Arruda PSM, Silva AN, Rinaldi AEM, da Silva LS, Azeredo CM. Individual and Contextual Characteristics Associated With Alcohol Use Among Brazilian Adolescents.
Int J Public Health 2022;
67:1604397. [PMID:
35719735 PMCID:
PMC9200952 DOI:
10.3389/ijph.2022.1604397]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Accepted: 05/13/2022] [Indexed: 11/13/2022] Open
Abstract
Objective: To analyze the association between individual and contextual characteristics with alcohol indicators of experimentation, use in the last 30 days and drunkenness in Brazilian adolescents.
Methods: Cross-sectional study based on data from 100,914 student attending 9th grade from the 2015 National School Health Survey. Multilevel logistic regression models were performed for the outcomes: alcohol experimentation; use in the last 30 days and drunkenness; and exposures, adjusted for adolescents’ sociodemographic characteristics.
Results: Girls were more likely to experiment alcohol (OR = 1.09; 95% CI = 1.05–1.12), use it in the last 30 days (OR = 1.09; 95% CI = 1.00–1.13) and less prone to drunkenness (OR = 0.90; 95% CI = 0.87–0.93). A higher proportion of public-school students reported drinking. There was a positive association of substance use by parents, peers and the adolescents themselves with the outcomes. Having a policy of banning alcohol consumption at school was associated with a greater chance of alcohol experimentation in public schools.
Conclusion: Exposure to legal and illegal substances by friends, family members and a prohibitive school environment favored the outcomes.
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