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南非约翰内斯堡大学生饮酒和危险饮酒的流行情况及其相关因素:一项横断面研究。

Prevalence and correlates of alcohol use and risky drinking among undergraduate students in Johannesburg, South Africa: a cross-sectional study.

机构信息

School of Clinical Medicine, Faculty of Health Sciences, UUME, University of the Witwatersrand, Johannesburg, South Africa.

Department of Family Medicine and Primary Care, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

出版信息

BMC Psychiatry. 2023 Aug 1;23(1):553. doi: 10.1186/s12888-023-05043-w.

DOI:10.1186/s12888-023-05043-w
PMID:37528398
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10394774/
Abstract

BACKGROUND

Alcohol use and risky drinking are significant public health problem globally. Young people, including university students, are among the most affected populations. We conducted the study to determine the prevalence and correlates of alcohol use and risky drinking among undergraduate students in the Faculty of Health Sciences at the University of the Witwatersrand, South Africa.

METHODS

We conducted a cross-sectional study using an anonymous, self-administered online survey in REDCap. The survey questionnaire consisted of socio demographic, and alcohol use questions using the risky drinking identification screening tool (AUDIT-C). We performed descriptive statistics, bivariate and multivariable logistic regression to determine factors associated with alcohol use and risky drinking. The p-value of < 0.05 was considered statistically significant.

RESULTS

The response rate was 15.7%. Most participants were female (69.6%) and majority of the participants were White (38.1%). The prevalence of lifetime use of alcohol was 79.1%, and among the lifetime users; 70.2% reported alcohol use in the last 12-months, 37.1% reported alcohol use in the last 30 days. The prevalence of risky drinking was 54.8% among lifetime drinkers. Factors significantly associated with current alcohol use were siblings alcohol use (aOR = 1.79, 95% CI: 1.02-3.15) and parents alcohol use (aOR = 2.58, 95% CI: 1.39-4.80), white race (aOR = 5.70, 95% CI: 3.12-10.41), and always or daily exposure to alcohol marketing in the media (aOR = 3.31, 95% CI: 1.07-10.24). Factors associated with risky drinking were: Indian/Asian race (aOR = 2.82, 95% CI: 1.09-7.31), White race (aOR = 2.15, 95% CI: 1.14-4.04), and exposure to alcohol marketing in the media as follows, most of the time (aOR = 3.42, 95% CI: 1.29-9.04) and Always/daily exposure (aOR = 3.31, 95% CI: 1.07-10.24).

CONCLUSION

The reported alcohol use and risky drinking were common amongst undergraduate students at Wits university. There is an urgent need to design, pilot and adapt targeted interventions for this population group.

摘要

背景

饮酒和危险饮酒是全球范围内的重大公共卫生问题。年轻人,包括大学生,是受影响最严重的人群之一。我们进行了这项研究,以确定南非威特沃特斯兰德大学健康科学学院本科生的饮酒和危险饮酒发生率及其相关因素。

方法

我们使用 REDCap 进行了一项横断面研究,采用匿名、自我管理的在线问卷调查。调查问卷包括社会人口统计学和酒精使用问题,使用危险饮酒识别筛查工具(AUDIT-C)。我们进行了描述性统计、双变量和多变量逻辑回归,以确定与饮酒和危险饮酒相关的因素。p 值 < 0.05 被认为具有统计学意义。

结果

应答率为 15.7%。大多数参与者为女性(69.6%),大多数参与者为白人(38.1%)。终生饮酒的发生率为 79.1%,在终生饮酒者中,70.2%报告在过去 12 个月内饮酒,37.1%报告在过去 30 天内饮酒。危险饮酒的发生率为 54.8%。与当前饮酒显著相关的因素包括兄弟姐妹饮酒(优势比[aOR]=1.79,95%置信区间[CI]:1.02-3.15)和父母饮酒(aOR=2.58,95% CI:1.39-4.80),白人种族(aOR=5.70,95% CI:3.12-10.41)和总是或每天接触媒体中的酒精营销(aOR=3.31,95% CI:1.07-10.24)。与危险饮酒相关的因素包括:印度/亚洲种族(aOR=2.82,95% CI:1.09-7.31),白人种族(aOR=2.15,95% CI:1.14-4.04)和接触媒体中的酒精营销如下:大多数时候(aOR=3.42,95% CI:1.29-9.04)和总是/每天接触(aOR=3.31,95% CI:1.07-10.24)。

结论

报告的饮酒和危险饮酒在威特沃特斯兰德大学的本科生中很常见。迫切需要为这一人群设计、试点和调整有针对性的干预措施。

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