The National Institute for Health and Welfare (THL), Helsinki, Finland.
Eur Addict Res. 2017;23(5):231-237. doi: 10.1159/000481347. Epub 2017 Oct 6.
To examine the long-term predictors of persistence of risky drinking in a baseline group of risky drinkers in whom alcohol use disorder had not been diagnosed.
The data was derived from a representative sample of the Finnish adult population aged 30 years or more, surveyed at 2 time points in the years 2000 (n = 5,726) and 2011 (n = 3,848, 67.2% of the baseline sample). Risky drinking was defined using BSQF-measurement (for men, 21 standard UK drinks or more per week; for women 14+ drinks) and not having alcohol abuse or alcohol dependence. The sample of risky drinkers in baseline comprised 642 persons, of whom 380 (59.2%) people provided follow-up data. Multivariable logistic regression models were estimated to identify determinants of persistence of risky drinking.
The rate for persistence of risky drinking was 48.7%. Persistence was predicted by daily smoking, low physical activity, and male gender, whereas higher age and later onset of drinking predicted cessation of risky drinking. Daily smoking remained an independent predictor after adjusting for other risk factors.
Health behaviour predicts the persistence of risky drinking in a study population of adults aged 30 and over. These factors should be taken into account when assessing the long-term prognosis on risky drinking.
在未被诊断为酒精使用障碍的基线风险饮酒者群体中，研究长期风险饮酒持续存在的预测因素。
该数据来自芬兰年龄在 30 岁及以上的成年人的代表性样本，在 2000 年（n=5726）和 2011 年（n=3848，基线样本的 67.2%）两个时间点进行了两次调查。风险饮酒是使用 BSQF 测量法定义的（男性每周 21 标准英国饮料或以上；女性 14 次以上的饮料），且没有酒精滥用或酒精依赖。基线风险饮酒者样本由 642 人组成，其中 380 人（59.2%）提供了随访数据。使用多变量逻辑回归模型来确定风险饮酒持续存在的决定因素。
风险饮酒持续存在的比例为 48.7%。持续存在的预测因素包括每日吸烟、低体力活动和男性性别，而较高的年龄和较晚的饮酒起始时间则预测风险饮酒的停止。在调整其他危险因素后，每日吸烟仍然是一个独立的预测因素。
在年龄在 30 岁及以上的成年人研究人群中，健康行为预测了风险饮酒的持续存在。在评估风险饮酒的长期预后时，应考虑这些因素。
