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格鲁吉亚学生的饮酒情况;严格遵循欧洲学校酒精及其他毒品项目标准的试点研究。

Alcohol use in Georgian students; pilot study rigorously following criteria of European school project on alcohol and other drug.

作者信息

Sturua L, Baramidze L, Gamkrelidze A, Galdava G

机构信息

National Center for Disease Control and Public Health (NCDC and PH).

出版信息

Georgian Med News. 2010 Feb(179):52-61.

Abstract

The main purpose of the European School Survey Project on Alcohol and Other Drugs (ESPAD) is to collect comparable data on substance use among 15-16 year-old European students in order to monitor trends within as well as between countries. In the article the results of the pilot study of Alcohol Use among Georgian Students, rigorously following Criteria of European School Project on Alcohol and Other Drug (ESPAD) are presented. The survey was conducted according to a standardized methodology and with a standardized questionnaire. Data were collected during February 2009 and the target population was Tbilisi students in the 10-th grade (93% born in 1992), with a mean age of 16.1 years at the time of data collection. Data were collected by group-administered questionnaires. The students answered the questionnaires anonymously in the classroom with researchers. The survey revealed that alcoholic beverages, especially beer and wine are considered easily available; 73% found beer and 70% wine easy to obtain. 90% of the surveyed students have tried alcohol at least once during their lifetime. 80% have done so in the last 12months and 40% in the past 30 days. Gender differences become apparent when frequency of use is considered: boys have used alcohol more often than girls. 7.5% of the students state that, they never drink alcohol at all. Wine and beer are the two most important types of beverage for the students. On average, 40% of students on the latest drinking day consumed wine and 38% - beer. Champagne and spirits consumed 29% and 22% of students, respectively. On average, half of the students have been intoxicated, at least once during their lifetime, to the point of staggering when walking, having slurred speech or throwing up. 40% reported intoxication in the last 12 months and 12% in the past 30 days. Another way to measure drunkenness is to ask about a specific amount of alcohol consumed within a certain period of time. The students were asked if they had had five drinks or more on one occasion during the past month; this is referred to here as "heavy episodic drinking", 40% reported this; more boys than girls did so (45% versus 33%). More than half of the questioned students had consumed at least one glass of alcohol at the age of 13 or younger, and 25% had been drunk at that age. Having been intoxicated during the past 30 days, in turn, co-varies both with anticipating more positive consequences from drinking and with having experienced more negative personal consequences when drinking. Alcohol remains the number one problem. The fact that more than 90% of respondents have had drunk alcohol at least once and that more than 43% have had their last drink at home and more than 27% at friend's home, indicates the great reflection of the cultural acceptance of alcohol within Georgian society and within Georgian families. The consumption level among adults and their attitudes towards the substance in question can be one factor that affects use among teenagers. So may the magnitude of information and preventive efforts. Availability, not only in physical terms but also in financial terms, is another factor. Other, less substance-related, factors include the general level of health awareness in a population and the social and economic structures and conditions of individual communities. The study showed the importance of knowledge of alcohol use and the necessity including the healthy lifestyle subject in school curricula.

摘要

欧洲酒精及其他药物学校调查项目(ESPAD)的主要目的是收集15至16岁欧洲学生物质使用情况的可比数据,以便监测各国国内及各国之间的趋势。本文呈现了严格遵循欧洲酒精及其他药物学校项目(ESPAD)标准对格鲁吉亚学生酒精使用情况进行的试点研究结果。该调查按照标准化方法并使用标准化问卷进行。数据收集于2009年2月,目标人群是第比利斯十年级的学生(93%出生于1992年),数据收集时平均年龄为16.1岁。数据通过集体发放问卷的方式收集。学生们在教室里与研究人员一起匿名回答问卷。调查显示,酒精饮料,尤其是啤酒和葡萄酒,被认为很容易获得;73%的人认为啤酒容易获得,70%的人认为葡萄酒容易获得。90%的受访学生一生中至少尝试过一次酒精。80%的人在过去12个月内尝试过,40%的人在过去30天内尝试过。当考虑使用频率时,性别差异变得明显:男孩比女孩更频繁地饮酒。7.5%的学生表示他们从不饮酒。葡萄酒和啤酒是学生最重要的两种饮料类型。平均而言,在最近一次饮酒日,40%的学生饮用了葡萄酒,38%的学生饮用了啤酒。饮用香槟和烈酒的学生分别占29%和22%。平均而言,一半的学生一生中至少有一次喝醉到走路摇晃、言语含糊或呕吐的程度。40%的人报告在过去12个月内有过醉酒经历,12%的人在过去30天内有过醉酒经历。另一种衡量醉酒程度的方法是询问在特定时间段内饮用的特定酒精量。学生们被问及在过去一个月内是否有过一次饮用五杯或更多酒的情况;这里将其称为“大量饮酒”,40%的人报告有过这种情况;这样做的男孩比女孩多(45%对33%)。超过一半的受访学生在13岁或更小的时候至少喝过一杯酒,25%的人在那个年龄就喝醉过。反过来,在过去30天内有过醉酒经历,既与预期饮酒会带来更多积极后果有关,也与饮酒时经历过更多负面个人后果有关。酒精仍然是首要问题。超过90%的受访者至少喝过一次酒,超过43%的人最近一次饮酒是在家里,超过27%的人是在朋友家,这一事实表明格鲁吉亚社会和格鲁吉亚家庭对酒精文化接受度很高。成年人的消费水平及其对相关物质的态度可能是影响青少年使用的一个因素。信息和预防措施的力度也可能是一个因素。可得性,不仅包括实际可得性,还包括经济上的可得性,是另一个因素。其他与物质关系较小的因素包括人群的总体健康意识水平以及各个社区的社会和经济结构及状况。该研究表明了了解酒精使用情况的重要性以及将健康生活方式主题纳入学校课程的必要性。

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