Fallu Jean-Sébastien, Rehm Jürgen, Kuntsche Emmanuel N, Grichting Esther, Monga Neerav, Adlaf Edward M, Bondy Susan J, Gmel Gerhard
Institut de Recherche sur les Addictions, Zürich, Suisse.
Soz Praventivmed. 2006;51(6):363-72. doi: 10.1007/s00038-006-5005-x.
To test the effects of the volume of alcohol consumption and drinking patterns on alcohol-related aggression and victimization, both at the individual and class levels.
Representative sample drawn from the European School Survey Project on Alcohol and Other Drugs (ESPAD) of 6496 Swiss adolescents (13 to 16 years). Hierarchical multi-level models were used to simultaneously estimate individual and environmental influences. In addition to indicators of consumption of alcohol and other substances, age, sex, socioeconomic indicators and satisfaction with the relationship to parents were used as covariates.
After controlling for confounding, both volume of alcohol consumption and the frequency of binge drinking occasions were associated independently with alcohol-related problems (aggression/victimization) on the individual level. On the aggregate level, there was colinearity between volume of drinking and frequency of heavy drinking occasions. When entered in the same model, however, only the effect of volume effect stayed in the same direction.
Not only individual volume of drinking, but also the way alcohol is consumed influences individual problem levels. This includes individual patterns of drinking as well as environmental influences at school. These results open up important considerations for theory, research and prevention.
在个体和群体层面，测试饮酒量和饮酒模式对与酒精相关的攻击行为及成为受害者情况的影响。
从欧洲酒精及其他药物学校调查项目（ESPAD）中抽取6496名瑞士青少年（13至16岁）作为代表性样本。采用分层多级模型同时估计个体和环境影响。除了酒精及其他物质的消费指标外，年龄、性别、社会经济指标以及与父母关系的满意度被用作协变量。
在控制混杂因素后，饮酒量和暴饮场合的频率在个体层面均独立与酒精相关问题（攻击行为/成为受害者情况）相关。在总体层面，饮酒量和大量饮酒场合的频率之间存在共线性。然而，当纳入同一模型时，只有饮酒量的影响保持相同方向。
不仅个体饮酒量，饮酒方式也会影响个体问题水平。这包括个体饮酒模式以及学校的环境影响。这些结果为理论、研究和预防工作带来了重要思考。
