Department of Psychology, Virginia Commonwealth University, Richmond, VA, United States.
Center for Clinical and Translational Research, Virginia Commonwealth University, Richmond, VA, United States.
Prev Med Rep. 2016 Jun 29;4:381-4. doi: 10.1016/j.pmedr.2016.06.019. eCollection 2016 Dec.
The increasing prevalence of energy drink (ED) use and its link with negative behaviors and adverse health outcomes has garnered much attention. Use of EDs combined with alcohol among college students has been of particular interest. It is unclear if these relationships develop in the context of college, or if similar associations exist in younger individuals. The present study examined associations between ED consumption patterns and other substance use in an adolescent, school-based sample. Participants were N = 3743 students attending 8th, 10th or 12th grade in a suburban central Virginia public school system who completed a prevention needs assessment survey in 2012. Chi-square analyses and logistic regressions were used to compare rates of alcohol, tobacco and other drug use across three ED use groups: moderate/heavy (12.6%), light (30.5%), and non-users (57%). Over 40% of the sample reported recent (past month) ED use, with males more likely to report moderate/heavy ED use than females (14.0% and 11.1%, respectively; p = 0.02). After adjusting for gender and grade, ED use group predicted lifetime alcohol, tobacco and other drug use (all p < 0.001). Moderate/heavy ED users were most likely and ED non-users were least likely to report using each of the 13 substances in the survey, with light ED users intermediate to the other two groups. Moderate/heavy ED users were consistently most likely to report licit and illicit substance use. Additional research is needed to better understand which adolescents are at greatest risk for adverse health behaviors associated with ED use.
能量饮料（ED）的使用日益普及，其与负面行为和不良健康后果之间的联系引起了广泛关注。大学生同时使用能量饮料和酒精的情况尤其受到关注。目前尚不清楚这些关系是在大学环境中发展的，还是在年轻人群体中存在类似的关联。本研究在一个青少年的学校基础样本中检查了能量饮料消费模式与其他物质使用之间的关联。参与者是在弗吉尼亚州中部一个郊区公立学校系统中就读 8 年级、10 年级或 12 年级的 3743 名学生，他们在 2012 年完成了一项预防需求评估调查。使用卡方分析和逻辑回归比较了三个 ED 使用组（中度/重度[12.6%]、轻度[30.5%]和非使用者[57%]）的酒精、烟草和其他药物使用率。超过 40%的样本报告了最近（过去一个月）的 ED 使用，男性报告中度/重度 ED 使用的可能性高于女性（分别为 14.0%和 11.1%；p=0.02）。在调整性别和年级后，ED 使用组预测了终生酒精、烟草和其他药物使用（均 p<0.001）。中度/重度 ED 用户最有可能，ED 非用户最不可能报告调查中使用的 13 种物质中的每一种，而轻度 ED 用户处于其他两组之间。中度/重度 ED 用户最有可能报告合法和非法药物使用。需要进一步研究以更好地了解哪些青少年面临与 ED 使用相关的不良健康行为的最大风险。
