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他人饮酒对印度喀拉拉邦青少年的酒精危害:一项研究

Alcohol harm to adolescents from others' drinking: A study from Kerala, India.

作者信息

Jaisoorya T S, Beena K V, Ravi G S, Thennarasu K, Benegal Vivek

机构信息

Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.

National Rural Health Mission, Thiruvanthupuram, Kerala, India.

出版信息

Indian J Psychiatry. 2018 Jan-Mar;60(1):90-96. doi: 10.4103/psychiatry.IndianJPsychiatry_186_17.

DOI:10.4103/psychiatry.IndianJPsychiatry_186_17
PMID:29736069
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5914270/
Abstract

CONTEXT

There is scarce data on the prevalence of harm to adolescents from others' use of alcohol from India.

AIMS

The aim is to study the prevalence of harm to school students from others' alcohol use in the district of Ernakulam, Kerala and examines its psychosocial correlates among victims.

SETTINGS AND DESIGN

This was a cross-sectional survey of 7560 students of the age range of 12-19 years from 73 schools.

MATERIALS AND METHODS

Harm consequent to others' drinking was assessed using a brief version of the World Health Organization-Thai Health Questionnaire on Harm to Others from Drinking. Standardized instruments were used to assess other measures.

STATISTICAL ANALYSIS

The prevalence of various harms was determined. Mixed-effect logistic regression was used to explore the sociodemographic, academic, and psychological factors associated with various types of harms and odds ratios reported.

RESULTS

Harm due to others' alcohol use was reported by 44.5%, frequent harm by 15.7%, psychological harm by 43.3%, physical harm by 9.7%, property harm by 2.9%, and financial harm by 15.4%. Boys reported greater harm than girls. Girls experienced relatively greater harm within the family and boys outside the family. Being older, having a part-time job and urban residence increased the odds of harm. Adolescents reporting harm had higher odds of substance use, psychological distress, suicidality, sexual abuse, and attention-deficit/hyperactivity disorder symptom-counts.

CONCLUSION

The high prevalence of harm from others alcohol use to adolescents with multiple negative impacts underscore the urgent need for public health measures to reduce social costs of alcohol use.

摘要

背景

关于印度青少年因他人饮酒而受到伤害的患病率数据稀缺。

目的

旨在研究喀拉拉邦埃尔讷古勒姆地区学生因他人饮酒而受到伤害的患病率,并调查受害者之间的社会心理关联因素。

研究背景与设计

这是一项对来自73所学校的7560名年龄在12至19岁之间的学生进行的横断面调查。

材料与方法

使用世界卫生组织 - 泰国健康问卷中关于饮酒对他人伤害的简短版本来评估因他人饮酒导致的伤害。使用标准化工具评估其他指标。

统计分析

确定各种伤害的患病率。采用混合效应逻辑回归来探讨与各类伤害相关的社会人口学、学业和心理因素以及报告的比值比。

结果

44.5%的学生报告因他人饮酒受到伤害,15.7%的学生报告经常受到伤害,43.3%的学生报告受到心理伤害,9.7%的学生报告受到身体伤害,2.9%的学生报告受到财产伤害,15.4%的学生报告受到经济伤害。男孩报告的伤害比女孩多。女孩在家庭内部受到的伤害相对更大,而男孩在家庭外部受到的伤害相对更大。年龄较大、有兼职工作和居住在城市会增加受到伤害的几率。报告受到伤害的青少年使用物质、心理困扰、自杀倾向、性虐待以及注意力缺陷/多动障碍症状数的几率更高。

结论

他人饮酒对青少年造成的高伤害率以及多种负面影响凸显了采取公共卫生措施以降低饮酒社会成本迫在眉睫。

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