Bloomfield Kim, Grittner Ulrike, Kraus Ludwig, Piontek Daniela
Centre for Alcohol and Drug Research, Aarhus University, Denmark.
Department of Biostatistics and Clinical Epidemiology, Charité - Universitaetsmedizin Berlin, Germany.
Nordisk Alkohol Nark. 2017 Aug;34(4):342-352. doi: 10.1177/1455072517712820. Epub 2017 Sep 14.
A drinking pattern is not only a major drinking variable, but is also one indicator of a country's drinking culture. In the present study, we examine drinking patterns within and across the neighbouring countries of Denmark and Germany. The aim of the research is to determine to what extent drinking patterns differ or are shared at the sub-national level in the two countries.
Data came from the German 2012 Epidemiological Survey of Substance Use ( 9084) 18-64 years (response rate 54%), and the Centre for Alcohol and Drug Research's 2011 Danish national survey ( = 5133) 15-79 years (response rate 64%), which was reduced to a common age range, producing a final of 4016. The drinking pattern variable included abstention, moderate drinking, heavy drinking, risky single occasion drinking (RSOD), and was investigated with bivariate statistics and gender-specific hierarchical cluster analysis.
For men three clusters emerged: one highlighting abstention and RSOD, moderate/heavy drinking, RSOD and RSOD heavy drinking. For women, two clusters appeared: one highlighting abstention and moderate/ heavy drinking and the other highlighting RSOD and RSDO heavy drinking. The clusters revealed different geographical patterning: for men, a west vs. east divide; for women, a north-south gradient.
The analysis could identify for each gender clusters representing both separate and shared drinking patterns as well as distinctive geographical placements. This new knowledge can contribute to a new understanding of the dynamics of drinking cultures and could indicate new approaches to prevention efforts and policy initiatives.
饮酒模式不仅是一个主要的饮酒变量,也是一个国家饮酒文化的指标之一。在本研究中,我们考察丹麦和德国这两个邻国国内以及两国之间的饮酒模式。研究目的是确定在两国的次国家层面上,饮酒模式在多大程度上存在差异或具有共性。
数据来自德国2012年物质使用流行病学调查(9084人,年龄在18 - 64岁之间,应答率54%),以及酒精与药物研究中心2011年丹麦全国调查(5133人,年龄在15 - 79岁之间,应答率64%),将其年龄范围统一后,最终样本量为4016人。饮酒模式变量包括戒酒、适度饮酒、重度饮酒、危险单次饮酒(RSOD),并采用双变量统计和按性别分层聚类分析进行研究。
男性分为三类:一类以戒酒和危险单次饮酒为特征,一类以适度/重度饮酒和危险单次饮酒为特征,还有一类以危险单次饮酒和重度危险单次饮酒为特征。女性分为两类:一类以戒酒和适度/重度饮酒为特征,另一类以危险单次饮酒和重度危险单次饮酒为特征。这些类别呈现出不同的地理分布模式:男性为西部与东部的划分;女性为南北梯度分布。
该分析能够识别出代表不同和共同饮酒模式以及独特地理分布的男女类别。这一新知识有助于对饮酒文化动态形成新的理解,并可能为预防措施和政策倡议指明新的方向。