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Social network dynamics of tobacco smoking and alcohol use among persons involved with the criminal legal system (PCLS): A modeling study. 涉及刑事法律系统(PCLS)的人吸烟和饮酒的社会网络动态:建模研究。
IF 1 Q4 BEHAVIORAL SCIENCES Pub Date : 2024-12-12 Epub Date: 2024-10-01 DOI: 10.7895/ijadr.507
Aditya S Khanna, Noah Rousell, Tori Davis, Yurui Zhang, Daniel Sheeler, Patricia Cioe, Rosemarie Martin, Christopher W Kahler

Background: Tobacco smoking and alcohol use contribute to a synergy of epidemics (a "syndemic") that disproportionately affects persons involved with the criminal legal system (PCLS) and their social networks. An improved understanding of the complex interrelationships among the factors of the incarceration-tobacco-alcohol syndemic is essential to develop effective reform policies and interventions. However, collecting empirical data on these interrelationships is often hampered due to logistical and ethical challenges.

Methods: We developed an agent-based network model (ABNM) to simulate the effects of the incarceration-tobacco-alcohol syndemic in the state of Rhode Island, USA. The model was validated and calibrated using empirical survey and demographic data. Outcomes included current smoking and heavy alcohol use rates in the first year after release among previously incarcerated agents and in their social networks.

Results: The model successfully replicated demographic, substance use, and incarceration-related parameters. Simulation results suggest high rates of smoking (approximately 80% currently smoking persons in the first few weeks after release) and heavy alcohol use (approximately 40% current heavy alcohol use rate in the first few weeks after release) among PCLS, especially persons with multiple incarceration events. The model also estimated elevated rates of current smoking and current heavy alcohol use in the direct social contacts of PCLS.

Discussion: This ABNM integrates biobehavioral health processes relating to incarceration and substance use. This model can be used as a platform to evaluate the potential impacts of interventions provided to PCLS and their networks.

背景:吸烟和酗酒是一种协同流行病("综合症"),对涉及刑事法律系统(PCLS)的人员及其社会网络的影响尤为严重。要制定有效的改革政策和干预措施,就必须更好地了解监禁-烟草-酒精综合症各因素之间复杂的相互关系。然而,由于后勤和道德方面的挑战,收集这些相互关系的实证数据往往受到阻碍:方法:我们开发了一个基于代理的网络模型(ABNM)来模拟美国罗德岛州监禁-烟草-酒精综合症的影响。该模型利用经验调查和人口统计数据进行了验证和校准。结果包括曾被监禁的人员及其社交网络在获释后第一年的当前吸烟率和酗酒率:结果:模型成功地复制了人口、药物使用和监禁相关参数。模拟结果表明,在 PCLS 中,尤其是有多次监禁经历的人员中,吸烟率较高(释放后头几周内约有 80% 的人目前在吸烟),酗酒率较高(释放后头几周内约有 40% 的人目前在酗酒)。该模型还估计,在 PCLS 的直接社会接触者中,当前吸烟率和当前酗酒率均有所上升:该 ABNM 模型整合了与监禁和药物使用相关的生物行为健康过程。该模型可作为一个平台,用于评估为 PCLS 及其网络提供的干预措施的潜在影响。
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引用次数: 0
Tackling Alcohol-Related Road Traffic Injuries is an Urgent Public Health Priority in Tanzania and across East Africa 解决与酒精有关的道路交通伤害问题是坦桑尼亚和整个东非公共卫生领域的当务之急
Q4 BEHAVIORAL SCIENCES Pub Date : 2023-12-31 DOI: 10.7895/ijadr.503
Monica Swahn, Ph.D.
IJADR Commentary
IJADR 评论
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引用次数: 0
Road traffic injuries and alcohol use in the emergency department in Tanzania: a case-crossover study 坦桑尼亚急诊室中的道路交通伤害和饮酒情况:病例交叉研究
Q4 BEHAVIORAL SCIENCES Pub Date : 2023-12-31 DOI: 10.7895/ijadr.431
Catherine Staton
Abstract Introduction: Alcohol is the leading risk factor for road traffic injury (RTI). Africa has the second-highest rate of alcohol dependence and the highest road traffic fatality rate. We describe the proportion of Tanzanian emergency department (ED) patients presenting with RTIs who are blood alcohol content (BAC) positive and determine the dose-response relationship between drinking and injury risk.Methods: Analysis of data from EDs in Tanzania from 2013 to 2014 was performed. Adults presenting to an ED within 6 hours of injury had BAC testing and were asked whether and how much alcohol was consumed prior to the injury. Data also included self-reported alcohol use during control periods 1 day and 1 week prior to the injury. Case-crossover analysis of injury risk used logistic regression to determine matched-pair odds ratios (ORs) and 95% confidence intervals (CIs).Results: Of 513 injury patients, 375 (73%) suffered RTIs. Overall, 29% of RTI patients were BAC-positive. Approximately 40% of those who reported using alcohol prior to RTI reported drinking more than 5 standard drinks. With any alcohol, drivers of both motorcycles and cars/trucks had increased odds of RTI (4.90 OR (CI 2.5-9.5) and 5.70 OR (CI 2.8-11.6) respectively). While the odds of RTI in car/truck drivers demonstrated a dose-dependent response, that in motorcyclists was highest after 3-4 drinks (5.60 OR, CI 2.22-14.10).Discussion: The RTI burden in Tanzania is high. Any alcohol can increase RTI risk. These findings should guide drunk-driving legislation.
摘要 导言:酒精是导致道路交通伤害(RTI)的主要风险因素。非洲是酒精依赖率第二高的国家,也是道路交通死亡率最高的国家。我们描述了坦桑尼亚急诊科(ED)中血液酒精含量(BAC)呈阳性的道路交通伤害患者的比例,并确定了饮酒与伤害风险之间的剂量反应关系:对 2013 年至 2014 年坦桑尼亚急诊室的数据进行了分析。在受伤后 6 小时内到急诊室就诊的成人均接受了 BAC 检测,并被问及受伤前是否饮酒以及饮酒量。数据还包括受伤前 1 天和 1 周对照期间自我报告的饮酒情况。利用逻辑回归对受伤风险进行病例交叉分析,以确定配对的几率比(ORs)和 95% 的置信区间(CIs):在 513 名受伤患者中,375 人(73%)患有 RTI。总体而言,29%的 RTI 患者 BAC 呈阳性。在报告在 RTI 之前饮酒的患者中,约 40% 的人报告饮酒超过 5 标准杯。在饮酒的情况下,摩托车和汽车/卡车司机发生 RTI 的几率都有所增加(分别为 4.90 OR (CI 2.5-9.5) 和 5.70 OR (CI 2.8-11.6))。汽车/卡车司机发生 RTI 的几率与剂量有关,而摩托车驾驶员在饮酒 3-4 次后发生 RTI 的几率最高(5.60 OR,CI 2.22-14.10):坦桑尼亚的 RTI 负担很高。任何酒精都会增加 RTI 风险。这些发现应指导酒后驾车立法。
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引用次数: 0
Alcohol surveys in Australia, South Africa, Switzerland, and Tanzania: Different methods, settings, patterns and harms 澳大利亚、南非、瑞士和坦桑尼亚的酒精调查:不同的方法、环境、模式和危害
Q4 BEHAVIORAL SCIENCES Pub Date : 2023-12-31 DOI: 10.7895/ijadr.505
N. Morojele, A. Laslett
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引用次数: 0
The 2021 Alcohol’s Harm to Others Survey: Methodological Approach 2021 年酒精对他人的危害调查:调查方法
Q4 BEHAVIORAL SCIENCES Pub Date : 2023-12-28 DOI: 10.7895/ijadr.483
Jade Rintala, Robin Room, Koen Smit, Heng Jiang, A. Laslett
Abstract Background The 2021 Alcohol's Harm to Others (AHTO) is a comprehensive survey measuring the prevalence of different harms due to another’s drinking in the Australian population. First implemented in 2008, the AHTO survey has since been adapted to reflect changes in modern survey research and to be comparable with international AHTO surveys. Aims The current paper aims to provide a detailed account of the 2021 Australian Alcohol's Harm to Others (AHTO) survey, including the procedures for sampling, data collection, weighting, response rate calculation and results from a mode analysis. Methodology The 2021 AHTO survey was conducted by the Social Research Centre (SRC), whereby 1,000 participants were recruited through Random Digit Dial (RDD) and 1,574 through the Life in Australia Panel (LinA). Weights applied to the data to match key respondent demographics to the Australian population and between the two samples. Multivariable logistic regression models were conducted to probe the extent sample source (RDD; LinA) was associated with various survey outcomes. Results Multiple regression analyses found sample source had a statistically significant association with responses on three out of eight outcomes, with sample source contributing 1 – 8% of the overall variance in these models. Discussion The current paper highlighted the 2021 AHTO survey’s comprehensiveness and adaptability to a modern research context as its strengths. Yet some limitations were identified relating to the use of bi-modal survey methods. The methodological critiques from the current paper are vital to inform future AHTO surveys used in both a national and international context.
摘要 背景 2021 年酒精对他人的危害(AHTO)是一项全面调查,衡量澳大利亚人口中因他人饮酒而造成不同危害的普遍程度。该调查于 2008 年首次实施,此后进行了调整,以反映现代调查研究的变化,并与国际 AHTO 调查具有可比性。 本文旨在详细介绍 2021 年澳大利亚酒精对他人的危害(AHTO)调查,包括抽样程序、数据收集、加权、响应率计算和模式分析结果。 调查方法 2021 年澳大利亚酒精对他人的危害调查由社会研究中心(SRC)进行,通过随机数字拨号(RDD)招募了 1000 名参与者,通过澳大利亚生活小组(LinA)招募了 1574 名参与者。对数据进行了加权处理,以使主要受访者的人口统计学特征与澳大利亚人口相匹配,并使两个样本之间相匹配。采用多变量逻辑回归模型来探究样本来源(RDD;LinA)与各种调查结果的关联程度。 结果 多元回归分析发现,样本来源与八项结果中三项结果的回答有显著的统计学关联,样本来源占这些模型总体变异的 1 - 8%。 讨论 本文强调了 2021 AHTO 调查的全面性和适应现代研究环境的优势。但也发现了一些与使用双模式调查方法有关的局限性。本文在方法论方面提出的批评意见,对于今后在国内和国际范围内开展 AHTO 调查至关重要。
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引用次数: 0
A polarisation rather than just an increase or a decrease - Exploring different approaches to measure the impact of the COVID-19 pandemic on alcohol consumption after one year 两极分化,而不仅仅是增加或减少--探索不同的方法来衡量 COVID-19 大流行一年后对酒精消费的影响
Q4 BEHAVIORAL SCIENCES Pub Date : 2023-12-20 DOI: 10.7895/ijadr.451
F. Labhart, Gerhard Gmel
Background Many studies on the impact of the COVID-19 pandemic reported that significant proportions of drinkers have either increased or decreased their consumption. These diverging trends may indicate a polarisation of drinking behaviours, suggesting that the same source of stress caused some people to drink more and others to drink less, among the same segment of the population. This study aims to explore the existence of such a polarisation by using standard statistical methods to assess data on drinking behaviour from March 2021, one year after the onset of the pandemic. Methods A representative sample of 2’000 people in Switzerland were asked to retrospectively report their drinking behaviours during the year before the introduction of the measures to contain the COVID-19 pandemic (April 2019–March 2020) and during the first year of the pandemic (April 2020–March 2021), as well as multiple aspects of their living conditions. Results A polarisation of drinking behaviours was observed among many segments of the populations, particularly among young adults (15-24 years old), those with increased fear of COVID-19 for oneself or for their financial situation, and those who experienced a precarious work situation. Chi-square test and regressions models, using the absolute value of the change in drinking habits, are suitable for measuring polarisation effects. Conclusions The polarisation of drinking behaviours occurred in some segments of the population, regardless of their pre-pandemic drinking habits. However, polarisation can only be properly measured when non-linear trends are investigated.
背景 许多关于 COVID-19 大流行影响的研究报告称,相当大比例的饮酒者要么增加了饮酒量, 要么减少了饮酒量。这些不同的趋势可能表明饮酒行为出现了两极分化,即在同一人群中,同一压力源导致一些人饮酒量增加,另一些人饮酒量减少。本研究旨在采用标准统计方法,评估疫情发生一年后,即 2021 年 3 月的饮酒行为数据,从而探讨是否存在这种两极分化现象。方法 对瑞士具有代表性的 2,000 人进行抽样调查,要求他们回顾性地报告在采取遏制 COVID-19 大流行的措施前一年(2019 年 4 月至 2020 年 3 月)和大流行第一年(2020 年 4 月至 2021 年 3 月)期间的饮酒行为,以及他们生活条件的多个方面。结果 在许多人群中观察到了饮酒行为的两极分化,尤其是在青壮年(15-24 岁)、对 COVID-19 对自身或经济状况的恐惧增加的人群以及工作不稳定的人群中。利用饮酒习惯变化的绝对值进行的卡方检验和回归模型适用于测量极化效应。结论 某些人群的饮酒行为出现了两极分化,无论他们在大流行前的饮酒习惯如何。然而,只有对非线性趋势进行调查,才能正确衡量两极分化。
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引用次数: 0
The socioeconomic profile of alcohol use in Europe: findings from 33 European countries 欧洲酒精使用的社会经济概况:来自33个欧洲国家的调查结果
Q4 BEHAVIORAL SCIENCES Pub Date : 2023-06-01 DOI: 10.7895/ijadr.407
C. Kilian, J. Manthey, J. Moskalewicz, F. Braddick, S. Matrai, H. López-Pelayo, J. Rehm
Background: Alcohol’s detrimental health effects do not affect everyone equally but accumulate in people with low socioeconomic status (SES). Using data from the 2021 Standard European Alcohol Survey, we explore gender- and SES-specific consumption patterns, and COVID-19 related changes in consumption across Europe. Methods: Cross-sectional population-based survey data from 54,354 adults from 33 European countries plus Spain-Catalonia were analysed. Five alcohol indicators were of interest: prevalence of past-year alcohol use; and, among past-year alcohol users, prevalence of monthly/more frequent risky-single-occasion-drinking (monthly+ RSOD); prevalence of high-risk alcohol use (40+/60+ grams pure alcohol daily for women/men); mean daily grams of pure alcohol consumed; and self-reported consumption changes during COVID-19. Alcohol indicators were age-standardised and decomposed by gender and SES (education attainment), and analysed using regression models with location-specific random intercepts. Results: Across jurisdictions, past-year alcohol use, monthly+ RSOD, and high-risk drinking were all commonly reported, with distinct gender-specific socioeconomic profiles. While high-SES men and women were generally more likely to report past-year alcohol use, monthly+ RSOD and high-risk drinking were more prevalent among currently drinking low/mid-SES compared to high-SES men. No such SES differences in risky drinking were observed among women, however, female alcohol users with high SES reported higher mean daily drinking levels. High-SES women but not men were more likely to both increase and decrease their drinking during COVID-19 compared to their low/mid-SES counterparts. Conclusion: High consumption levels and distinct socioeconomic profiles among men and women highlight the need for effective alcohol policies to reduce health inequalities in Europe.
背景:酒精对健康的有害影响并不是平等地影响每个人,而是在社会经济地位低的人身上累积。利用2021年欧洲标准酒精调查的数据,我们探索了欧洲特定性别和SES的消费模式,以及与新冠肺炎相关的消费变化。方法:对来自33个欧洲国家和西班牙加泰罗尼亚的54354名成年人的横断面人群调查数据进行分析。五项酒精指标令人感兴趣:去年饮酒的流行率;以及,在过去一年的酒精使用者中,每月/更频繁的单次危险饮酒的流行率(每月+RSOD);高风险饮酒的流行率(女性/男性每天40+/60+克纯酒精);平均每日饮酒克数;以及新冠肺炎期间自我报告的消费变化。酒精指标是年龄标准化的,并按性别和SES(教育程度)进行分解,并使用具有特定地点随机截距的回归模型进行分析。结果:在各个司法管辖区,过去一年的饮酒、每月+RSOD和高风险饮酒都是常见的报告,具有不同的性别特定的社会经济特征。虽然社会经济地位高的男性和女性通常更有可能报告过去一年的饮酒情况,但与社会经济地位较高的男性相比,目前饮酒的社会经济地位低/中等的男性每月+RSOD和高风险饮酒更为普遍。女性在危险饮酒方面没有观察到这种SES差异,然而,SES高的女性饮酒者报告的平均每日饮酒水平更高。与社会经济地位低/中等的女性相比,在新冠肺炎期间,高社会经济地位女性(而非男性)更有可能增加和减少饮酒。结论:男性和女性的高消费水平和不同的社会经济状况突出表明,需要有效的酒精政策来减少欧洲的健康不平等。
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引用次数: 0
A systematic review on the impact of alcohol use on sexually transmitted infections. 关于酒精使用对性传播感染影响的系统综述。
Q4 BEHAVIORAL SCIENCES Pub Date : 2023-06-01 DOI: 10.7895/ijadr.381
Laura Llamosas-Falcón, Omer S M Hasan, Paul A Shuper, Jürgen Rehm

Alcohol use has been associated with multiple types of sexual risk behaviors, such as condomless sex or having multiple sexual partners, behaviors that are linked to the risk of sexually transmitted infections (STIs). The aim of this review was to present updated evidence to demonstrate an association between alcohol consumption and STIs and evaluate the causal nature of this link, as well as to present interventions that reduce alcohol consumption and its effect on STIs. We conducted a systematic review according to the PRISMA guidelines using PubMed and Embase databases. Cohort studies and case-control studies were included. Any level of alcohol use served as the exposure variable, with the outcome restricted to non-HIV STIs, as reviews on alcohol use and HIV already exist. In total, 11 publications satisfied the inclusion criteria. The evidence suggests that there is an association between alcohol use, especially heavy drinking occasions, and STIs, with eight articles finding a statistically significant association. In addition to these results, there is indirect causal evidence from policy studies, and from the field of decision-making and sexual behavior with experimental evidence, that alcohol use increases the likelihood of risk-taking sexual behavior. It is important to have a deeper understanding of the association to develop effective prevention programs at community and individual levels. Preventive interventions should be implemented targeting the general population, in addition to specific campaigns directed at vulnerable subpopulations in order to reduce the risks.

酒精的使用与多种类型的性危险行为有关,例如无避孕套的性行为或拥有多个性伴侣,这些行为与性传播感染的风险有关。本综述的目的是提供最新的证据来证明饮酒与性传播感染之间的联系,并评估这种联系的因果性质,以及提出减少饮酒及其对性传播感染的影响的干预措施。我们使用PubMed和Embase数据库根据PRISMA指南进行了系统评价。包括队列研究和病例对照研究。任何酒精使用水平都可以作为暴露变量,结果仅限于非艾滋病毒性传播感染,因为关于酒精使用和艾滋病毒的审查已经存在。总共有11篇出版物符合纳入标准。有证据表明,饮酒,特别是大量饮酒的场合,与性传播感染之间存在关联,有八篇文章发现了统计上显著的关联。除了这些结果之外,还有来自政策研究的间接因果证据,以及来自决策和性行为领域的实验证据,表明饮酒增加了冒险性行为的可能性。重要的是要更深入地了解这种联系,以便在社区和个人层面制定有效的预防方案。除了针对脆弱亚群体的具体运动外,还应针对一般人群实施预防性干预措施,以减少风险。
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引用次数: 0
Alcohol consumption and STIs, COVID-19 and alcohol marketing 酒精消费和性传播感染、新冠肺炎和酒精营销
Q4 BEHAVIORAL SCIENCES Pub Date : 2023-06-01 DOI: 10.7895/ijadr.403
A. Laslett, N. Morojele
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引用次数: 0
Alcohol Marketing and Consumption in Thailand: Results from the International Alcohol Control Policy Study 泰国的酒精营销和消费:国际酒精控制政策研究的结果
Q4 BEHAVIORAL SCIENCES Pub Date : 2023-04-08 DOI: 10.7895/ijadr.401
Nongnuch Jindarattanaporn, Surasak Chaiyasong, V. Vongmongkol, C. Akaleephan
Background: Alcohol marketing is a facilitator of alcohol consumption and related harm. The objectives of this study were to examine associations between alcohol consumption and exposure to and liking of alcohol marketing activities in Thailand. Methods: Data were obtained from the Thailand International Alcohol Control Policy study in 2012/2013 with 5,808 respondents aged betwee 15 and 65 years. Logistic regression models were applied to determine factors associated with liking alcohol advertisements and being a current drinker, regular drinker and binge drinker. Results: Of all respondents, 75% were exposed to alcohol advertising on television followed by sports sponsorship (69%) and point of sale (66%). Youth reported higher levels of exposure to alcohol advertising via all activities/channels, particularly online media, than adults (except radio). Respondents with high exposure to alcohol advertising were more likely to like alcohol advertising (adjusted odds ratio (AOR)=7.32, 95%confidence interval (CI): 4.91-10.92), compared to respondents who never exposed to alcohol advertising. The odds ratios of being a drinker (AOR=2.28, 95%CI: 1.82-2.85), a regular drinker (2.10, 1.57-2.81) and a binge drinker (2.57, 1.94-3.41) were significantly higher among those who highly liked alcohol advertising compared with those who did not. Conclusion: Thailand should place greater restrictions on alcohol advertising and marketing activities.
背景:酒精营销是酒精消费和相关危害的促进者。这项研究的目的是检验泰国的酒精消费与接触和喜欢酒精营销活动之间的关系。方法:数据来自2012/2013年泰国国际酒精控制政策研究,共有5808名年龄在15岁至65岁之间的受访者。应用Logistic回归模型来确定与喜欢酒精广告、经常喝酒和酗酒相关的因素。结果:在所有受访者中,75%的人接触过电视上的酒类广告,其次是体育赞助(69%)和销售点(66%)。据报告,与成年人(电台除外)相比,青少年通过所有活动/渠道,特别是在线媒体,接触酒精广告的程度更高。与从未接触过酒精广告的受访者相比,接触过酒精的受访者更有可能喜欢酒精广告(调整后的比值比(AOR)=7.32,95%置信区间(CI):4.91-10.92)。高度喜欢酒类广告的人(AOR=2.28,95%CI:1.82-2.85)、经常喝酒的人(2.10,1.57-2.81)和狂饮的人(2.5719.94-3.41)的比值比明显高于不喜欢酒类广告者。结论:泰国应加大对酒类广告和营销活动的限制。
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引用次数: 0
期刊
International journal of alcohol and drug research
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