Yuen Wing See, Peacock Amy, Man Nicola, Callinan Sarah, Slade Tim, Farrell Michael, Mattick Richard, Livingston Michael
National Drug and Alcohol Research Centre, UNSW Sydney, Kensington, Australia.
School of Psychological Sciences, University of Tasmania, Hobart, Australia.
Addiction. 2023 Mar;118(3):438-448. doi: 10.1111/add.16061. Epub 2022 Oct 21.
The aim of this study is to examine age, period and birth cohort trends in the prevalence of any alcohol-related risky behaviour and to compare these trends between men and women.
We used an age-period-cohort analysis of repeated cross-sectional survey data from the Australian National Drug Strategy Household Survey from 2001 to 2016.
Participants were 121 281 people aged 14-80 years who reported consuming alcohol in the past 12 months.
Any risky behaviour undertaken while under the influence of alcohol in the past 12 months (e.g. operating a motor vehicle) was measured: male or female.
Controlling for age and cohort, cubic spline models showed that any alcohol-related risky behaviour declined with time among participants who consumed alcohol [2016 versus 2007 rate ratio (RR) = 0.80, 95% confidence interval (CI) = 0.76-0.84]. Risky behaviour peaked in the 1954 birth cohort (1954 versus 1971 RR = 1.42, 95% CI = 1.30-1.55) and then steadily declined with more recent birth cohorts (2002 versus 1971 RR = 0.32, 95% CI = 0.27-0.39). Risky behaviour peaked at age 21 years, followed by steady decline and stabilization at approximately age 70 years. Males were overall twice as likely as females to report alcohol-related risky behaviour (RR = 2.10, 95% CI = 1.84-2.39), but this effect was smaller in cohorts born after 1980 [1980 prevalence rate ratios (PRR) = 2.09, 95% CI = 1.81-2.43; 2002 PRR = 1.31, 95% CI = 1.03-1.68].
Alcohol-related risky behaviour in Australia has declined generally since 2001, with rates for recent cohorts having the sharpest decline. Risky behaviour remains most prevalent in young adults, and the male-female gap in risky behaviour is closing for more recent birth cohorts. These trends are consistent with alcohol consumption trends observed in Australia and world-wide.
本研究旨在探讨与酒精相关的任何危险行为患病率的年龄、时期和出生队列趋势，并比较男性和女性之间的这些趋势。
我们对2001年至2016年澳大利亚国家毒品战略家庭调查的重复横断面调查数据进行了年龄-时期-队列分析。
参与者为121281名年龄在14 - 80岁之间且报告在过去12个月内饮酒的人。
测量过去12个月内在酒精影响下所进行的任何危险行为（例如驾驶机动车）：按男性或女性分类。
在控制年龄和队列因素后，三次样条模型显示，在饮酒的参与者中，任何与酒精相关的危险行为随时间下降[2016年与2007年的率比（RR）= 0.80，95%置信区间（CI）= 0.76 - 0.84]。危险行为在1954年出生队列中达到峰值（1954年与1971年的RR = 1.42，95% CI = 1.30 - 1.55），然后随着更近的出生队列稳步下降（2002年与1971年的RR = 0.32，95% CI = 0.27 - 0.39）。危险行为在21岁时达到峰值，随后稳步下降并在大约70岁时趋于稳定。总体而言，男性报告与酒精相关危险行为的可能性是女性的两倍（RR = 2.10，95% CI = 1.84 -
2.39），但在1980年以后出生的队列中这种效应较小[1980年患病率比（PRR）= 2.09，95% CI = 1.81 - 2.43；2002年PRR = 1.31, 95% CI = 1.03 - 1.68]。
自2001年以来，澳大利亚与酒精相关的危险行为总体上有所下降，最近队列的下降幅度最大。危险行为在年轻人中仍然最为普遍，并且最近出生队列中危险行为的男女差距正在缩小。这些趋势与在澳大利亚和全球观察到的酒精消费趋势一致。
