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巴西饮酒量:流行率比的估计——2013 年和 2019 年。

Consumption of alcoholic beverages in Brazil: estimation of prevalence ratios - 2013 and 2019.

机构信息

Universidade de Brasília. Faculdade de Ciências da Saúde. Programa de Pós Graduação em Saúde Coletiva. Brasília, DF, Brasil.

Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Análise Epidemiológica e Vigilância de Doenças Não transmissíveis. Brasília, DF, Brasil.

出版信息

Rev Saude Publica. 2023 Apr 14;57:17. doi: 10.11606/s1518-8787.2023057004380. eCollection 2023.

Abstract

OBJECTIVES

To estimate the prevalence of weekly, monthly and abusive alcohol consumption in Brazil in 2013 and 2019, compare the period estimates, and verify the magnitude of the differences.

METHODS

Analysis of data on alcohol consumption in the adult population (18 years or older) from the National Health Survey (PNS), 2013 and 2019. The number of interviewees in 2013 was 60,202 and 88,531 in 2019. The samples were characterized according to demographic, socioeconomic, health, and alcohol consumption variables and differences in proportions in the period were compared using Pearson's c2 test, with Rao-Scott approximation and a 5% significance level. Multivariate Poisson regression models were estimated for the outcome variables of monthly, weekly and abusive consumption of alcoholic beverages, in order to estimate the magnitude of the differences between the 2013 and 2019 PNS estimates, using the prevalence ratio (PR). Models were adjusted per sex and age group and stratified per sex and demographic region.

RESULTS

There was a difference in the distribution of the population according to race, occupation, income, age group, marital status, and education. There was an increase in alcohol consumption for all outcome variables, with the exception of weekly consumption in males. The PR of weekly consumption was 1.02 (95%CI 1.014-1.026), and in females the PR was 1.05 (95%CI 1.04-1.06). The highest PRs in the general population and per sex occur for abusive consumption. The increase in weekly consumption per region occurred in the South, Southeast, and Central-West regions.

CONCLUSIONS

Males are the main alcohol consumers in Brazil; the PRs for both males and females show that there was an increase in monthly, weekly and abusive consumption in the research period; it is noteworthy that females have increased their consumption pattern with greater intensity than males.

摘要

目的

估计 2013 年和 2019 年巴西每周、每月和酗酒饮酒的流行率,比较两个时期的估计值,并验证差异的大小。

方法

对 2013 年和 2019 年全国健康调查(PNS)中成年人口(18 岁及以上)的酒精消费数据进行分析。2013 年的受访者人数为 60202 人,2019 年为 88531 人。根据人口统计学、社会经济、健康和酒精消费变量对样本进行了特征描述,并使用 Pearson c2 检验比较了两个时期的比例差异,使用 Rao-Scott 近似值和 5%的显著性水平。为了估计 2013 年和 2019 年 PNS 估计值之间差异的大小,使用患病率比(PR),针对每月、每周和酗酒饮酒的结果变量,对多变量泊松回归模型进行了估计。根据性别和年龄组调整模型,并按性别和人口统计区域进行分层。

结果

根据种族、职业、收入、年龄组、婚姻状况和教育程度,人口分布存在差异。除了男性的每周饮酒量外,所有结果变量的饮酒量均有所增加。男性每周饮酒量的 PR 为 1.02(95%CI 1.014-1.026),女性为 1.05(95%CI 1.04-1.06)。一般人群和各性别中,酗酒的 PR 最高。每周饮酒量在所有地区均有所增加,南部、东南部和中西部地区增幅最大。

结论

男性是巴西的主要饮酒者;男性和女性的 PR 表明,在研究期间,每月、每周和酗酒饮酒量都有所增加;值得注意的是,女性的饮酒模式增加的强度大于男性。

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