The declining trend in Swedish youth drinking: collectivity or polarization?

The declining trend in Swedish youth drinking: collectivity or polarization?
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DOI:
10.1111/add.12510
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发表时间:
2014-09-01
期刊:
影响因子:
6
通讯作者:
Svensson, Johan
Svensson, Johan
中科院分区:
医学1区
文献类型:
--
作者:
Norstrom, Thor;Svensson, Johan

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在过去十年中,瑞典青年的酒精消费量显著下降。本研究旨在解决以下研究问题:(一)如何减少饮酒分布在消费类别;(二)是消费的变化模式与斯科格的集体饮酒行为的理论相一致?设计,设置,参与者和测量,我们分析了数据,从全国代表性的年度学校调查瑞典9年级学生(年龄15 - 16岁)的酒精和毒品的习惯,涵盖2000 - 12年期间(n约5000/年)。受访者被分为七个饮酒组的基础上,他们的相对排名的消费,这是衡量饮料的具体数量和频率的项目总结成一个衡量的总体饮酒量升100%的酒精每年。此外,计算每个饮酒组的重度间歇性饮酒事件(HED)的平均数量。结果-瑞典青年的消费下降反映在所有7个饮酒组,虽然相对减少是小重度饮酒者(前5%)比轻度饮酒者(低于中位数)。在前5%的人群中,平均每年下降2%(P = 0.027),而轻度饮酒者的相应数字为28.9%(P <0.001)。从绝对下降来看,情况恰恰相反。在研究期间,前5%人群的平均消费量下降占26.1%,而轻度饮酒者占2.9%。有一个显着的关系,总消费量,一方面,平均消费量和HED,另一方面,在每个七个饮酒组。结论:2000 - 2012年期间,瑞典青年饮酒量明显下降,这在所有消费水平上都很明显。研究结果与Skog的饮酒行为集体理论相一致。
Aims Alcohol consumption among youth in Sweden has declined markedly during the last decade. This study aims to tackle the following research questions: (i) how is the decrease in drinking distributed across consumption categories; and (ii) is the pattern of change in consumption consistent with Skog's theory of the collectivity of drinking behaviour? Design, Setting, Participants and Measurements We analysed data from the nationally representative annual school survey of alcohol and drug habits among Swedish 9th-grade students (aged 15-16 years) covering the period 2000-12 (n approximate to 5000/year). Respondents were divided into seven drinking groups based on their relative ranking on consumption, which was measured by beverage-specific quantity and frequency items summarized into a measure of overall drinking in litres of 100% alcohol per year. In addition, the mean number of heavy episodic drinking occasions (HED) was computed for each drinking group. Findings The decline in consumption among Swedish youth was mirrored in all seven drinking groups, although the relative decrease was smaller for heavy drinkers (top 5%) than for light drinkers (below the median). Among the top 5%, the average annual decrease was 2% (P = 0.027), while the corresponding figure for light drinkers was 28.9% (P < 0.001). The reverse pattern was true when looking at the absolute decrease. The decrease among the top 5% accounted for 26.1% of the decrease in mean consumption during the study period, whereas the light drinkers accounted for 2.9%. There was a marked relation between overall consumption, on one hand, and mean consumption and HED, on the other hand, in each of the seven drinking groups. Conclusion The marked decrease in youth drinking in Sweden that occurred during the period 2000-12 was manifest at all consumption levels. The findings are consistent with Skog's theory of the collectivity of drinking behaviour.