Alcohol use and alcohol-related problems among adolescents in China: A large-scale cross-sectional study
Alcohol use and alcohol-related problems among adolescents in China: A large-scale cross-sectional study
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DOI：
10.1097/md.0000000000004533
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发表时间：
2016-09-01
期刊：
影响因子：
1.6
通讯作者：
Lu, Ciyong
中科院分区：
文献类型：
--
作者：
Guo, Lan;Deng, Jianxiong;Lu, Ciyong
青少年酗酒是世界范围内的普遍问题，也是中国的一个新问题。本研究旨在调查中国青少年饮酒和酒精相关问题的流行情况，探讨其危险因素及其关联。本研究于2010-2012年间对初中生和高中生进行了横断面匿名问卷调查。收集了关于自我报告的饮酒、与酒精相关的问题、学校因素、家庭因素和心理社会因素的数据。对社会人口学、家庭、学校和心理社会因素的比例进行描述性分析。采用多水平Logistic回归模型分析饮酒和饮酒相关问题的危险因素，在105752名9~21岁的学生中，目前饮酒的患病率为7.3%，13.2%的学生报告存在饮酒相关问题。男生目前饮酒的可能性是男性的1.78倍(95%可信区间=1.69-1.87)，出现酒精相关问题的可能性是男性的1.86倍(95%CI=1.79-1.93)。年级越高，当前饮酒(调整优势比[AOR]=1.09，95%CI=1.05~1.13)和出现酒精相关问题(AOR=1.43，95%CI=1.42~1.58)的风险越高。年龄较大的学生报告当前饮酒(AOR=1.06，95%CI=1.04-1.17)和有与酒精相关的问题(AOR=1.83，95%CI=1.82-1.85)的可能性更大。同学关系差(AOR=1.28，95%CI=1.03~1.37)、与老师关系差(AOR=1.08，95%CI=1.00~1.16)、学业成绩低于平均水平(AOR=1.50，95%CI=1.41~1.59)与最近饮酒呈正相关。有自杀意念的学生当前饮酒(AOR=1.70，95%CI=1.61~1.81)和有酒精相关问题(AOR=2.08，95%CI=1.98~2.16)的危险性较高。中国青少年饮酒和与酒精相关的问题是主要的公共卫生问题，有效的预防措施需要充分考虑促进和预防饮酒的个人、社会和环境因素。
Alcohol misuse among adolescents is a common issue worldwide and is an emerging problem in China. This study aimed to investigate the prevalence of alcohol drinking and alcohol-related problems among Chinese adolescents and to explore their risk factors and connections.A cross-sectional study using an anonymous questionnaire was conducted among junior and senior high school students between 2010 and 2012. Data on self-reported alcohol use, alcohol-related problems, school factors, family factors, and psychosocial factors were collected. Descriptive analyses were made of the proportions of sociodemographics, family, school, and psychosocial factors. Multilevel logistic regression models were conducted to analyze the risk factors for alcohol drinking and alcohol-related problems.Of the 105,752 students who ranged in age from 9 to 21 years, the prevalence of current drinking among students was 7.3%, and 13.2% students reported having alcohol-related problems. Male students were 1.78 (95% confidence interval [CI] = 1.69-1.87) times more likely to be involved in current drinking and 1.86 (95% CI = 1.79-1.93) times more likely to have alcohol-related problems. Higher grade level students were at a higher risk of current drinking (adjusted odds ratio [AOR] = 1.09, 95% CI = 1.05-1.13) and having alcohol-related problems (AOR = 1.43, 95% CI = 1.42-1.58). Older students were more likely to report current drinking (AOR = 1.06, 95% CI = 1.04-1.17) and having alcohol-related problems (AOR = 1.83, 95% CI = 1.82-1.85). Having poor classmate relations (AOR = 1.28, 95% CI = 1.03-1.37), having poor relationships with teachers (AOR = 1.08, 95% CI = 1.00-1.16), and below average academic achievement (AOR = 1.50, 95% CI = 1.41-1.59) were positively associated with current drinking. Moreover, students with suicidal ideation were at a higher risk of current drinking (AOR = 1.70, 95% CI = 1.61-1.81) and having alcohol-related problems (AOR = 2.08, 95% CI = 1.98-2.16). Having higher Center for Epidemiology Scale for Depression scores was positively associated with current drinking (AOR = 1.09, 95% CI = 1.05-1.11) and having alcohol-related problems (AOR = 1.08, 95% CI = 1.06-1.18).Alcohol drinking and alcohol-related problems among Chinese adolescents are major public health problems, and effective preventive programs will require full consideration of the individual, social, and environmental factors that facilitate and prevent alcohol use.