Dawson D A
Division of Biometry and Epidemiology, National Institute on Alcohol Abuse and Alcoholism, Rockville, MD 20892.
Drug Alcohol Depend. 1994 Aug;36(1):57-64. doi: 10.1016/0376-8716(94)90010-8.
Using a national population sample of adults who had ever consumed at least 12 drinks per year, men and women were compared in terms of the proportions who had stopped drinking because of alcohol problems. Overall, 24% of the male drinkers and 31% of the female drinkers had stopped drinking as of the time of interview, but men were more likely than women to have stopped drinking because of alcohol-related problems (4.3 vs. 2.3%). After using survival techniques to adjust for women's greater competing risk of stopping drinking for other reasons and men's greater exposure time due to their earlier initiation of drinking, the conditional probabilities of having stopped drinking because of alcohol problems were almost identical for men and women during the first 15 years of their drinking histories. Thereafter, the conditional probabilities were about 50% higher for men than for women. The observed durations of drinking history were about five years longer for men than women. After controlling for sociodemographic characteristics, family history of alcoholism, and patterns of alcohol consumption, there was no gender difference in the hazard of stopping drinking because of alcohol problems among persons who drank alcohol on less than a daily basis during their period of heaviest consumption. However, among daily drinkers, the hazard of stopping drinking because of alcohol problems was greater for women than men, by a factor of 1.5 to 3, depending on quantity of consumption and interval since first drink.
利用一个全国性的成年人人口样本,这些成年人每年至少饮用12杯酒,比较了男性和女性因酒精问题而戒酒的比例。总体而言,截至访谈时,24%的男性饮酒者和31%的女性饮酒者已经戒酒,但男性因与酒精相关的问题而戒酒的可能性高于女性(4.3%对2.3%)。在使用生存技术调整女性因其他原因戒酒的更大竞争风险以及男性因更早开始饮酒而有更长暴露时间之后,在饮酒历史的前15年中,男性和女性因酒精问题而戒酒的条件概率几乎相同。此后,男性的条件概率比女性高约50%。观察到的饮酒历史时长男性比女性长约五年。在控制了社会人口学特征、酗酒家族史和饮酒模式之后,在饮酒量最大时期非每日饮酒的人群中,因酒精问题而戒酒的风险不存在性别差异。然而,在每日饮酒者中,因酒精问题而戒酒的风险女性比男性大,倍数为1.5至3倍,这取决于饮酒量和首次饮酒后的时间间隔。