Department of Global Health, School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki City 852-8523, Japan.
Department of Health System and Health Policy Research, Lao Tropical and Public Health Institute, Vientiane Capital, Lao PDR.
Int Health. 2022 May 2;14(3):319-328. doi: 10.1093/inthealth/ihab047.
This study investigated alcohol consumption prevalence among adolescents in school settings in Lao People's Democratic Republic and identified factors associated with alcohol consumption to establish better school-based interventions.
Self-administered questionnaires containing items assessing alcohol drinking behaviour and underlying factors were administered to 393 secondary school students ages 10-19 y. Multivariate logistic regression was used to predict factors associated with drinking behaviour.
Fifty-eight percent of respondents reported ever drinking alcohol. Among the drinkers, 52.6% were light drinkers, 16.8% were moderate drinkers, 27.0% were heavy drinkers and 3.5% were very heavy drinkers. Older age group (adjusted odds ratio [AOR] 5.2 [95% confidence interval {CI} 2.6 to 10.1]); peer pressure, particularly when more than two-thirds of friends drank alcohol (AOR 8.0 [95% CI 2.2 to 29.5]); and siblings' drinking behaviour (AOR 2.8 [95% CI 1.4 to 5.5]) were positively associated with alcohol use, while no permission to drink at home (AOR 0.2 [95% CI 0.1 to 0.6]), uncertain of permission to drink at home (AOR 0.06 [95% CI 0.02 to 0.1]) and never attempting to buy alcohol (AOR 0.2 [95% CI 0.1 to 0.4]) were negatively associated with respondents' alcohol use.
By the age of 19 y, most participating students had started drinking alcohol. One-third of them were permitted to drink by family members and drinking was strongly accelerated by peer pressure. Educational programmes are needed for adolescents attending school and their families that employ peer learning to raise awareness of the ill effects of alcohol use.
本研究调查了老挝人民民主共和国学校环境中青少年的饮酒流行情况，并确定了与饮酒相关的因素，以便建立更好的基于学校的干预措施。
对 393 名 10-19 岁的中学生进行了自我管理的问卷调查，其中包含评估饮酒行为和潜在因素的项目。使用多变量逻辑回归来预测与饮酒行为相关的因素。
58%的受访者报告曾经饮酒。在饮酒者中，52.6%为轻度饮酒者，16.8%为中度饮酒者，27.0%为重度饮酒者，3.5%为极重度饮酒者。年龄较大的年龄组（调整后的优势比[OR]5.2[95%置信区间{CI}2.6 至 10.1]）；同龄人压力，特别是当超过三分之二的朋友饮酒时（OR 8.0[95%CI 2.2 至 29.5]）；以及兄弟姐妹的饮酒行为（OR 2.8[95%CI 1.4 至 5.5]）与饮酒行为呈正相关，而家中不允许饮酒（OR 0.2[95%CI 0.1 至 0.6]）、不确定家中是否允许饮酒（OR 0.06[95%CI 0.02 至 0.1]）和从未尝试购买过酒精饮料（OR 0.2[95%CI 0.1 至 0.4]）与受访者的饮酒行为呈负相关。
到 19 岁时，大多数参加研究的学生已经开始饮酒。其中三分之一的学生得到了家庭成员的允许，同龄人压力强烈地加速了他们的饮酒行为。需要为在校的青少年及其家庭提供教育计划，利用同伴学习提高他们对饮酒危害的认识。
