Institute for Therapy and Health Research, Kiel, Germany.
Pediatrics. 2012 Apr;129(4):709-20. doi: 10.1542/peds.2011-2809. Epub 2012 Mar 5.
The goal of this study was to investigate whether the association between exposure to images of alcohol use in movies and binge drinking among adolescents is independent of cultural context.
A cross-sectional survey study in 6 European countries (Germany, Iceland, Italy, Netherlands, Poland, and Scotland) was conducted. A total of 16 551 pupils from 114 public schools with a mean (± SD) age of 13.4 (± 1.18) years participated. By using previously validated methods, exposure to alcohol use in movies was estimated from the 250 top-grossing movies of each country (years 2004-2009). Lifetime binge drinking was the main outcome measure.
Overall, 27% of the sample had consumed >5 drinks on at least 1 occasion in their life. After controlling for age, gender, family affluence, school performance, television screen time, sensation seeking and rebelliousness, and frequency of drinking of peers, parents, and siblings, the adjusted β-coefficient for lifetime binge drinking in the entire sample was 0.12 (95% confidence interval: 0.10-0.14; P < .001). The crude relationship between movie alcohol use exposure and lifetime binge drinking was significant in all countries; after covariate adjustment, the relationship was still significant in 5 of 6 countries. A sensitivity analysis revealed that the association is content specific, as there was no significant association between lifetime binge drinking and exposure to smoking in movies.
The link between alcohol use in movies and adolescent binge drinking was robust and seems relatively unaffected by cultural contexts.
本研究旨在探究电影中饮酒场景的暴露与青少年 binge drinking 之间的关联是否独立于文化背景。
在 6 个欧洲国家（德国、冰岛、意大利、荷兰、波兰和苏格兰）进行了一项横断面调查研究。共有来自 114 所公立学校的 16551 名学生参与了研究，他们的平均年龄（±标准差）为 13.4（±1.18）岁。通过使用先前验证过的方法，从每个国家（2004-2009 年）的 250 部最卖座电影中估算了电影中饮酒场景的暴露情况。终身 binge drinking 是主要的结局测量指标。
总体而言，27%的样本在其一生中至少有过 1 次>5 次的饮酒行为。在控制了年龄、性别、家庭富裕程度、学业成绩、电视屏幕时间、感觉寻求和叛逆性以及同伴、父母和兄弟姐妹的饮酒频率后，整个样本中终身 binge drinking 的调整β系数为 0.12（95%置信区间：0.10-0.14；P<.001）。在所有国家中，电影中饮酒场景的暴露与终身 binge drinking 之间的粗关系均具有统计学意义；在调整了协变量后，这种关系在 6 个国家中的 5 个国家中仍然具有统计学意义。敏感性分析显示，这种关联是特定内容的，因为电影中吸烟场景的暴露与终身 binge drinking 之间没有显著关联。
电影中饮酒场景与青少年 binge drinking 之间的联系是稳健的，似乎相对不受文化背景的影响。
