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父母酒精中毒与子代不良健康结局。一项针对2399名挪威青少年的HUNT 4年随访研究。

Parental alcohol intoxication and adverse health outcomes among offspring. A 4-year follow up HUNT study among 2399 Norwegian adolescents.

作者信息

Haugland S H, Coombes L, Strandheim A

机构信息

Faculty of Health and Sport Sciences, Department of Psychosocial Health, University of Agder, Postboks 422, 4604 Kristiansand, Norway.

Faculty of Life and Health Sciences, Department of Psychology, Social Work and Public Health, Oxford Brookes University, Gypsy Lane, Headington, Oxford OX3 0BP, United Kingdom.

出版信息

Prev Med Rep. 2020 Aug 4;20:101170. doi: 10.1016/j.pmedr.2020.101170. eCollection 2020 Dec.

Abstract

This study aimed to investigate whether experience of parental alcohol intoxication was associated with adverse health outcomes among adolescents four years later. A population-based Norwegian cohort study of 2399 adolescents who participated in the Young-HUNT1 Survey 1995-97 (T1, 13-15 years old) was followed up four years later (T2) in 2000 (Young-HUNT2, 17-19 years old). Measures were based on adolescent self-report of exposure to parental alcohol intoxication, self-rated general health, mental distress (SCL-5) and lifetime hospital admission. Multivariable logistic regression analyses, adjusted for gender, age and parental education were applied. Results show that half of the adolescents (51%) had seen parents intoxicated at age 13-15 years. Four years later, those who had reported parental alcohol intoxication at T1 had increased odds of admission to hospital with odds ratios ranging from OR1.3; CI 1.0-1.7 to OR 2.2; CI 1.3-3.9, poorer self-rated health (odds ratio ranging from 1.8;1.2-2.6 to 2.0;1.1-3.7) and more mental distress (odds ratio ranging from 1.7;1.1-2.5 to 1.9;1.0-3.6). Furthermore, the increased frequency of experience of parental alcohol intoxication are associated with higher prevalence of admission to hospital and mental distress and lower levels of self-rated health. Findings from this large, representative population of Norwegian adolescents indicate that adverse health outcomes among adolescents in a general population are related to relatively common heavy drinking behaviours among parents.

摘要

本研究旨在调查父母酒精中毒经历是否与四年后青少年的不良健康结果相关。对2399名青少年进行了一项基于人群的挪威队列研究,这些青少年参加了1995 - 1997年的青少年HUNT1调查(T1,13 - 15岁),并于2000年(青少年HUNT2,17 - 19岁)进行了四年后的随访(T2)。测量基于青少年对父母酒精中毒暴露、自我评定的总体健康状况、精神困扰(SCL - 5)和终身住院情况的自我报告。应用了对性别、年龄和父母教育程度进行调整的多变量逻辑回归分析。结果显示,一半的青少年(51%)在13 - 15岁时见过父母醉酒。四年后,那些在T1报告父母酒精中毒的青少年住院几率增加,优势比范围从OR1.3;CI 1.0 - 1.7到OR 2.2;CI 1.3 - 3.9,自我评定健康状况较差(优势比范围从1.8;1.2 - 2.6到2.0;1.1 - 3.7),且精神困扰更多(优势比范围从1.7;1.1 - 2.5到1.9;1.0 - 3.6)。此外,父母酒精中毒经历频率的增加与更高的住院患病率和精神困扰以及更低的自我评定健康水平相关。来自这一具有代表性的挪威青少年大群体的研究结果表明,一般人群中青少年的不良健康结果与父母中相对常见的重度饮酒行为有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ee9/7426560/e5a32d8fa702/gr1.jpg

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