Individual and contextual factors related to binge drinking among adolescents in Spain : a multilevel approach
Teixidó-Compañó, Ester (Agència de Salut Pública de Catalunya)
Sordo, Luis (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Bosque Prous, Marina (Agència de Salut Pública de Catalunya)
Puigcorbé, Susanna (Agència de Salut Pública de Barcelona)
Barrio, Gregorio (Instituto de Salud Carlos III)
Brugal, María Teresa (Agència de Salut Pública de Barcelona)
Belza, María José (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Espelt, Albert (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut)

Títol variant:	Factores individuales y contextuales relacionados con el binge drinking en adolescentes españoles : un enfoque multinivel
Data:	2019
Descripció:	11 pàg.
Resum:	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.
Nota:	Aquest article és part de la tesis doctoral d'Ester Teixidó-Compañó, a la Universitat Pompeu Fabra.
Nota:	Altres ajuts: This research was supported by the Health Strategic Action grant [grant number PI13/00183] and the Spanish Network on Addictive Disorders [grant numbers RD12/0028/0018 and RD16/0017/0013].
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Llengua:	Anglès, castellà
Document:	Article ; recerca ; Versió publicada
Matèria:	Adolescent ; Adolescent Behavior/psychology ; Binge Drinking/epidemiology ; Cross-Sectional Studies ; Female ; Humans ; Male ; Prevalence ; Risk Factors ; Socioeconomic Factors ; Spain/epidemiology ; Underage Drinking/psychology ; Alcohol ; Underage drinking ; Binge drinking ; Adolescents ; Alcohol accessibility ; Consumo intensivo ; Adolescentes ; Accesibilidad al alcohol
Publicat a:	Adicciones, Vol. 31 Núm. 1 (2019) , p. 41-51, ISSN 0214-4840

DOI: 10.20882/adicciones.975
PMID: 29353297

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