Institute for Health and Social Policy, McGill University, Montreal, Canada.
French National Institute of Health and Medical Research, UMR 1027, Paul Sabatier University, Toulouse, France.
Drug Alcohol Rev. 2017 Nov;36(6):788-796. doi: 10.1111/dar.12540. Epub 2017 May 3.
Studies link socio-economic deprivation to alcohol consumption in adolescents, but the role of relative deprivation has been understudied and may be equally important. This study investigates the association between relative deprivation and episodes of drunkenness among adolescents in France and Canada.
We used data from the 2014 Health Behaviours in School-aged Children study collected from 15-year-olds in Canada (n = 4276) and France (n = 1625). Students reported the number of times they had ever been drunk. The degree of relative deprivation was quantified through the student's rank in the deprivation distribution, measured through the Family Affluence Scale, within school and the extent of the inequality. Random intercept logistic regression models were used to examine the association between relative deprivation and drunkenness.
Canadian adolescents were more likely to have experienced drunkenness more than once in their lifetime compared with French adolescents (21.6% vs. 16.2%). Adolescents with high relative deprivation were not more likely to report episodes of drunkenness in Canada and were less likely to report episodes of drunkenness in France compared with those with low relative deprivation.
Our findings do not support the hypothesis that adolescents who experienced greater relative deprivation are more likely to report drunkenness. They suggest that policies and interventions on alcohol use should target adolescents across all levels of deprivation in Canada and particularly those that are relatively more affluent in France. The context of countries appears to matter to the socio-economic distribution of drinking behaviour in youth. [Sentenac M, Ehlinger V, Napoletano A, Spilka S, Gariepy G, Godeau E, Elgar FJ. Relative deprivation and episodes of drunkenness among French and Canadian adolescents.
研究表明，社会经济贫困与青少年饮酒有关，但相对贫困的作用尚未得到充分研究，其可能同样重要。本研究调查了相对贫困与法国和加拿大青少年醉酒事件之间的关联。
我们使用了 2014 年在加拿大（n=4276）和法国（n=1625）收集的 15 岁儿童健康行为研究的数据。学生报告了他们曾经醉酒的次数。相对贫困程度通过学生在学校内的贫困分布中的排名（通过家庭富裕量表衡量）以及不平等程度来量化。使用随机截距逻辑回归模型来检验相对贫困与醉酒之间的关联。
与法国青少年相比，加拿大青少年一生中更有可能多次经历醉酒（21.6%比 16.2%）。在加拿大，相对贫困程度较高的青少年不太可能报告醉酒事件，而在法国，相对贫困程度较高的青少年不太可能报告醉酒事件。
我们的研究结果不支持这样一种假设，即经历更大相对贫困的青少年更有可能报告醉酒。这表明，在加拿大，针对青少年的饮酒政策和干预措施应针对所有贫困程度的青少年，而在法国，针对相对富裕的青少年的干预措施应尤为重要。国家背景似乎对青少年饮酒行为的社会经济分布有影响。
