Factores individuales y contextuales relacionados con el binge drinking en adolescentes españolesun enfoque multinivel

  1. Ester Teixidó-Compañó 1
  2. Luis Sordo 2
  3. Marina Bosque-Prous 1
  4. Susanna Puigcorbé 1
  5. Gregorio Barrio 3
  6. M. Teresa Brugal 1
  7. María José J. Belza 2
  8. Albert Espelt 1
  1. 1 Agència de Salut Pública de Barcelona
    info

    Agència de Salut Pública de Barcelona

    Barcelona, España

  2. 2 Centro de Investigación Biomédica en Red sobre Epidemiología Y Salud Pública
    info

    Centro de Investigación Biomédica en Red sobre Epidemiología Y Salud Pública

    Madrid, España

    ROR https://ror.org/050q0kv47

  3. 3 Escuela Nacional de Sanidad. Instituto de Salud Carlos III
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Revue:
Adicciones: Revista de socidrogalcohol

ISSN: 0214-4840

Année de publication: 2019

Volumen: 31

Número: 1

Pages: 41-51

Type: Article

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D'autres publications dans: Adicciones: Revista de socidrogalcohol

Résumé

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.

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