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阿根廷未记录酒精消费的挑战:估计与关键预测因素

The challenge of unrecorded alcohol consumption in Argentina: estimation and key predictors.

作者信息

Salomón Tomás, Gimenez Paula Victoria, Nicolaides Sol, Cremonte Mariana, Conde Karina

机构信息

Instituto de Psicología Básica, Aplicada y Tecnología (IPSIBAT - UNMDP - CONICET), Mar del Plata, Argentina.

出版信息

Am J Drug Alcohol Abuse. 2025 Jul 28:1-8. doi: 10.1080/00952990.2025.2528774.

DOI:10.1080/00952990.2025.2528774
PMID:40720376
Abstract

Unrecorded alcohol refers to alcoholic beverages produced and consumed outside the formal market. Unrecorded consumption is a global issue with multiple implications that remains under-explored in Latin America, where most estimations rely on global statistical models and surveys, with a need for country-level estimations. To 1) characterize unrecorded consumption in Argentina, describing the percentage of the population consuming unrecorded alcohol and the annual per capita consumption, 2) explore the types and quantities of unrecorded alcoholic beverages consumed, and 3) identify its main predictors. We conducted a survey with a non-probabilistic sample of 1125 adults (75.9% woman) in Argentina, using the World Health Organization's STEPwise approach. Estimates of unrecorded consumption were adjusted using external population data. Logistic regressions were used to explore predictors. Nearly 47% of the sample reported unrecorded alcohol consumption in the past 12 months, and around 25% did so in the last 30 days. The most common types of unrecorded consumption in the last 12 months were alcoholic beverages bought at duty-free shops (22.6%), homemade fermented beverages (20.5%), and beverages made with pure alcohol bought at pharmacies (14.7%). Adjusted estimates suggest an annual per capita consumption of 2.43 l of pure unrecorded alcohol. Heavy episodic drinking was the strongest predictor of unrecorded alcohol use in the last year, increasing it by 86%. Unrecorded consumption is widespread in Argentina. These findings highlight the need for more inclusive and effective public health policies to address unrecorded alcohol use and its associated risks in the region.

摘要

非正规记录的酒精饮品是指在正规市场之外生产和消费的酒精饮料。非正规记录的消费是一个具有多重影响的全球性问题,在拉丁美洲仍未得到充分研究,该地区大多数估计依赖于全球统计模型和调查,需要进行国家层面的估计。目的是:1)描述阿根廷非正规记录的消费情况,包括消费非正规记录酒精饮品的人口百分比和人均年消费量;2)探究所消费的非正规记录酒精饮品的类型和数量;3)确定其主要预测因素。我们采用世界卫生组织的逐步调查方法,对阿根廷1125名成年人(75.9%为女性)的非概率样本进行了调查。利用外部人口数据对非正规记录消费的估计进行了调整。使用逻辑回归来探究预测因素。近47%的样本报告在过去12个月内有非正规记录的酒精饮品消费,约25%的样本在过去30天内有此类消费。过去12个月内最常见的非正规记录消费类型是在免税店购买的酒精饮料(22.6%)、自制发酵饮料(20.5%)以及在药店购买的纯酒精制成的饮料(14.7%)。调整后的估计表明,人均每年消费2.43升纯非正规记录酒精。重度偶尔饮酒是去年非正规记录酒精使用的最强预测因素,使其增加了86%。非正规记录的消费在阿根廷很普遍。这些发现凸显了在该地区制定更具包容性和有效性的公共卫生政策以应对非正规记录酒精使用及其相关风险的必要性。

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