Villalbí Joan R, Serral Gemma, Espelt Albert, Puigcorbé Susanna, Bartroli Montse, Sureda Xisca, Teixidó-Compañó Ester, Bosque-Prous Marina
Agència de Salut Pública. Barcelona. España.
Departament de Ciències Experimentals i de la Salut. Universitat Pompeu Fabra. Barcelona. España.
Rev Esp Salud Publica. 2020 Nov 13;94:e202011150.
Many teenagers experiment with addictive substances such as alcohol. The objective of this study was to estimate the frequency of binge drinking among secondary school students and its relationship with sex, grade, and type of school, as well as with urban contextual factors of the school neighborhood: socioeconomic level, density of alcohol outlet premises, and tourist pressure.
This was an observational cross-sectional study. The study population were the students of 8th and 10th grade (2nd and 4th year of ESO) in the city of Barcelona in 2016. Alcohol use, sex, grade, type of school and school neighborhood were taken from the FRESC survey. The wealth of the neighborhood and tourist pressure were extracted from municipal statistics. The density of alcohol outlets was obtained by direct observation with the OHCITIES instrument. We estimated the prevalence of binge drinking (consumption of five or more units on one occasion) stratifying by age, sex and ownership of the school. We calculated a robust Poisson regression model with the individual and contextual variables and analyzed the situation of those neighborhoods with the highest prevalence of binge.
The self-declared frequency of binge drinking in the last 30 days was 6.1% in this sample of 2,329 students, 2.2% in 8th grade and 10.3% in 10th grade. It was higher in boys (7%) than in girls (5.1%), and slightly higher in private subsidized schools (6.4%) than in public schools (5.5%). In the Poisson regression models, neither the coefficients of the three contextual variables nor the type of school reached statistical significance, contrary to those obtained with the individual variables of sex and year. The adjusted prevalence of binge in the 36 neighborhoods ranged from 0 to 18.2%. Comparing the contextual variables of the 8 neighborhoods with the lowest prevalence of binge with the others, both a greater density of local alcohol sales and higher tourism pressure were associated with a higher prevalence of binge drinking, while for wealth there were no significant differences.
The use of alcohol in early adolescence is related to individual variables such as sex and age. Urban contextual factors such as a higher tourist pressure and the density of premises that sell alcohol may exert also some influence.
许多青少年尝试使用酒精等成瘾性物质。本研究的目的是估计中学生中暴饮的频率及其与性别、年级、学校类型以及学校周边城市环境因素的关系：社会经济水平、酒精销售场所密度和旅游压力。
这是一项观察性横断面研究。研究人群为2016年巴塞罗那市八年级和十年级（义务中等教育第二和第四年）的学生。饮酒情况、性别、年级、学校类型和学校周边环境数据取自FRESC调查。社区财富和旅游压力数据从市政统计中提取。酒精销售场所密度通过使用OHCITIES工具直接观察获得。我们按年龄、性别和学校性质分层估计暴饮（一次饮用五个或更多单位）的患病率。我们用个体和环境变量计算了稳健的泊松回归模型，并分析了暴饮患病率最高的那些社区的情况。
在这个由2329名学生组成的样本中，过去30天自我报告的暴饮频率为6.1%，八年级为2.2%，十年级为10.3%。男孩（7%）高于女孩（5.1%），私立补贴学校（6.4%）略高于公立学校（5.5%）。在泊松回归模型中，与性别和年级等个体变量的结果相反，三个环境变量的系数以及学校类型均未达到统计学显著性。36个社区中暴饮的调整患病率在0至18.2%之间。将暴饮患病率最低的8个社区的环境变量与其他社区进行比较，当地酒精销售密度更高和旅游压力更大均与暴饮患病率较高相关，而社会经济水平方面没有显著差异。
青春期早期饮酒与性别和年龄等个体变量有关。较高的旅游压力和酒精销售场所密度等城市环境因素可能也会产生一些影响。
