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目的了解广州市中学生重度饮酒行为的影响因素,为青少年过量饮酒行为干预提供依据。方法 2013年5—6月,采用多阶段分层随机整群抽样方法抽取广州市4个区初一、初二、高一和高二学生5 922名,采用自填问卷进行饮酒行为调查。结果 7.51%的男生和3.27%的女生有重度饮酒行为,性别间差异有统计学意义(χ2=55.882,P<0.01)。采用广义混合线性模型,在调整学校聚集性、学生性别、年龄、学校类别、社会经济地位指标后,父、母亲饮酒频率≥2次/月,同伴中50%及以上饮酒、同伴中小部分及以上有重度饮酒行为的青少年较有可能重度饮酒;在控制其他父母/同伴饮酒行为的影响后,同伴饮酒及同伴重度饮酒仍然是青少年重度饮酒行为的预测因子(P值均<0.05)。结论父、母饮酒及同伴饮酒与青少年重度饮酒均有关联,其中以同伴饮酒相关性较高。应针对学生饮酒特点,在学校开展拒绝饮酒的专题健康教育。
Objective To understand the influencing factors of heavy drinking behavior among middle school students in Guangzhou and provide the basis for the intervention of excessive drinking behavior among adolescents. Methods From May to June 2013, a total of 5 922 students from the first day, the second day, the first year and the second year in four districts of Guangzhou were recruited by stratified multistage stratified random cluster sampling. The self-filling questionnaire was used to investigate the alcohol drinking behavior. Results 7.51% of boys and 3.27% of girls had severe alcohol consumption, the difference was statistically significant (χ2 = 55.882, P <0.01). Using generalized mixed linear model, after adjusting school aggregation, gender, age, school type and socioeconomic status indicators, parents and mothers drinking more than 2 times per month, 50% or more of peers drinking, small and medium companions and above Adolescents who have severe alcohol consumption are more likely to have heavy alcohol consumption. Comparing their alcohol consumption and their peers’ heavy drinking remained the predictor of heavy alcohol abuse (P <0.05) after controlling for the influence of other parents / peers. Conclusions Parental, parental drinking and companion drinking are associated with severe alcohol consumption in adolescents, with a higher association with alcohol consumption among peers. Students should be directed at the characteristics of alcohol consumption, the school refused to drink thematic health education.