克罗地亚青少年的饮酒情况：13岁和15岁女孩与男孩的饮酒行为趋同，以及新冠疫情的影响

Alcohol use among Croatian adolescents: the alignment of 13-year-old and 15-year-old girls with boys, and the impact of the COVID-19 pandemic.

作者信息

Valentić Maja, Karin Tonka, Šimetin Luka, Petković Lara, Šimetin Filip, Kujundžić Tiljak Mirjana

机构信息

Maja Valentić, Tijardovićeva 8, 10104 Zagreb,

出版信息

Croat Med J. 2024 Dec 30;65(6):483-492. doi: 10.3325/cmj.2024.65.483.

DOI:10.3325/cmj.2024.65.483

PMID:39812097

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11748449/

Abstract

AIM

To determine age and gender patterns of alcohol use among Croatian pupils and assess whether alcohol use was associated with factors related to school, peers, family, and the COVID-19 pandemic.

METHODS

Data were collected from the 2022 Health Behavior in School-aged Children cross-sectional study conducted in Croatia involving 5338 pupils. Pearson χ2 test and multivariate logistic regression were performed.

RESULTS

At the age of 11, boys were drinking alcohol more than girls (P<0.001), while 13- and 15-year-old girls aligned with boys. Lifetime alcohol use was positively associated with schoolwork pressure in 11-year-old girls (OR 3.28, CI 1.36-7.75) and boys (OR 1.87, CI 1.03-3.37). The COVID-19 pandemic negatively affected mental health in 13- (OR 2.21, 1.56-3.13) and 15-year-old girls (OR 1.50, CI 1.01-2.23), and life in 15-year-old boys (OR 1.83, 1.03-3.27). Recent alcohol use was positively associated with hospitalization of a close family member for COVID-19 in 11-year-old girls (OR 2.35, 1.05-5.28), low peer support in 13-year-old boys (OR 1.49, 1.01-2.20), difficult communication with father in 15-year-old girls (OR 1.49,1.05-2.12), negative COVID-19 impact on mental health in 13-year-old girls (OR 1.67,1.13-2.47), and negative COVID-19 impact on life in 15-year-old boys (OR 1.79, 1.08-2.98). Lifetime drunkenness was positively associated with negative COVID-19 impact on mental health in 13- (OR, 2.03,1.28-3.21) and 15-year-old girls (OR 2.12, 1.49-3.01), and with positive or neutral COVID-19 impact on life in 15-year-old girls (OR 0.65, 0.43-0.97).

CONCLUSION

Preventive activities should offer support systems to minimize the negative COVID-19 impact, with special attention to girls' needs.

摘要

目的

确定克罗地亚学生饮酒的年龄和性别模式，并评估饮酒是否与学校、同伴、家庭及新冠疫情相关因素有关。

方法

数据来自2022年在克罗地亚进行的学龄儿童健康行为横断面研究，涉及5338名学生。进行了Pearson χ2检验和多因素逻辑回归分析。

结果

11岁时，男孩饮酒比女孩多（P<0.001），而13岁和15岁的女孩与男孩相当。终生饮酒与11岁女孩（比值比3.28，可信区间1.36 - 7.75）和男孩（比值比1.87，可信区间1.03 - 3.37）的学业压力呈正相关。新冠疫情对13岁（比值比2.21，1.56 - 3.13）和15岁女孩（比值比1.50，可信区间1.01 - 2.23）的心理健康产生负面影响，对15岁男孩的生活产生负面影响（比值比1.83，1.03 - 3.27）。近期饮酒与11岁女孩因新冠疫情导致亲密家庭成员住院呈正相关（比值比2.35，1.05 - 5.28），与13岁男孩同伴支持低呈正相关（比值比1.49，1.01 - 2.20），与15岁女孩与父亲沟通困难呈正相关（比值比1.49，1.05 - 2.12），与13岁女孩新冠疫情对心理健康的负面影响呈正相关（比值比1.67，1.13 - 2.47），与15岁男孩新冠疫情对生活的负面影响呈正相关（比值比1.79，1.08 - 2.98）。终生醉酒与13岁（比值比2.03，1.28 - 3.21）和15岁女孩新冠疫情对心理健康的负面影响呈正相关（比值比2.12，1.49 - 3.01），与15岁女孩新冠疫情对生活的正面或中性影响呈正相关（比值比0.65，0.43 - 0.97）。