Peltzer Karl, Pengpid Supa, Tepirou Chher
ASEAN Institute for Health Development, Mahidol University, Salaya, Thailand; Department of Research Innovation and Development, University of Limpopo, Turfloop Campus, Sovenga, South Africa; HIV/AIDS/STIs and TB (HAST), Human Sciences Research Council, Pretoria, South Africa.
ASEAN Institute for Health Development, Mahidol University, Salaya, Thailand; Department of Research Innovation and Development, University of Limpopo, Turfloop Campus, Sovenga, South Africa.
Nagoya J Med Sci. 2016 Dec;78(4):415-422. doi: 10.18999/nagjms.78.4.415.
The aim of this study was to examine the associations of alcohol use with sociodemographic factors, mental health and alcohol exposure among school-going adolescents in Cambodia. The analysis included 3,806 school children, mean age 15.7 years (SD=1.8), from Cambodia who participated in the "Global School-based Student Health Survey" (GSHS) in 2013. The results indicate that overall, 10.0% of the students reported current alcohol use, 10.8% lifetime drunkenness, and 2.8% problem drinking. In multivariate logistic regression analysis, sociodemographic factors (older age and being male), mental health and other variables (bullying victimization, OR (odds ratio) = 1.99; 95% Confidence Interval (CI) [1.50, 2.65] and OR = 2.15; 95% CI [1.58, 3.21], respectively; having attempted suicide, OR = 2.04; 95% CI [1.35, 3.08] and OR = 2.06; 95% CI [1.29, 3.28], respectively and illicit drug use, OR = 4.97; 95% CI [2.41, 10.24] OR = 5.05; 95% CI [2.14, 11.98], respectively) and alcohol exposure variables (peer influence on drinking alcohol, OR = 6.68; 95% CI [4.75, 9.39] and OR = 7.83; 95% CI [5.73, 10.66], respectively and daily or almost daily to alcohol advertising in the past 30 days OR = 1.61; 95% CI [1.03, 2.51] and OR = 2.30; 95% CI [1.40, 3.77], respectively) were significantly positively associated with current alcohol use and drunkenness. Moreover, older age, being male, bullying victimization, having close friends, suicide attempt, drug use, father or male guardian drinks alcohol and peer influence were associated with problem drinking. There is a need to implement public health interventions with a special focus on the determinants of alcohol consumption, including exposure to alcohol advertising, in this age group.
本研究旨在探讨柬埔寨在校青少年饮酒与社会人口学因素、心理健康及酒精暴露之间的关联。分析纳入了2013年参与“全球学校学生健康调查”（GSHS）的3806名柬埔寨学童，平均年龄15.7岁（标准差=1.8）。结果表明，总体而言，10.0%的学生报告当前饮酒，10.8%有终生醉酒经历，2.8%存在饮酒问题。在多因素逻辑回归分析中，社会人口学因素（年龄较大和男性）、心理健康及其他变量（受欺凌，比值比（OR）=1.99；95%置信区间（CI）[1.50, 2.65]和OR = 2.15；95% CI [1.58, 3.21]；曾尝试自杀，OR = 2.04；95% CI [1.35, 3.08]和OR = 2.06；95% CI [1.29, 3.28]；使用非法药物，OR = 4.97；95% CI [2.41, 10.24]和OR = 5.05；95% CI [2.14, 11.98]）以及酒精暴露变量（同伴对饮酒的影响，OR = 6.68；95% CI [4.75, 9.39]和OR = 7.83；95% CI [5.73, 10.66]；过去30天每天或几乎每天接触酒精广告，OR = 1.61；95% CI [1.03, 2.51]和OR = 2.30；95% CI [1.40, 3.77]）与当前饮酒和醉酒显著正相关。此外，年龄较大、男性、受欺凌、有亲密朋友、自杀未遂、药物使用、父亲或男性监护人饮酒以及同伴影响与饮酒问题相关。有必要实施公共卫生干预措施，特别关注该年龄组酒精消费的决定因素，包括接触酒精广告。
