Balmes J L, Picheral H, Mora M C, Rivals F
Ann Gastroenterol Hepatol (Paris). 1984 Dec;20(6):357-62.
The aim of this study is to evaluate the severity of medically diagnosed alcoholic disease in two regions of France, the Hérault region (wine producing) and the Gard region (mining), by means of a questionnaire filled in by 84 p. cent of general practitioners with a very low loss rate (7%). This is not a study of incidence, but an analysis of the morbidity observed and diagnosed in a large population sample. The survey detected 2,4 p. cent and 2,7 p. cent of the male population and 0,2 and 0,3 p. cent of the female population. The morbidity varies with age and sex and alcohol abuse was found to occur earlier in the mining region than in the wine producing region. Although there is no correlation between age and the frequency of consultations, the proportion of patients consulting for an alcohol related disease decreases with increasing age. The more advanced the alcohol related disease, the more difficult it is for the doctor to distinguish between symptoms which are due to aging and those due to alcohol. The doctor does not relate hypertension to alcoholism.
本研究的目的是通过由84%的全科医生填写且失访率极低(7%)的问卷,评估法国两个地区——埃罗省(葡萄酒产区)和加尔省(矿区)——医学诊断的酒精性疾病的严重程度。这不是一项发病率研究,而是对在大量人群样本中观察到并诊断出的发病率的分析。调查发现男性人口中有2.4%和2.7%,女性人口中有0.2%和0.3%患病。发病率随年龄和性别而变化,且发现矿区酒精滥用的发生早于葡萄酒产区。尽管年龄与就诊频率之间没有相关性,但因酒精相关疾病就诊的患者比例随年龄增长而降低。酒精相关疾病越严重,医生就越难区分哪些症状是由衰老引起的,哪些是由酒精引起的。医生并不认为高血压与酗酒有关。