Alcohol Research Group, Public Health Institute , Emeryville, California.
J Womens Health (Larchmt). 2018 May;27(5):665-675. doi: 10.1089/jwh.2017.6613. Epub 2018 Mar 19.
Data on individual and cultural factors contributing to drinking can inform screening and brief intervention in clinical practice. Our aims were to examine 10-year trends in women's reasons for abstaining/limiting drinking and to document changes in associations with drinking status for population subgroups defined by race/ethnicity and age.
Using repeated cross-sectional data from White, Black and Hispanic women in the 2000 and 2010 United States National Alcohol Surveys (combined N = 5501), population-weighted multiple linear and multinomial logistic regression models assessed changes in three reasons for abstaining or limiting drinking (health concerns, religious prohibition, and upsetting family or friends) and drinking status (past-year abstainer, low-risk drinker, or at-risk drinker), and their associations over time.
Adjusting for key demographics, reasons for limiting alcohol consumption declined in importance over time, with reductions in both health concerns and religious prohibition particularly noteworthy for older women of all three racial/ethnic backgrounds. Despite these reductions in importance, both health concerns and religious prohibition were most consistently associated with increased abstinence relative to low-risk drinking; these reasons were not strongly associated with at-risk drinking, however.
It is essential for healthcare providers and others to disseminate accurate information about the risks of drinking to counter cultural shifts that suggest greater acceptance of moderate-to-heavy drinking by women aged 40 and older.
个体和文化因素对饮酒行为的影响数据可以为临床实践中的筛查和简短干预提供信息。我们的目的是检验女性出于何种原因而节制或限制饮酒的 10 年趋势，并记录因种族/民族和年龄而定义的人群亚组中，这些原因与饮酒状况之间关联的变化。
使用来自美国 2000 年和 2010 年全国酒精调查的白人、黑人和西班牙裔女性的重复横断面数据（合并 N=5501），采用加权多元线性和多项逻辑回归模型，评估了三种节制或限制饮酒的原因（健康担忧、宗教禁止和使家人或朋友不安）和饮酒状况（过去一年的戒酒者、低风险饮酒者或高风险饮酒者）的变化及其随时间的关联。
调整了关键人口统计学因素后，随着时间的推移，限制饮酒的原因的重要性逐渐降低，对于所有三种种族/民族背景的老年女性，健康担忧和宗教禁止的减少尤为明显。尽管这些原因的重要性有所降低，但健康担忧和宗教禁止与增加戒酒者的比例相比，与低风险饮酒者的关系最密切；然而，这些原因与高风险饮酒者的关系并不密切。
医疗保健提供者和其他人必须传播有关饮酒风险的准确信息，以应对文化转变，这种转变表明 40 岁及以上的女性对适度至重度饮酒的接受程度更高。
