贫困程度的变化与酒精使用障碍之间的关系:一项全国范围的纵向研究。

IF 2.1 4区 医学 Q3 SUBSTANCE ABUSE Alcohol and alcoholism Pub Date : 2024-09-21 DOI:10.1093/alcalc/agae071
Dan Bi Kim, Jae Hyeok Lim, Ji Su Ko, Min Jeong Joo, Eun-Cheol Park, Suk-Yong Jang
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引用次数: 0

摘要

背景:尽管有关社会经济地位与饮酒之间关系的研究结果相互矛盾,但人们对衡量不平等状况的贫困程度对酒精使用障碍(AUDs)的影响知之甚少:尽管有关社会经济地位与饮酒之间关系的研究结果相互矛盾,但人们对作为不平等衡量标准的贫困对酒精使用障碍(AUDs)的影响知之甚少:我们使用了韩国福利面板研究(Korea Welfare Panel Study),这是一项从 2012 年到 2022 年进行的纵向调查,共纳入了 1569 名韩国成年参与者。贫困(至少包括食物、住房、医疗、教育和信贷贫困中的一项)通过自我报告的方式进行测量,并根据从上一年到下一年贫困经历的变化分为四类。AUD 采用韩国版酒精使用障碍识别测试量表进行测量。采用多变量逻辑回归法估算几率比例和95%置信区间,并对混杂因素进行调整:在 1569 名参与者中,与非贫困相比,贫困恶化和持续贫困与 AUD 呈正相关。特别是,在家庭收入低、受教育程度高和从事经济活动的参与者中,贫困恶化更有可能与 AUD 相关:我们发现,贫困恶化和持续贫困与 AUD 相关。应考虑将贫困作为改善饮酒问题的卫生政策干预措施。
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Associations between changes in deprivation and alcohol use disorder: a nationwide longitudinal study.

Background: Despite conflicting findings on the association between socioeconomic status and drinking, little is known about the impact of deprivation as a measure of inequality on alcohol use disorders (AUDs).

Methods: We used the Korea Welfare Panel Study, a longitudinal survey conducted from 2012 to 2022, and included 1569 Korean adult participants. Deprivation (at least one including food, housing, medical, educational, and credit deprivation) was measured by self-report and divided into four categories according to the change in deprivation experience from the previous year to the following year. AUD was measured using the Korean version of the Alcohol Use Disorders Identification Test scale. Multivariable logistic regression was used to estimate odds ratios and 95% confidence intervals and adjusted for confounders.

Results: Among 1569 participants, worsened deprivation and consistent deprivation were positively associated with AUD compared to non-deprivation. In particular, worsened deprivation was more likely to be associated with AUD in participants with low household income, high school education level, and economic activity.

Conclusion: We found that worsened deprivation and consistent deprivation were associated with AUD. Deprivation should be considered as a health policy intervention to improve drinking problems.

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来源期刊
Alcohol and alcoholism
Alcohol and alcoholism 医学-药物滥用
CiteScore
4.70
自引率
3.60%
发文量
62
审稿时长
4-8 weeks
期刊介绍: About the Journal Alcohol and Alcoholism publishes papers on the biomedical, psychological, and sociological aspects of alcoholism and alcohol research, provided that they make a new and significant contribution to knowledge in the field. Papers include new results obtained experimentally, descriptions of new experimental (including clinical) methods of importance to the field of alcohol research and treatment, or new interpretations of existing results. Theoretical contributions are considered equally with papers dealing with experimental work provided that such theoretical contributions are not of a largely speculative or philosophical nature.
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