Alcohol and energy drink use among adolescents seeking emergency department care.

Alcohol and energy drink use among adolescents seeking emergency department care.
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DOI:
10.1016/j.addbeh.2014.11.023
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发表时间:
2015-04
影响因子:
4.4
通讯作者:
Walton, Maureen A.
Walton, Maureen A.
中科院分区:
医学2区
文献类型:
--
作者:
Bonar, Erin E.;Cunningham, Rebecca M.;Polshkova, Svitlana;Chermack, Stephen T.;Blow, Frederic C.;Walton, Maureen A.

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从2007年到2011年,由于能量饮料而导致的急诊室(艾德)就诊人数急剧上升。年轻人饮用酒精和能量饮料混合的情况尤其令人担忧。在艾德报告过去一年饮酒的青少年(14-20岁)中,我们评估了在同一种饮料或同一场合饮用酒精和能量饮料的频率、原因和医疗后果,以及与其他危险行为的关系。样本包括439名青年(法师=18.6岁,SD=1.4; 41%男性; 73%白人):饮酒,但不饮用能量饮料(非使用者; 41%,n=178),在不同场合饮用酒精和能量饮料的人(单独; 23%,n=103),以及那些在同一饮料或同一场合将酒精和能量饮料混合的人(合并; 36%,n=158)。将能量饮料和酒精混合的常见原因是隐藏酒精的味道(39%)和喜欢味道(36%)。常见的后果是感到神经过敏(71%)和睡眠困难(46%)。合并使用者的风险行为率最高(例如,药物使用、性风险行为、酒后驾驶)和酒精使用严重程度。多项逻辑回归分析表明,男性,那些有性行为后,物质使用,那些谁使用过毒品,和那些更高的酒精严重程度更有可能是合并用户比非用户。那些酒精严重程度较高的人也更有可能是合并用户而不是单独用户。在年轻饮酒者中,能量饮料和酒精的混合与其他风险行为的发生率较高有关。未来的研究需要确定纵向关系的能量饮料的使用对物质使用问题的轨迹。
Emergency Department (ED) visits due to energy drinks rose drastically from 2007 to 2011. Consuming alcohol mixed with energy drinks by young people is particularly concerning. Among youth (ages 14–20) in the ED reporting past-year alcohol use, we assessed frequency, reasons, and medical consequences of consuming alcohol and energy drinks in the same beverage or on the same occasion, and relationships with other risk behaviors. The sample included 439 youth (Mage=18.6 years, SD=1.4; 41% male; 73% Caucasian): those who drank alcohol, but not energy drinks (Non-users; 41%, n=178), those who drank alcohol and energy drinks on separate occasions (Separate; 23%, n=103), and those who combined alcohol and energy drinks in the same beverage or on the same occasion (Combined; 36%, n=158). Common reasons for combining energy drinks and alcohol were hiding the flavor of alcohol (39%) and liking the taste (36%). Common consequences were feeling jittery (71%) and trouble sleeping (46%). Combined users had the highest rates of risk behaviors (e.g., drug use, sexual risk behaviors, driving after drinking) and alcohol use severity. Multinomial logistic regression indicated that men, those who had sex after substance use, those who had used drugs, and those with higher alcohol severity were more likely to be Combined users than Non-Users. Those with higher alcohol severity were also more likely to be Combined users than Separate users. Combining energy drinks and alcohol is associated with higher rates of other risk behaviors among young drinkers. Future studies are needed to determine longitudinal relationships of energy drink use on substance use problem trajectories.
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