Association between age at first alcohol use and heavy episodic drinking: An analysis of Thailand’s smoking and alcohol drinking behavior survey 2017

According to evidence from developed countries, age at first alcohol use has been identified as a determinant of heavy episodic drinking (HED). This study aimed to investigate the association between age at first alcohol use and HED using data from the Smoking and Drinking Behavior Survey 2017, a Thai nationally representative survey. Binary logistic regression was used to examine the association. This study used data from 23,073 current drinkers in the survey. The survey participants were chosen to represent the Thai population aged 15 years and older. The prevalence of HED and frequent HED among Thai drinkers was 18.6% and 10.1%, respectively. Age at first drinking <20 years was associated with higher odds of HED (adjusted OR, 1.43; 95% CI, 1.26–1.62) and frequent HED (adjusted OR, 1.31; 95% CI, 1.12–1.53) relative to age at first drinking ≥25 years. Regular drinking, drinking at home, and exposure to alcohol advertising increased the odds of HED. Drinking at home was associated with frequent HED. There was a significant interaction between the effect of age at first alcohol use and sex on HED and frequent HED with a stronger effect of age at first alcohol use observed in females. This study provides evidence from a developing country that early onset of alcohol use is associated with HED. Effective measures such as tax and pricing policy should be enforced to delay the onset of drinking.

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Prevalence and Correlates of Alcohol Consumption among Hill-Tribe Adolescents below the Legal Drinking Age—A Community-based Cross-Sectional Study in Northern Thailand

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17218266 ◽

2020 ◽

Vol 17 (21) ◽

pp. 8266

Author(s):

Narongsak Noosorn ◽

Civilaiz Wanaratwichit ◽

Shamsudeen YAU ◽

Nuansiri Kedsai

Keyword(s):

Alcohol Use ◽

Age Groups ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Sectional Study ◽

Community Based ◽

Thai Population ◽

Cross Sectional ◽

Northern Thailand ◽

Prevention Interventions

Alcohol drinking has been prevalent among various hill tribes of northern Thailand due to their distinctively different lifestyles, traditions, cultures and beliefs than the general Thai population; the majority of these traditions involve annual rounds of customary rituals that make alcohol abundantly accessible to all age groups. To study the prevalence and predictors of alcohol use, a community-based analytical cross-sectional study was conducted between October 2017–September 2018 among 480 sampled adolescents aged 12 through 18 years drawn by stratified random sampling. A proprietary questionnaire developed by the researchers was used to collect the data which were analyzed using binary logistic regression. The prevalence of alcohol use in the previous 30 days was 46.7%. Drinking predictors were: having at least a drinking parent, drinking peers, ever been sent to buy alcohol, smoking, cordial relationship with peers, gambling, family violence experience, stress and leisure time company. Therefore, our results suggest that prevention interventions should be designed with a focus on discouraging parents from sending children to buy alcohol and drinking or smoking in their presence; to reduce both social and commercial access to alcohol, age limits should be imposed on alcohol intake at all ceremonious events, while strictly reinforcing the law that prohibits selling alcohol to minors.

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Ready-to-drink beverage (RTD) consumption in Thai population: trend and associated factors

10.1101/2021.01.22.21250292 ◽

2021 ◽

Author(s):

Udomsak Saengow ◽

Ruttiya Asksonthong ◽

Apinya Laohaprapanon

Keyword(s):

Drinking Behavior ◽

Sampling Technique ◽

Reliable Estimate ◽

List Type ◽

Representative Survey ◽

Thai Population ◽

Middle Income ◽

Nationally Representative ◽

Using Data ◽

Drinking Frequency

ABSTRACTObjectivesTo examine ready-to-drink beverage (RTD) consumption and to investigate the effects of gender and age on RTD consumption by using data 2011 and 2014 waves of a national alcohol survey.DesignAnalysis of data from Smoking and Drinking Behavior Survey (SADBeS) 2011 and 2014, a nationally representative survey.SettingThailandParticipants177,350 (2011 survey) and 25,758 (2014 survey) samples of Thais aged 15 years or older who were randomly selected using multistage-sampling technique.Primary outcomeRTD consumption in past 12 months (yes/no) as stated by survey participantsResultsThe prevalence of RTD drinkers increased from 0.5% (95% CI, 0.5-0.5%) in 2011 to 2.4% (95% CI, 2.1-2.6%) in 2014. Female drinkers were 5.1 (95% CI, 4.1-6.4) times more likely to consume RTDs than male drinkers. The likelihood of drinking RTDs decreased with age. Drinking initiation before the legal purchasing age (20 years old) was associated with 1.5 (95% CI, 1.1-1.9) times likelihood of RTDs consumption.ConclusionsA substantial increase in RTD consumption was observed in Thailand, a middle-income country, during 2011-2014. The consumption was notable in youths and females. Given that RTDs have been introduced into the Thai market relatively recently, this may be a part of the alcohol industry strategies to boost their sales in middle-income countries. Growth in RTD consumption could pose a challenge for health authorities to control alcohol-related harms in the future especially among youths and females.Article SummaryStrengths and limitations of this studyA reliable estimate of prevalence of RTD consumption was obtained by using data from two waves of a large national representative survey.The lack of information about pattern of RTD consumption including quantity and drinking frequency limited further analysis.FundingThis work was supported by the Center for Alcohol Studies, Thailand, grant number 62-02029-0043.Competing interests statementNone declared.

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Examining factors associated with heavy episodic drinking among college undergraduates

Health Psychology Research ◽

10.4081/hpr.2014.1457 ◽

2014 ◽

Vol 2 (2) ◽

Cited By ~ 4

Author(s):

Kristen Scholly ◽

Alan R. Katz ◽

Lisa Kehl

Keyword(s):

Alcohol Use ◽

Social Life ◽

Drinking Behavior ◽

Multivariate Logistic Regression Analysis ◽

The United States ◽

Heavy Episodic Drinking ◽

Health Concern ◽

Accurate Information ◽

Undergraduate College Student ◽

Factors Associated

Heavy episodic drinking among college students is a serious health concern. The purpose of this study was to identify factors associated with heavy episodic drinking behaviors amongst a predominately Asian undergraduate college student population in the United States. A survey measuring alcohol use behaviors was completed by a random sample of 18-24 year old undergraduates during April, 2011. A multivariate logistic regression analysis was conducted to determine factors associated with students’ heavy episodic drinking behavior. Independent factors associated with heavy episodic drinking included living on campus, ethnicity, perceived drinking behavior among peers, and a belief that alcohol is a central part of one’s social life. Heavy episodic drinking was also associated with poor academic performance. Campus-wide educational strategies to reduce heavy episodic drinking among college undergraduates should incorporate accurate information regarding alcohol use norms to correct students’ perceived over estimation of their peers alcohol consumption rates and the under estimation of students protective alcohol use behaviors. These efforts should focus in on-campus residence halls where a higher occurrence of heavy episodic drinking is often found.

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Recognition of Diabetes in a Multi-ethnic Population: Results from a Nationally Representative Population-Based Study

10.1101/2021.02.01.21250802 ◽

2021 ◽

Author(s):

Kumarasan Roystonn ◽

Jue Hua Lau ◽

PV AshaRani ◽

Fiona Devi Siva Kumar ◽

Peizhi Wang ◽

...

Keyword(s):

Binary Logistic Regression ◽

Developed Countries ◽

Population Based ◽

Study Data ◽

Chi Square ◽

Cross Sectional ◽

Demographic Groups ◽

Nationally Representative ◽

Diagnosed Diabetes ◽

The Unemployed

ABSTRACTBackgroundThe prevalence of diabetes is on the rise in developed countries. Yet discrepancies exist in reports regarding the level of knowledge of diabetes. This study evaluates the recognition of diabetes among residents in the Singapore population. Sociodemographic characteristics associated with the ability to correctly recognise diabetes were also examined.MethodsThis was a nationwide cross-sectional vignette-based study. Data were collected from 2895 residents aged 18 years and above through face-to-face interviews, of which 436 are persons with diabetes. Descriptive statistics, chi-square tests, and binary logistic regression were used in the analyses.ResultsIn total, 82.7% (2418/2895) of respondents recognised diabetes correctly. In adjusted models, correct recognition was significantly higher among respondents aged 35-49 years (OR, 1.85; 95% CI, 1.15 to 2.98; P= 0.01), 50-64 years (odds ratio [OR], 2.06; 95% confidence interval [CI], 1.19 to 3.56; P= 0.01), ethnic Malays (OR, 1.39; 95% CI, 1.02 to 1.89; P= 0.04) (vs. Chinese) and persons with diagnosed diabetes (OR, 2.64; 95% CI, 1.38 to 5.08; P < 0.01). Being male (OR, 0.64; 95% CI, 0.46 to 0.90; P < 0.01), ethnic Others (OR, 0.59; 95% CI, 0.37 to 0.93; P < 0.01), and being unemployed (OR, 0.48; 95% CI, 0.25 to 0.92; P= 0.03), were significantly associated with poor recognition of diabetes.ConclusionOverall public recognition of diabetes is high, but the significant gaps in knowledge in certain demographic groups are of concern. Public health interventions aimed at preventing and controlling diabetes should continue to target all members of the population with accurate and appropriate information. Ongoing efforts of diabetes awareness and educational programs need to be improved, particularly for young adults, males, and the unemployed.

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Problematic familial alcohol use and heavy episodic drinking among upper secondary students: a moderator analysis of teacher-rated school ethos

BMC Research Notes ◽

10.1186/s13104-021-05773-8 ◽

2021 ◽

Vol 14 (1) ◽

Author(s):

Gabriella Olsson ◽

Sara Brolin Låftman ◽

Joakim Wahlström ◽

Bitte Modin

Keyword(s):

Alcohol Use ◽

Secondary Students ◽

Teacher Morale ◽

Binary Logistic Regression ◽

Heavy Episodic Drinking ◽

School Level ◽

Upper Secondary ◽

Student Focus ◽

Level Information ◽

Upper Secondary Schools

Abstract Objective Building on findings reported in a previous publication, the objective of this study is to explore if teacher-rated indicators of school ethos modify the association between problematic familial alcohol use and heavy episodic drinking among upper secondary students. Data were based on combined information from two separate surveys conducted in 2016 among 4709 students and 1061 teachers in 46 Stockholm upper secondary schools, with linked school-level information from administrative registers. Multilevel binary logistic regression analyses were performed. Results Problematic familial alcohol use was associated with an increased likelihood of heavy episodic drinking among upper secondary students (OR 1.36, 95% CI 1.12–1.65). Cross-level interactions revealed that the association was weaker among students attending schools with higher levels of teacher-rated ethos. This was true for overall school ethos (OR 0.79, 95% CI 0.65–0.97) and for four of five studied sub-dimensions of ethos: staff stability (OR 0.78, 95% CI 0.65–0.95); teacher morale (OR 0.79, 95% CI 0.65–0.97); student focus (OR 0.80, 95% CI 0.65–0.97); and academic atmosphere (OR 0.79, 95% CI 0.65–0.96). The sub-dimension “structure and order for dealing with unwanted behaviour” did however not moderate the association between problematic familial alcohol use and heavy episodic drinking (OR 0.95, 95% CI 0.77–1.18).

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Drinking motives and alcohol use among college students with the alcohol flush reaction

10.1101/436469 ◽

2018 ◽

Author(s):

Sarah Soyeon Oh ◽

Yeong Jun Ju ◽

San Lee ◽

Sung-in Jang ◽

Eun-Cheol Park

Keyword(s):

College Students ◽

Alcohol Use ◽

Liberal Arts ◽

Representative Sample ◽

Drinking Behavior ◽

Peer Pressure ◽

Drinking Motives ◽

Liberal Arts Students ◽

Nationally Representative ◽

And Coping

ABSTRACTBackgroundThis study investigated the relationship between drinking motives and alcohol use among a nationally representative sample of college students with the alcohol flush reaction (AFR). We surveyed and analyzed the data of 2,245 male and 2,326 female college students in a nationally representative sample of 82 colleges in South Korea.MethodsOf our study population, 725 males (32.3%) and 812 females (34.9%) reported to currently suffering from AFR. Multiple regression analysis was used to identify the association between drinking motives and drinking behavior, measured via the AUDIT.ResultsRelative to drinking because of peer pressure, students drinking for pleasure (males: β = 2.622,p<.0001; females β = 2.769,p<.0001) or stress/depression (males: β = 2.479,p<.0001; females β = 2.489,p<.0001) had higher AUDIT scores. Among students drinking because of stress/depression, seniors (males: β = 3.603,p<.0001; females: β = 3.791,p= 0.000), smokers (males: β = 1.564,p= 0.000; females β = 1.816,p= 0.007) and/or liberal arts students (males: β = 6.1136,p<.0001; females β = 4.2105,p<.0001) consumed more alcohol than their peers. Relative to conformity motives, enhancement and coping motives were found to have a greater influence on alcohol intake among college students with alcohol flush reaction.ConclusionConsidering that the flush reaction can occur in AFR individuals after just one sip of wine, our results show that educators and policymakers must take action to deal with this problem.

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Parental alcohol use and self-reported health among Swedish adolescents aged 10-18 years

European Journal of Public Health ◽

10.1093/eurpub/ckab165.533 ◽

2021 ◽

Vol 31 (Supplement_3) ◽

Author(s):

J Wahlström ◽

C Magnusson ◽

S Brolin Låftman ◽

J Svensson

Keyword(s):

Alcohol Use ◽

Perceived Stress ◽

Heavy Drinking ◽

Binary Logistic Regression ◽

Somatic Complaints ◽

Parents And Children ◽

Self Reports ◽

Parental Drinking ◽

Nationally Representative ◽

Parental Alcohol

Abstract Background Including harm that is inflicted upon the drinker's social environment is vital when calculating the cost of harmful alcohol use to society. Knowledge about the true damage of alcohol is important in order to implement adequate public health responses. Research on children of alcoholics has demonstrated that parental alcohol misuse may affect offspring negatively in several ways. Studies on the general youth population have found that parental drinking is associated with offspring alcohol use. However, the links to offspring health are less explored. The aim of the study was to examine the associations between parental drinking and children's psychological complaints, somatic complaints, and perceived stress. Methods Data were obtained from the nationally representative Swedish Level-of Living survey of 2010. Parents and children (aged 10-18) living together completed surveys independently. The study sample consisted of 905 children, with information from at least one parent, in 627 households. Children's self-reports of psychological complaints, somatic complaints, and perceived stress were coded into binary measures and used as dependent variables. Based on self-reports of frequency and quantity of alcohol use, parents were categorised into abstainers, low consumers, moderate drinkers, and heavy drinkers. Gender, family structure, and parent-reported socioeconomic conditions were included as control variables. Binary logistic regression analyses were performed. Results In the fully adjusted models, children with heavy drinking parents were more likely to report psychological complaints (OR 2.52, p < 0.01), somatic complaints (OR 1.96, p < 0.01), and feeling stressed (OR 1.68, p < 0.05), compared to children whose parents were classified as moderate drinkers. Conclusions The study showed that children living with heavy drinking parents were more likely to report adverse health. Implementing policies that aim to protect these children may be beneficial. Key messages Children living with heavy drinking parents were more likely to report psychological complaints, somatic complaints, and perceived stress. Living with heavy drinking parents may affect children’s health negatively, and measures to mitigate the harms these children experience ought to be considered.

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Alcohol use in daily life: Examining the role of trait and state impulsivity facets

10.31234/osf.io/u3v7q ◽

2020 ◽

Author(s):

Sarah A Griffin ◽

Timothy J Trull

Keyword(s):

Alcohol Use ◽

Sensation Seeking ◽

Daily Life ◽

Drinking Behavior ◽

Cross Sectional ◽

Trait Level ◽

Trait Impulsivity ◽

Drinking Behaviors ◽

Ecological Momentary

Objectives: Using Ecological Momentary Assessment methods (EMA) we aimed to investigate the influence of trait and state (momentary) impulsivity on alcohol use behaviors in daily life. Facets of the UPPS trait model of impulsivity (Whiteside and Lynam, 2001) have been found to differentially relate to alcohol-related outcomes and behaviors in cross-sectional and longitudinal studies. The present work expands on this by assessing UPPS facets in daily life and examining the contributions of trait and state impulsivity facets to daily life drinking behavior. Methods: 49 participants were prompted at least six times per day for 21 days. A total of 4,548 collected EMA reports were included in analyses. Multi-level models were computed predicting daily life alcohol use behaviors from state and trait impulsivity facets and relevant covariates. Results: Individual facets of momentary impulsivity differentially related to alcohol outcomes, such that (lack of) premeditation and, to a lesser extent, sensation seeking showed unique patterns of association with drinking and drinking quantity. Only trait levels of (lack of) premeditation were related to drinking behavior in daily life; no other trait UPPS scale significantly related to alcohol use. Conclusions: These results highlight state difficulties with premeditation as particularly relevant to drinking behavior in daily life. Our results also support the incremental validity of state impulsivity facets over trait level measures in relation to drinking behavior in daily life. These findings offer important insight into the phenomenology of daily-life alcohol use and highlight possible avenues for intervention and prevention efforts. Public Health Statement: Momentary fluctuations in premeditation predict alcohol use in daily life. Treatments targeting planning or forethought in relation to alcohol use may interrupt this process contributing to daily life drinking behaviors.

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Rethinking the Alcohol Problem: A Natural Processes Model

Journal of Drug Issues ◽

10.1177/002204268401400103 ◽

1984 ◽

Vol 14 (1) ◽

pp. 31-43 ◽

Cited By ~ 13

Author(s):

Harold A. Mulford

Keyword(s):

Alcohol Use ◽

Alcohol Abuse ◽

Drinking Behavior ◽

Alcohol Problem ◽

Social Psychological ◽

Rehabilitation Process ◽

Natural Processes ◽

Traditional Notion ◽

Way Of Thinking ◽

Single Set

A multivariate natural processes model for thinking about alcohol use and abuse is offered as an alternative to the traditional static-entity, single-cause way of thinking that historically generated a series of formal institutional attacks on different supposed causes of alcohol abuse, but which failed to solve the alcohol problem. The work seeks a model that better fits what is known about the alcohol problem, and one that leads to more effective informal constraints on alcohol abuse. Alcoholics are viewed as being at some stage of an alcoholic process, a rehabilitation process, a labeling process, a clinicalization process and a dissocialization process. This way of thinking challenges the traditional notion that alcoholics are all-of-a-kind entities and that there is a single cause, or even a single set of causes, that account for the drinking of all alcoholics, or that explains the drinking of the same person at different times. Rather, it directs us to consider the dynamics of the changing combinations of interacting social, psychological and physiological forces influencing a person's drinking behavior as he progresses in the several processes.

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Prevalence and risk factors of anaemia among men: A study based on Empowered Action Group states, India

Nutrition and Health ◽

10.1177/0260106020982348 ◽

2021 ◽

pp. 026010602098234

Author(s):

Pradeep Kumar ◽

Himani Sharma ◽

Kamalesh Kumar Patel

Keyword(s):

Family Health ◽

Public Health Problem ◽

Binary Logistic Regression ◽

Bivariate Analysis ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Action Group ◽

Nationally Representative ◽

The Government ◽

Eag States

Background: Despite various programmes initiated by the Government of India, the nutritional indicators are not encouraging, as several problems like undernutrition, malnutrition and anaemia – still persist in the country, especially in the Empowered Action Group (EAG) states. Aim: Because of the dearth of studies regarding anaemia among men in India, the present study aimed to determine its prevalence in this population in the EAG states and to analyse its geographical and socio-demographic determinants. Methods: The study utilized nationally representative, cross-sectional survey data from round 4 of the National Family Health Survey conducted in 2015–16. Bivariate analysis along with binary logistic regression were performed to assess the predictors of anaemia among men in the EAG states. Results: Around a quarter of the men in the EAG states suffered from anaemia. A similar high-prevalence pattern was observed across the EAG states. Wherein, Bihar and Jharkhand had the highest prevalence of anaemia while Uttarakhand showed the lowest. Age, place of residence, marital status and caste were positively associated with the likelihood of anaemia among men in the EAG states. Conclusions: Focusing on the EAG states, this study considered the severity of anaemia as a public health problem among men. Strategies to reduce the burden of anaemia among this population are needed. The government should formulate programmes targeting anaemia specifically, and improving the nutritional status among men in general in the EAG states.

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