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PURE 波兰队列研究中的饮酒模式及其与健康问题的关系。

Patterns of Alcohol Consumption in the PURE Poland Cohort Study and Their Relationship with Health Problems.

机构信息

Department of Social Medicine, Wroclaw Medical University, 50-345 Wrocław, Poland.

Calisia University, 62-800 Kalisz, Poland.

出版信息

Int J Environ Res Public Health. 2021 Apr 15;18(8):4185. doi: 10.3390/ijerph18084185.

DOI:10.3390/ijerph18084185
PMID:33920940
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8071311/
Abstract

(1) Background: Alcohol is a leading risk factor of premature morbidity and mortality. The objective of this study was to investigate the patterns of alcohol consumption in the PURE Poland cohort study baseline. (2) Methods: A Polish cohort was enrolled in the baseline study in 2007-2010. The study group consisted of 2021 adult participants of urban and rural areas from the Lower Silesia voivodeship in Poland (747 men and 1274 women). (3) Results: In the overall study population, 67.3% were current drinkers, 10.3% were former drinkers, and 22.4% were abstainers. Current use of alcohol products was more prevalent in men (77.2%), people living in urban areas (73.0%), and people with a higher level of education (78.0%). The percentage of current drinkers decreased with increasing age (from 73.4% in 30- to 44-year-olds to 48.8% in participants aged 64 and more). The majority of participants (89.2%) declared a low level of alcohol intake. The chance of high level of intake of alcohol was four times higher in men than in women (OR 4.17; CI 1.64-10.6). The majority of participants (54.6%) declared most frequent consumption of low-alcohol drinks (beer, wine) and 21% declared most frequent consumption of spirits. Current drinkers had almost 1.5-fold higher odds of diabetes and cardiovascular diseases (CVD) than never drinkers (OR 1.49, CI 1.03-2.17; OR 1.66, CI 1.27-2.18, respectively). Former drinkers had higher odds for hypertension and CVD than never drinkers (1.73, CI 1.05-2.85; OR 1.76, CI 1.22-2.53, respectively). (4) Conclusions: In our cohort study, we observed several socio-demographic factors differentiating the patterns of alcohol consumption. The preventive programs should focus predominantly on men, people aged <45 years, and those with a higher level of education.

摘要

(1) 背景:酒精是导致早发性发病和死亡的主要风险因素。本研究的目的是调查 PURE 波兰队列研究基线中酒精消费模式。

(2) 方法:2007-2010 年在波兰下西里西亚省招募了一个波兰队列进行基线研究。研究组包括来自该省城乡地区的 2021 名成年参与者(747 名男性和 1274 名女性)。

(3) 结果:在整个研究人群中,67.3%为现饮酒者,10.3%为既往饮酒者,22.4%为不饮酒者。现饮酒者在男性(77.2%)、居住在城市地区的人(73.0%)和受教育程度较高的人(78.0%)中更为普遍。现饮酒者的比例随年龄增加而降低(从 30-44 岁人群的 73.4%降至 64 岁及以上人群的 48.8%)。大多数参与者(89.2%)报告酒精摄入量较低。男性饮酒量高的可能性是女性的四倍(OR 4.17;CI 1.64-10.6)。大多数参与者(54.6%)报告最常饮用低酒精饮料(啤酒、葡萄酒),21%报告最常饮用烈酒。与从不饮酒者相比,现饮酒者患糖尿病和心血管疾病(CVD)的几率高出近 1.5 倍(OR 1.49,CI 1.03-2.17;OR 1.66,CI 1.27-2.18)。既往饮酒者患高血压和 CVD 的几率高于从不饮酒者(1.73,CI 1.05-2.85;OR 1.76,CI 1.22-2.53)。

(4) 结论:在我们的队列研究中,我们观察到一些社会人口因素可区分酒精消费模式。预防计划应主要针对男性、<45 岁人群和受教育程度较高的人群。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5051/8071311/26aa4e5efb4b/ijerph-18-04185-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5051/8071311/167b3a2c5a79/ijerph-18-04185-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5051/8071311/10327db90634/ijerph-18-04185-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5051/8071311/26aa4e5efb4b/ijerph-18-04185-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5051/8071311/167b3a2c5a79/ijerph-18-04185-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5051/8071311/10327db90634/ijerph-18-04185-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5051/8071311/26aa4e5efb4b/ijerph-18-04185-g003.jpg

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