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Provincial alcohol index and its relationship to alcohol-related harm in Thailand: implications for subnational alcohol policy development

机译:泰国省级酒精指数及其与酒精相关危害的关系:对地方酒精政策制定的影响

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Background The Provincial Alcohol Index (PAI) is one of the efforts to develop a composite measurement to operationalize the situation of alcohol consumption and related risk behaviors. The index offers a means for national and subnational alcohol control committees to address alcohol-related problems in their responsible jurisdiction areas. The objective of this study is to assess the relationship between PAI scores and alcohol-related problems using Thailand as an example. Methods Cross-sectional analyses of PAI scores based on the 2007 National Cigarette Smoking and Alcohol Drinking Behavior Survey (CSAD) and the National Statistical Office data were conducted. CSAD data were collected from 168,285 Thai residents aged 15?years and above in 76 provinces of Thailand (population range 180,787 to 5,716,248). The PAI scores were generated using three different methods based on five indicators: 1) prevalence of adult (≥15?years) drinkers, 2) prevalence of underage drinkers, 3) proportion of regular drinkers, 4) proportion of binge drinkers and 5) proportion of drink-drivers. Alcohol-related injuries and violent events together with provincial level covariates (age, gender, income and region) were assessed. Correlational and linear regression analyses were performed to examine the relationship between PAI scores and alcohol-related problems. Results The PAI scores generated from the three methods were significantly correlated with one another ( r >?0.7, p Conclusions The findings of this study illustrate the relationship between the PAI and alcohol-related problems. The PAI scores can be used to benchmark the alcohol situation across jurisdiction areas. Future studies are suggested to develop a scale to measure subnational alcohol policy performances.
机译:背景技术省酒精指数(PAI)是开发一项综合衡量标准以使酒精消费状况和相关风险行为可操作的一项工作。该指数为国家和国家以下地区的酒精控制委员会提供了一种手段,可以在其负责的辖区解决酒精相关的问题。这项研究的目的是以泰国为例,评估PAI评分与酒精相关问题之间的关系。方法根据2007年全国吸烟和饮酒行为调查(CSAD)和国家统计局的数据,对PAI评分进行横断面分析。 CSAD数据来自泰国76个省(人口范围180,787至5,716,248)的168,285名15岁及以上的泰国居民。 PAI分数是根据三种指标使用三种不同的方法得出的:1)成人(≥15?岁)饮酒者的患病率,2)未成年饮酒者的患病率,3)普通饮酒者的比例,4)暴饮酒者的比例和5)酒后驾驶的比例。评估了与酒精有关的伤害和暴力事件以及省级协变量(年龄,性别,收入和地区)。进行了相关和线性回归分析,以检查PAI评分与酒精相关问题之间的关系。结果三种方法产生的PAI评分之间存在显着相关性(r>?0.7,p结论)本研究的结果说明了PAI与酒精相关问题之间的关系,该PAI评分可用于对酒精进行基准测试建议在未来的研究中制定一个量表,以衡量国家以下地方的酒精政策绩效。

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