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Alcohol consumption of Australian women: results from the Australian Longitudinal Study on Women's Health.

机译:澳大利亚妇女的酒精消费:澳大利亚妇女健康纵向研究的结果。

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INTRODUCTION AND AIMS: Alcohol misuse is responsible for extensive personal harm and high societal costs. Research related specifically to women's alcohol consumption is important due to gender differences in clinical outcomes and disease progression. DESIGN AND METHODS: This study examines longitudinal changes in the patterns of alcohol consumption associated with harm in the long term (chronic) and short term (acute) as defined by the Australian National Health and Medical Research Council. Results are presented for three age cohorts (18 - 23 years, 45 - 50 years and 70 - 75 years) using data from the Australian Longitudinal Study on Women's Health 1996 - 2003. Initial response rates for the study were 41%, 54% and 36% for the Younger, Mid-aged and Older cohort, respectively. RESULTS: The percentages of women that initiated usual weekly consumption in excess of 140 g of alcohol, designated as long-term risky or high risk consumption, between surveys 1 and 2 were 2.7%, 2.1% and 1.7% (Younger, Mid-agedand Older cohorts, respectively). Similarly, between surveys 1 and 2, 7.8% of younger women and 2.5% of mid-aged women initiated consumption of 50 g of alcohol on one occasion at least weekly, placing them at risk of alcohol-related harm in the short-term weekly. Examining data across the three time-points in the Younger cohort, 0.3% of women were at risk of alcohol-related harm in the long term across all three time-points, and 9.2% were at risk at one or two time-points. The percentage of younger women at risk of alcohol-related harm in the short term at least weekly was 3.4% at risk at all three time-points and 24% at risk at one or two time-points. DISCUSSION AND CONCLUSIONS: This study indicates that there is a small percentage of women who maintain levels of alcohol consumption associated with increased risk of morbidity and mortality over time, but a much larger proportion of women that drink at hazardous levels sporadically during the life course. Prevention efforts may need to target transient high-risk alcohol consumers differently than consistently heavy alcohol consumers. Non-response bias and attrition may have caused the prevalence of both entrenched and episodic heavy consumption to be underestimated.
机译:简介和目的:滥用酒精会造成广泛的人身伤害和高昂的社会成本。由于临床结果和疾病进展中的性别差异,与女性饮酒特别相关的研究非常重要。设计与方法:本研究考察了澳大利亚国家卫生与医学研究委员会定义的长期(慢性)和短期(急性)与伤害相关的饮酒方式的纵向变化。根据1996-2003年澳大利亚妇女健康纵向研究的数据,给出了三个年龄组(18-23岁,45-50岁和70-75岁)的结果。该研究的初始应答率为41%,54%和年轻人,中年和老年人群分别占36%。结果:在调查1和调查2之间,通常每周摄入超过140克酒精(被称为长期危险或高风险消费)的女性百分比为2.7%,2.1%和1.7%(年轻,中年和分别是年龄较大的人群)。同样,在调查1和2之间,7.8%的年轻妇女和2.5%的中年妇女至少每周一次开始饮用50克酒精,这使她们在短期每周内面临与酒精有关的危害的风险。在Younger队列的三个时间点上检查数据,从长远来看,在所有三个时间点上,有0.3%的女性有与酒精有关的伤害风险,在一个或两个时间点上,有9.2%的女性处于危险之中。在至少每周一次的短期内,处于与酒精有关的伤害危险中的年轻妇女的百分比在所有三个时间点均为3.4%,在一个或两个时间点均为24%。讨论与结论:这项研究表明,一小部分女性保持饮酒水平会随着时间的流逝而增加发病率和死亡率的风险,但是在整个生命过程中偶尔散发危险水平的女性比例要大得多。预防工作可能需要针对瞬态高风险饮酒者而不是始终如一的重度饮酒者。无响应的偏见和损耗可能导致根深蒂固的和偶发的大量消费的发生率被低估。

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