Bradstock K, Forman M R, Binkin N J, Gentry E M, Hogelin G C, Williamson D F, Trowbridge F L
Bureau of Public Health Education, Centers for Disease Control, Atlanta, GA 30333.
Addict Behav. 1988;13(1):61-71. doi: 10.1016/0306-4603(88)90026-3.
Alcohol use is a complex behavior, occurring in the context of an overall health lifestyle. We used data from a nationally representative telephone survey (N = 12,467 women) to examine associations between binge drinking, chronic drinking, and other health behaviors. Certain health-risk behaviors (e.g., smoking, drunk driving, and seatbelt nonuse) tend to cluster with alcohol misuse. These may act synergistically, thus augmenting the negative health effects of alcohol misuse. Conversely, some health behaviors (e.g., eating or exercising, particularly in response to stress) are negatively associated with alcohol misuse and may serve similar functions for some women. Finally, binge drinking occurs more frequently among women who may have relatively restrictive eating behaviors and higher levels of interpersonal stress. Our findings suggest that alcohol prevention and treatment programs should address sociodemographic and health lifestyle factors that initially predispose an individual to engage in health-risk behaviors and should recognize the interdependent patterns of behaviors associated with alcohol misuse. This approach will help prevent substitutions, recurrence, or induction of detrimental behaviors and will identify potentially negative interactions between existing concurrent health-risk behaviors.
饮酒是一种复杂行为，发生在整体健康生活方式的背景下。我们使用了一项具有全国代表性的电话调查（N = 12467名女性）的数据，来研究暴饮、长期饮酒与其他健康行为之间的关联。某些健康风险行为（如吸烟、酒驾和不系安全带）往往与酒精滥用同时出现。这些行为可能会协同作用，从而增强酒精滥用对健康的负面影响。相反，一些健康行为（如饮食或锻炼，特别是在应对压力时）与酒精滥用呈负相关，对一些女性可能起到类似的作用。最后，暴饮在那些饮食行为可能相对受限且人际压力水平较高的女性中更为常见。我们的研究结果表明，酒精预防和治疗项目应解决那些最初使个体倾向于从事健康风险行为的社会人口学和健康生活方式因素，并应认识到与酒精滥用相关的行为相互依存模式。这种方法将有助于预防有害行为的替代、复发或诱发，并将识别现有并发健康风险行为之间潜在的负面相互作用。
