Association of mental health literacy and childhood abuse with alcohol drinking behaviors in middle school students

Abstract

Objective To examine the association of mental health literacy (MHL) and childhood abuse with alcohol drinking behaviors in middle school students, so as to provide a reference for the intervening risky behaviors of the people with bad experiences during childhood.

Methods A total of 16 853 middle school students in Beijing, Zhengzhou of Henan Province, and Yangjiang of Guangdong Province were enrolled by multistage convenient cluster sampling method from October 2020 to June 2021 for their self-reported MHL, childhood abuse, and alcohol drinking behaviors. Multivariate Logistic regression model was used to analyze the correlation of MHL and childhood abuse with alcohol drinking behaviors.

Results The overall score of MHL of students was (82.11±12.85) points. The rate of childhood abuse was 42.86%, the rate of recent drinking and excessive drinking were 10.82% and 5.14%, respectively. The detection rate of recent drinking and excessive drinking among students in boys, high school, only-child, poor family economic status and more intimate partners were higher than their peers (χ ²=135.75, 59.25, 16.70, 57.48, 36.67; 109.38, 9.75, 10.32, 65.13, 21.50, P<0.01). Students who lack MHL [ OR (95% CI)=1.27 (1.14–1.43), 1.85 (1.55–2.22)] and had childhood abuse [ OR (95% CI)=1.93 (1.75–2.13), 1.64 (1.43–1.89)] had an increased risk of recent drinking and excessive drinking ( P<0.01). The highest rate of recent and excessive drinking occurred in students with childhood abuse and lack MHL (15.05% and 7.30%), with OR (95% CI) about 2.47 (2.09–2.92) and 3.37 (2.55–4.44).

Conclusion Lacking MHL and childhood abuse experiences of middle school students are related to alcohol drinking behaviors. Preventing childhood abuse and improving MHL are beneficial to the prevention and control of middle school students’ drinking behaviors.

Abstract

【摘要】 目的 探讨中学生心理健康素养和童年期虐待与饮酒行为的关联, 为有童年期不良经历者后期危险行为的干预提供参考。 方法 于 2020 年 10 月至 2021 年 6 月在北京市、广东省阳江市、河南省郑州市 3 座城市, 采用多阶段方便整群抽样的方法, 对 16 853 名初、髙中学生的心理健康素养水平、童年期虐待经历及饮酒行为等情况进行调査。采用多因素 Logistic 回归模型分析心理健康素养及童年期虐待与饮酒行为之间的关联。 结果 中学生心理健康素养总体得分为 (82.11±12.85) 分;童年期虐待的总检出率为 42.86%, 最近饮酒和过量饮酒的检出率分别为 10.82% 和 5.14%, 男生、髙中生、独生子女、自评家庭经济情况较差及亲密伙伴 ≥6 个的学生最近饮酒及过量饮酒的检出率均髙于对应组学生 (χ ² 值分别为 135.75, 59.25, 16.70, 57.48, 36.67; 109.38, 9.75, 10.32, 65.13, 21.50, P 值均<0.01)。缺乏心理健康素养 [ OR 值 ( OR 值95% CI) 分别为 1.27 (1.14~1.43)、1.85 (1.55~2.22)] 和有童年期虐待 [ OR 值 ( OR 值 95% CI) 分别为 1.93 (1.75~2.13)、1.64 (1.43~1.89)] 的中学生最近饮酒和过量饮酒的发生风险均增加 ( P 值均<0.01)。有童年期虐待经历且缺乏心理健康素养者最近饮酒与过量饮酒的检出率均最髙, 分别为 15.05%, 7.30%; OR 值 ( OR 值 95% CI) 分别为 2.47 (2.09~2.92)、3.37 (2.55~4.44)。 结论 中学生缺乏心理健康素养及有童年期虐待均与饮酒行为有关联。预防童年期虐待, 提髙心理健康素养水平, 有益于中学生饮酒行为的防控。