Department of Epidemiology, Faculty of Public Health, Mahidol University, Ratchathewi, Bangkok, Thailand.
BMC Public Health. 2011 Apr 14;11:233. doi: 10.1186/1471-2458-11-233.
Alcohol drinking is frequently related to behavioral problems, which lead to a number of negative consequences. This study was to evaluate the characteristics of male high school students who drink, the drinking patterns among them, and the associations between current drinking and other health risk behaviors which focused on personal safety, violence-related behaviors, suicide and sexual behaviors.
A cross-sectional study was conducted to explore current alcohol drinking and health-risk behaviors among male high school students in central Thailand. Five thousand one hundred and eighty four male students were classified into 2 groups according to drinking in the previous 30 days (yes = 631, no = 4,553). Data were collected by self-administered, anonymous questionnaire which consisted of 3 parts: socio-demographic factors, health-risk behaviors and alcohol drinking behavior during the past year from December 2007 to February 2008.
The results showed that the percent of current drinking was 12.17. Most of them were 15-17 years (50.21%). Socio-demographic factors such as age, educational level, residence, cohabitants, grade point average (GPA), having a part time job and having family members with alcohol/drug problems were significantly associated with alcohol drinking (p < 0.05). Multiple logistic regression analysis, after adjusting for socio-demographic factors, revealed that health-risk behavioral factors were associated with current alcohol consumption: often drove after drinking alcohol (OR = 3.10, 95% CI = 1.88-5.12), often carried a weapon (OR = 3.51, 95% CI = 2.27-5.42), often got into a physical fight without injury (OR = 3.06, 95% CI = 1.99-4.70), dating violence (OR = 2.58, 95% CI = 1.79-3.71), seriously thought about suicide (OR = 2.07, 95% CI = 1.38-3.11), made a suicide plan (OR = 2.10, 95% CI = 1.43-3.08), ever had sexual intercourse (OR = 5.62, 95% CI = 4.33-7.29), alcohol or drug use before last sexual intercourse (OR = 2.55, 95% CI = 1.44-4.53), and got someone pregnant (OR = 3.99, 95% CI = 1.73-9.25).
An increased risk of health-risk behaviors, including driving vehicles after drinking, violence-related behaviors, sad feelings and attempted suicide, and sexual behaviors was higher among drinking students that led to significant health problems. Effective intervention strategies (such as a campaign mentioning the adverse health effects and social consequences to the risk groups, and encouraging parental and community efforts to prevent drinking) among adolescents should be implemented to prevent underage drinking and adverse consequences.
饮酒常与行为问题有关，这些问题会导致许多负面后果。本研究旨在评估饮酒的男高中生的特征、他们的饮酒模式，以及当前饮酒与其他健康风险行为（侧重于个人安全、暴力相关行为、自杀和性行为）之间的关系。
本研究采用横断面研究方法，探讨泰国中部男高中生的当前饮酒和健康风险行为。5184 名男学生根据过去 30 天内的饮酒情况（是=631，否=4553）分为两组。数据由 2007 年 12 月至 2008 年 2 月期间自我管理、匿名问卷收集，问卷分为 3 部分：社会人口学因素、健康风险行为和过去一年的饮酒行为。
结果显示，当前饮酒的比例为 12.17%。他们大多是 15-17 岁（50.21%）。年龄、教育水平、住所、同居者、平均绩点（GPA）、兼职工作以及有饮酒/吸毒问题的家庭成员等社会人口学因素与饮酒显著相关（p<0.05）。在调整社会人口学因素后，多因素逻辑回归分析显示，健康风险行为因素与当前饮酒有关：经常酒后驾车（OR=3.10，95%CI=1.88-5.12）、经常携带武器（OR=3.51，95%CI=2.27-5.42）、经常无伤害斗殴（OR=3.06，95%CI=1.99-4.70）、约会暴力（OR=2.58，95%CI=1.79-3.71）、严重自杀意念（OR=2.07，95%CI=1.38-3.11）、自杀计划（OR=2.10，95%CI=1.43-3.08）、曾有过性行为（OR=5.62，95%CI=4.33-7.29）、上次性行为前饮酒或吸毒（OR=2.55，95%CI=1.44-4.53）、使他人怀孕（OR=3.99，95%CI=1.73-9.25）。
饮酒学生发生健康风险行为的风险增加，包括酒后驾车、暴力相关行为、悲伤情绪和自杀企图以及性行为，这些行为导致严重的健康问题。应该针对青少年实施有效的干预策略（例如，向风险群体宣传不良健康影响和社会后果，并鼓励家长和社区努力预防饮酒），以防止未成年饮酒和不良后果。
