Centre for Addiction and Mental Health, Institute for Mental Health Policy Research, Toronto, ON, Canada.
Centre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada.
Addiction. 2022 Sep;117(9):2530-2536. doi: 10.1111/add.15905. Epub 2022 May 6.
In the United States, until 2018 both the prevalence of heavy alcohol use and the suicide mortality rate increased among men and women; however, women had experienced a notably higher increase in both. As heavy alcohol use may have contributed to the observed sex disparity in the suicide mortality rate increase, the aim of the current study was to estimate the temporal trend of the sex- and age-group-specific proportion of suicides that were alcohol-involved in the United States.
Using restricted-access data from the National Violent Death Reporting System, we performed joinpoint regression analyses to investigate temporal trends in the sex- and age-group (young adults = 18-34 years; middle-aged adults = 35-64 years; and older adults = 65+ years)-specific proportion of suicides that were alcohol-involved.
United States.
A total of 115 202 suicide decedents 18+ years of age from 2003 to 2018.
The sex- and age-group-specific proportion of suicides that were alcohol-involved, among all suicide decedent, for which the decedent had a blood alcohol concentration (BAC) (a) ≥ 0.04 g/dl and (b) ≥ 0.08 g/dl.
For 2003-18, the proportion of suicides that were alcohol-involved wherein the decedent had a BAC ≥ 0.08 g/day significantly increased on average annually for women of all age groups [young women: 2.80%, 95% confidence interval (CI) = 1.86%, 3.75%; middle-aged women: 2.20%, 95% CI = 1.20%, 3.21%; older women: 10.48%, 95% CI = 1.17%, 20.65%], while only middle-aged men experienced a significant average annual percentage increase (0.81%, 95% CI = 0.003%, 1.62%).
In the United States between 2003 and 2018, alcohol use preceding death by suicide increased among women compared with men.
在美国，直到 2018 年，男性和女性的重度饮酒率和自杀死亡率都在上升；然而，女性的这两个指标的增长幅度都明显更高。由于重度饮酒可能导致了观察到的自杀死亡率性别差异的增加，本研究的目的是估计美国与自杀相关的酒精使用在不同性别和年龄组人群中的比例的时间趋势。
使用国家暴力死亡报告系统的受限访问数据，我们进行了 Joinpoint 回归分析，以调查 2003 年至 2018 年与自杀相关的酒精使用在不同性别和年龄组（年轻成年人=18-34 岁；中年成年人=35-64 岁；老年人=65+岁）特异性比例的时间趋势。
美国。
2003 年至 2018 年期间年龄在 18 岁及以上的 115202 名自杀死亡者。
所有自杀死亡者中，与自杀相关的酒精使用在不同性别和年龄组中的比例，其中死者的血液酒精浓度（BAC）（a）≥0.04g/dl 且（b）≥0.08g/dl。
2003-18 年，在所有年龄段的女性中，死者 BAC≥0.08g/dl 的自杀者中与自杀相关的酒精使用比例平均每年显著增加[年轻女性：2.80%，95%置信区间（CI）=1.86%，3.75%；中年女性：2.20%，95% CI=1.20%，3.21%；老年女性：10.48%，95% CI=1.17%，20.65%]，而只有中年男性经历了显著的平均每年百分比增加（0.81%，95% CI=0.003%，1.62%）。
在美国，2003 年至 2018 年间，与自杀相关的酒精使用在女性中比男性中增加得更多。
