Department of Nursing. Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, Seville, Spain.
Faculty of Economics and Social Sciences, Universitat Internacional de Catalunya, Barcelona, Spain.
BMC Public Health. 2020 Apr 17;20(1):519. doi: 10.1186/s12889-020-08605-9.
The main aim of this study was to determine the socioeconomic and family factors associated with binge drinking (BD) in Spanish adolescents who participated in a web-based computer intervention for the prevention of binge drinking known as Alerta Alcohol.
Longitudinal analyses were carried out in a sample of Andalusian adolescents aged 15 to 19 enrolled in public schools, which was part of a two-arm cluster randomized controlled trial with an intervention group (IG) who received the Alerta Alcohol programme and a control group (CG) who did not receive any active intervention. Panel count data and the following econometric procedures were used: negative binomial, a two-part model and a finite mixture model. The endogenous variable in all models was the number of BD occasions in the last 30 days. A total of 1247 subjects in the pre-intervention period, with an average age of 16.8 years, plus 612 adolescents in the follow-up period (4 months later), were included in the analysis.
In relation to findings, being older (≥ 17 years old), having more pocket money and higher family alcohol consumption were associated with greater BD. By contrast, subjects who completed the questionnaire on Wednesday, Thursday or Friday, further from the previous weekend, indicated a lower number of BD occasions.
Our results suggest the need to include families, especially parents and siblings, in interventions aimed at preventing alcohol use among adolescents, given the association shown between BD and both family alcohol consumption and weekly pocket money or availability of money to adolescents. Given the findings with regard to age, future research aimed at intervening in early adolescence to prevent BD would be justified.
(ClinicalTrials.gov): NCT03288896. Registration date: September 20, 2017. "Retrospectively registered".
本研究的主要目的是确定与参加基于网络的预防 binge drinking（BD）计算机干预的西班牙青少年相关的社会经济和家庭因素，该干预项目名为 Alerta Alcohol。
在参加公共学校的安达卢西亚青少年（年龄在 15 至 19 岁之间）样本中进行了纵向分析，这是一项具有干预组（IG）和对照组（CG）的两臂聚类随机对照试验的一部分，IG 组接受了 Alerta Alcohol 计划，而 CG 组未接受任何主动干预。使用面板计数数据和以下计量经济学程序：负二项式、两部分模型和有限混合模型。所有模型中的内生变量都是过去 30 天内 BD 发生次数。在干预前阶段，共有 1247 名受试者，平均年龄为 16.8 岁，加上随访阶段（4 个月后）的 612 名青少年，纳入分析。
与研究结果有关的是，年龄较大（≥ 17 岁）、零花钱较多和家庭酒精消费较高与 BD 发生率增加相关。相比之下，在距离上一个周末较远的星期三、星期四或星期五完成问卷的受试者表示 BD 发生次数较少。
我们的结果表明，需要将家庭，特别是父母和兄弟姐妹纳入针对青少年饮酒预防的干预措施中，因为 BD 与家庭酒精消费以及青少年每周零花钱或可支配金钱之间存在关联。鉴于年龄方面的发现，未来针对预防 BD 的早期青春期干预研究是合理的。
（ClinicalTrials.gov）：NCT03288896。注册日期：2017 年 9 月 20 日。“回顾性注册”。
