Nelson David E, Naimi Timothy S, Brewer Robert D, Nelson Hayley A
Alcohol Team, Emerging Investigations and Analytic Methods Branch, Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, Georgia, USA.
Am J Prev Med. 2009 Mar;36(3):218-24. doi: 10.1016/j.amepre.2008.10.018.
Underage drinking, particularly binge drinking, is an important public health problem that results in substantial premature mortality and morbidity. Little is known about the potential influence of the alcohol-use behaviors of adults on youth alcohol use at a population level. The purpose of this study was to examine the correlation of alcohol-use behaviors among youth with those of adults at a population level.
Data were analyzed in 2007 and 2008, using biennial 1993-2005 data from state school-based Youth Risk Behavior Surveys of students in grades 9-12, and from the Behavioral Risk Factor Surveillance System for adults aged >or=18 years. Pearson correlation coefficients (r) were used to compare state prevalence estimates for youth with those of adults for several alcohol-use measures.
Overall and subgroup-specific state youth estimates of current drinking and binge drinking were generally moderately to strongly correlated with adult alcohol use (range of r -values for pooled estimates across all years: 0.35-0.68 for current drinking [p<0.01 for all correlations]; 0.24-0.60 for binge drinking [p<0.01 for all correlations]) and with youth and adult drinking-and-driving behaviors (range of r-values for pooled estimates: 0.12-0.52, p<0.01 for all but one correlation). Correlation coefficients were generally higher for girls with women and for youth with younger adults aged 18-34 years. The use of alcohol by youth before they were aged 13 years was not correlated with adult alcohol-use measures, and most youth alcohol-use measures were not correlated with adult heavy-alcohol use.
Most state youth alcohol-use estimates were correlated with state adult estimates. These findings have implications for underage-drinking control strategies and suggest that efforts to address this problem need to be targeted on a broader societal level.
未成年人饮酒，尤其是狂饮，是一个重要的公共卫生问题，会导致大量过早死亡和发病。在人群层面，关于成年人饮酒行为对青少年饮酒的潜在影响知之甚少。本研究的目的是在人群层面研究青少年与成年人饮酒行为之间的相关性。
使用1993 - 2005年每两年一次的数据进行分析，这些数据来自9 - 12年级学生的州立学校青少年风险行为调查，以及年龄≥18岁成年人的行为风险因素监测系统。使用Pearson相关系数（r）比较青少年与成年人在几种饮酒措施方面的州患病率估计值。
总体及特定亚组的州青少年当前饮酒和狂饮估计值通常与成年人饮酒呈中度至高度相关（所有年份合并估计值的r值范围：当前饮酒为0.35 - 0.68 [所有相关性p<0.01]；狂饮为0.24 - 0.60 [所有相关性p<0.01]），并且与青少年和成年人的酒后驾车行为相关（合并估计值的r值范围：0.12 - 0.52，除一个相关性外所有相关性p<0.01）。女孩与女性以及青少年与18 - 34岁的年轻成年人之间的相关系数通常更高。13岁之前青少年饮酒与成年人饮酒措施不相关，并且大多数青少年饮酒措施与成年人重度饮酒不相关。
大多数州青少年饮酒估计值与州成年人估计值相关。这些发现对未成年人饮酒控制策略具有启示意义，并表明解决这一问题的努力需要在更广泛的社会层面上展开。
