Rural and Urban Differences in Adolescent Alcohol Use, Alcohol Supply, and Parental Drinking
Rural and Urban Differences in Adolescent Alcohol Use, Alcohol Supply, and Parental Drinking
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DOI：
10.1111/jrh.12151
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发表时间：
2016-06-01
影响因子：
4.9
通讯作者：
Hall, Wayne D.
中科院分区：
文献类型：
--
作者：
Chan, Gary C. K.;Leung, Janni;Hall, Wayne D.
目的在成年人口中，酒精的使用在农村地区比城市地区更普遍。很少有研究关注青少年饮酒。这项研究调查了澳大利亚地区和农村地区的青少年是否更有可能饮酒，以及不同地区的父母饮酒和酒精供应是否存在差异。方法本研究使用了澳大利亚最大的具有全国代表性的家庭药物使用调查--2013年全国毒品战略家庭调查的子样本。12-17岁的参与者(N=1,159)和自称是受抚养儿童的父母或监护人的参与者(N=7,059)被包括在分析中。关键指标是青少年和父母的饮酒情况、父母的饮酒供应和饮酒地点。与生活在大城市的青少年相比，来自内陆地区和农村地区的青少年从父母那里首次饮酒的几率分别高出85%和121%，目前从父母那里获得酒精的几率分别高出131%和287%。在过去的12个月里，来自农村地区的人饮酒的几率要高出126%。来自内陆地区和农村的父母酗酒的风险分别高出45%和63%；每周饮酒的风险分别高出27%和52%；在家中饮酒的风险分别高出26%和37%。农村地区的父母更有可能以鼓励青少年饮酒的方式饮酒。
PurposeAlcohol use is more prevalent in rural than urban areas in adult populations. Few studies have focused on adolescent drinking. This study investigated if adolescents in regional and rural areas of Australia were more likely to drink alcohol and if there were differences in parental drinking and alcohol supply across regions.MethodsA subsample from the National Drug Strategy Household Survey 2013, the largest nationally representative household survey on drug use in Australia, was used for this study. Participants who were aged 12-17 (N = 1,159) and participants who indicated they were parents or guardians of a dependent child (N = 7,059) were included in the analyses. Key measures were adolescent and parental alcohol use, parental supply of alcohol, and drinking location.FindingsCompared to those living in major cities, adolescents from inner regional and rural areas were at 85% and 121% higher odds, respectively, of obtaining their first alcohol from parents, and at 131% and 287% higher odds of currently obtaining their alcohol from their parents. Those from rural areas were at 126% higher odds of drinking in the past 12 months. Parents from inner regional and rural areas were at 45% and 63% higher odds, respectively, of heavy drinking; at 27% and 52% higher odds of weekly drinking; and at 26% and 37% higher odds of drinking at home.ConclusionsAdolescents from rural areas were at higher risk of alcohol use. Parents in rural areas were more likely to use alcohol in ways that encourage adolescent drinking.