Mejia Raul, Pérez Adriana, Abad-Vivero Erika N, Kollath-Cattano Christy, Barrientos-Gutierrez Inti, Thrasher James F, Sargent James D
Centro de Estudios de Estado y Sociedad (CEDES), Buenos Aires, Argentina.
Hospital de Clinicas, Universidad de Buenos Aires, Buenos Aires, Argentina.
Alcohol Clin Exp Res. 2016 Mar;40(3):631-7. doi: 10.1111/acer.12986. Epub 2016 Feb 9.
Our objective was to assess whether exposure to alcohol use in films (AUF) is associated with alcohol use susceptibility, current alcohol use, and binge drinking in adolescents from 2 Latin American countries.
We performed a cross-sectional study with 13,295 middle school students from public and private schools in Mexico and Argentina. Exposure to alcohol use in over 400 contemporary top box office films in each country was estimated using previously validated methods. Outcome measures included current drinking (i.e., any drink in the last 30 days), ever binge drinking (i.e., more than 4 or 5 drinks in a row for females and males, respectively) and, among never drinkers, alcohol susceptibility (i.e., might drink in the next year or accept a drink from a friend). Multivariate models were adjusted for age, sex, parental education, peer drinking, sensation seeking, parenting style, and media access.
Mean age was 12.5 years (SD = 0.7), and the prevalence of alcohol consumption and binge drinking was 19.8 and 10.9%, respectively. Mean exposure to alcohol from the film sample was about 7 hours in both countries. Adjusted models indicated independent dose-response associations between higher levels of exposure to AUF and all outcomes; the adjusted odds ratios (aORs) comparing quartiles 4 and 1, 1.99 (95% confidence interval [CI] 1.73 to 2.30) for current drinking, aOR 1.68 (CI 1.39 to 2.02) for binge drinking, and aOR 1.80 (1.52 to 2.12) for alcohol susceptibility. Compared to Mexican adolescents, Argentine adolescents were significantly more likely to have engaged in binge drinking (aOR 1.40, 95% CI 1.12 to 1.76) and, among never drinkers, were more susceptible to try drinking (aOR 1.40, 95% CI 1.20 to 1.64).
Higher levels of exposure to AUF were associated with higher likelihood of alcohol use, binge drinking, and alcohol susceptibility in Latin American adolescents.
我们的目标是评估观看电影中的饮酒镜头（AUF）是否与来自两个拉丁美洲国家的青少年的饮酒易感性、当前饮酒情况和暴饮行为有关。
我们对来自墨西哥和阿根廷公立及私立学校的13295名中学生进行了一项横断面研究。使用先前验证过的方法估计了每个国家400多部当代票房最高的电影中的饮酒镜头曝光量。结果指标包括当前饮酒情况（即过去30天内曾饮酒）、曾有过暴饮行为（即女性连续饮酒超过4杯、男性超过5杯），以及在从不饮酒者中，饮酒易感性（即明年可能饮酒或接受朋友递来的酒）。多变量模型针对年龄、性别、父母教育程度、同伴饮酒情况、寻求刺激、养育方式和媒体接触情况进行了调整。
平均年龄为12.5岁（标准差=0.7），饮酒和暴饮行为的患病率分别为19.8%和10.9%。两个国家电影样本中饮酒镜头的平均曝光时长约为7小时。调整后的模型表明，较高水平的AUF曝光与所有结果之间存在独立的剂量反应关联；比较第4四分位数和第1四分位数，当前饮酒的调整后优势比（aOR）为1.99（95%置信区间[CI]1.73至2.30），暴饮行为的aOR为1.68（CI 1.39至2.02），饮酒易感性的aOR为1.80（1.52至2.12）。与墨西哥青少年相比，阿根廷青少年有暴饮行为的可能性显著更高（aOR 1.40，95%CI 1.12至1.76），并且在从不饮酒者中，尝试饮酒的易感性更高（aOR 1.40，95%CI 1.20至1.64）。
较高水平的AUF曝光与拉丁美洲青少年饮酒、暴饮行为和饮酒易感性的较高可能性相关。
