Center for Health Systems Research, National Institute of Public Health, Mexico.
Center for Population Health Research, National Institute of Public Health, Mexico.
Prev Med. 2022 Jan;154:106921. doi: 10.1016/j.ypmed.2021.106921. Epub 2021 Dec 16.
Despite the increase in the prevalence of binge drinking in Mexico studies focus on sociodemographic factors and little attention is paid on contextual factors. We estimated the association between density of alcohol outlets, price of alcoholic beverages, and binge drinking in Mexico among the population aged 12 to 65 years old who consumed alcohol during the last 12 months. Data come from different sources for alcohol consumption; availability of bar, nightclubs, saloons and stores that sell alcohol and prices of alcoholic beverages. We estimated generalized linear models for binary outcomes for the relationship between density of alcohol outlets and prices of alcoholic beverages with binge drinking at least once per year, at least once per month, and at least once per week controlling for sex, age, religion, household income and municipality size. Living in areas with a high density of alcohol-selling outlets was associated with a higher risk of binge drinking, at least once a year (RR 1.0, 95% CI: 1.0,1.1) at least once a month (RR 1.3, 95% CI: 1.2, 1.4) and weekly (RR 1.9, 95% CI: 1.6, 2.2). Living in States with lower alcohol prices was marginally associated to binge drinking at least once a year (RR 1.0, 95% CI: 1.0, 1.1) but more strongly associated to monthly (RR 1.2, 95% CI: 1.2, 1.4) and weekly binge drinking (RR 1.4, 95% CI: 1.3, 1.6). Along with strong fiscal policies, the implementation of spatial restrictions to the number of alcohol-selling outlets could help decrease binge drinking.
尽管墨西哥的狂欢饮酒现象有所增加，但研究仍侧重于社会人口因素，而对环境因素关注甚少。我们评估了酒精销售点密度、酒精饮料价格与墨西哥 12 至 65 岁间有饮酒习惯人群的狂欢饮酒之间的相关性。酒精摄入量的数据来自不同来源，包括酒吧、夜总会、酒馆和酒类销售商店的分布情况以及酒精饮料的价格。我们使用广义线性模型，对性别、年龄、宗教信仰、家庭收入和城市规模等因素进行了校正，分析了酒精销售点密度和酒精饮料价格与每年至少狂欢饮酒一次、每月至少狂欢饮酒一次以及每周至少狂欢饮酒一次之间的关系。在高酒精销售点密度地区生活与每年至少狂欢饮酒一次（RR1.0，95%CI：1.0，1.1）、每月至少狂欢饮酒一次（RR1.3，95%CI：1.2，1.4）和每周至少狂欢饮酒一次（RR1.9，95%CI：1.6，2.2）的风险增加有关。在酒精价格较低的州生活与每年至少狂欢饮酒一次（RR1.0，95%CI：1.0，1.1）略有相关性，但与每月至少狂欢饮酒一次（RR1.2，95%CI：1.2，1.4）和每周至少狂欢饮酒一次（RR1.4，95%CI：1.3，1.6）的相关性更强。除了实施强有力的财政政策外，还可以通过实施对酒精销售点数量的空间限制来减少狂欢饮酒。
