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Title: | 飲酒與問題飲酒之年代變化的性別差異 Gender Differences in the Secular Changes of Alcohol Use and Problematic Alcohol Use: Comparing the Results of 2014 and 2018 National Survey of Substance Use in Taiwan |
Authors: | Yu-Chieh Huang 黃毓絜 |
Advisor: | 陳為堅(Wei J. Chen) |
Keyword: | 全國調查,性別差異,酒精使用,問題飲酒,暴飲,物質使用,台灣, National survey,gender difference,alcohol use,problematic alcohol use,binge drinking,substance use,Taiwan, |
Publication Year : | 2020 |
Degree: | 碩士 |
Abstract: | 背景及目的 近年許多研究發現酒精使用與問題飲酒中的性別差異有隨著時間越來越接近的狀況。然而,目前很少有研究去探討台灣飲酒趨勢與性別差異之變化的分析研究。因此,此研究的目的為利用2014年與2018年台灣全國物質使用調查結果,比較兩波調查之終生、過去一個月酒精使用、暴飲及高風險飲酒行為的盛行率來探討台灣目前酒精使用與問題飲酒之趨勢;更進一步去探討酒精使用與問題飲酒的趨勢是否存在性別差異,且酒精使用與問題飲酒之性別差異是否隨著年代變化有更接近的情形。 方法 研究樣本為2014年與2018年全國物質調查之受訪者,全國物質使用調查是一具全國代表性樣本之調查且受訪者採用匿名與電腦輔助式自我報告的方式來填答問卷。在2014年共納入17,837位受訪者 (完訪率為62.2%),在2018年共納入18,626位 (完訪率為64.6%)。此研究對飲酒的測量包含:終生與過去一個月的酒精使用有無,問題飲酒的測量包含:暴飲 (定義為過去一個月有一次飲酒超過五個飲酒單位以上)、酒精使用疾患確認檢測 (Alcohol Use Disorders Identification Test, AUDIT)分數大於等於8分。同時在調查中也收集受試者的基本人口學變項、其他物質使用情形和憂鬱情形。利用雙尾z score test檢定兩波調查之酒精使用及問題飲酒盛行率是否有顯著差異,且利用多元邏輯斯迴歸分析檢定性別與調查年份之交互作用項,探討酒精使用及問題飲酒之性別差異是否有隨著調查年份改變而有所變化。 結果 從2014年至2018年,台灣整體酒精使用與問題飲酒盛行率均呈現顯著下降,終生飲酒盛行率下降7.70%;過去一個月飲酒盛行率下降2.05%;暴飲盛行率下降0.70%;AUDIT分數 ≥ 8盛行率下降0.97%。然而,將酒精使用與問題飲酒趨勢變化存在性別差異。以男性而言,從2014到2018年終生飲酒盛行率從68.21%下降到59.57%;過去一個月飲酒盛行率從37.99%下降到34.20%;暴飲盛行率從6.89%下降到5.30%;AUDIT分數 ≥ 8盛行率從12.45%下降到10.10%;但以女性而言,過去一個月酒精使用及暴飲之盛行率在兩波調查之間並沒有顯著差異,且在AUDIT分數 ≥ 8之盛行率從1.32%增加到1.75%。經由男女分層分析後,觀察到性別差異是存在特定的年齡與社會人口學特徵之族群。而我們也發現從2014年到2018年酒精使用與問題飲酒的性別差異有逐漸縮小的情形,若依照特定年齡層做多元邏輯斯迴歸分析,檢定調查年份、性別、兩者的交互作用項與不同的飲酒型態的關係,結果發現性別差異縮小特別存在於18-29歲之AUDIT分數 ≥ 8的飲酒行為。 結論 從2014年至2018年,台灣男性的酒精使用與問題飲酒之盛行率呈現顯著下降,但是女性在問題飲酒之盛行率卻呈現顯著上升的趨勢。酒精使用與問題飲酒之性別差異隨年代變化逐漸在縮小,特別在18-29歲的族群。 Background. Recent studies indicated that the gender differences in alcohol use and problematic alcohol use were narrowing. However, there has been little research on the trends in gender differences in alcohol use and problematic alcohol use in Taiwan. This study aims to (1) compare the prevalence of lifetime and past 1-month alcohol use, binge drinking, and hazardous alcohol use in the most recent two waves of national surveys to examine the trends in Taiwan currently; and (2) examine whether there were gender differences in the secular changes of alcohol use and problematic alcohol use between the two waves of survey and whether gender differences were getting narrower from 2014 to 2018. Methods. We used the data from the National Survey of Substance Use (NSSU) conducted in 2014 and 2018, respectively, among nationally representative samples. Each participant underwent anonymously a computer-assisted self-interview that covered a variety of substance use. There were 17,837 participants in 2014 (a response rate of 62.2%) and 18,626 participants in 2018 (a response rate of 64.6%) who provided data on alcohol use and problematic alcohol use. Measures of alcohol use included lifetime and past 1-mont alcohol use, and those of problematic alcohol use included binge drinking (≥ 5 drinks per occasion) and an Alcohol Use Disorders Identification Test (AUDIT) score ≥ 8. Information about sociodemographic characteristics, other substance use, and depression were also inquired during the interview. We used 2-sided z score test in comparing two proportions to test the change in prevalence between the two waves of surveys. Interaction terms in multivariate logistic regression models were further used to test for whether the gender differences were getting narrower from 2014 to 2018. Results. From 2014 to 2018, the prevalence of lifetime alcohol use, past 1-month alcohol use, binge drinking, and an AUDIT score ≥ 8 decreased by 7.70%, 2.05%, 0.70%, and 0.97%, respectively, in Taiwan. However, these trends were different between males and females. For males, the prevalence decreased from 68.21% to 59.57% for lifetime alcohol use, from 37.99% to 34.20% for past 1-month alcohol use, from 6.89% to 5.30% for binge drinking, and from 12.45% to 10.10% for an AUDIT of ≥ 8. However, for females, the prevalence did not change significantly for lifetime alcohol use, past 1-month alcohol use, and binge drinking, but increased from 1.32% to 1.75% for an AUDIT of ≥ 8. The gender differences appeared at specific age groups and among subgroups of certain sociodemographic characteristics. Furthermore, the gender differences in alcohol use and problematic alcohol use were getting narrower between the two waves of surveys. In multivariable logistic regression analyses of different alcohol use patterns on gender, survey year, and their interaction separately for each age group, the results of having an AUDIT of ≥ 8 showed gender convergence (i.e., a decrease for males and an increase for females) for the group of 18-29 years old. Conclusion. From 2014 to 2018 in Taiwan, despite a decrease in the prevalence of alcohol use and problematic alcohol use among males, females exhibited an increasing trend in problematic alcohol use, with the gender differences being narrowing, especially for people aged 18-29 years old. |
URI: | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/67439 |
DOI: | 10.6342/NTU202003537 |
Fulltext Rights: | 有償授權 |
Appears in Collections: | 流行病學與預防醫學研究所 |
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