Correlates of binge drinking among Brazilian adolescents.

Adolescence is a vulnerable period for risk-taking tendencies, including binge drinking. The aim of this study was to examined the prevalence of binge drinking and its association with factors related to the consumption of alcoholic beverages by best friend, familial factors, socioeconomic status and religiosity. A Census of 633 students from public and private schools in Diamantina-MG was conducted. Participants completed a self-administered questionnaire, the Alcohol Use Disorders Identification Test-C (AUDIT-C) and, another on the consumption of alcohol by family and friends. Surveys inquiring about socioeconomic conditions were sent to parents/guardians. Descriptive and bivariate analyzes were performed (p < 0.05). The log-binomial model was used to calculate PR and 95% CI. The prevalence of binge drinking was 23.1%. The average age of onset of alcohol consumption was 10,8 years. Binge drinking was more prevalent among adolescents whose best friend [OR = 4.72 (95% CI 2.78-8.03)] and brother [PR = 1.46 (95% CI 1.10-1.92)] drink alcohol. Religiosity [PR = 0.40 (95% CI 0.27-0.62)] appeared as a possible protective factor. Our findings indicate that peer effects are important determinants of drinking and could be utilized as a potential target for interventions to reduce alcohol consumption rates.

[1]  H. Hops,et al.  The Longitudinal Influence of Peers on the Development of Alcohol Use in Late Adolescence: A Growth Mixture Analysis , 2002, Journal of Behavioral Medicine.

[2]  I. Kawachi,et al.  Association between binge drinking, type of friends and gender: A cross-sectional study among Brazilian adolescents , 2012, BMC Public Health.

[3]  H. Hamilton,et al.  Perceived financial status, health, and maladjustment in adolescence. , 2009, Social science & medicine.

[4]  S. Nappo,et al.  Trends in drug use among students in Brazil: analysis of four surveys in 1987, 1989, 1993 and 1997. , 2004, Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas.

[5]  Megan E. Patrick,et al.  Extreme binge drinking among 12th-grade students in the United States: prevalence and predictors. , 2013, JAMA pediatrics.

[6]  C. Neighbors,et al.  Benefit finding as a moderator of the relationship between spirituality/religiosity and drinking. , 2013, Addictive behaviors.

[7]  B. Horta,et al.  Uso de alcohol por adolescentes: estudio de base poblacional , 2009 .

[8]  E. Finne,et al.  [Time trends in sex differences in adolescents' health behaviour from 2001 to 2010]. , 2012, Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)).

[9]  L. P. Barroso,et al.  Labeling disorder--the relationship between conduct problems and drug use in adolescents. , 2007, Revista brasileira de psiquiatria.

[10]  M. C. O. Costa,et al.  [Experimentation and regular use of alcoholic beverages, cigarettes and other Psychoactive Substances (PAS) during adolescence]. , 2007, Ciencia & saude coletiva.

[11]  André Malbergier,et al.  Uso de substâncias na adolescência e problemas familiares , 2012 .

[12]  Megan E. Patrick,et al.  Prevalence and Predictors of Adolescent Alcohol Use and Binge Drinking in the United States , 2013, Alcohol research : current reviews.

[13]  T F Nelson,et al.  Binge drinking and the American college student: what's five drinks? , 2001, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors.

[14]  R. Laranjeira,et al.  Sociodemographic characteristics associated with binge drinking among Brazilians. , 2012, Drug and alcohol dependence.

[15]  James H Fowler,et al.  Parental influence on substance use in adolescent social networks. , 2012, Archives of pediatrics & adolescent medicine.

[16]  H. V. van Oers,et al.  Alcohol segment-specific associations between the quality of the parent–child relationship and adolescent alcohol use , 2014, BMC Public Health.

[17]  J. Brook,et al.  Cigarette Smoking in the Adolescent Children of Drug-Abusing Fathers , 2006, Pediatrics.

[18]  S. Assanangkornchai,et al.  Disparities in drinking patterns and risks among ethnic majority and minority groups in China: The roles of acculturation, religion, family and friends. , 2016, Drug and alcohol dependence.

[19]  S. Nappo,et al.  God Forbids or Mom Disapproves? Religious Beliefs That Prevent Drug Use Among Youth , 2011 .

[20]  Megan E. Patrick,et al.  Alcohol use at the cusp of adolescence: a prospective national birth cohort study of prevalence and risk factors. , 2015, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[21]  A. Buja,et al.  Underage drinking on saturday nights, sociodemographic and environmental risk factors: a cross-sectional study , 2011, Substance abuse treatment, prevention, and policy.

[22]  H. Swartzwelder,et al.  Alcohol's Effects on the Adolescent Brain What Can Be Learned From Animal Models , 2004 .

[23]  M. Vaughn,et al.  Interventions for reducing adolescent alcohol abuse: a meta-analytic review. , 2010, Archives of pediatrics & adolescent medicine.

[24]  S. Martins,et al.  Binge drinking among Brazilian students: a gradient of association with socioeconomic status in five geo-economic regions. , 2013, Drug and alcohol dependence.

[25]  H. de Vries,et al.  Determinants of binge drinking in a permissive environment: focus group interviews with Dutch adolescents and parents , 2013, BMC Public Health.

[26]  J. C. F. Galduróz,et al.  Factores asociados al uso pesado de alcohol entre estudiantes de las capitales brasileras , 2010 .

[27]  M. French,et al.  Alcohol use and the labor market in Uruguay. , 2009, Health economics.

[28]  J. Humensky.  Are adolescents with high socioeconomic status more likely to engage in alcohol and illicit drug use in early adulthood? , 2010, Substance abuse treatment, prevention, and policy.

[29]  Ellen L. Vaughan,et al.  Public Religiosity, Religious Importance, and Substance Use Among Latino Emerging Adults , 2014, Substance use & misuse.

[30]  S. Martins,et al.  Childhood alcohol use may predict adolescent binge drinking: a multivariate analysis among adolescents in Brazil. , 2013, The Journal of pediatrics.

[31]  J. Hallak,et al.  Is the full version of the AUDIT really necessary? Study of the validity and internal construct of its abbreviated versions. , 2010, Alcoholism, clinical and experimental research.

[32]  R. Laranjeira,et al.  Patterns of alcohol use among Brazilian adolescents. , 2010, Revista brasileira de psiquiatria.

[33]  J. Bartkowski,et al.  Religiosity and teen drug use reconsidered: a social capital perspective. , 2007, American journal of preventive medicine.