Andréasson S, Allebeck P, Brandt L
Department of Medicine, Karolinska Institute, Huddinge University Hospital, Sweden.
Am J Public Health. 1993 Jun;83(6):845-50. doi: 10.2105/ajph.83.6.845.
The purpose of the study was to assess risk indicators for admission for alcoholism in young men.
Level of alcohol consumption and background variables were analyzed in a survey of 49,464 Swedish conscripts. Admissions to psychiatric care were registered during a 15-year follow-up.
A strong association was found between level of alcohol consumption at conscription and future admission for alcoholism. The strongest risk indicator for admission for alcoholism, however, was "Contacts with police or child care authorities," with an odds ratio of 4.9.
For conscripts reporting moderate alcohol consumption at conscription there was a clear association between an increasing burden of risk indicators and future alcoholism. Among men who already had a high level of alcohol consumption at conscription, additional risk indicators, with the exception of psychological factors, had relatively little impact on future admission for alcoholism. Poor emotional control and early symptoms of mental disorder, however, were instrumental not only in enhancing the risk for high consumption at conscription, but also in enhancing the risk for high consumers to become abusers or addicted.
本研究旨在评估年轻男性酒精中毒入院的风险指标。
在对49464名瑞典应征入伍者的调查中分析了酒精消费水平和背景变量。在15年的随访期间记录了精神科护理的入院情况。
征兵时的酒精消费水平与未来酒精中毒入院之间存在强烈关联。然而，酒精中毒入院的最强风险指标是“与警察或儿童保育当局有接触”，比值比为4.9。
对于征兵时报告适度饮酒的应征入伍者，风险指标负担增加与未来酒精中毒之间存在明显关联。在征兵时已经有高酒精消费水平的男性中，除心理因素外，其他风险指标对未来酒精中毒入院的影响相对较小。然而，情绪控制不佳和精神障碍的早期症状不仅有助于增加征兵时高消费的风险，也有助于增加高消费者成为滥用者或成瘾者的风险。
