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[Problems associated with binge drinking among students in Brazil's state capitals]
Karla Gomes1, Tatiana de Castro Amato1, André Bedendo1
1Escola Paulista de Medicina, Universidade Federal de São Paulo. R. Botucatu 862, Vila Clementino. 04023-062 São Paulo SP Brasil. taticastroamato@gmail.com.
Binge drinking significantly increases the odds of problems for adolescents. Prevention programs should address specific risks like impaired school attendance, unprotected sex, and fights linked to adolescent alcohol consumption.
Area of Science:
- Public Health
- Adolescent Health
- Substance Abuse Research
Background:
- Adolescent alcohol consumption is a significant public health concern.
- Binge drinking, defined as consuming large amounts of alcohol in a short period, is prevalent among teenagers.
- Understanding the specific problems associated with adolescent binge drinking is crucial for targeted interventions.
Purpose of the Study:
- To compare the odds of experiencing problems between adolescents who engage in binge drinking and those who consume alcohol without bingeing.
- To identify the most common alcohol-related problems experienced by adolescents in Brazil.
Main Methods:
- A cross-sectional study involving 10,666 high school students (ages 14-18) from Brazilian state capitals.
- Data collected on alcohol consumption patterns (including binge drinking) and self-reported problems in the past 12 months.
- Ordinal logistic regression analysis used to estimate the odds of problems associated with binge drinking.
Main Results:
- Half of the surveyed students reported binge drinking.
- 33.1% of students admitted to experiencing at least one problem due to alcohol consumption.
- Binge drinking in the past year (adjusted odds ratio [aOR] = 4.7) and month (aOR = 4.4) was strongly associated with increased odds of reported problems.
- The most frequent problems included attending school or work while intoxicated (aOR: 6.5), engaging in unprotected sex (aOR: 5.0), and getting into fights (aOR: 4.5).
Conclusions:
- Adolescents who engage in binge drinking face significantly higher risks of alcohol-related problems compared to those with lower alcohol consumption.
- Specific high-risk behaviors associated with adolescent binge drinking include impaired functioning, risky sexual behavior, and physical altercations.
- Future alcohol education and prevention programs should incorporate these prevalent problems and risk behaviors to effectively address adolescent alcohol consumption.
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