns, behaviours and attitudes in Great Britain.

DESIGN AND SETTING

Independent online cross-sectional survey.

PATIENTS AND INTERVENTIONS

Survey of 2221 individuals from a representative panel.

MAIN OUTCOME MEASURES AND RESULTS

Excessive alcohol consumption is a widespread problem across Great Britain. Binge-drinking is common among 18-24 year olds, with 19% reporting drinking 10+ drinks on the same drinking day. 'Pre-loading' with alcohol at home before going out was reported by 30% of 18-24-year-old drinkers, of whom 36% get drunk twice or more a month, with 27% having injured themselves while drunk. Among older drinkers, 25% regularly drink to excess, 8% drink seven or more drinks on a typical drinking day and 9% self-reported drink-driving. Male gender was an independent risk factor for heavy (>40 units/week) alcohol abuse (odds ratio 3.05 (95% CI 1.82 to 5.10)). Men (19%) were more likely than women (8%, p<0.001) to report binge-drinking, drink-driving (11% vs 3%, p<0.001), or to have missed work owing to alcohol consumption (12% vs 7%, p<0.001). Young drinkers said they were heavily influenced by overall alcohol price and drink promotions. Increasing average weekly alcohol consumption, age <55 years, male gender, never having been married and being in full-time employment were all independently associated with a history of alcohol-related self-harm. Alcohol abuse was not related to socioeconomic status.

CONCLUSIONS

Alcohol abuse remains common across all socioeconomic strata and geographical areas of Great Britain. Minimum pricing strategies and interventions that target cheap on-trade alcohol products seem likely to bring major public health benefits.

摘要

目的

探究英国当前的饮酒模式、行为及态度。

设计与背景

独立在线横断面调查。

研究对象与干预措施

对来自一个代表性样本的2221人进行调查。

主要结局指标及结果

过度饮酒在英国是一个普遍问题。狂饮在18至24岁人群中很常见,19%的人报告在同一饮酒日饮用10杯及以上。30%的18至24岁饮酒者报告称会在外出前在家中“预饮酒”,其中36%的人每月醉酒两次或更多次,27%的人在醉酒时受伤。在年龄较大的饮酒者中,25%的人经常饮酒过量,8%的人在典型饮酒日饮用7杯及以上,9%的人自我报告有酒后驾车行为。男性是重度(>40单位/周)酒精滥用的独立危险因素(比值比3.05(95%置信区间1.82至5.10))。男性(19%)比女性(8%,p<0.001)更有可能报告狂饮、酒后驾车(11%对3%,p<0.001),或因饮酒而旷工(12%对7%,p<0.001)。年轻饮酒者表示,他们受到总体酒精价格和酒类促销活动的严重影响。每周平均饮酒量增加、年龄<55岁、男性、从未结婚以及全职工作均与酒精相关的自我伤害史独立相关。酒精滥用与社会经济地位无关。

结论

酒精滥用在英国所有社会经济阶层和地理区域仍然普遍。针对廉价餐饮场所酒精产品的最低定价策略和干预措施似乎可能带来重大的公共卫生益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6732/5517251/800526901ed8/flgastro-2011-100047fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6732/5517251/11e8365a6a31/flgastro-2011-100047fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6732/5517251/800526901ed8/flgastro-2011-100047fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6732/5517251/11e8365a6a31/flgastro-2011-100047fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6732/5517251/800526901ed8/flgastro-2011-100047fig2.jpg

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