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15 个国家中与他人饮酒相关的经济伤害横断面调查:对女性有不平等影响吗?

Cross-sectional surveys of financial harm associated with others' drinking in 15 countries: Unequal effects on women?

机构信息

Centre for Alcohol Policy Research, La Trobe University, Victoria, Australia; National Drug Research Institute, Curtin University, Western Australia, Australia; Melbourne School of Population and Global Health, University of Melbourne, Australia.

Centre for Alcohol Policy Research, La Trobe University, Victoria, Australia; Melbourne School of Population and Global Health, University of Melbourne, Australia.

出版信息

Drug Alcohol Depend. 2020 Jun 1;211:107949. doi: 10.1016/j.drugalcdep.2020.107949. Epub 2020 Apr 22.

DOI:10.1016/j.drugalcdep.2020.107949
PMID:32334893
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7200291/
Abstract

INTRODUCTION AND AIMS

That physical, emotional and social problems occur not only to drinkers, but also to others they connect with, is increasingly acknowledged. Financial harms from others' drinking have been seldom studied at the population level, particularly in low- and middle-income countries. Whether financial harm and costs from others' drinking inequitably affect women is little known. The study's aim is to compare estimates and correlates of alcohol's financial harm to others than the drinker in 15 countries.

METHODS AND MATERIALS

Cross-sectional surveys of Alcohol's Harm To Others (AHTO) were conducted in Australia, Brazil, Chile, Denmark, India, Ireland, Lao PDR, New Zealand, Nigeria, Sri Lanka, Sweden, Switzerland, Thailand, the US and Vietnam.

PARTICIPANTS

17,670 men and 20,947 women.

MEASUREMENT

The prevalence of financial harm in the last year was assessed as financial trouble and/or less money available for household expenses because of someone else's drinking.

ANALYSIS

Meta-analysis and country-level logistic regression of financial harm (vs. none), adjusted for gender, age, education, rurality and participant drinking.

RESULTS

Under 3.2 % of respondents in most high-income countries reported financial harm due to others' drinking, whereas 12-22 % did in Thailand, Sri Lanka and India. Financial harm from others' drinking was significantly more common among women than men in nine countries. Among men and women, financial harm was significantly more prevalent in low- and middle- than in high-income countries.

CONCLUSIONS

Reports of financial harm from others' drinking are more common among women than among men, and in low- and middle-income than in high-income countries.

摘要

引言和目的

越来越多的人认识到,身体、情感和社会问题不仅发生在饮酒者身上,也发生在与他们有关的其他人身上。从人群层面上研究他人饮酒造成的经济危害的情况较少,特别是在中低收入国家。关于他人饮酒对女性造成的经济危害和成本是否不平等,人们知之甚少。本研究旨在比较 15 个国家中饮酒者以外的其他人因饮酒而遭受经济伤害的估计值和相关因素。

方法和材料

在澳大利亚、巴西、智利、丹麦、印度、爱尔兰、老挝人民民主共和国、新西兰、尼日利亚、斯里兰卡、瑞典、瑞士、泰国、美国和越南进行了横断面调查,以了解酒精对他人的伤害(AHTO)。

参与者

17670 名男性和 20947 名女性。

测量

在过去一年中,因他人饮酒导致经济困难和/或家庭开支减少的比例被评估为经济伤害。

分析

采用元分析和国家层面的逻辑回归分析,对性别、年龄、教育、城乡差异和参与者饮酒情况进行了调整。

结果

在大多数高收入国家,不到 3.2%的受访者报告因他人饮酒而遭受经济伤害,而在泰国、斯里兰卡和印度,这一比例为 12-22%。在九个国家中,女性报告因他人饮酒而遭受经济伤害的比例明显高于男性。在男性和女性中,经济伤害在中低收入国家比在高收入国家更为普遍。

结论

在女性和中低收入国家,比在男性和高收入国家,更常报告因他人饮酒而遭受经济伤害。

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