Heradstveit Ove, Skogen Jens C, Hetland Jørn, Hysing Mari
Center for Alcohol and Drug Research, Stavanger University HospitalStavanger, Norway.
Regional Centre for Child and Youth Mental Health and Child Welfare, Uni Research HealthBergen, Norway.
Front Psychol. 2017 Jun 20;8:1023. doi: 10.3389/fpsyg.2017.01023. eCollection 2017.
The aim of this study was to investigate the association between alcohol and drug use, and school-related problems measured by low grade point average (GPA) and high school attendance. We also examined potential confounding effects from mental health problems. Although the issue is not new within current literature, the present study has its strengths in a large number of participants and the utilization of registry-based data on school-related functioning. A cross-sectional design is employed in this study using data from a large population-based sample of adolescents, youth@hordaland, in a linkage to official school registry data, and the current study presents data from = 7,874. The main independent variables were alcohol use and drug use, as well as potential alcohol- and drug-related problems. The dependent variables were registry-based school attendance and grades. All the alcohol- and drug measures included were consistently associated with low GPA (Odds ratios (OR) ranging 1.82-2.21, all < 0.001) and high levels of missed days from school (ORs ranging 1.79-3.04, all < 0.001) and high levels of hours missed from school (ORs ranging 2.17-3.44, all < 0.001). Even after adjusting for gender, age, socioeconomic status and mental health problems all the associations between alcohol and illicit drug use and the school-related outcomes remained statistically significant. Increasing number of indications on alcohol/drug-related problems and increasing levels of alcohol consumption were associated with more negative school-related outcomes. The results suggest that alcohol- and drug use, and particularly alcohol/drug-related problems, are important factors for school-related problems independently of mental health problems.
本研究的目的是调查酒精和药物使用与以低平均绩点（GPA）和高中学业出勤率衡量的与学校相关问题之间的关联。我们还研究了心理健康问题可能产生的混杂效应。尽管在当前文献中这个问题并不新鲜，但本研究的优势在于有大量参与者，并利用了基于登记处的与学校相关功能的数据。本研究采用横断面设计，使用来自哈罗格兰德地区青少年的大规模基于人群的样本（youth@hordaland）的数据，并与官方学校登记数据相链接，本研究呈现了来自7874名参与者的数据。主要自变量是酒精使用、药物使用以及潜在的与酒精和药物相关的问题。因变量是基于登记处的学校出勤率和成绩。所有纳入的酒精和药物测量指标均与低GPA（优势比（OR）范围为1.82 - 2.21，所有P < 0.001）、高旷课天数（OR范围为1.79 - 3.04，所有P < 0.001）以及高缺课小时数（OR范围为2.17 - 3.44，所有P < 0.001）始终相关。即使在调整了性别、年龄、社会经济地位和心理健康问题之后，酒精和非法药物使用与学校相关结果之间的所有关联在统计学上仍然显著。与酒精/药物相关问题的迹象增多以及酒精消费量增加与更负面的学校相关结果相关。结果表明，酒精和药物使用，特别是与酒精/药物相关的问题，是与学校相关问题的重要因素，独立于心理健康问题。
