Adverse outcomes of alcohol use in adolescents
Adverse outcomes of alcohol use in adolescents
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DOI：
10.1046/j.1360-0443.2001.9610148512.x
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发表时间：
2001-10-01
期刊：
影响因子：
6
通讯作者：
Patton, G
中科院分区：
文献类型：
--
作者：
Bonomo, Y;Coffey, C;Patton, G
目标。比较16-17岁青少年在酒精影响下发生的行为，并确定不同行为的相关风险因素。设计/设置。澳大利亚维多利亚州中学笔记本电脑进行的横断面调查。衡量/调查结果。参与率为79%。70%的参与者饮酒; 17%的饮酒者报告了与酒精有关的暴力行为（事故或伤害），15%的人报告了在过去12个月内与酒精影响下的性行为有关的问题（发生性行为，后来后悔或发生不安全的性行为）。男性更有可能报告与酒精有关的暴力行为（20%，女性为14%）。近十分之一的年轻人报告说，在酒精的影响下发生性行为，后来后悔了，10%的人报告说有过不安全的性行为。有没有显着的性别差异的报告率与酒精有关的性冒险（prop.暨。OR 1.1，95% CI 0.68-1.9）。对于与酒精有关的伤害，发现与饮酒剂量有很强的独立关联（prop. cum.）。OR 2.3，95% CI 1.3-4.0）、饮酒频率（比例和OR 2.7，95% CI 0.94-7.5），反社会行为（prop. cum. OR 2.4，95% CI 1.4-4.1）和同伴饮酒（prop. cum. OR 3.3，95% CI 1.4-8.1）。对于与酒精有关的性冒险，精神病发病率（prop.暨。OR 4.1，95% CI 1.9-9.0）和高频率饮酒（比例和OR 2.0，95%CI 0.87-4.6）有很强的独立关联。结论.在酒精影响下的身体伤害和高风险性行为在青少年中很常见。与酒精有关的身体伤害似乎与酒精消费模式密切相关，而与酒精有关的性冒险与抑郁和焦虑症状密切相关。
Aims. To compare the occurrence of behaviours occurring under the influence of alcohol in 16-17-year-olds and determine associated risk factors for the different behaviours. Design/setting. Cross-sectional survey administered by laptop computers in secondary schools across the state of Victoria, Australia. Measurement/findings. The participation rate was 79%. Seventy per cent of participants drank alcohol; 17% of drinkers reported alcohol-related violence (accidents or injuries) and 15% reported problems relating to sex under the influence of alcohol (having sex and later regretting it or having had unsafe sex) in the previous 12 months. Males were more likely to report alcohol-related violence (20% compared to 14% females). Almost one in 10 young people reported having sex while under the influence of alcohol and later regretting it and 10% reported having had unsafe sex. There were no significant gender differences in the reporting rates of alcohol-related sexual risk taking (prop. cum. OR 1.1, 95% CI 0.68-1.9). For alcohol-related injuries, strong independent associations were found with dose of alcohol consumed (prop. cum. OR 2.3, 95% CI 1.3-4.0), frequency of alcohol consumption (prop. cum. OR 2.7, 95% CI 0.94-7.5), antisocial behaviour (prop. cum. OR 2.4, 95% CI 1.4-4.1) and peer drinking (prop. cum. OR 3.3, 95% CI 1.4-8.1). For alcohol-related sexual risk-taking, psychiatric morbidity (prop. cum. OR 4.1, 95% CI 1.9-9.0) and high frequency of alcohol consumption (prop. cum. OR 2.0, 95% CI 0.87-4.6) had strong independent associations. Conclusions. Physical injury and high-risk sexual behaviour under the influence of alcohol are common in teenagers. Alcohol-related physical injury appears closely related to patterns of alcohol consumption whereas alcohol-related sexual risk-taking is most closely associated with symptoms of depression and anxiety.