Hanson B S
Department of Community Health Sciences, Lund University, Malmö, Sweden.
Addiction. 1994 Jun;89(6):725-32. doi: 10.1111/j.1360-0443.1994.tb00958.x.
We analysed whether there were associations among different aspects of social network and social support, on one hand, and heavy drinking and alcohol problems on the other. The study sample (n = 621) comprised a random half of all male residents born in 1914 in Malmö, Sweden. Five hundred (80.5%) participated. Heavy drinking was defined as an alcohol consumption above 250 g alcohol per week and alcohol problems were assessed by a modified Michigan Alcoholism Screening test. Eight conceptually differential aspects of social networks and social support were measured. Four of five social network indices (social anchorage, social participation, contact frequency, spousal support) were associated with heavy drinking (OR 1.9-2.5) and two social network indices (social anchorage, spousal support) were associated with alcohol problems (OR 2.1-2.3). The results in this study are independent of social class, but based on a cross-sectional study, so we do not know if heavy drinking has caused social isolation or the contrary. If these results can be verified in a prospective study, a strengthening of the social network of the individual could perhaps lead to more moderate alcohol habits and better health, a finding of potential importance in the field of health promotion.
我们分析了一方面社交网络和社会支持的不同方面，与另一方面酗酒及酒精相关问题之间是否存在关联。研究样本（n = 621）包括瑞典马尔默所有1914年出生的男性居民中的随机一半。500人（80.5%）参与了研究。酗酒定义为每周酒精摄入量超过250克，酒精相关问题通过改良的密歇根酒精中毒筛查测试进行评估。对社交网络和社会支持的八个概念上有差异的方面进行了测量。五个社交网络指标中的四个（社会归属感、社会参与度、联系频率、配偶支持）与酗酒有关（比值比1.9 - 2.5），两个社交网络指标（社会归属感、配偶支持）与酒精相关问题有关（比值比2.1 - 2.3）。本研究结果不受社会阶层影响，但基于横断面研究，所以我们不知道酗酒是导致了社会孤立还是相反情况。如果这些结果能在前瞻性研究中得到验证，那么加强个体的社交网络或许能带来更适度的饮酒习惯和更好的健康状况，这一发现在健康促进领域可能具有潜在重要性。
