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首页> 外文期刊>Alcohol >Socioeconomic status and alcohol use in low- and lower-middle income countries: A systematic review
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Socioeconomic status and alcohol use in low- and lower-middle income countries: A systematic review

机译：低低收入国家的社会经济地位和酒精使用：系统评价

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BackgroundHarmful use of alcohol is a major cause of global morbidity and mortality. The role of alcohol as a driver of the unfolding non-communicable disease crisis has led to high-profile calls for better epidemiological data. Despite causing a disproportionate amount of harm in low-income groups, there is a critical dearth of evidence on the intra-national socioeconomic patterning of alcohol use in low- and lower-middle income countries (LLMICs). This review aims to fill the gap, providing evidence on the association between socioeconomic status (SES) and alcohol use in these low-income settings. MethodsWe conducted a comprehensive literature search for primary research published between January 1, 1990 and June 30, 2015 using 13 electronic databases, including Embase and Medline. We also hand-searched references and reviewed ‘gray literature’ – studies that have not been published in peer-reviewed journals. We included studies from LLMICs presenting data on multiple measures of socioeconomic status and alcohol use. No age or language restrictions were applied. Due to high heterogeneity, we used a narrative approach for data synthesis. FindingsAfter reviewing 4242 records and 247 full-text articles, 23 studies met our inclusion criteria, reporting data on 861,295 individuals aged >10 years from 10 countries. Alcohol use was found to be more prevalent in lower socioeconomic groups in the majority of Southeast Asian studies. The association was mixed for African studies, although these tended to have smaller sample sizes and weaker methods. Studies that measured multiple domains of SES found good agreement between different indicators. Definitions of alcohol use and abuse varied widely between studies, as did socioeconomic groupings. ConclusionsThe lack of consistency between studies and the abject lack of data from the majority of LLMICs present a major barrier to policymakers tasked with reducing alcohol-related harm in these settings. Adherence to standardized definitions, the publication of WHO survey data on alcohol and SES, and enhanced surveillance is needed to build an accurate picture of the socioeconomic patterning of alcohol use in developing countries.
机译：背景开心使用酒精是全球发病率和死亡率的主要原因。作为展开非传染病危机危机的驾驶员的作用导致了高调的呼叫，以获得更好的流行病学数据。尽管在低收入群体中造成了不成比例的危害，但有关在低中中低收入国家（LLMICS）的饮酒中的全国内部社会经济图案中的批判性缺乏态度。该审查旨在填补差距，为这些低收入环境中的社会经济地位（SES）和酒精使用之间提供有关协会的证据。方法网络在2015年1月1日至2015年1月30日之间发布的初级研究，使用13个电子数据库，包括Embase和Medline。我们还可以使用搜索的参考文献并审查了“灰色文学” - 尚未在同行评审期刊上发表的研究。我们包括LLMICS的研究介绍了关于社会经济地位和酒精使用的多种措施的数据。没有应用年龄或语言限制。由于异质性高，我们使用了叙述方法进行数据合成。调查结果在审查4242个记录和247个全文文章中，23项研究符合了我们的纳入标准，报告了来自10个国家的861,295个人的数据，报告了861,295人的数据。在大多数东南亚研究中，发现酒精使用在较低的社会经济群体中更为普遍。该协会对非洲研究混合，尽管这些倾向于具有较小的样本尺寸和较弱的方法。测量SES多个域的研究发现了不同指标之间的良好一致性。酒精使用和滥用的定义在研究之间差异很大，以及社会经济分组。结论，研究与大多数LLMIC之间的研究缺乏一致性和缺乏数据缺乏数据，对政策制定者的主要障碍负责减少这些环境中的酒精相关危害。遵守标准化定义，为谁的饮酒和SES进行调查数据以及增强的监督，以建立一个准确的发展中国家的饮酒的社会经济图案的准确情况。

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