Alcohol consumption and binge drinking in adolescents: comparison of different migration backgrounds and rural vs. urban residence--a representative study.
Alcohol consumption and binge drinking in adolescents: comparison of different migration backgrounds and rural vs. urban residence--a representative study.
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DOI：
10.1186/1471-2458-11-84
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发表时间：
2011-02-07
影响因子：
4.5
通讯作者：
Hillemacher T
中科院分区：
文献类型：
--
作者：
Donath C;Grässel E;Baier D;Pfeiffer C;Karagülle D;Bleich S;Hillemacher T
在整个欧洲，酗酒是青少年普遍存在的问题行为。报告了流行病学调查。然而，关于不同移民背景的青少年饮酒的流行病学数据很少。此外，缺乏关于酒精消费和酗酒的城乡比较的代表性数据。本研究的目的是调查有关城乡差异和移民背景差异的酒精消费模式。在2007/2008年度，对N = 44610名学生进行了具有代表性的书面调查。对德国不同类型学校的年级进行了调查（净样本）。所有学生的问卷回收率为88%，他们的老师和学校主任都同意参与研究。指定了加权因子，并用于弥补区域和学校类型在回报率方面的具体差异。27.4%的受访青少年有移民背景，其中土耳其文化是最大的群体，其次是前苏联国家移民的青少年。样本包括七个大城市（超过50万居民）（12.2%），独立的小城市（“市区”）（19.0%）和农村地区（“农村地区”）（68.8%）。农村（93.7%）和城市（大城市86.6%，小城市89.1%）之间的终生酒精消费流行率差异很大，农村地区的流行率较高。酒精消费的12个月流行率也是如此。57.3%的农村青少年和45.9%的城市青少年在调查前4周有过酗酒行为。前苏联移民背景的学生饮酒行为主要与德国青少年相似。土耳其裔青少年在过去四周内酗酒的频率低于德国裔青少年（23.6% vs. 57.4%）。然而，在过去4周内饮酒的青少年中，酗酒在不同文化背景下都很突出。酗酒是德国青少年中常见的问题行为。显然，农村的青少年比城市的青少年有更少的选择来从事有趣的休闲活动。这可能是那里的消费模式更有问题的原因之一。关于某些文化背景的青少年饮酒行为的共同预期（“俄罗斯背景的移民喝得更多”/“分别来自阿拉伯东方-伊斯兰国家的移民喝得更少”）只是部分得到肯定。可能，对宽松的德国酒精文化的适应程度在这里起了作用。
Binge drinking is a constant problem behavior in adolescents across Europe. Epidemiological investigations have been reported. However, epidemiological data on alcohol consumption of adolescents with different migration backgrounds are rare. Furthermore representative data on rural-urban comparison concerning alcohol consumption and binge drinking are lacking. The aims of the study are the investigation of alcohol consumption patterns with respect to a) urban-rural differences and b) differences according to migration background. In the years 2007/2008, a representative written survey of N = 44,610 students in the 9th. grade of different school types in Germany was carried out (net sample). The return rate of questionnaires was 88% regarding all students whose teachers respectively school directors had agreed to participate in the study. Weighting factors were specified and used to make up for regional and school-type specific differences in return rates. 27.4% of the adolescents surveyed have a migration background, whereby the Turkish culture is the largest group followed by adolescents who emigrated from former Soviet Union states. The sample includes seven large cities (over 500,000 inhabitants) (12.2%), independent smaller cities ("urban districts") (19.0%) and rural areas ("rural districts") (68.8%). Life-time prevalence for alcohol consumption differs significantly between rural (93.7%) and urban areas (86.6% large cities; 89.1% smaller cities) with a higher prevalence in rural areas. The same accounts for 12-month prevalence for alcohol consumption. 57.3% of the rural, re-spectively 45.9% of the urban adolescents engaged in binge drinking in the 4 weeks prior to the survey. Students with migration background of the former Soviet Union showed mainly drinking behavior similar to that of German adolescents. Adolescents with Turkish roots had engaged in binge drinking in the last four weeks less frequently than adolescents of German descent (23.6% vs. 57.4%). However, in those adolescents who consumed alcohol in the last 4 weeks, binge drinking is very prominent across the cultural backgrounds. Binge drinking is a common problem behavior in German adolescents. Obviously adolescents with rural residence have fewer alternatives for engaging in interesting leisure activities than adolescents living in cities. This might be one reason for the more problematic consumption patterns there. Common expectations concerning drinking behavior of adolescents of certain cultural backgrounds ('migrants with Russian background drink more'/'migrants from Arabic respectively Oriental-Islamic countries drink less') are only partly affirmed. Possibly, the degree of acculturation to the permissive German alcohol culture plays a role here.
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