Li Ka Shing Faculty of Medicine, The University of Hong Kong.
School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong.
East Asian Arch Psychiatry. 2021 Dec;31(4):87-96. doi: 10.12809/eaap20108.
To investigate the association between alcohol use and depression among university students in Hong Kong, their stress-coping methods, and their knowledge and perception of the effects of alcohol on health.
345 full-time undergraduate students from The University of Hong Kong were invited to complete a questionnaire to assess their alcohol consumption (Alcohol Use Disorders Identification Test, CAGE questionnaire), depressive symptoms (Patient Health Questionnaire-9), and stress-coping methods (Coping Orientation to Problems Experienced Inventory), as well as knowledge and perception of alcohol consumption on health. Multiple linear regression was used to determine significant variables associated with depressive symptoms. Multinominal logistic regression was used to determine the effect of such variables on depressive symptom caseness and AUDIT drinking risk groups.
43.2% of respondents were moderate- to high-risk drinkers, but only 23.2% were self-reported as moderate- to high-level drinkers. 57.9% of respondents had mild to severe depressive symptoms. Probable depression was more likely to occur in female students, those with higher general stress, those who do not use social support for stress-coping, and those who smoke. High-risk drinkers were more likely to occur in older students, smokers, those with higher household income, and those with higher general stress levels. Students with higher levels of depressive symptoms and higher risk of alcohol consumption were more likely to use avoidance for stress-coping. 89.5% of students considered alcohol consumption moderately to very harmful to health, but students demonstrated only moderate knowledge levels of alcohol consumption on health.
Alcohol consumption and depressive symptoms are prevalent among university students in Hong Kong. The use of avoidance for stress-coping is common in those with higher levels of depressive symptoms and higher-risk drinkers. Students tend to avoid seeking help for depressive symptoms and potentially take up drinking as a coping strategy. Context-specific approaches should be used when providing counselling services for student wellbeing in university settings. Further education of university students on knowledge and perception of alcohol consumption on health should be provided.
调查香港大学生饮酒与抑郁的关系，以及他们的应对压力的方法，还有他们对饮酒影响健康的认知。
邀请香港大学 345 名全日制本科生填写问卷，评估他们的饮酒情况（酒精使用障碍测试、CAGE 问卷）、抑郁症状（患者健康问卷-9）和应对压力的方法（应对经验问卷），以及对饮酒对健康影响的认知。采用多元线性回归确定与抑郁症状相关的显著变量。采用多项逻辑回归确定这些变量对抑郁症状病例和 AUDIT 饮酒风险组的影响。
43.2%的受访者为中高危饮酒者，但仅有 23.2%的人自认为是中高危饮酒者。57.9%的受访者有轻度至重度抑郁症状。女学生、一般压力较大、不利用社会支持应对压力、吸烟的学生更有可能出现抑郁。高危饮酒者更可能出现在年龄较大的学生、吸烟者、家庭收入较高的学生和一般压力水平较高的学生中。抑郁症状程度较高和饮酒风险较高的学生更倾向于使用回避来应对压力。89.5%的学生认为饮酒对健康有中度到非常大的危害，但学生对饮酒对健康的认知水平仅为中等。
香港大学生中饮酒和抑郁症状普遍存在。回避是应对较高抑郁症状和较高风险饮酒者的常见方式。学生往往避免寻求治疗抑郁症状的帮助，并可能采取饮酒作为应对策略。在大学环境中为学生的幸福感提供咨询服务时，应采用特定情境的方法。应向大学生提供有关饮酒对健康影响的认知和知识的教育。
