Alcohol consumption trajectories and associated factors in adult women: the Norwegian Women and Cancer study.

IF 2.2 4区医学 Q3 SUBSTANCE ABUSE

Alcohol and alcoholism Pub Date : 2025-01-19 DOI:10.1093/alcalc/agaf005

Fjorida Llaha, Idlir Licaj, Ekaterina Sharashova, Kristin Benjaminsen Borch, Marko Lukic

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引用次数: 0

Abstract

Aims: We described the age-specific trajectories of total alcohol consumption and the consumption of different types of beverages among adult Norwegian women as they age, and how these relate to education, lifestyle, and health-related factors.

Methods: This study included 76 382 women aged 31-70 years who participated in at least two of the three Norwegian Women and Cancer (NOWAC) study surveys conducted in 1991-97, 1998-2003, and 2004-11. Group-based trajectory modeling was used to identify the trajectories of self-reported alcohol consumption. Multinomial regression models were used to fit the adjusted odds ratios (ORs) of the associations between education, lifestyle, health-related factors, and the trajectory membership. Analysis was stratified into two subcohorts: women aged 31-49 years and women aged 50-70 years at enrolment.

Results: Five different trajectories of total alcohol consumption were identified among the two subcohorts: non-drinker stable (12.5%-23.6%), low stable (66.3%-60.1%), light increasing or light unstable (17.8%-12.1%), moderate to high or light to high (2.8%-2.7%), and high to moderate or moderate decreasing (.6%-1.4%). Trajectories were resembled by those of wine consumption. Compared to low stable drinkers, women who sustained or increased their total alcohol consumption showed higher ORs for higher education level, excellent self-rated health, former or current smoking status, and a body mass index (BMI) below 25 kg/m2.

Conclusion: While most women in this study maintained stable low-light levels of alcohol consumption, certain groups-such as women with higher education and better health-were more likely to increase their drinking with age. Women can particularly increase their drinking around the retirement age. The increasing trends of total alcohol consumption were reflected by those of wine. These findings provide information into groups and beverages that could be targeted in alcohol-reducing interventions.

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成年妇女饮酒轨迹及相关因素：挪威妇女与癌症研究

目的：我们描述了挪威成年女性随年龄增长的总酒精消费量和不同类型饮料消费量的年龄特定轨迹，以及这些与教育、生活方式和健康相关因素的关系。方法：本研究包括76382名31-70岁的女性，她们参加了1991-97年、1998-2003年和2004-11年进行的挪威妇女与癌症（NOWAC）研究调查中的至少两项。使用基于群体的轨迹模型来确定自我报告的酒精消费轨迹。采用多项回归模型拟合教育、生活方式、健康相关因素与轨迹隶属度之间的校正比值比（ORs）。分析分为两个亚队列：入组时年龄为31-49岁的女性和50-70岁的女性。结果：在两个亚队列中确定了五种不同的总酒精消费量轨迹：不饮酒稳定（12.5%-23.6%）、低稳定（66.3%-60.1%）、轻度增加或轻度不稳定（17.8%-12.1%）、中度至高或轻度至高（2.8%-2.7%）、高至中度或中度减少（0.6% -1.4%）。饮酒的轨迹与此相似。与低稳定饮酒者相比，持续或增加总饮酒量的女性在高等教育水平、良好的自我评估健康、曾经或现在吸烟、体重指数（BMI）低于25 kg/m2方面表现出更高的or。结论：虽然这项研究中的大多数女性保持稳定的低光照水平饮酒，但某些群体——比如受过高等教育和健康状况较好的女性——更有可能随着年龄的增长而增加饮酒量。女性在接近退休年龄时尤其可以增加饮酒量。酒精消费总量的增长趋势反映在葡萄酒消费上。这些发现为减少酒精摄入的人群和饮料提供了信息。

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来源期刊

Alcohol and alcoholism 医学-药物滥用

CiteScore

4.70

自引率

3.60%

发文量

审稿时长

4-8 weeks

期刊介绍： About the Journal Alcohol and Alcoholism publishes papers on the biomedical, psychological, and sociological aspects of alcoholism and alcohol research, provided that they make a new and significant contribution to knowledge in the field. Papers include new results obtained experimentally, descriptions of new experimental (including clinical) methods of importance to the field of alcohol research and treatment, or new interpretations of existing results. Theoretical contributions are considered equally with papers dealing with experimental work provided that such theoretical contributions are not of a largely speculative or philosophical nature.