COMPONENT 4: Epidemiological Analyses of the National Alcohol Survey (NAS)

组成部分 4：全国酒精调查 (NAS) 的流行病学分析

• 批准号: 8376669
• 负责人: William C Kerr
• 金额: $ 23.6万
• 依托单位: PUBLIC HEALTH INSTITUTE
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/8376669
• 关键词: AODR mortality; Accident and Emergency department; Accidents; Address; Adult; Affect; Age; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcoholic Intoxication; Alcohols; Attitude; Automobile Driving; Behavior; Beverages; Birth; Characteristics; Child; Child Abuse; Childhood; Code; Cohort Analysis; Cohort Effect; Consumption; County; Cross-Sectional Studies; DSM-V; Data; Dependence; Development; Disadvantaged; Drug usage; Drunk driving; Economic Conditions; Economics; Effect Modifiers (Epidemiology); Environment; Epidemiology; Ethnic Origin; Etiology; Family; Family member; Frequencies; Future; Gender; Gender Role; General Population; Geographic Locations; Health; Heavy Drinking; Hospitals; Hour; Impairment; Income; Individual; Injury; Intake; Interpersonal Violence; Joints; Legal; Life; Life Cycle Stages; Link; Marijuana Smoking; Matched Group; Measurement; Measures; Mental Health; Methodology; Methods; Modeling; Neighborhoods; Outcome; Patient Self-Report; Pattern; Pharmaceutical Preparations; Police; Poverty; Public Health; Race; Religion; Reporting; Research; Respondent; Risk; Risk Estimate; Risk Factors; Role; Sampling; Series; Severities; Socioeconomic Status; Stress; Surveys; Testing; Time; To specify; Tobacco use; Unemployment; Update; Variant; Victimization; Violence; Visit; Wages; Work; adverse outcome; age group; aged; alcohol availability; alcohol consequences; alcohol content; alcohol effect; alcohol misuse; alcohol related consequences; alcohol related problem; alcohol use disorder; base; binge drinking; cohort; density; density of AOD outlets; drinking; driving under influence; experience; hazard; health care service utilization; impaired driving performance; improved; innovation; population survey; psychosocial; religious group; social; socioeconomics; trend; vandalism

The Epidemiological Analyses of the NAS research component involves the current 2009/10 National Alcohol Survey (NAS), the future 2014/15 NAS and previous NAS surveys from 1979, 1984, 1990, 1995, 2000 and 2005. Our analyses capitalize on unique strengths of the NAS survey series including commensurate measurement of detailed alcohol consumption patterns, alcohol dependence and consequences, life-course heavy drinking patterns, prior problems and other risk factors. The NAS series includes an unusually broad range of personal characteristics and psychosocial risk factors, having many unique features including the availability of comparable US adult population surveys at approximately 5-year intervals over the past 30 years. From the 2000 on, the NAS Resouces Core will provide neighborhood and county-level geo-referencing that captures environmental measures of alcohol availability, local drinking culture and socioeconomic conditions which our aims exploit. Long-term trend analyses are specified to reveal recent changes in intake patterns and problems; additionally, we propose age-period-cohort (APC) models to better understand the underlying components of these trends. Attaching environmental variables to this representative US sample brings a fresh perspective to our analyses of individual-level data by locating respondents within a particular geographic setting characterized by socioeconomic, drinking culture and alcohol availability measures. Together with the life-course drinking and other risk factors, the inclusion of these environmental variables will add considerable depth to our plans to model problem outcomes, since these depend in many cases on an individual's past behavior and experiences, as well as the current social, cultural, economic and regulatory environment. Also, our analyses benefit greatly from more precise measures of current intake that, since 2000, adjust for drink size and strength. Using these key features of the NAS, a series of aims test hypotheses to advance the epidemiology and etiology of a broad range of alcohol-related problems including alcohol dependence, driving under the influence (DUI), accidents and injuries, and family, work, health and legal consequences of heavy drinking. Additional analyses will evaluate the determinants of externalities related to others' drinking including violence victimization, family problems and vandalism, and will investigate health care utilization by individuals with alcohol use disorders. Finally, detailed analyses of self-reported drunkenness and heavy drinking occasions will improve understanding of these important and inter-related measures and their relationship to outcomes such as impaired driving.

NAS 研究部分的流行病学分析涉及当前的 2009/10 全国酒精调查 (NAS)、未来的 2014/15 NAS 以及 1979、1984、1990、1995、2000 和 2005 年之前的 NAS 调查。我们的分析利用了独特的优势NAS 调查系列，包括详细的酒精消费模式、酒精依赖和后果的相应测量，一生中的大量饮酒模式、先前的问题和其他风险因素。 NAS系列 包括异常广泛的个人特征和心理社会风险因素，具有许多独特的特征，包括在过去 30 年中每隔大约 5 年进行一次可比的美国成年人口调查。从 2000 年起，NAS 资源核心将提供社区和县级地理参考，捕捉我们的目标所利用的酒精供应情况、当地饮酒文化和社会经济条件的环境措施。长期趋势分析旨在揭示摄入模式和问题的近期变化；此外，我们建议年龄-时期-队列（APC） 模型以更好地了解这些趋势的基本组成部分。将环境变量附加到这个具有代表性的美国样本中，通过将受访者定位在以社会经济、饮酒文化和酒精供应措施为特征的特定地理环境中，为我们对个人数据的分析带来了新的视角。与终生饮酒和其他风险因素一起，这些环境变量的纳入将为我们模拟问题结果的计划增加相当大的深度，因为这些在许多情况下取决于个人过去的行为和经历，以及当前的社会状况。 、文化、经济和监管环境。此外，自 2000 年以来，我们的分析大大受益于对当前摄入量的更精确测量，这些测量根据饮料量和浓度进行调整。利用 NAS 的这些关键功能，一系列目标测试假设，以推进广泛的酒精相关问题的流行病学和病因学，包括酒精依赖、酒后驾驶 (DUI)、事故和伤害以及家庭、工作、酗酒的健康和法律后果。其他分析将评估与他人饮酒相关的外部性决定因素，包括暴力受害、家庭问题和破坏行为，并将调查酒精使用障碍患者的医疗保健利用情况。最后，对自我报告的醉酒和酗酒情况的详细分析将提高对这些重要且相互关联的措施及其与不清醒驾驶等结果的关系的理解。