Association between alcohol-related knowledge, attitude, practice and alcohol use disorder among high school students

Abstract

Objective To analyze the relationship between alcohol-related knowledge, attitude, practice and alcohol use disorder among high school students, and to provide reference for alcohol abuse intervention.

Methods The study adopted stratified cluster sampling. A total of 811 high school students from 4 high schools in Changning District were selected to conduct a questionnaire survey on alcohol-related knowledge, attitude, practice and alcohol dependence. The software SPSS 20.0 was used for statistical analysis.

Results There were 279 (34.4%) high school students with mild alcohol use disorder and 29 (3.6%) with severe alcohol use disorder. The average score of high school students’ alcohol-related knowledge, attitude, practice scores were (9.56±3.55) (4.96±2.36) and (2.81±1.29), respectively. High school students’ alcohol-related knowledge, attitude, practice were negatively correlated with alcohol use disorder score ( r = −0.10, −0.39, −0.71, P<0.01). Multivariate Logistic regression indicated that the total score of alcohol-related KAP ( OR = 0.86, 95% CI = 0.83–0.89) and the family economic level (high level: OR = 2.05, 95% CI = 1.26–3.32) were positively associated with mild alcohol use disorder. The total score of alcohol-related KAP ( OR = 0.76, 95% CI = 0.70–0.83) and school type ( OR =3.72, 95% CI = 1.51–9.18) were positively associated with severe alcohol use disorder ( P<0.05).

Conclusion There is a correlation between low alcohol-related KAP and alcohol use disorder, alcohol-related health education should be strengthened, especially among vocational school students and students from high family economic level.

Abstract

【摘要】 目的 分析髙中生饮酒知信行与酒精使用障碍之间的关联, 为髙中生饮酒干预提供参考依据。 方法 采用分层 整群抽样方法, 抽取上海市长宁区 4 所髙中的 811 名髙中生进行饮酒相关知信行以及酒精使用障碍情况的问卷调査, 采用 SPSS 20.0软件进行统计学分析。 结果 髙中生轻度酒精使用障碍有 279 名 (34.4%), 重度酒精使用障碍有 29 名 (3.6%)。髙中生饮酒相关知识平均分为 (9.56±3.55) 分, 态度 (4.96±2.36) 分, 行为 (2.81±1.29) 分。髙中生饮酒知识、态度和行为和 酒精使用障碍得分之间均呈负相关 ( r 值分别为 −0.10, −0.39, −0.71, P 值均<0.01)。多分类 Logistic 回归结果提示, 饮酒知 信行总分 ( OR = 0.86, 95% CI = 0.83~0.89) 和家庭经济水平 (髙经济水平: OR = 2.05, 95% CI = 1.26~3.32) 与轻度酒精使用障 碍呈正相关, 饮酒知信行总分 ( OR = 0.76, 95% CI = 0.70~0.83) 和学校类别 ( OR = 3.72, 95% CI = 1.51~9.18) 与重度酒精使用 障碍均呈正相关 ( P 值均<0.05)。 结论 髙中生低饮酒知信行与酒精使用障碍存在相关性, 应加强髙中生饮酒相关健康教 育, 职业髙中以及髙家庭经济水平学生为重点干预对象。