HBSA, Pacific Institute for Research and Evaluation, Berkeley, California, USA.
HBSA, Pacific Institute for Research and Evaluation, Chapel Hill, North Carolina, USA.
Subst Use Misuse. 2021;56(13):1982-1988. doi: 10.1080/10826084.2021.1963984. Epub 2021 Aug 11.
This study examined the relative contribution of alcoholic beverage types to overall alcohol consumption and associations with heavy alcohol use and alcohol-related harms among adults.
Cross-sectional survey data were collected from adult samples in two cities involved in the Global Smart Drinking Goals (GSDG) initiative in each of five countries (Belgium, Brazil, China, South Africa, United States). Survey measures included past-30-day consumption of beer, wine, flavored alcoholic drinks, spirits, and homemade alcohol; past-30-day heavy drinking; 14 alcohol-related harms in the past 12 months; and demographic characteristics. Within in each country, we computed the proportion of total alcohol consumption for each beverage type. Regression analyses were conducted to estimate the relative associations between consumption of each alcoholic beverage type, heavy alcohol use, and alcohol-related harms, controlling for demographic characteristics.
Beer accounted for at least half of total alcohol consumption in GSDG cities in Belgium, Brazil, the U.S., and South Africa, and 35% in China. Regression analyses indicated that greater beer consumption was associated with heavy drinking episodes and with alcohol-related harms in the cities in Belgium, Brazil, South Africa, and the U.S. Significant increases in heavy drinking and alcohol-related harms were also consistently observed for spirits consumption.
Beer accounts for the greatest proportion of total alcohol consumption in most of the GSDG cities and was consistently associated with more heavy drinking episodes and alcohol-related harms. Reducing beer consumption through evidence-based interventions may therefore have the greatest impact on hazardous drinking and alcohol-related harms.
本研究考察了不同酒类在总酒精摄入量中的相对贡献，以及它们与成年人重度饮酒和与酒精相关危害的关联。
本研究从参与全球智能饮酒目标倡议的五个国家（比利时、巴西、中国、南非和美国）两个城市的成年样本中收集了横断面调查数据。调查措施包括过去 30 天内啤酒、葡萄酒、调味酒精饮料、烈酒和自制酒的消费情况；过去 30 天内的重度饮酒情况；过去 12 个月内的 14 项与酒精相关的危害；以及人口统计学特征。在每个国家内，我们计算了每种饮料类型在总酒精消费中所占的比例。回归分析用于估计每种酒精饮料的消费与重度饮酒和与酒精相关的危害之间的相对关联，同时控制人口统计学特征。
在 GSDG 城市中，啤酒占比利时、巴西、美国和南非总酒精消费的至少一半，在中国占 35%。回归分析表明，啤酒消费越多，与重度饮酒事件和与酒精相关的危害的关联越大。在比利时、巴西、南非和美国的城市中，烈酒消费也与重度饮酒和与酒精相关的危害显著增加有关。
在大多数 GSDG 城市中，啤酒占总酒精消费的最大比例，并且与更多的重度饮酒事件和与酒精相关的危害始终相关。因此，通过循证干预措施减少啤酒消费可能对危险饮酒和与酒精相关的危害产生最大影响。
