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加蓬男性饮酒相关的社会人口学因素:来自2019 - 2021年加蓬人口与健康调查的见解

Sociodemographic factors associated with alcohol consumption among men in Gabon: insights from the Gabon demographic and health survey of 2019-2021.

作者信息

Mankelkl Gosa, Kinfe Beletu

机构信息

Department of Biomedical Sciences, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia.

Department of Occupational Health and Safety, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia.

出版信息

Front Public Health. 2025 Jun 9;13:1555101. doi: 10.3389/fpubh.2025.1555101. eCollection 2025.

DOI:10.3389/fpubh.2025.1555101
PMID:40552229
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12183195/
Abstract

BACKGROUND

Alcohol is a psychoactive drug that can lead to dependence and has been used extensively for centuries in many different cultures. The primary driver of alcohol consumption is likely its capacity to elevate mood and alleviate stress. More than 200 medical conditions, including liver diseases, traffic accidents, violence, cancer, heart disease, suicide, tuberculosis, and HIV/AIDS, have been causally associated with alcohol consumption. According to estimates from the World Health Organization, 3 million people die from alcohol-related causes globally each year. In other words, 5.3% of all fatalities in the world each year are related to alcohol. Although a majority of research has been conducted in Gabon on this particular subject in a variety of contexts, most of the studies were not representative. Consequently, this study's primary goal was to evaluate sociodemographic factors associated with alcohol consumption among men in Gabon using data from the most recent national Gabon Demographic and Health Survey.

METHODS

For this secondary data analysis, the most recent datasets from the Gabon demographic and health survey were used. A total of 6,894 men participated in this study. The bivariate analysis was used to select the factors for the multivariable analysis. Factors with a < 0.05 significance level were considered significant predictors of alcohol consumption among men in the multivariate analysis. Finally, the 95% confidence intervals for the percentage and odds ratio were reported.

RESULTS

This study includes a total weighted sample of 6,894 men from the Gabon Demographic and Health Survey. The national prevalence of alcohol consumption among men in Gabon was 63.50%, with a 95% confidence interval (CI) of 62.36-64.63. Factors negatively associated with alcohol consumption among men included being above the age of 50 years [AOR: 0.272, 95% CI (0.212, 0.347)], residing in urban areas [AOR: 0.792, 95% CI (0.691, 0.908)], having higher education [AOR: 0.415, 95% CI (0.292, 0.590)], living with a partner [AOR: 0.682, 95% CI (0.570, 0.815)], and listening to the radio [AOR: 0.716, 95% CI (0.632, 0.811)]. In contrast, being a follower of the revival church [AOR: 14.287, 95% CI (11.117, 18.360)] was positively associated with alcohol consumption.

CONCLUSION

Alcohol consumption among men has been associated with sociodemographic characteristics. Therefore, to reduce alcohol consumption among men, the government of Gabon and other relevant stakeholders should focus on younger men, particularly those living in urban areas and those who have not received formal education. Additionally, media campaigns highlighting the adverse effects of alcohol consumption should be promoted through radio.

摘要

背景

酒精是一种精神活性药物,会导致成瘾,在许多不同文化中已被广泛使用了几个世纪。饮酒的主要驱动因素可能是其提升情绪和缓解压力的能力。超过200种疾病,包括肝脏疾病、交通事故、暴力行为、癌症、心脏病、自杀、结核病以及艾滋病毒/艾滋病,都与饮酒存在因果关系。据世界卫生组织估计,全球每年有300万人死于与酒精相关的原因。换句话说,全球每年所有死亡人数中有5.3%与酒精有关。尽管在加蓬已在各种背景下对这一特定主题进行了大量研究,但大多数研究都缺乏代表性。因此,本研究的主要目标是利用加蓬最新的全国人口与健康调查数据,评估加蓬男性饮酒的社会人口学因素。

方法

对于这项二次数据分析,使用了加蓬人口与健康调查的最新数据集。共有6894名男性参与了本研究。采用双变量分析来选择多变量分析的因素。在多变量分析中,显著性水平<0.05的因素被视为男性饮酒的显著预测因素。最后,报告了百分比和比值比的95%置信区间。

结果

本研究纳入了来自加蓬人口与健康调查的总共6894名男性的加权样本。加蓬男性饮酒的全国患病率为63.50%,95%置信区间(CI)为62.36 - 64.63。与男性饮酒呈负相关的因素包括年龄在50岁以上[AOR:0.272,95% CI(0.212,0.347)]、居住在城市地区[AOR:0.792,95% CI(0.691,0.908)]、受过高等教育[AOR:0.415,95% CI(0.292,0.590)]、与伴侣同住[AOR:0.682,95% CI(0.570,0.815)]以及收听广播[AOR:0.716,95% CI(0.632,0.811)]。相比之下,是复兴教会的信徒[AOR:14.287,95% CI(11.117,18.360)]与饮酒呈正相关。

结论

男性饮酒与社会人口学特征有关。因此,为减少男性饮酒,加蓬政府和其他相关利益攸关方应关注年轻男性,特别是那些居住在城市地区且未接受过正规教育的男性。此外,应通过广播开展宣传活动,强调饮酒的不良影响。

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