Individual and contextual factors related to binge drinking among adolescents in Spain: A multilevel approach

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 (ESTU...

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Detalles Bibliográficos
Autores: Teixidó-Compañó E., Sordo L., Bosque-Prous M., Puigcorbé S., Barrio G., Brugal M.T., Belza M.J., Espelt A.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Institución:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p10214
Acceso en línea:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=10214
Access Level:acceso abierto
Palabra clave:adolescent
adolescent behavior
binge drinking
cross-sectional study
epidemiology
female
human
male
prevalence
psychology
risk factor
socioeconomics
Spain
statistics and numerical data
underage drinking
Adolescent
Adolescent Behavior
Binge Drinking
Cross-Sectional Studies
Female
Humans
Male
Prevalence
Risk Factors
Socioeconomic Factors
Underage Drinking
Descripción
Sumario: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.