与成年人饮酒稳定性和变化相关的社会心理和健康特征。

Social, psychological and health characteristics associated with stability and change in adult alcohol consumption.

机构信息

Unit of Medical Psychology, Section of Environmental Health, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

Center for Healthy Aging, University of Copenhagen, Copenhagen, Denmark.

出版信息

PLoS One. 2022 Nov 11;17(11):e0277511. doi: 10.1371/journal.pone.0277511. eCollection 2022.

DOI:10.1371/journal.pone.0277511

PMID:36367901

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9651548/

Abstract

BACKGROUND

Many studies analyzing health effects of alcohol consumption have operationalized alcohol intake from a single baseline measure without further follow-up. Consequently, there is a lack of knowledge about stability and change in alcohol consumption over the life course and the social, psychological, lifestyle, and health characteristics associated with different alcohol consumption trajectories.

OBJECTIVES

The aims of the study were to describe the prevalence of different adult-life alcohol consumption trajectories among Danish men and to analyze social, psychological, lifestyle and health characteristics associated with these trajectories.

METHODS

For 2510 Danish men, retrospective decade-based information on alcohol consumption during life period 26-60 years was obtained in late midlife and information on individual characteristics was obtained in young adulthood, late midlife and from national hospital registries. The men were allocated to one of six a priori defined alcohol consumption trajectories.

RESULTS

About 65% of Danish men had a stable moderate consumption, drinking 1-21 units weekly while the five other consumption trajectories were comparatively rare: 3% stable abstainers, 4.7% stable high-risk drinkers, 10.9% with increasing and 12.7% with decreasing consumption. Moderate consumption over the adult life-course was associated with the most favorable social, psychological, lifestyle and health characteristics while the other trajectories were generally associated with less favorable characteristics to varying degrees-e. g. this was the case for the stable abstaining trajectory and in particular the trajectory with decreasing consumption.

CONCLUSION

The findings suggest that the majority of Danish men drink moderately in the life period from young adulthood to late midlife, and deviance from this 'normal' moderate consumption trajectory is associated with less favorable social, psychological, lifestyle and health characteristics. Some of these characteristics may influence alcohol consumption patterns, but for some of the trajectories, alcohol consumption may influence health as well as social and psychological functioning.

摘要

背景

许多分析饮酒对健康影响的研究都是从单一的基线测量来操作饮酒摄入量，而没有进一步的随访。因此，我们对于一生中饮酒量的稳定性和变化以及与不同饮酒轨迹相关的社会、心理、生活方式和健康特征知之甚少。

目的

本研究旨在描述丹麦男性在成年期不同的饮酒轨迹的流行情况，并分析与这些轨迹相关的社会、心理、生活方式和健康特征。

方法

对于 2510 名丹麦男性，在中年后期获得了他们一生中 26-60 岁期间基于十年的饮酒情况的回顾性信息，并在青年期、中年后期以及从国家医院登记处获得了个人特征的信息。这些男性被分配到六个预先定义的饮酒轨迹之一。

结果

大约 65%的丹麦男性有稳定的适度饮酒，每周饮用 1-21 个单位，而其他五种饮酒轨迹则相对较少见：3%的稳定不饮酒者，4.7%的稳定高危饮酒者，10.9%的饮酒量增加者和 12.7%的饮酒量减少者。整个成年期的适度饮酒与最有利的社会、心理、生活方式和健康特征相关，而其他轨迹通常与不同程度的不太有利的特征相关，例如稳定的不饮酒轨迹，特别是饮酒量减少的轨迹。