Yu Jiazhou, Sumerlin Timothy S, Goggins William B, Dong Dong, Chung Roger Yat-Nork, Kim Jean H
Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Sha Tin, Hong Kong.
Centre for Health Systems and Policy Research, The Chinese University of Hong Kong, Sha Tin, Hong Kong.
Drug Alcohol Rev. 2022 Jan;41(1):208-220. doi: 10.1111/dar.13339. Epub 2021 Jun 29.
Alcohol consumption has been steadily increasing in East Asia, however, there is comparatively little regional data of alcohol-related harms. This study examines the alcohol-related harms prevalence and risk factors in Hong Kong, a high population density city with limited alcohol regulation.
A cross-sectional telephone survey was conducted in 2019 on Chinese adults aged 18-74 (n = 3200). Respondents were asked about various past-year first-hand drinking harms (after one's own drinking), second-hand harms (harms from other people's drinking) and views of neighbourhood alcohol outlet regulation.
Of drinkers, 21.1% reported first-hand alcohol harms, with physical/mental health harms (15.7%) most commonly reported. Younger-aged drinkers (adjusted odds ratios [AOR] 2.64, 95% confidence interval [CI] 1.63, 4.48) and heavy drinkers (AOR 2.34, 95% CI 1.55, 3.55) were more likely to report first-hand harms. Of the sample, 18.2% experienced past-year second-hand harms, with public harms (12.9%) most commonly reported. Young age (AOR 1.88, 95% CI 1.43, 2.49), higher education (AOR 1.44, 95% CI 1.13, 1.83), past-year binge drinking (AOR 4.29, 95% CI 3.04, 6.05) and communal living (AOR 2.04, 95% CI 1.13, 3.75) predicted greater likelihood of second-hand alcohol harms. Higher neighbourhood alcohol outlet density was not associated with any first-hand harms and only significantly predicted being inconvenienced by drinkers. Although victims of second-hand alcohol harms were more supportive of regulating outlet density, 93.3% of respondents were opposed to such policies.
Although high levels of alcohol-related harms were not reported by Hong Kong adults, regulations should target young drinkers and binge drinkers who are most likely to experience drinking-related harms.
东亚地区的酒精消费量一直在稳步上升，然而，该地区与酒精相关危害的数据相对较少。本研究调查了香港这个人口密度高且酒精管制有限的城市中与酒精相关危害的患病率及风险因素。
2019年对18 - 74岁的中国成年人（n = 3200）进行了一项横断面电话调查。询问受访者过去一年中各种亲身饮酒危害（自身饮酒后）、二手危害（他人饮酒造成的危害）以及对社区酒精销售点管制的看法。
在饮酒者中，21.1%报告有亲身酒精危害，最常报告的是身心健康危害（15.7%）。年轻饮酒者（调整优势比[AOR] 2.64，95%置信区间[CI] 1.63，4.48）和重度饮酒者（AOR 2.34，95% CI 1.55，3.55）更有可能报告亲身危害。在样本中，18.2%在过去一年经历过二手危害，最常报告的是公共危害（12.9%）。年轻（AOR 1.88，95% CI 1.43，2.49）、受过高等教育（AOR 1.44，95% CI 1.13，1.83）、过去一年有暴饮行为（AOR 4.29，95% CI 3.04，6.05）以及群居（AOR 2.04，95% CI 1.13，3.75）预示着二手酒精危害的可能性更大。社区酒精销售点密度较高与任何亲身危害均无关联，仅显著预示会受到饮酒者的不便影响。尽管二手酒精危害的受害者更支持对销售点密度进行管制，但93.3%的受访者反对这类政策。
尽管香港成年人未报告高水平的与酒精相关危害，但管制措施应针对最有可能经历与饮酒相关危害的年轻饮酒者和暴饮者。
