Department of Drug Dependence Research, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan.
Social Pharmacy Lab., Faculty of Pharmaceutical Sciences, Tokyo University of Pharmacy and Life Sciences, Tokyo, Japan.
BMC Public Health. 2020 Dec 7;20(1):1878. doi: 10.1186/s12889-020-09969-8.
Alcohol problems in parents have been revealed to affect adolescent alcohol misuse. However, few studies examine the effects of parental drinking on adolescent risky drinking (including binge drinking) in the general population. In particular, previous study findings are inconsistent regarding the influence of parental drinking according to parental composition. In this study, we aimed to examine the relationship between parental drinking, according to parental composition, and binge drinking among high school students in Japan.
We performed a secondary analysis of the Nationwide High School Survey on Drug Use and Lifestyle 2018, Japan. A total of 46,848 valid surveys from high school students of 78 schools were included for analysis. Logistic regression analysis with a generalized linear mixed model was conducted with binge drinking as the dependent variable and "parental drinking according to parental composition" (e.g., father's drinking, mother's drinking, father's absence, mother's absence, both parents drinking, and neither parent at home) as the independent variable, after adjusting with covariates. Binge drinking was defined as five or more alcoholic drinks for male adolescents or four or more alcoholic drinks for females on the same occasion within two hours.
In the fully adjusted models, adolescents whose mothers drink (adjusted odds ratio (AOR): 1.50, 95% confidence interval (CI): 1.06-2.12) were significantly associated with adolescent binge drinking. This risk was significantly higher among students with neither parent living at home (AOR: 4.35, 95% CI: 2.10-9.02).
Parental drinking and absence do affect adolescent binge drinking; our findings show that adolescents are more likely to engage in binge drinking if their mothers drink or if they are not living with either parent. Therefore, it is important to engage parents and non-parental family members in future programs and interventions to prevent adolescent binge drinking.
父母的酒精问题已被证明会影响青少年的酒精滥用。然而，很少有研究调查父母饮酒对普通人群中青少年危险饮酒（包括狂饮）的影响。特别是，以前的研究结果根据父母的构成，对父母饮酒的影响不一致。在这项研究中，我们旨在研究日本高中生中根据父母构成的父母饮酒与狂饮之间的关系。
我们对日本 2018 年全国高中毒品使用和生活方式调查进行了二次分析。共纳入 78 所学校 46848 名有效调查对象进行分析。将狂饮作为因变量，“根据父母构成的父母饮酒”（如父亲饮酒、母亲饮酒、父亲缺席、母亲缺席、父母双方饮酒和父母均不在家）作为自变量，在调整了协变量后，采用广义线性混合模型进行逻辑回归分析。狂饮定义为男性青少年在两小时内同一时间内饮用五杯或更多含酒精饮料，女性青少年在同一时间内饮用四杯或更多含酒精饮料。
在完全调整的模型中，母亲饮酒的青少年（调整后的优势比（AOR）：1.50，95%置信区间（CI）：1.06-2.12）与青少年狂饮显著相关。对于没有父母居住的学生，这种风险显著更高（AOR：4.35，95% CI：2.10-9.02）。
父母饮酒和缺席确实会影响青少年狂饮；我们的研究结果表明，如果母亲饮酒或青少年与父母双方都不住在一起，青少年更有可能狂饮。因此，在未来的项目和干预措施中，让父母和非父母家庭成员参与进来，对于预防青少年狂饮非常重要。
