Portrayal of Alcohol Consumption in Movies and Drinking Initiation in Low-Risk Adolescents
Portrayal of Alcohol Consumption in Movies and Drinking Initiation in Low-Risk Adolescents
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DOI：
10.1542/peds.2013-3880
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发表时间：
2014-06-01
期刊：
影响因子：
8
通讯作者：
Morgenstern, Matthis
中科院分区：
文献类型：
--
作者：
Hanewinkel, Reiner;Sargent, James D.;Morgenstern, Matthis
目的：探讨电影中的酒精消费影响低风险青少年开始饮酒的可能性的假设。方法：对2346名从不饮酒的青少年（平均年龄12.9岁，SD = 1.08）进行纵向研究，这些青少年在基线时也报告在未来12个月内不饮酒。2009年和2010年在德国、冰岛、意大利、荷兰、波兰和苏格兰的112所公立学校进行了招聘。从2004年到2009年，每个国家的250部最卖座的电影中估计有酒精消费。多水平混合效应泊松回归评估了基线暴露于电影酒精消费和开始尝试酒精和酗酒（>=连续5次饮酒）之间的关系。结果：总体而言，40%的样本开始使用酒精，6%的样本开始酗酒。估计平均暴露于电影酒精消费为3653 （SD = 2448）次。在控制了年龄、性别、家庭富裕程度、学校表现、电视屏幕时间、人格特征和同伴、父母和兄弟姐妹的饮酒行为后，每增加1000次电影酒精暴露与尝试饮酒的相对风险增加显著相关，发病率比= 1.05(95%可信区间，1.02-1.08;P = 0.003)，对于酗酒，发病率比= 1.13（95%可信区间，1.06-1.20;P = 0.003）
OBJECTIVES: To investigate the hypothesis that exposure to alcohol consumption in movies affects the likelihood that low-risk adolescents will start to drink alcohol.METHODS: Longitudinal study of 2346 adolescent never drinkers who also reported at baseline intent to not to do so in the next 12 months (mean age 12.9 years, SD = 1.08). Recruitment was carried out in 2009 and 2010 in 112 state-funded schools in Germany, Iceland, Italy, Netherlands, Poland, and Scotland. Exposure to movie alcohol consumption was estimated from 250 top-grossing movies in each country in the years 2004 to 2009. Multilevel mixed-effects Poisson regressions assessed the relationship between baseline exposure to movie alcohol consumption and initiation of trying alcohol, and binge drinking (>= 5 consecutive drinks) at follow-up.RESULTS: Overall, 40% of the sample initiated alcohol use and 6% initiated binge drinking by follow-up. Estimated mean exposure to movie alcohol consumption was 3653 (SD = 2448) occurrences. After age, gender, family affluence, school performance, TV screen time, personality characteristics, and drinking behavior of peers, parents, and siblings were controlled for, exposure to each additional 1000 movie alcohol occurrences was significantly associated with increased relative risk for trying alcohol, incidence rate ratio = 1.05 (95% confidence interval, 1.02-1.08; P =.003), and for binge drinking, incidence rate ratio = 1.13 (95% confidence interval, 1.06-1.20; P