中国上海某城区饮酒率下降及相关社会人口因素：来自三次横断面调查（2010-2021 年）的证据。

IF 3.9 2区医学 Q1 PSYCHIATRY

Drug and alcohol dependence Pub Date : 2024-10-10 DOI:10.1016/j.drugalcdep.2024.112452

Li Cao , Xiaolin Qian , Liangfeng Wang , Yun Chen , Zhenmei Pu , Deng Niu , Jianhua Shi , Haiyan Gu , Chaowei Fu

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引用次数: 0

摘要

背景：饮酒对全球疾病的影响很大。然而，近来对饮酒流行率变化的研究有限，尤其是在中国上海城市：估计中国上海市徐汇区城市居民饮酒率的变化，并探讨相关的社会人口因素：方法：采用多阶段概率比例抽样法，于 2010 年至 2021 年在上海市徐汇区进行了三轮结构化问卷入户调查。数据通过面对面访谈的方式收集，访谈对象为参加过 2010 年、2015 年和 2021 年健康状况与卫生服务利用调查的 15 岁及以上居民。计算了饮酒的年龄和性别标准化流行率，并使用逻辑回归模型检验了线性趋势。采用稳健协方差矩阵估计器的多层次混合效应逻辑回归模型来估计饮酒的相关因素：共纳入 24 552 名 15-109 岁的参与者。据统计，当前经常饮酒的标准化总体流行率从 2010 年的 8.8% 下降到 2021 年的 5.5%。这一下降趋势在统计学上具有显著意义，尤其是在 30-59 岁和≥ 75 岁的男性中。然而，总体饮酒率（无论频率如何）却从 2015 年的 19.6% 上升至 2021 年的 24.0%。多变量回归分析显示，男性经常饮酒的可能性明显高于女性。此外，年龄与经常饮酒呈正相关，而教育水平与这一行为呈负相关：结论：在这项研究的人群中，尽管经常饮酒的流行率总体上呈显著下降趋势，但饮酒仍然很普遍。鉴于饮酒的危害性，研究结果呼吁加强健康教育和酒精控制。

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Decreased prevalence of alcohol use and related sociodemographic factors in an urban district of Shanghai, China: Evidence from three cross-sectional surveys (2010–2021)

Background

Alcohol use contributes considerably to the global impact of disease. However, limited research has been conducted recently to explore the changes in the prevalence of alcohol use, especially in urban Shanghai, China.

Objectives

To estimate the prevalence changes of alcohol use and explore related sociodemographic factors among urban residents of Xuhui district, Shanghai, China.

Methods

Using a multistage probability proportionate-to-size sampling method, three waves of household investigations via a structured questionnaire were conducted in Xuhui district, Shanghai, China, between 2010 and 2021. Data were collected by face-to-face interviews among residents aged 15 or older who responded to the 2010, 2015, and 2021 Health Status and Health Service Utilization Survey. Age and sex standardized prevalence of alcohol use was calculated, and the linear trend was tested using logistic regression models. Multilevel mixed-effects logistic regression models with robust covariance matrix estimators were used to estimate related factors of alcohol use.

Results

A total of 24 552 participants aged 15–109 years were included. The standardized overall prevalence of current regular alcohol use statistically declined from 8.8 % in 2010 to 5.5 % in 2021. This decreasing trend was statistically significant, especially among men aged 30–59 and ≥ 75 years old. However, the prevalence of overall alcohol use, regardless of frequency, increased from 19.6 % in 2015 to 24.0 % in 2021. Multivariate regression analysis showed that men had a significantly higher likelihood of regular alcohol use than women. Also, age was positively related to regular alcohol use, while education level was negatively related to this behavior.

Conclusions

Alcohol use was still common, although a significant decreasing trend in the prevalence of regular alcohol use was observed overall, in this study population. The findings call for strengthened health education and alcohol control in the context of the harmful effects of alcohol use at any level.

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来源期刊

Drug and alcohol dependence 医学-精神病学

CiteScore

7.40

自引率

7.10%

发文量

409

审稿时长

41 days

期刊介绍： Drug and Alcohol Dependence is an international journal devoted to publishing original research, scholarly reviews, commentaries, and policy analyses in the area of drug, alcohol and tobacco use and dependence. Articles range from studies of the chemistry of substances of abuse, their actions at molecular and cellular sites, in vitro and in vivo investigations of their biochemical, pharmacological and behavioural actions, laboratory-based and clinical research in humans, substance abuse treatment and prevention research, and studies employing methods from epidemiology, sociology, and economics.