Willmore Jacqueline, Marko Terry-Lynne, Taing Darcie, Sampasa-Kanyinga Hugues
Ottawa Public Health, Ottawa, Ontario, Canada.
PLoS One. 2017 Sep 28;12(9):e0185457. doi: 10.1371/journal.pone.0185457. eCollection 2017.
Alcohol-related morbidity and mortality are significant public health issues. The purpose of this study was to describe the prevalence and trends over time of alcohol consumption and alcohol-related morbidity and mortality; and public attitudes of alcohol use impacts on families and the community in Ottawa, Canada.
Prevalence (2013-2014) and trends (2000-2001 to 2013-2014) of alcohol use were obtained from the Canadian Community Health Survey. Data on paramedic responses (2015), emergency department (ED) visits (2013-2015), hospitalizations (2013-2015) and deaths (2007-2011) were used to quantify the acute and chronic health effects of alcohol in Ottawa. Qualitative data were obtained from the "Have Your Say" alcohol survey, an online survey of public attitudes on alcohol conducted in 2016.
In 2013-2014, an estimated 595,300 (83%) Ottawa adults 19 years and older drank alcohol, 42% reported binge drinking in the past year. Heavy drinking increased from 15% in 2000-2001 to 20% in 2013-2014. In 2015, the Ottawa Paramedic Service responded to 2,060 calls directly attributable to alcohol. Between 2013 and 2015, there were an average of 6,100 ED visits and 1,270 hospitalizations per year due to alcohol. Annually, alcohol use results in at least 140 deaths in Ottawa. Men have higher rates of alcohol-attributable paramedic responses, ED visits, hospitalizations and deaths than women, and young adults have higher rates of alcohol-attributable paramedic responses. Qualitative data of public attitudes indicate that alcohol misuse has greater repercussions not only on those who drink, but also on the family and community.
Results highlight the need for healthy public policy intended to encourage a culture of drinking in moderation in Ottawa to support lower risk alcohol use, particularly among men and young adults.
与酒精相关的发病率和死亡率是重大的公共卫生问题。本研究的目的是描述酒精消费以及与酒精相关的发病率和死亡率随时间的流行情况和趋势；以及加拿大渥太华公众对酒精使用对家庭和社区影响的态度。
酒精使用的流行情况（2013 - 2014年）和趋势（2000 - 2001年至2013 - 2014年）来自加拿大社区健康调查。护理人员响应数据（2015年）、急诊科就诊数据（2013 - 2015年）、住院数据（2013 - 2015年）和死亡数据（2007 - 2011年）用于量化渥太华酒精对急性和慢性健康的影响。定性数据来自2016年进行的“说出你的想法”酒精调查，这是一项关于公众对酒精态度的在线调查。
在2013 - 2014年，渥太华估计有595,300名（83%）19岁及以上成年人饮酒，42%的人报告在过去一年中有暴饮行为。重度饮酒从2000 - 2001年的15%增加到2013 - 2014年的20%。2015年，渥太华护理人员服务机构接到了2060起直接归因于酒精的呼叫。在2013年至2015年期间，每年因酒精导致的急诊科就诊平均有6100次，住院1270次。每年，酒精使用在渥太华至少导致140人死亡。男性因酒精导致的护理人员响应、急诊科就诊、住院和死亡发生率高于女性，而年轻人因酒精导致的护理人员响应发生率更高。公众态度的定性数据表明，酒精滥用不仅对饮酒者，而且对家庭和社区都有更大的影响。
结果凸显了制定健康公共政策的必要性，旨在鼓励渥太华形成适度饮酒的文化，以支持降低酒精使用风险，特别是在男性和年轻人中。
