家庭环境与青少年饮酒行为之间的关联：一项对中国六个城市的横断面研究。
The Association Between Family Environment and Adolescent Alcohol Drinking Behavior: A Cross-Sectional Study of Six Chinese Cities.
作者信息
Chi Ruixin, Lu Shijun, Zhang Na, Zhang Man, Guo Kaiwei, Du Songming, Guo Jing, Hu Xiaoqi, Ma Guansheng
机构信息
Department of Nutrition and Food Hygiene, School of Public Health, Peking University, Beijing, China.
Laboratory of Toxicological Research and Risk Assessment for Food Safety, Peking University, Beijing, China.
出版信息
Front Nutr. 2022 Jun 14;9:903216. doi: 10.3389/fnut.2022.903216. eCollection 2022.
OBJECTIVE
Adolescents' alcohol consumption has lifetime adverse physical and mental health effects. Family environment factors have a significant influence in shaping adolescents' beliefs and habits. We conducted the multicenter cross-sectional study aiming to investigate the association between family environment factors and adolescent drinking behavior in China.
METHODS
The study investigated 27,762 middle school students from Beijing, Shanghai, Guangzhou, Jinan, Chengdu, and Harbin. A logistic regression model was used to explore the association between family environmental factors and adolescent drinking behavior. Participants were asked to self-report previous experiences of drinking and getting drunk to access their drinking status. Factors of family environment related to alcohol consumption included: parents' educational level, family economic status, family composition, the number of times parents drank alcohol in the past 30 days, and parents' attitudes toward their drinking behavior. The logistic regression model was used to adjust the demographic confounders, including gender, age, city, location, and smoking status, and to explore the association between family environmental factors and adolescent alcohol drinking behaviors.
RESULTS
Compared with students whose parents prohibited drinking, students who were approved drinking were more likely to drink in this year ( = < ; Full adjustment: = < ), drink in this month ( = < ; Full adjustment: = < ). In addition, Low family economic status, not living with the mother, parents' ambivalent attitudes toward their children's drinking and parental drinking were risk factors for drinking among middle school students.
CONCLUSION
The family environment, especially parents' attitudes, is associated with students' drinking and drunken behavior. Mobilizing the power of parents may play a positive role in the effective prevention and control of adolescent drinking.
目的
青少年饮酒会对其一生的身心健康产生不良影响。家庭环境因素对塑造青少年的观念和习惯有重大影响。我们开展了这项多中心横断面研究，旨在调查中国家庭环境因素与青少年饮酒行为之间的关联。
方法
该研究调查了来自北京、上海、广州、济南、成都和哈尔滨的27762名中学生。采用逻辑回归模型来探究家庭环境因素与青少年饮酒行为之间的关联。参与者被要求自我报告以往的饮酒和醉酒经历，以了解他们的饮酒状况。与饮酒相关的家庭环境因素包括：父母的教育水平、家庭经济状况、家庭构成、父母在过去30天内饮酒的次数，以及父母对其饮酒行为的态度。使用逻辑回归模型对人口统计学混杂因素进行调整，包括性别、年龄、城市、地点和吸烟状况，并探究家庭环境因素与青少年饮酒行为之间的关联。
结果
与父母禁止饮酒的学生相比，被允许饮酒的学生今年饮酒的可能性更高（= < ；完全调整：= < ），本月饮酒的可能性更高（= < ；完全调整：= < ）。此外，家庭经济状况差、不与母亲同住、父母对子女饮酒态度矛盾以及父母饮酒是中学生饮酒的危险因素。
结论
家庭环境，尤其是父母的态度，与学生的饮酒和醉酒行为有关。调动父母的力量可能对有效预防和控制青少年饮酒起到积极作用。
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