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台灣成年族群飲酒型態與事故傷害、酒駕之關係探討

Drinking patterns in relation to injuries and drunk driving among community-dwelling adults in Taiwan

摘要


目標:瞭解台灣成年族群中飲酒型態與自陳過去一年事故傷害、因酒後駕車而遭警察開單或逮捕之相關性。方法:本研究為一橫斷性研究。資料來源為台灣2013年國民健康訪問調查(National Health Interview Survey, NHIS),並以青壯年(18-39歲,n=7,251)及中年(40-64歲,n=8,003)兩族群為研究對象。飲酒型態的評估指標包含狂飲行為及飲酒頻率。統計採調查統計分析,按年齡分層,並以邏輯式迴歸探討飲酒型態和過去一年事故傷害(含跌倒、燒燙傷、其他事故傷害)及酒後駕車之關係。結果:青壯年族群有較高的事故傷害盛行率(如跌倒:12.9%),然中年族群有酒駕經驗者較多(3.8%)。相較於飲酒頻率,狂飲與事故傷害的相關性較強,且狂飲相關事故傷害風險在青壯年較為顯著(如狂飲者跌到勝算比1.75)。狂飲且日飲之青壯年其酒駕盛行率達22.6%;相較於非狂飲且非日飲者,其酒駕校正後勝算比為11.5(95%信賴區間:4.94-26.91)。結論:本研究發現狂飲與事故傷害(如跌倒)的風險增加有關,且此相關性於青壯年族群尤為顯著。本研究推論受限於橫斷性設計限制,未來可考慮由追蹤性研究或監測資料進一步確認並探討相關機制。酒害防治策略發展建議納入低頻過量飲酒之傷害,並將年輕族群視為酒駕重要介入對象。

關鍵字

狂飲 飲酒頻率 傷害 酒駕

並列摘要


Objectives: This study aimed to determine the association linking drinking patterns with self-reported past-year injuries and drunk driving among community-dwelling adults in Taiwan. Methods: This was a cross-sectional study utilizing the dataset from the 2013 Taiwan National Health Interview Survey (NHIS). The analytic sample comprised young adults (18-39 years of age; n=7,251) and older adults (40-64 years of age; n=8,003). Complex survey analyses in the logit function were performed to estimate the odds ratio [OR] of injuries (i.e., past-year falls, burns, and other injuries) and drunk driving in relation to binge drinking and drinking frequency. Results: Young adults had a higher prevalence of injuries (4%~13%), whereas a higher prevalence of drunk driving existed in older adults (3.8%). In contrast to drinking frequency, binge drinking was associated with higher odds of injuries; this association was more prominent in young adults. Greater than 1 in 5 young adults with binge and daily drinking reported drunk driving (22.6%); the adjusted OR for drunk driving was estimated 11.5 (95% CI= 4.94-26.91). Conclusions: Our analyses revealed a slightly increased risk of injuries associated with binge drinking, which was more prominent in young adults. The causal inference was limited because of the cross-sectional study design. Further evidence derived from longitudinal or surveillance data is needed to validate the connection and explore possible pathways. Alcohol harm reduction strategies may address moderate drinking-related injuries and drunk driving intervention should focus on young drinkers as a priority target.

參考文獻


林忠潁、陳光宏、張新儀、曾芳儀、陳娟瑜(2014)。台灣地區酒精使用型態與醫療使用行為之關係探討。台灣衛誌。33,197-208。
張鳳琴、蔡益堅、吳聖良(2003)。台灣地區非致命事故傷害狀況。台灣衛誌。22,492-500。
Barnea, Z,Rahav, G,Teichman, M(1987).The reliability and consistency of self-reports on substance use in a longitudinal study.Addiction.82,891-8.
Borges, G,Cherpitel, CJ,Orozco, R(2006).Acute alcohol use and the risk of non-fatal injury in sixteen countries.Addiction.101,993-1002.
Chaloupka, FJ,Wechsler, H(1996).Binge drinking in college: the impact of price, availability, and alcohol control policies.Contemp Econ Pol.14,112-24.

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