|Titre :||Subjective measures of binge drinking and alcohol-specific adverse health outcomes: a prospective cohort study (2012)|
|Auteurs :||T. PALJÄRVI ; P. MÄKELÄ ; K. POIKOLAINEN ; S. SUOMINEN ; J. CAR ; M. KOSKENVUO|
|Type de document :||Article : Périodique|
|Dans :||Addiction (Vol.107, n°2, February 2012)|
|Article en page(s) :||323-330|
|Discipline :||EPI (Epidémiologie / Epidemiology)|
Thésaurus TOXIBASEETUDE PROSPECTIVE ; ADULTE JEUNE ; ADULTE ; ALCOOL ; ABUS ; POPULATION GENERALE ; IVRESSE ; INTOXICATION ; HOSPITALISATION ; MORTALITE ; TYPE D'USAGE
Aim: To determine the performance of subjectively defined intoxications, hangovers and alcohol-induced pass-outs in identifying drinkers at risk for adverse health outcomes.
Design: Prospective population-based cohort study.
Setting: Working-aged Finnish general population.
Participants: A total of 21 204 alcohol-drinking men and women aged 20-24, 30-34, 40-44 and 50-54 years at baseline who participated in the Health and Social Support (HeSSup) postal survey in 1998.
Measurements: Binge drinking was measured by subjectively defined intoxications/drunkenness, hangovers and alcohol-induced pass-outs. Hazardous drinking was defined according to Finnish guidelines as weekly total intake of >287 g of ethanol for men, and for women >191 g of ethanol (>=24 and >=16 standard drinks, respectively). Study participants were followed-up for 7 years for alcohol-specific hospitalizations and deaths. Proportional hazard models and areas under the receiver operating characteristics curves (AUC) were used to analyse the data.
Findings: Of the drinkers, 6.5% exceeded the weekly limit for hazardous drinking, and 1.5% experienced the alcohol-specific end-point during the follow-up. Subjective intoxications, hangovers and alcohol-induced pass-outs all predicted future alcohol-specific diagnoses independently of average intake and of several other potential confounders. In identifying baseline hazardous drinking, subjective intoxications had a superior performance in relation to other subjective measures of binge drinking. In identifying future alcohol-specific hospitalizations or death, subjective intoxications had also the best performance, but this was not significantly different from the other binge drinking measures, or average intake.
Conclusions: Subjectively defined intoxications, hangovers and alcohol-induced pass-outs are population-level proxy measures of at-risk drinking patterns.
|Domaine :||Alcool / Alcohol|
|Refs biblio. :||30|
|Affiliation :||Department of Primary Care and Public Health, Imperial College London, London, UK|