CIBER de Epidemiología y Salud Pública (CIBERESP). Departamento de Medicina Preventiva y Salud Pública. Universidade de Santiago de Compostela.
Adicciones. 2023 Jul 1;35(2):119-134. doi: 10.20882/adicciones.1510.
The alcohol use perceptions young people have of those close to them can affect their expectations regarding alcohol and, thus, their own drinking. We aim to identify the predictive ability of own and significant others' perceived drinking at age 18-19 in the alcohol use patterns at 27-28. A cohort study was carried out among university students in Spain (n=1,382). Binge Drinking (BD) and Risky Consumption (RC) were measured with the Alcohol Use Disorders Identification Test at ages 18, 20, 22, 24 and 27. Multilevel logistic regression for repeated measures was used to calculate the adjusted Odds Ratios (ORs). College students perceive their family's alcohol consumption as very low or nothing, while the perception of their own alcohol use or that of their friends is higher. Perceiving higher alcohol use among their siblings and friends increases the risk of BD for both sexes and RC for women. Living away from the parental home increases the risk of RC and BD. In conclusion, the perception of their friend's alcohol use at age 18-19 is the most influential variable in BD among both sexes and in RC among men throughout 10 years of follow-up. Parental alcohol consumption does not affect college student drinking patterns when friends and siblings are considered. Living with one's family acts as a protective factor. Preventive measures focused on young people should take a contextual approach and include those closest to them.
年轻人对身边亲近的人的饮酒看法会影响他们对酒精的期望,从而影响他们自己的饮酒行为。我们旨在确定 18-19 岁时自身和重要他人感知到的饮酒情况对 27-28 岁时饮酒模式的预测能力。在西班牙的一项大学生队列研究(n=1382)中进行了这项研究。在 18、20、22、24 和 27 岁时使用酒精使用障碍识别测试(AUDIT)测量 binge drinking(BD)和风险性饮酒(RC)。使用重复测量的多级逻辑回归计算调整后的优势比(OR)。大学生认为他们家庭的饮酒量非常低或没有,但他们对自己饮酒或朋友饮酒的看法更高。感知到兄弟姐妹和朋友饮酒量较高会增加男性发生 BD 和女性发生 RC 的风险。离开父母家会增加 RC 和 BD 的风险。总之,在 18-19 岁时感知到朋友的饮酒量是影响 10 年随访期间男性发生 BD 和女性发生 RC 的最具影响力的变量。当考虑朋友和兄弟姐妹时,父母的饮酒不会影响大学生的饮酒模式。与家人同住是一种保护因素。针对年轻人的预防措施应采取一种情境方法,并包括与他们最亲近的人。