Carlini-Marlatt Beatriz, Gazal-Carvalho Cynthia, Gouveia Nelson, Souza Maria de Fátima Marinho
Department of Fisiopatologia Experimental, University of São Paulo School of Medicine, São Paulo, SP, Brazil.
Subst Use Misuse. 2003 Jun;38(7):905-32. doi: 10.1081/ja-120017617.
(a) detect possible demographic and behavioral differences among young episodic heavy drinkers and other young drinkers; (b) investigate the association of youth drinking patterns with other health-compromising behaviors.
The data presented are part of a health behavior survey, which used a modified version of the Youth Health Risk Behavior Survey (YHRBS) questionnaire. Students from public (n = 993) and private schools (n = 815), from 7th to 11th grades were investigated in São Paulo city. Multivariate logistic regression analyses were employed to investigate the association among different drinking practices and the various health-compromising behaviors, controlling for age group, gender, and school system. Odds Ratios (OR) and their 95% Confidence Intervals (CI) were calculated. Episodic Heavy Drinking was defined as having five or more drinks in a 2-hour interval, at least once in the last 30 days.
Episodic Heavy Drinkers (EHDs) tend to be older and males and prefer to drink with friends at commercial facilities instead of drinking with their relatives at home. EHDs also reported higher percentages of adverse consequences, such as physical fights, accidents, and school absenteism after drinking. EHDs are more likely to engage in other high-risk behaviors. In the public schools, they were more likely to carry guns (OR = 17.0; CI = 3.9-74.8), get involved in physical fights (OR = 8.9; CI = 4.4-18.0), attempt suicide (OR = 4.2; CI = 2.0-8.7), and use inhalants (OR = 2.7; CI = 1.3-5.7) than abstainers. They are also more likely to use marijuana (OR = 4.7; CI = 2.2-9.9) and smoke cigarettes (OR = 5.3; CI = 2.7-10.4) than moderate drinkers. The results were similar for private schools, with even higher ratios of inhalant use (OR = 15.2; CI = 6.2-37.1), when EHDs were compared with abstainers and cigarette (OR = 64.5; CI = 8.6-481.0) and marijuana use (OR = 6.5; CI = 4.3-9.7), when EHDs were compared with moderate drinkers.
EHDs display different drinking habits than other adolescents who drink. Also, they are at increased risk for a range of health-compromising behaviors, when compared with both abstainers and moderate drinkers.
（a）检测年轻的发作性重度饮酒者与其他年轻饮酒者之间可能存在的人口统计学和行为差异；（b）调查青少年饮酒模式与其他危害健康行为之间的关联。
所呈现的数据是一项健康行为调查的一部分，该调查使用了青少年健康风险行为调查（YHRBS）问卷的修改版。对圣保罗市公立学校（n = 993）和私立学校（n = 815）7至11年级的学生进行了调查。采用多变量逻辑回归分析来研究不同饮酒行为与各种危害健康行为之间的关联，并对年龄组、性别和学校系统进行控制。计算了优势比（OR）及其95%置信区间（CI）。发作性重度饮酒被定义为在2小时内饮用五杯或更多酒，且在过去30天内至少发生过一次。
发作性重度饮酒者（EHDs）往往年龄较大且多为男性，他们更喜欢在商业场所与朋友一起饮酒，而不是在家中与亲属一起饮酒。EHDs还报告了更高比例的不良后果，如酒后肢体冲突、事故和旷课。EHDs更有可能从事其他高风险行为。在公立学校中，与不饮酒者相比，他们携带枪支的可能性更高（OR = 17.0；CI = 3.9 - 74.8），卷入肢体冲突的可能性更高（OR = 8.9；CI = 4.4 - 18.0），企图自杀的可能性更高（OR = 4.2；CI = 2.0 - 8.
