背景:调查表明,超过“明智”酒精摄入量的准则是司空见惯的,改变人口摄入量对健康和社会的影响可能相当大。如果要成功实施公共卫生干预措施,首先重要的是确定这些行为的相关性,包括社会经济劣势。这就是本研究的目的。
方法:来自苏格兰西部的576名男性的人口代表性队列研究。1988年收集了有关生命历程社会经济地位的数据(年龄约55岁)。1990/2年(大约59岁)确定了饮酒模式(详细的七天回忆)和问题饮酒(CAGE问卷)。计算了不平等的相对指数,以探索生命历程不同时期不同社会环境指标的比较强度。
结果:早年和成年期的社会经济逆境与超过每周和每日饮酒指南的风险增加有关。成人社会经济地位指标显示出最强的关联。其中,成年期社会经济剥夺的物质指标-汽车拥有量,住房保有权-与大量饮酒和问题饮酒的关系比教育稍微更强烈,收入和职业社会阶层。早期生活剥夺对酒精摄入的影响很大一部分是通过成人社会经济地位介导的。当饮酒问题是人们感兴趣的结果时,类似的结果也很明显。
结论:在该队列中的男性中,在整个生命周期中暴露于不利的社会环境,但尤其是在成年后,与有害的饮酒模式和中年后期饮酒问题有关。
BACKGROUND: With surveys suggesting that exceeding
guidelines for \'sensible\' alcohol intake is commonplace, the health and social impact of modifying intake on a population level is potentially considerable. If public health interventions are to be successfully implemented, it is first important to identify correlates of such behaviours, including socioeconomic disadvantage. This was the aim of the present study.
METHODS: Population-representative cohort study of 576 men from the West of Scotland. Data on life course socioeconomic position were collected in 1988 (at around 55 years of age). Alcohol consumption patterns (detailed seven day recall) and problem drinking (CAGE questionnaire) were ascertained in 1990/2 (at around 59 years of age). A relative index of inequality was computed to explore the comparative strength of different indicators of social circumstances from different periods of the life course.
RESULTS: Socioeconomic adversity in both early life and in adulthood was related to an increased risk of exceeding the weekly and daily alcohol
guidelines, with adult indicators of socioeconomic position revealing the strongest associations. Of these, material indicators of socioeconomic deprivation in adulthood - car ownership, housing tenure - were marginally more strongly related to heavy alcohol intake and problem drinking than education, income and occupational social class. A substantial proportion of the influence of early life deprivation on alcohol intake was mediated via adult socioeconomic position. Similar results were apparent when problem drinking was the outcome of interest.
CONCLUSIONS: In men in this cohort, exposure to disadvantaged social circumstances across the lifecourse, but particularly in adulthood, is associated with detrimental patterns of alcohol consumption and problem drinking in late middle age.