Gomes Karla, Amato Tatiana de Castro, Bedendo André, Santos Elaine Lucas Dos, Noto Ana Regina
Escola Paulista de Medicina, Universidade Federal de São Paulo. R. Botucatu 862, Vila Clementino. 04023-062 São Paulo SP Brasil.
Cien Saude Colet. 2019 Feb;24(2):497-507. doi: 10.1590/1413-81232018242.35452016.
The scope of this article is to describe and estimate the odds of problems among adolescents who reported binge drinking compared to those who reported alcohol consumption without binge drinking. The sample included 10,666 fourteen to eighteen-year-old public and private high school students in the 27 Brazilian state capitals who reported alcohol consumption at least once in the 12 months prior to the survey The odds of problems arising were estimated by ordinal logistic regression. Half of the students reported binge drinking and 33.1% admitted to at least one problem as a result. Binge drinking in the year (aOR = 4.7; CI: 3.9-5.7) and month (aOR = 4.4; CI:3.6-5.4) was associated with greater odds of reported problems. The most likely problems were: going to school or work drunk (aOR:6.5; CI:3.6-11.9); having sex without a condom (aOR:5.0; CI:3.7-6.8); and getting into a fight (aOR:4.5; CI:3.2-6.3). Adolescents who go binge drinking are more exposed to alcohol-related problems than those who report lower alcohol consumption. It is suggested that alcohol education/prevention programs should consider the most prevalent problems and risk behaviors, thereby broadening the discussion on consumption of alcohol versus non-consumption of alcohol.
本文的范围是描述并估计与报告有非暴饮酒精消费的青少年相比，报告有暴饮酒精行为的青少年出现问题的几率。样本包括巴西27个州首府的10666名14至18岁的公立和私立高中学生，这些学生在调查前的12个月内至少报告过一次酒精消费情况。出现问题的几率通过有序逻辑回归进行估计。一半的学生报告有暴饮酒精行为，33.1%的学生承认因此至少出现过一个问题。年度暴饮酒精（调整后比值比[aOR]=4.7；置信区间[CI]：3.9 - 5.7）和月度暴饮酒精（aOR = 4.4；CI：3.6 - 5.4）与报告问题的较高几率相关。最可能出现的问题有：醉酒上学或上班（aOR：6.5；CI：3.6 - 11.9）；无避孕套性行为（aOR：5.0；CI：3.7 - 6.8）；以及打架（aOR：4.5；CI：3.2 - 6.3）。与报告较低酒精消费量的青少年相比，进行暴饮酒精的青少年更容易面临与酒精相关的问题。建议酒精教育/预防项目应考虑最普遍的问题和风险行为，从而拓宽关于饮酒与不饮酒的讨论。
