KHANA Center for Population Health Research, Phnom Penh, Cambodia.
Center for Global Health Research, Touro University California, Vallejo, USA.
Subst Abuse Treat Prev Policy. 2017 Jun 26;12(1):32. doi: 10.1186/s13011-017-0117-2.
Heavy drinking among university students has been globally recognized as a major public health burden. In the Association of Southeast Asian Nations (ASEAN) region, studies on this issue have been scant, country-specific and in different time frames. The aim of this study was to identify social and behavioral factors associated with binge drinking among university students in nine ASEAN countries.
This cross-sectional study was conducted in 2015 among 8809 undergraduate university students from 13 universities in Cambodia, Indonesia, Laos, Malaysia, Myanmar, the Philippines, Singapore, Thailand and Vietnam using self-administered questionnaire. Multivariate logistic regression analyses were conducted to explore the associated factors.
More than half (62.3%) of the study sample were female with a mean age of 20.5 (SD = 2.0) years. Of total, 12.8% were infrequent (<once per month) and 6.4% frequent (≥ once per month) binge drinkers. After adjustment, among males, higher binge drinking remained significantly associated with being in older age groups, living with parents or guardians, lower level of non-organized religious activity, lack of knowledge on alcohol-heart disease relationship, weak beliefs in the importance of limiting alcohol use, poor subjective health status, lower level of life satisfaction, tobacco and illicit drug use, depressive symptoms and high level physical activity. Among females, higher prevalence of binge drinking remained significantly associated with being in the older age groups, poorer family background, living in an upper-middle- or high-income country, lower level of non-organized religious activity, lack of knowledge on alcohol-heart disease relationship, lack of knowledge on alcohol-high blood pressure relationship, weak beliefs in the importance of limiting alcohol use, lower level of life satisfaction, use of other substances such as tobacco and illicit drug, depressive symptoms and high level of physical activity.
Findings from this study indicate a need for devising or refining university health promotion programs that integrate binge drinking, other substance use, co-occurring addictive behaviors and health beliefs in the respective countries.
大学生酗酒已在全球范围内被公认为一个主要的公共卫生负担。在东南亚国家联盟（东盟）地区，关于这个问题的研究很少，且具有国家特异性，时间范围也不同。本研究旨在确定与九个东盟国家大学生狂饮相关的社会和行为因素。
本横断面研究于 2015 年在柬埔寨、印度尼西亚、老挝、马来西亚、缅甸、菲律宾、新加坡、泰国和越南的 13 所大学中进行，共纳入 8809 名本科大学生，采用自填式问卷进行调查。采用多变量逻辑回归分析探讨相关因素。
研究样本中超过一半（62.3%）为女性，平均年龄为 20.5（SD=2.0）岁。总体而言，12.8%的学生为非频繁（<每月 1 次）饮酒者，6.4%为频繁（≥每月 1 次）饮酒者。调整后，男性中，较高的狂饮仍与年龄较大、与父母或监护人同住、非组织性宗教活动水平较低、缺乏对酒精与心脏病关系的认识、对限制饮酒重要性的信念较弱、主观健康状况较差、生活满意度较低、吸烟和使用非法药物、抑郁症状和较高水平的身体活动相关。女性中，较高的狂饮率仍与年龄较大、较差的家庭背景、生活在中上收入或高收入国家、非组织性宗教活动水平较低、缺乏对酒精与心脏病关系的认识、缺乏对酒精与高血压关系的认识、对限制饮酒重要性的信念较弱、生活满意度较低、使用其他物质（如烟草和非法药物）、抑郁症状和较高水平的身体活动相关。
本研究结果表明，需要制定或完善大学健康促进计划，将狂饮、其他物质使用、并存的成瘾行为和健康信念纳入到各自的国家中。
