Individual and contextual factors related to binge drinking among adolescents in Spain: A multilevel approach
Por:
Teixidó-Compañó E., Sordo L., Bosque-Prous M., Puigcorbé S., Barrio G., Brugal M.T., Belza M.J., Espelt A.
Publicada:
1 ene 2019
Resumen:
The aim of this study was to estimate the prevalence of binge drinking by regions in Spain and assess the effect of individual and contextual factors related to this drinking pattern in adolescents. A cross-sectional study was performed with data from the 2014 Spanish School Survey on Drug Use (ESTUDES) in students aged 14-18 years (N = 34,259). The outcome was binge drinking in adolescents during the last 30 days. Individual independent variables were socioeconomic variables and variables related to access to alcohol and its availability. Contextual variables consisted of adult alcohol consumption, public policies on alcohol, and socioeconomic factors. Multilevel Poisson regression models with robust variance were estimated, obtaining prevalence ratios (PR) and their 95% confidence intervals. The results showed that the prevalence of youth binge drinking by region of residence was similar for both sexes (r = 0.72). At the individual level, binge drinking was mainly associated with the perception of easy access to alcohol (PR: 1.38; 95% CI: 1.23-1.55), consumption in open areas [(PR: 3.82; 95% CI: 3.44-4.24) < once a month and (PR: 6.57; 95% CI: 5.85-7.37) = once a month], at least one parent allowing alcohol consumption (PR: 1.42; 95% CI: 1.37- 1.47), and receiving >30 euros weekly (PR:1.51; 95% CI: 1.37-1.67). Contextual variables were not associated with youth binge drinking when individual variables were considered. In conclusion, youth binge drinking was associated with individual variables related to high alcohol accessibility and availability, regardless of contextual variables. These variables explained the variability in binge drinking among Spanish regions. © 2018, Edita Socidrogalcohol. All rights reserved.
Filiaciones:
Teixidó-Compañó E.:
Agència de Salut Pública de Barcelona, Barcelona, Spain
Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain
Universitat Pompeu Fabra (UPF), Barcelona, Spain
Sordo L.:
CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain
Bosque-Prous M.:
Agència de Salut Pública de Barcelona, Barcelona, Spain
Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain
Universitat Pompeu Fabra (UPF), Barcelona, Spain
Puigcorbé S.:
Agència de Salut Pública de Barcelona, Barcelona, Spain
Barrio G.:
Escuela Nacional de Sanidad, Instituto de Salud Carlos III, Madrid, Spain
Brugal M.T.:
Agència de Salut Pública de Barcelona, Barcelona, Spain
Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain
Belza M.J.:
CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
Escuela Nacional de Sanidad, Instituto de Salud Carlos III, Madrid, Spain
Espelt A.:
Agència de Salut Pública de Barcelona, Barcelona, Spain
Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain
CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
Facultat de Ciències de la Salut de Manresa, Universitat de Vic Universitat Central de Catalunya (UVicUCC), Av. Universitària, 46, Manresa, 08242, Spain
Bronze, All Open Access; Bronze
|