Bellos Stefanos, Petrikis Petros, Malliori Meni, Mavreas Venetsanos, Skapinakis Petros
Department of Psychiatry, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece.
National and Kapodistrian University of Athens, Eginition Hospital, Athens, Greece.
Psychiatry J. 2020 Feb 10;2020:4841050. doi: 10.1155/2020/4841050. eCollection 2020.
Country-level epidemiological data about alcohol-related problems is useful for planning prevention and treatment services. Heavy Alcohol Consumption (HAC) and Alcohol Use Disorder (AUD) are two syndromes of alcohol-related problems that have been recognized worldwide. Study of the epidemiological determinants of HAC and AUD in different sociocultural contexts could inform hypotheses about the etiology or the consequences of alcohol-related problems.
We assessed the prevalence and associations of HAC and AUD with sociodemographic variables adjusting for common mental disorders in a representative sample of the general population of Greece ( = 4894 participants). The period of data collection just preceded the emergence of the financial crisis in Greece.
The majority of the population did not report HAC, AUD or abstinence from alcohol. HAC was reported by 12.7% (95% CI: 11.8-13.6) of the population while 3.1% (95% CI: 2.7-3.6) met criteria for AUD. Younger age, divorce, lower educational level, living in an urban area, physical health problems, and smoking were associated with a higher prevalence of both conditions. Presence of severe financial difficulties and never married family status were associated with a higher prevalence of HAC but not AUD. HAC was associated with nonspecific psychiatric morbidity while AUD was associated with more specific psychiatric disorders. . Both alcohol-related problems are frequent in the general population and have common and distinct determinants. The comparison between the findings of our study and those of similar studies during or after the period of financial austerity in Greece, would offer the opportunity to assess the possible effects of changes in the economical context in the determinants of alcohol-related problems.
关于酒精相关问题的国家级流行病学数据对规划预防和治疗服务很有用。重度饮酒（HAC）和酒精使用障碍（AUD）是全球公认的两种酒精相关问题综合征。在不同社会文化背景下研究HAC和AUD的流行病学决定因素，可以为关于酒精相关问题的病因或后果的假设提供依据。
我们在希腊普通人群的代表性样本（n = 4894名参与者）中，评估了HAC和AUD的患病率及其与社会人口统计学变量的关联，并对常见精神障碍进行了校正。数据收集期恰好在希腊金融危机出现之前。
大多数人群未报告有HAC、AUD或戒酒情况。12.7%（95%CI：11.8 - 13.6）的人群报告有HAC，而3.1%（95%CI：2.7 - 3.6）符合AUD标准。年龄较小、离婚、教育水平较低、居住在城市地区、身体健康问题和吸烟与这两种情况的较高患病率相关。存在严重经济困难和未婚家庭状况与HAC的较高患病率相关，但与AUD无关。HAC与非特异性精神疾病发病率相关，而AUD与更特定的精神障碍相关。两种酒精相关问题在普通人群中都很常见，且有共同和不同的决定因素。将我们的研究结果与希腊财政紧缩期间或之后的类似研究结果进行比较，将提供机会评估经济背景变化对酒精相关问题决定因素的可能影响。
