INTRODUCTION: The aim was to analyse mortality and estimate the life expectancy among people hospitalised for alcohol use disorders (AUD) compared with the general Czech population aged ≥20 years. A temporal perspective on excess mortality was used, covering three recent calendar periods before and during the pandemic. METHODS: Three retrospective cohorts of the target population were constructed using registry-based data. The target population was defined as all adult patients (aged ≥20 years) admitted to the hospital for AUD (ICD-10 dg. of F10.x) between 2010 and 2021. Age-adjusted mortality rates and life expectancies were calculated for the comparative analysis. Official Czech mortality and vital statistics were used for the comparison. A Poisson log-linear regression model was used to test the effect of the pandemic period (2020-2021) on mortality in the AUD target population. RESULTS: At age 20, the estimated life expectancy of the AUD target was 21-27 years less than that of the Czech general population. Excess mortality was relatively highest in young people aged 20-34 years and in adults aged 35-49 years. During the pandemic period 2020-2021, mortality rates in the target AUD increased significantly. However, relative inequalities with the general Czech population did not change significantly. DISCUSSION AND CONCLUSIONS: People hospitalised for AUD have much higher mortality rates, resulting in markedly reduced life expectancy. During the pandemic, their mortality rates increased even more. However, the increase was no greater than in the general Czech population.

• MeSH
• alkoholismus * mortalita   MeSH
• COVID-19 * epidemiologie   MeSH
• dospělí MeSH
• hospitalizace * trendy   statistika a číselné údaje   MeSH
• kohortové studie MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladý dospělý MeSH
• naděje dožití * trendy   MeSH
• pandemie * MeSH
• poruchy způsobené alkoholem * mortalita   MeSH
• registrace MeSH
• retrospektivní studie MeSH
• senioři MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladý dospělý MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika MeSH

BACKGROUND: Alcohol use is one of the leading public health concerns in the Czech Republic. Drinking motives play a vital role in both initiation and subsequent alcohol use. A revised version of the self-report Drinking Motives Questionnaire (DMQ-R) has been proposed to assess these motives. The present study aims to validate the DMQ-R in the Czech general population. METHODS: A total sample of 1,784 Czech participants completed a national survey. For the analysis, only a sub-sample of the past 12 months alcohol users was used: N = 1,123; 52.8% male; mean (SD) age = 40.2 (13.3). Drinking motives were assessed by the adopted Czech version of the DMQ-R. Both confirmatory (CFA) and exploratory factor analysis (EFA) were conducted to examine the factorial structure of the instrument. The age of the participant was additionally considered in the analysis (15-24 years as opposed to 25-64 years). RESULTS: The CFA supported the four-factor model in the 25-64 age group. The analysis supported the construct validity of the Social, Conformity, and Coping factors. The Enhancement factor retained only two items and was found to refer more to a domain of 'Pleasant Feeling'. For the 15-24 age group, the hypothesised four-factor structure was not corroborated. CONCLUSIONS: The Czech version of the DMQ-R was found to be a reliable measurement tool of the Social, Conformity, and Coping motives. Future research should investigate the dimensionality of the instrument items presumed to correspond to the Enhancement motives. This should be conducted particularly among adolescents and young adults aged 15-24 years, where administering the DMQ-R with a large enough sample is also needed.

• MeSH
• adaptace psychologická MeSH
• dospělí MeSH
• faktorová analýza statistická MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• mladý dospělý MeSH
• motivace * MeSH
• pití alkoholu * psychologie   epidemiologie   MeSH
• průzkumy a dotazníky normy   MeSH
• psychometrie MeSH
• reprodukovatelnost výsledků MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• mladý dospělý MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• validační studie MeSH
• Geografické názvy
• Česká republika MeSH

• MeSH
• duševně nemocní MeSH
• lidé MeSH
• násilí psychologie   statistika a číselné údaje   MeSH
• oběti zločinu * psychologie   statistika a číselné údaje   MeSH
• pití alkoholu škodlivé účinky   MeSH
• posttraumatická stresová porucha etiologie   MeSH
• průzkumy a dotazníky MeSH
• randomizované kontrolované studie jako téma MeSH
• rizikové faktory MeSH
• zneužívané dítě prevence a kontrola   psychologie   statistika a číselné údaje   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• přehledy MeSH

BACKGROUND: Alcohol use in adolescence poses a major risk to people's health in their later life. In the long term, Czech adolescents show the highest levels of alcohol consumption in Europe. AIMS: To analyse the prevalence of excessive drinking among Czech adolescents and assess its development in the past 20 years, as well as to identify selected risk factors associated with different levels of drinking among Czech adolescents at present. METHODS: Quantitative analysis of data generated by a sample survey of risk behaviour among young Czechs, correlation and regression analysis, and multilevel modelling. SAMPLE: Individual data from the ESPAD international surveys (1995–2015), a total of six cross-sectional waves, representative data on Czech adolescents aged 16 (N=2,738 to 5,399) with the proportionate representation of gender, type of school attended, and regions. RESULTS: The prevalence of excessive drinking seems to have dropped in the most recent period (2015). Male students at apprentice training centres (without the school-leaving examination – “maturita”) continue to be the most vulnerable group in this respect. Significantly higher rates of excessive alcohol use were found among adolescents from incomplete families and those showing poor relationships with their parents, high degrees of social alienation, and generally low life satisfaction. Excessive drinking also tends to be more common among adolescents from families with low levels of education and higher family affluence. CONCLUSIONS: Despite a marked decline in the prevalence of excessive alcohol use among Czech adolescents, this issue continues to be a challenge for the national health and drug policies. This paper demonstrates that the levels of drinking continue to be strongly conditioned by both individual and social or environmental factors (such as family and school).

• MeSH
• alkoholismus epidemiologie   MeSH
• časové faktory MeSH
• lidé MeSH
• mladiství MeSH
• nárazové pití alkoholu MeSH
• pití alkoholu * epidemiologie   škodlivé účinky   MeSH
• pití nezletilých * MeSH
• poruchy vyvolané alkoholem MeSH
• prevalence MeSH
• rizikové faktory MeSH
• rodinné vztahy MeSH
• sexuální faktory MeSH
• školy MeSH
• socioekonomické faktory MeSH
• studenti psychologie   MeSH
• stupeň vzdělání MeSH
• Check Tag
• lidé MeSH
• mladiství MeSH
• Publikační typ
• práce podpořená grantem MeSH
• Geografické názvy
• Česká republika MeSH

OBJECTIVE: The aim of the article is to examine trends in tobacco consumption among the Czech school-age population. METHODS: For the analysis, data from the Czech Health Behaviour in School-aged Children project, conducted between 1994 and 2014 were used. Trends in tobacco smoking were determined separately for boys and girls, applying the binary logistic regression with survey period as an independent variable for the smoking status. RESULTS: The analysis showed that there have been significant changes in adolescent tobacco smoking for the recent 20 years. While the share of current school-aged smokers was continuously increasing since the mid-1990s, the trend reached its peak in the mid-2000s. CONCLUSION: In recent years, the prevalence of adolescent smokers has significantly declined in the Czech Republic. Despite this recent decline, adolescent smoking remains a major challenge for the national health policy.

• MeSH
• dítě MeSH
• kouření epidemiologie   MeSH
• lidé MeSH
• longitudinální studie MeSH
• mladiství MeSH
• prevalence MeSH
• průřezové studie MeSH
• zdravé chování * MeSH
• zdravotnické přehledy * MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika epidemiologie   MeSH

OBJECTIVE: The aim of the study was to examine trends in the prevalence of lifetime cannabis use among the Czech 15-year old students. METHODS: Data from the nationally representative Health Behaviour in School-aged Children Survey, conducted in the Czech Republic in 2002, 2006, 2010 and 2014, were used. Trends in cannabis use among both boys and girls were modelled through binary logistic regression with period as a predictor of the lifetime cannabis use. RESULTS: The prevalence of lifetime cannabis use has significantly decreased among young Czechs, particularly among boys. Gender differences in cannabis use have been also gradually decreasing since 2002, with no significant differences between genders in recent period. CONCLUSIONS: Although there are positive changes in the prevalence of adolescent cannabis use, from the European perspective, Czech students still belong to those with significantly higher rates in this respect. Thus, alongside with the use of other substances, adolescent cannabis consumption remains an important challenge for the national public health policy.

• MeSH
• Cannabis * MeSH
• dítě MeSH
• kouření marihuany epidemiologie   MeSH
• lidé MeSH
• longitudinální studie MeSH
• mladiství MeSH
• poruchy spojené s užíváním psychoaktivních látek epidemiologie   MeSH
• prevalence MeSH
• průřezové studie MeSH
• zdravé chování * MeSH
• zdravotnické přehledy * MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika epidemiologie   MeSH

• Klíčová slova
• viktimizace,
• MeSH
• duševně nemocní MeSH
• klinická studie jako téma MeSH
• lidé MeSH
• násilí * MeSH
• oběti zločinu * MeSH
• poruchy spojené s užíváním psychoaktivních látek MeSH
• psychotické poruchy * komplikace   MeSH
• rizikové faktory MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• práce podpořená grantem MeSH

• Publikační typ
• abstrakt z konference MeSH

• MeSH
• chování mladistvých MeSH
• kouření marihuany * MeSH
• kouření * MeSH
• lidé MeSH
• mladiství MeSH
• pití alkoholu * MeSH
• rodina MeSH
• školy MeSH
• sociální prostředí * MeSH
• výzkum MeSH
• Check Tag
• lidé MeSH
• mladiství MeSH
• Geografické názvy
• Česká republika MeSH

• Klíčová slova
• invalidní důchody, invalidita,
• MeSH
• důchody * statistika a číselné údaje   MeSH
• duševně nemocní zákonodárství a právo   MeSH
• duševní poruchy * epidemiologie   MeSH
• lidé MeSH
• posuzování pracovní neschopnosti MeSH
• rozložení podle pohlaví MeSH
• sociální zabezpečení * statistika a číselné údaje   zákonodárství a právo   MeSH
• zdravotnické přehledy statistika a číselné údaje   MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Geografické názvy
• Česká republika MeSH