Padrão de consumo de álcool e fatores associados entre adolescentes estudantes de escolas públicas em município do interior brasileiro

Abstract

ABSTRACT:Objective: To identify issues related to alcohol consumption among students from an inner city in Southeastern Brazil. Methods: In this cross-sectional study, 638 students from 13 to 17 years old, of which 355 (55.6%) were girls, were randomly selected in 13/40 (32.5%) public schools from November 2009 to August 2010. A structured questionnaire was used to collect personal/family data, and the Alcohol Use Disorders Identification Test (AUDIT) was used to evaluate alcohol consumption. Bivariate analysis and logistic regression were used. Results: It was observed that 516 (80.9%) students have used alcohol in their lifetime, and 115 (18.4%) had hazardous drinking (AUDIT ≥ 8). By crude analysis, the hazardous drinking was associated with age range (16 -17 years old), age at first alcohol consumption (≤ 12 years old), higher family income, conflicting family environment, absence of religion practice and parents that consume alcoholic beverages. By adjusted analysis, it was observed an association with the age at first alcohol consumption [≤ 12 years old, odds ratio (OR) = 2.5; 95% confidence interval (95%CI) 1.4 -4.4]. Active sex life was more frequent among those that have used alcohol in their lifetime (OR = 3.3; 95%CI 2.0 -5.3). Under the influence of alcohol, 22/103 (21.4%) students have not always used condoms. Among all, 25.4% believe that there is no risk in drinking, and 98% had already bought alcoholic beverages. Having the desire to drink after watching alcoholic beverage advertisements was more frequent among adolescents who had already consumed these beverages (OR = 1.7; 95%CI 1.1 -2.6). Conclusion: The alcohol consumption is early and worrying among adolescents, emphasizing the need for awareness of students and their parents and carers to these risks, and also the compliance with the law prohibiting the sale of alcoholic beverages to minors.

Alcohol consumption and factors associated with binge drinking among female university students of health area

“…21 In this study, the prevalence of alcohol consumption by students at least once in their lifetime was 79.7%. This was similar to the rates observed among students of health area in the State University of Montes Claros, MG (74.9%), 4 among students aged 13 to 17 years in public schools in Uberlândia, MG (80.9%) 22 and in Mexican medical students aged 17 to 25 years (71.9%). 5 Prevalences of approximately 90% were found for alcohol use in the lives of university students in 27 Brazilian state capitals, 23 in students of health sciences colleges in Maceió, Alagoas, 24 and among medical students from the state of Minas Gerais.…”

“…Similarly, risky alcohol use among adolescent students from Uberlândia, MG was associated with conflict within the family environment of these individuals. 22 Studies indicate that most families of adolescent substance abusers and addicts have characteristics such as family ties in conflict, lack of closeness between family members, lack of a well-defined hierarchy and parents who do not give a positive example in respect to drug use. 28 These results show that family dysfunctions influence alcohol consumption, especially in the adolescent and academic phases.…”

“…The association between feeling the desire to drink after watching advertisements for alcoholic beverages and alcohol use in life was observed in a survey of 638 teenagers from a Brazilian countryside city. 22 The literature points to the existence of a causal relationship between advertising and alcohol consumption, since interest in the advertisement increases the desire and the intention to buy alcohol. 30 The fact that the word 'drug' is rarely used for alcohol facilitates its acceptance and advertising through commercials that aim to associate the product with appealing images and happy and enjoyable situations.…”

<b>Drug use and risk factors among school adolescents

“…These characteristics have also been described in previous studies as potential risk factors for drug use, especially in adolescence (Malbergier, Cardoso, & Amaral, 2012;Cardoso & Malbergier, 2013;Luis et al, 2014;Reis & Oliveira, 2015).…”

Fatores Associados ao Consumo Alcoólico de Risco entre Universitários da Área da Saúde

“…dantes que desejavam consumir álcool após assistir a anún-cios comerciais sobre bebidas alcoólicas, o consumo alcoólico de risco foi 2,35 vezes maior (IC95% = 1,62-3,43) em relação aos que negaram tal fato. Este achado corrobora um estudo realizado com estudantes adolescentes de um município do interior do Sudeste brasileiro 18 , o qual demonstrou associação positiva entre uso de álcool na vida e sentir vontade de beber após assistir a propagandas de bebidas alcoólicas. O fato de raramente se ligar a palavra "droga" ao álcool facilita a sua aceitação e veiculação por meio das propagandas que visam associar seus produtos a imagens apelativas e a situações de alegria e diversão.…”