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Associations between social vulnerability, employment conditions and hazardous alcohol consumption in Chile

机译:智利的社会脆弱性,就业条件与有害酒精消费之间的联系

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Introduction and Aims: Studies from many different countries have found associations between alcohol use, employment and social context. The aim of this study was to investigate associations between hazardous alcohol consumption (HAC), social vulnerability and employment conditions among Chilean adults. Design and Methods: A cross-sectional study, involving analysis of the 2008 National Survey on Drugs in Chile, was conducted on 8316 economically active men and women aged between 18 and 65 years, who completed the alcohol section of the survey. The participants were selected randomly and data collected through face-to-face interviews. Multilevel analysis was used to achieve the study's objectives. The Alcohol Use Disorders Identification Test was used to define HAC. Results: There were no significant associations between HAC and employment status or occupational category when controlling for potential confounders. Using the social services sector as a reference, the adjusted odds ratio (95% confidence interval) of HAC was 2.60 (1.96-3.46) for those who worked in construction, 2.03 (1.43-2.89) in mining, 1.74 in agriculture (1.16-2.63) and in industry (1.26-2.39), 1.73 (1.31-2.28) in trade, 1.67 (1.29-2.16) in other services and 1.42 (1.01-2.00) in transport. There was no association between the socioeconomic status of the participant's neighbourhood and HAC in the fully adjusted model. The perception of neighbourhood security (third quartile of insecurity) was associated with HAC (odds ratio 1.22; 95% confidence interval 1.02-1.46). Discussion and Conclusions: HAC was independently associated with the participant's economic sector and perception of neighbourhood security in Chilean adults. It is important to perform in-depth analyses of contextual effects on individual alcohol consumption.
机译:引言和目标:来自许多不同国家的研究发现,饮酒,就业和社会环境之间存在关联。这项研究的目的是调查智利成年人中有害酒精消费(HAC),社会脆弱性和就业条件之间的关联。设计与方法:一项横断面研究涉及对2008年智利全国毒品调查的分析,调查对象是8316名年龄在18至65岁之间的从事经济活动的男女,他们完成了调查中的酒精饮料部分。随机选择参与者,并通过面对面访谈收集数据。使用多层次分析来达到研究目的。酒精使用障碍识别测试用于定义HAC。结果:控制潜在的混杂因素时,HAC与就业状况或职业类别之间无显着关联。以社会服务部门为参考,建筑业,建筑业从业人员的调整后优势比(95%置信区间)为2.60(1.96-3.46),采矿业为2.03(1.43-2.89),农业为1.74(1.16-)。 2.63)和工业(1.26-2.39),贸易1.73(1.31-2.28),其他服务1.67(1.29-2.16)和运输1.42(1.01-2.00)。在完全调整的模型中,参与者所在社区的社会经济地位与HAC之间没有关联。邻里安全感(不安全感的四分之三)与HAC相关(赔率1.22; 95%置信区间1.02-1.46)。讨论与结论:HAC与参与者的经济部门和智利成年人对邻里安全的感知独立相关。重要的是对个人饮酒的环境影响进行深入分析。

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