Angelone A M, Rossi R, Bartolomei G, Di Carlo D, Fabiani L, Necozione S, di Orio F
Department of Life, Health and Enviromental Sciences, University of L'Aquila, Italy.
Ann Ig. 2013 Nov-Dec;25(6):501-9. doi: 10.7416/ai.2013.1950.
The unceasing and widespread increase of alcohol consumption represents an important problem for the European Union. For this reason, we wanted to investigate the patterns of alcohol consumption among high-school students of Rieti, a city in central Italy, and of surrounding rural areas. Furthermore, the study intends to investigate students' awareness on alcohol-related health risks and on the consequences of driving in a state of intoxication.
In the investigation 7 schools including senior high schools and technical schools were involved, for a total of 669 students aged between 15 and 19 years. As part of a program of health education, a self-administered anonymous questionnaire was proposed to each student. A descriptive and multivariate analysis was carried out.
The prevalence of usual drinkers was equal to 12.7 per cent. The logistic regression analysis showed a statistically significant association between usual consumption of alcohol and the attendance of Technical Institutes (OR=3.43; 95% IC: 2.07 - 5.69), and the residence in rural areas (OR=2.19; 95% IC: 1.38 - 3.47). The area of residence in the multivariate analysis loses significance. Only 54.6 % of the students answered the questions regarding the state of driving under the effect of alcohol; of these, 11.0 % declared of having driven at least once under the effect of alcohol, whereas 18.0 % declared that they had been passengers of a driver who was drunk. The answer to the question whether the consumption of alcohol is harmful to health was "no" for 15.7 % of usual drinkers against 2.2 % of the non drinkers or occasional (episodic) drinkers.
Our study shows that the drinking habits of high school students of Rieti are worse for those attending technical schools. Usual drinkers show lower consciousness of alcohol-related harm. Our study may provide clues useful for the identification of the target population at high risk for alcohol abuse in order to create targeted prevention programs.
酒精消费的持续且广泛增长是欧盟面临的一个重要问题。因此，我们希望调查意大利中部城市列蒂及其周边农村地区高中生的酒精消费模式。此外，该研究旨在调查学生对酒精相关健康风险以及醉酒驾车后果的认知。
此次调查涉及7所学校，包括高中和技校，共有669名年龄在15至19岁之间的学生。作为健康教育计划的一部分，向每位学生发放了一份自行填写的匿名问卷。进行了描述性和多变量分析。
经常饮酒者的患病率为12.7%。逻辑回归分析显示，经常饮酒与就读技校（OR = 3.43；95%置信区间：2.07 - 5.69）以及居住在农村地区（OR = 2.19；95%置信区间：1.38 - 3.47）之间存在统计学上的显著关联。在多变量分析中，居住地区失去了显著性。只有54.6%的学生回答了关于酒后驾车状态的问题；其中，11.0%宣称至少有过一次酒后驾车经历，而18.0%宣称他们曾是醉酒司机的乘客。对于“饮酒是否对健康有害”这一问题，15.7%的经常饮酒者回答“否”，而非饮酒者或偶尔（间歇性）饮酒者中这一比例为2.2%。
我们的研究表明，列蒂高中生中，就读技校的学生饮酒习惯更差。经常饮酒者对酒精相关危害的意识较低。我们的研究可为识别酒精滥用高风险目标人群提供有用线索，以便制定针对性的预防计划。
