Alikaşifoğlu Müjgan, Erginöz Ethem, Ercan Oya, Uysal Omer, Albayrak-Kaymak Deniz, Ilter Ozdemir
Department of Pediatrics, Istanbul University Cerrahpaşa Faculty of Medicine, Istanbul, Turkey.
Turk J Pediatr. 2004 Jan-Mar;46(1):44-53.
The aim of this study was to evaluate the prevalence, behavioral patterns and correlates of regular alcohol drinking in high school students. This cross-sectional study involved the completion of a modified version of "Health Behavior in School Age Children" (HBSC 1997/1998) questionnaire by 4,153 grade 9-11 students from 26 randomly selected high schools in Istanbul. Chi-square test, Spearman correlation test and forward stepwise multiple logistic regression model were used for statistical analyses as appropriate. Overall, 61% of students were experimental drinkers, and 46% of the students were current drinkers. There was a significant difference between female and male students with respect to reporting current alcohol drinking at grade 9 and 11 (p > 0.05 for each comparison). Regular drinking was reported by 6% of students. Male students were more likely than female students to report regular drinking at each grade (p < 0.01 for each comparison). Nineteen percent of the students reported that they had been really drunk at least once during their lifetime. Malestudents were more likely than female students to report an occasion of drunkenness at each grade (p < 0.05 for each comparison). All types of drinking behavior rates tended to increase across grades for both genders (p < 0.05 for each comparison). In logistic regression analysis the following were all independently associated with regular drinking: being in grade 11, smoking cigarettes currently, lifetime drug use, bullying others, being sexually active, playing computer games > or = 4 h/week, exercising < or = 1 h/week, spending > or = four evenings with friends, at ease in talking to same gender friends, tiredness in the morning, perceived as good-looking/beautiful, higher educational level of the mother and perceived poor academic achievement. The results of this study showed that alcohol consumption is prevalent among high school students. There is therefore a need for school-based alcohol prevention programs which also deal with family and peer influences on drinking.
本研究旨在评估高中生定期饮酒的患病率、行为模式及其相关因素。这项横断面研究涉及来自伊斯坦布尔26所随机选取的高中的4153名9至11年级学生，他们完成了一份修改版的“学龄儿童健康行为”（1997/1998年HBSC）问卷。根据情况，采用卡方检验、斯皮尔曼相关性检验和向前逐步多元逻辑回归模型进行统计分析。总体而言，61%的学生是尝试性饮酒者，46%的学生是当前饮酒者。在9年级和11年级报告当前饮酒情况方面，男女学生存在显著差异（每次比较p>0.05）。6%的学生报告有规律饮酒。在每个年级，男生比女生更有可能报告有规律饮酒（每次比较p<0.01）。19%的学生报告他们一生中至少有一次真的喝醉过。在每个年级，男生比女生更有可能报告有过醉酒经历（每次比较p<0.05）。男女两性的所有饮酒行为率都倾向于随年级增加（每次比较p<0.05）。在逻辑回归分析中，以下因素均与有规律饮酒独立相关：11年级、当前吸烟、终身使用毒品、欺负他人、有性行为、每周玩电脑游戏≥4小时、每周锻炼≤1小时、每周与朋友共度≥四个晚上、与同性朋友交谈自如、早上疲倦、自认为好看/漂亮、母亲教育水平较高以及自认为学业成绩差。本研究结果表明，饮酒在高中生中很普遍。因此，需要开展以学校为基础的酒精预防项目，该项目还应处理家庭和同伴对饮酒的影响。
