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阿根廷年轻成年人酒精销售点密度、个体特征与酒精相关伤害的多层次模型

A Multilevel Model of Alcohol Outlet Density, Individual Characteristics and Alcohol-Related Injury in Argentinean Young Adults.

作者信息

Conde Karina, Nesoff Elizabeth D, Peltzer Raquel I, Cremonte Mariana

机构信息

Institute of Basic, Applied Psychology and Technology (IPSIBAT-CONICET-UNMDP-CIC), Mar del Plata, Buenos Aires, Argentina.

National University of Mar del Plata, Mar del Plata, Buenos Aires, Argentina.

出版信息

Can J Addict. 2020 Dec;11(4):32-39. doi: 10.1097/cxa.0000000000000097.

DOI:10.1097/cxa.0000000000000097
PMID:33585673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7880044/
Abstract

OBJECTIVES

Previous research from high-income countries has consistently shown an association between alcohol-related harms and neighborhood characteristics such as alcohol outlet density, but this research has not been extended to middle- and low-income countries. We assessed the role of neighborhood characteristics such as alcohol outlet density, overcrowding and crime rates, and individual characteristics including gender, age, alcohol and marijuana use, and geographic mobility associated with alcohol-related injuries in university students in Argentina.

METHODS

Data were collected from a randomized sample of students attending a national public university (n = 1346). Descriptive, bivariable, and multilevel logistic regression analyses were performed.

RESULTS

In the final model, on-premises alcohol outlet density-but not off-premises outlet density, overcrowding or crime-was associated with past-year and lifetime alcohol-related injury (median odds ratio=1.16). At the individual level, quantity (odds ratio (OR)=1.05, 95% CI=(1.01, 1.10)) and frequency (OR=1.66, 95% CI=(1.41,1.97)) of alcohol consumption and age (OR=0.81, 95% CI=(0.74, 0.88)) were associated with past-year and lifetime alcohol-related injury.

CONCLUSIONS

This study contributes to an area with a paucity of information from non-high-income countries, finding differences with previous literature.

摘要

目的

来自高收入国家的先前研究一直表明,与酒精相关的危害与诸如酒类销售点密度等社区特征之间存在关联,但这项研究尚未扩展到中低收入国家。我们评估了诸如酒类销售点密度、过度拥挤和犯罪率等社区特征,以及包括性别、年龄、酒精和大麻使用情况,以及与阿根廷大学生酒精相关伤害有关的地理流动性等个体特征的作用。

方法

从一所国立公立大学的学生随机样本(n = 1346)中收集数据。进行了描述性、双变量和多水平逻辑回归分析。

结果

在最终模型中,店内酒类销售点密度(而非店外销售点密度、过度拥挤或犯罪)与过去一年及终生与酒精相关的伤害有关(中位数优势比 = 1.16)。在个体层面,酒精消费的数量(优势比(OR)= 1.05,95%置信区间 =(1.01,1.10))和频率(OR = 1.66,95%置信区间 =(1.41,1.97))以及年龄(OR = 0.81,95%置信区间 =(0.74, 0.88))与过去一年及终生与酒精相关的伤害有关。

结论

本研究为非高收入国家信息匮乏的领域做出了贡献,发现了与先前文献的差异。

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