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[巴西人均酒精消费量指标的验证]

[Validation of the indicator of alcohol per capita (APC) consumption in Brazil].

作者信息

Freitas Paula Carvalho de, Oliveira Patricia Pereira Vasconcelos de, Martinez Oscar Geovanny Enriquez, Machado Ísis Eloah, Fronteira Inês, Malta Deborah Carvalho, Ferrinho Paulo de Lyz Girou Martins

机构信息

Instituto de Higiene e Medicina Tropical, Universidade NOVA de Lisboa, Lisboa, Portugal.

Ministério da Saúde, Brasília, Brasil.

出版信息

Cad Saude Publica. 2025 Aug 25;41(8):e00207024. doi: 10.1590/0102-311XPT207024. eCollection 2025.

Abstract

Alcohol consumption is an important health-related risk factor. A 10% reduction in pure alcohol consumption in liters per capita (APC) is one of the targets of the Sustainable Development Goals (SDGs). This indicator was developed using national data and published in a governmental panel (APC-Brazil). The aim of the present study was to validate the calculation method of the APC indicator using national data for monitoring SDGs. Face validation of the indicator was performed using a metadata form created through a consensus of experts. External validation was ensured by comparing the indicator to national alcohol consumption indicators and the APC used by the World Health Organization (WHO), employing time series analysis, linear correlation, and difference of means. The metadata form was validated by the experts. The analysis of indicators for external validation demonstrated a stable trend in the APC-Brazil in contrast to the downward trend in the APC-WHO; an annual upward trend of 1.4% in regular consumption and 1.2% in binge drinking and intake frequency between three to four times a week; a 4.7% reduction in the frequency of daily intake; an increase in beer (2.3%) and wine (3.5%) sales; and a positive correlation between the APC-Brazil and the mortality rate for individuals 15 years of age or older due to causes fully attributable to alcohol consumption. The APC-Brazil was validated. The comparisons of the indicators demonstrate the suitability of the APC-Brazil in reflecting national alcohol consumption patterns in the population, enabling the implementation of strategies aimed at reducing the burden of this consumption in Brazil.

摘要

酒精消费是一个与健康相关的重要风险因素。人均纯酒精消费量(APC)降低10%是可持续发展目标(SDGs)的目标之一。该指标是利用国家数据制定的,并发表在一个政府小组(APC-巴西)中。本研究的目的是使用国家数据验证APC指标的计算方法,以监测可持续发展目标。通过专家共识创建的元数据表格对该指标进行了表面效度验证。通过将该指标与国家酒精消费指标以及世界卫生组织(WHO)使用的APC进行比较,采用时间序列分析、线性相关和均值差异分析来确保外部效度验证。专家们对元数据表格进行了验证。外部效度验证指标分析表明,与APC-WHO的下降趋势相比,APC-巴西呈现出稳定的趋势;经常饮酒的年上升趋势为1.4%,暴饮的年上升趋势为1.2%,每周饮酒频率为三至四次;每日饮酒频率降低了4.7%;啤酒(2.3%)和葡萄酒(3.5%)销量增加;APC-巴西与15岁及以上人群因完全归因于酒精消费的原因导致的死亡率之间存在正相关。APC-巴西得到了验证。指标比较表明,APC-巴西适合反映该国人口的酒精消费模式,有助于实施旨在减轻巴西酒精消费负担的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd91/12377656/e39a8e198d6b/1678-4464-csp-41-08-PT207024-gf1.jpg

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