Dawson D A, Grant B F, Chou S P, Pickering R P
Division of Biometry and Epidemiology, National Institute on Alcohol Abuse and Alcoholism, Bethesda, MD 20892-7003, USA.
J Subst Abuse. 1995;7(3):331-44. doi: 10.1016/0899-3289(95)90026-8.
Data from the 1992 National Longitudinal Alcohol Epidemiologic Study (NLAES) revealed that 44% of U.S. adults 18 years of age and older were current drinkers who had consumed at least 12 drinks in the year preceding the interview. Twenty-two percent were former drinkers, and 34% were lifetime abstainers. These figures represent an 8% decrease in the prevalence of current drinking relative to 1988. The proportion of current drinkers decreased with age, was higher for men than women, increased with education and income, was lower than average among Black and Hispanic adults, was highest among never-married adults and lowest among those who were widowed, was lower in the South than in other regions, and was lower in rural than urban areas. The probabilities of ever having consumed five or more (5+) drinks or having been intoxicated in the past year revealed similar patterns to those already noted, but the probabilities of heavy drinking or intoxication on a weekly or more frequent basis showed no variation by race or ethnicity. Average daily consumption of more than 1 ounce of ethanol differed from the preceding measure of heavy drinking in its variation across population subgroups, declining less sharply with age and exhibiting a U-shaped pattern with respect to income. Examination of the prevalence of heavy drinking among current drinkers rather than within the total population revealed several differences, the most striking reversal being that the probability of heavy drinking decreased with education and income. Multiple logistic regression models predicting the various drinking outcomes indicated that most of the differentials held true after adjusting for intercorrelation among the sociodemographic variables.
1992年全国酒精流行病学纵向研究(NLAES)的数据显示,18岁及以上的美国成年人中,44%为当前饮酒者,即在访谈前一年至少饮用了12杯酒。22%为曾经饮酒者,34%为终生戒酒者。与1988年相比,这些数字表明当前饮酒率下降了8%。当前饮酒者的比例随年龄增长而下降,男性高于女性,随教育程度和收入增加而上升,在黑人和西班牙裔成年人中低于平均水平,在从未结婚的成年人中最高,在丧偶者中最低,在南方低于其他地区,在农村低于城市地区。过去一年中曾饮用过五杯或更多(5+)酒或曾醉酒的概率呈现出与上述已提及的类似模式,但每周或更频繁地大量饮酒或醉酒的概率在不同种族或族裔之间没有差异。日均饮用超过1盎司乙醇的情况在不同人群亚组中的变化与之前大量饮酒的衡量标准不同,随年龄下降幅度较小,且在收入方面呈现出U形模式。对当前饮酒者而非总人口中大量饮酒患病率的研究揭示了一些差异,最显著的逆转是大量饮酒的概率随教育程度和收入下降。预测各种饮酒结果的多元逻辑回归模型表明,在调整社会人口统计学变量之间的相互关联后,大多数差异仍然成立。