Department of Psychiatry, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, Zhejiang, China.
Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
BMJ Open. 2024 Mar 29;14(3):e080687. doi: 10.1136/bmjopen-2023-080687.
Alcohol drinking among adolescents is associated with their health development. However, the prevalence of alcohol drinking among adolescents in Southwestern China remains largely unexplored. This study aimed to investigate the prevalence of alcohol drinking, with a particular focus on gender differences, among primary and middle school students in Zigong, a city in Southwestern China. Additionally, we examined the association between alcohol consumption and demographic and family factors.
A school-based cross-sectional survey was conducted in a city in Southwestern China, encompassing a total of 89 360 students from 132 different ordinary schools, including both primary and middle schools. Participants were recruited through cluster sampling. The Alcohol Use Disorders Identification Test Consumption was employed to assess alcohol consumption. Gender differences in the prevalence of alcohol drinkers across various schools and grades were analysed. Multivariable logistic regression analysis was used to investigate factors associated with hazardous drinking.
Out of the 89 360 participants, 19.0% reported alcohol drinking, with 2.1% classified as hazardous drinkers. There was a higher prevalence of alcohol drinking among boys compared with girls, as well as hazardous drinking. There were significant gender disparities in alcohol drinking observed across various schools and grade levels. A notable divergence between boys and girls was observed starting from grade 10, with a rising prevalence of hazardous drinking among boys and a decline among girls. Additionally, older age, male gender and being left-behind children were identified as risk factors for hazardous drinking, while belonging to a nuclear family and having parents who do not drink were protective factors against hazardous drinking.
Alcohol consumption is prevalent among Chinese adolescents, with some even classified as hazardous drinkers. These findings may offer valuable insights for policymakers and caregivers, guiding them in formulating appropriate interventions and support strategies.
青少年饮酒与他们的健康发展有关。然而，中国西南部青少年饮酒的流行情况在很大程度上仍未得到探索。本研究旨在调查中国西南部城市自贡的中小学生饮酒的流行情况，特别是关注性别差异。此外，我们还研究了饮酒与人口统计学和家庭因素之间的关联。
我们在中国西南部的一个城市进行了一项基于学校的横断面调查，共纳入了来自 132 所不同普通学校的 89360 名学生，包括小学和中学。采用整群抽样方法招募参与者。使用酒精使用障碍识别测试消耗量表来评估饮酒情况。分析了不同学校和年级的饮酒者中性别差异。采用多变量逻辑回归分析调查与危险饮酒相关的因素。
在 89360 名参与者中，有 19.0%报告饮酒，其中 2.1%被归类为危险饮酒者。男孩的饮酒率高于女孩，危险饮酒者的比例也更高。在不同学校和年级中，观察到饮酒行为存在显著的性别差异。从 10 年级开始，男孩和女孩之间的饮酒差异明显扩大，危险饮酒者的比例在男孩中上升，而在女孩中下降。此外，年龄较大、男性和留守儿童被确定为危险饮酒的风险因素，而核心家庭和父母不饮酒则是危险饮酒的保护因素。
中国青少年饮酒普遍存在，其中一些甚至被归类为危险饮酒者。这些发现可能为政策制定者和照顾者提供有价值的见解，指导他们制定适当的干预和支持策略。
