Skip to main content
Top
Published in: BMC Public Health 1/2011

Open Access 01-12-2011 | Research article

Social factors associated to binge drinking: a cross-sectional survey among Brazilian students in private high schools

Authors: Zila M Sanchez, Silvia S Martins, Emerita S Opaleye, Yone G Moura, Danilo P Locatelli, Ana R Noto

Published in: BMC Public Health | Issue 1/2011

Login to get access

Abstract

Background

Binge drinking (BD) seems to be related to health and social complications among adolescents. Considering that knowledge about BD in developing countries is limited and that in Brazil high socioeconomic status is a risk factor for alcohol abuse, this study sheds light about this phenomenon among adolescents from a different cultural background than prior North-American and European studies.

Methods

Brazilian students (n = 2691) selected through a representative, stratified and clustered sampling method were asked to answer a self-report questionnaire. The questionnaire contained questions about patterns of alcohol consumption, religious beliefs, leisure activities, family structure and relationships. Data were analyzed with basic contingency tables with Chi-square tests followed by a decision tree analysis and weighted logistic regression.

Results

Almost thirty-five percent of the students reported recent binge drinking. BD in the past month was positively associated with older age (aOR = 1.5[1.2-1.7]), male gender (aOR = 1.5[1.2-2.0]) going out with friends almost every night (aOR = 33.9[14.2-80.7]), not living with mother (aOR = 2.4[1.3-4.7]), believing in God with little conviction (aOR = 1.6[1.2-2.0]) and rarely talking to parents about anything (aOR = 1.7[1.3-2.2]) or always about drugs (aOR = 1.8[1.3-2.5]). Factors inversely associated with BD were: paying lower monthly tuition fees (aOR = 0.5[0.4-0.9]), living with people who do not get drunk (aOR = 0.6[0.4-0.7]) and frequent engagement in worships (aOR = 0.7[0.5-0.9]).

Conclusion

The habit of BD in adolescents enrolled in private high schools in Brazil is strongly linked to the frequency with which they go out with friends at night. Factors such as religiosity, expressed by trust in God and participation in worship, and being enrolled in a school with cheaper tuition fees were associated with avoidance of BD in this population.
Literature
1.
go back to reference Wechsler H, Nelson TF: Binge drinking and the American college student: what's five drinks?. Psychol Addict Behav. 2001, 15 (4): 287-91. 10.1037/0893-164X.15.4.287.CrossRefPubMed Wechsler H, Nelson TF: Binge drinking and the American college student: what's five drinks?. Psychol Addict Behav. 2001, 15 (4): 287-91. 10.1037/0893-164X.15.4.287.CrossRefPubMed
2.
go back to reference Brewer RD, Swahn MH: Binge drinking and violence. JAMA. 2005, 294 (5): 616-8. 10.1001/jama.294.5.616.CrossRefPubMed Brewer RD, Swahn MH: Binge drinking and violence. JAMA. 2005, 294 (5): 616-8. 10.1001/jama.294.5.616.CrossRefPubMed
3.
go back to reference NHTSA: Traffic Safety Facts 2003: Young Drivers. United States Department of Transportation. 2004, Washington, DC: National Highway Transportation Safety Administration NHTSA: Traffic Safety Facts 2003: Young Drivers. United States Department of Transportation. 2004, Washington, DC: National Highway Transportation Safety Administration
4.
go back to reference Abbey A, et al: How does alcohol contribute to sexual assault? Explanations from laboratory and survey data. Alcohol Clin Exp Res. 2002, 26 (4): 575-81. 10.1111/j.1530-0277.2002.tb02576.x.CrossRefPubMedPubMedCentral Abbey A, et al: How does alcohol contribute to sexual assault? Explanations from laboratory and survey data. Alcohol Clin Exp Res. 2002, 26 (4): 575-81. 10.1111/j.1530-0277.2002.tb02576.x.CrossRefPubMedPubMedCentral
5.
go back to reference Brown SA, et al: Neurocognitive functioning of adolescents: effects of protracted alcohol use. Alcohol Clin Exp Res. 2000, 24 (2): 164-71. 10.1111/j.1530-0277.2000.tb04586.x.CrossRefPubMed Brown SA, et al: Neurocognitive functioning of adolescents: effects of protracted alcohol use. Alcohol Clin Exp Res. 2000, 24 (2): 164-71. 10.1111/j.1530-0277.2000.tb04586.x.CrossRefPubMed
6.
go back to reference Soldera M, et al: [Use of psychotropics drugs among students: prevalence and associated social factors]. Rev Saude Publica. 2004, 38 (2): 277-83. 10.1590/S0034-89102004000200018.CrossRefPubMed Soldera M, et al: [Use of psychotropics drugs among students: prevalence and associated social factors]. Rev Saude Publica. 2004, 38 (2): 277-83. 10.1590/S0034-89102004000200018.CrossRefPubMed
7.
go back to reference Grant BF, Stinson FS, Harford TC: Age at onset of alcohol use and DSM-IV alcohol abuse and dependence: a 12-year follow-up. J Subst Abuse. 2001, 13 (4): 493-504. 10.1016/S0899-3289(01)00096-7.CrossRefPubMed Grant BF, Stinson FS, Harford TC: Age at onset of alcohol use and DSM-IV alcohol abuse and dependence: a 12-year follow-up. J Subst Abuse. 2001, 13 (4): 493-504. 10.1016/S0899-3289(01)00096-7.CrossRefPubMed
8.
go back to reference Helasoja V, et al: The sociodemographic patterning of drinking and binge drinking in Estonia, Latvia, Lithuania and Finland, 1994-2002. BMC Public Health. 2007, 7: 241-10.1186/1471-2458-7-241.CrossRefPubMedPubMedCentral Helasoja V, et al: The sociodemographic patterning of drinking and binge drinking in Estonia, Latvia, Lithuania and Finland, 1994-2002. BMC Public Health. 2007, 7: 241-10.1186/1471-2458-7-241.CrossRefPubMedPubMedCentral
9.
go back to reference Pratta EM, dos Santos MA: Adolescence and the consumption of psychoactive substances: the impact of the socioeconomic status. Rev Lat Am Enfermagem. 2007, 15 (Spec No): 806-11.CrossRefPubMed Pratta EM, dos Santos MA: Adolescence and the consumption of psychoactive substances: the impact of the socioeconomic status. Rev Lat Am Enfermagem. 2007, 15 (Spec No): 806-11.CrossRefPubMed
10.
go back to reference Galduroz JC, Caetano R: [Epidemiology of alcohol use in Brazil]. Rev Bras Psiquiatr. 2004, 26 (Suppl 1): S3-6.CrossRefPubMed Galduroz JC, Caetano R: [Epidemiology of alcohol use in Brazil]. Rev Bras Psiquiatr. 2004, 26 (Suppl 1): S3-6.CrossRefPubMed
11.
go back to reference de Souza DP, Areco KN, da Silveira Filho DX: [Alcohol and alcoholism among Brazilian adolescent public-school students]. Rev Saude Publica. 2005, 39 (4): 585-92.CrossRefPubMed de Souza DP, Areco KN, da Silveira Filho DX: [Alcohol and alcoholism among Brazilian adolescent public-school students]. Rev Saude Publica. 2005, 39 (4): 585-92.CrossRefPubMed
12.
go back to reference Carlini-Cotrim B, Gazal-Carvalho C, Gouveia N: [Health behavior among students of public and private schools in the metropolitan area of Sao Paulo, Brazil]. Rev Saude Publica. 2000, 34 (6): 636-45. 10.1590/S0034-89102000000600012.CrossRefPubMed Carlini-Cotrim B, Gazal-Carvalho C, Gouveia N: [Health behavior among students of public and private schools in the metropolitan area of Sao Paulo, Brazil]. Rev Saude Publica. 2000, 34 (6): 636-45. 10.1590/S0034-89102000000600012.CrossRefPubMed
14.
go back to reference Ledoux S, et al: Family structure, parent-child relationships, and alcohol and other drug use among teenagers in France and the United Kingdom. Alcohol Alcohol. 2002, 37 (1): 52-60.CrossRefPubMed Ledoux S, et al: Family structure, parent-child relationships, and alcohol and other drug use among teenagers in France and the United Kingdom. Alcohol Alcohol. 2002, 37 (1): 52-60.CrossRefPubMed
15.
go back to reference Guilamo-Ramos V, et al: Parental and school correlates of binge drinking among middle school students. Am J Public Health. 2005, 95 (5): 894-9. 10.2105/AJPH.2003.018952.CrossRefPubMedPubMedCentral Guilamo-Ramos V, et al: Parental and school correlates of binge drinking among middle school students. Am J Public Health. 2005, 95 (5): 894-9. 10.2105/AJPH.2003.018952.CrossRefPubMedPubMedCentral
16.
17.
go back to reference McArdle P, et al: European adolescent substance use: the roles of family structure, function and gender. Addiction. 2002, 97 (3): 329-36. 10.1046/j.1360-0443.2002.00066.x.CrossRefPubMed McArdle P, et al: European adolescent substance use: the roles of family structure, function and gender. Addiction. 2002, 97 (3): 329-36. 10.1046/j.1360-0443.2002.00066.x.CrossRefPubMed
18.
go back to reference Mistry R, et al: Resilience and patterns of health risk behaviors in California adolescents. Prev Med. 2009, 48 (3): 291-7. 10.1016/j.ypmed.2008.12.013.CrossRefPubMed Mistry R, et al: Resilience and patterns of health risk behaviors in California adolescents. Prev Med. 2009, 48 (3): 291-7. 10.1016/j.ypmed.2008.12.013.CrossRefPubMed
19.
go back to reference Hung CC, Yen LL, Wu WC: Association of parents' alcohol use and family interaction with the initiation of alcohol use by sixth graders: a preliminary study in Taiwan. BMC Public Health. 2009, 9: 172-10.1186/1471-2458-9-172.CrossRefPubMedPubMedCentral Hung CC, Yen LL, Wu WC: Association of parents' alcohol use and family interaction with the initiation of alcohol use by sixth graders: a preliminary study in Taiwan. BMC Public Health. 2009, 9: 172-10.1186/1471-2458-9-172.CrossRefPubMedPubMedCentral
20.
go back to reference Kliewer W, Murrelle L: Risk and protective factors for adolescent substance use: findings from a study in selected Central American countries. J Adolesc Health. 2007, 40 (5): 448-55. 10.1016/j.jadohealth.2006.11.148.CrossRefPubMed Kliewer W, Murrelle L: Risk and protective factors for adolescent substance use: findings from a study in selected Central American countries. J Adolesc Health. 2007, 40 (5): 448-55. 10.1016/j.jadohealth.2006.11.148.CrossRefPubMed
21.
go back to reference Koenig HG, McCullough E, Larson DB: Handbook of religion and health. 2001, New York: Oxford University PressCrossRef Koenig HG, McCullough E, Larson DB: Handbook of religion and health. 2001, New York: Oxford University PressCrossRef
22.
go back to reference Chen CY, et al: Religiosity and the earliest stages of adolescent drug involvement in seven countries of Latin America. Am J Epidemiol. 2004, 159 (12): 1180-8. 10.1093/aje/kwh151.CrossRefPubMed Chen CY, et al: Religiosity and the earliest stages of adolescent drug involvement in seven countries of Latin America. Am J Epidemiol. 2004, 159 (12): 1180-8. 10.1093/aje/kwh151.CrossRefPubMed
23.
go back to reference Nonnemaker JM, McNeely CA, Blum RW: Public and private domains of religiosity and adolescent health risk behaviors: evidence from the National Longitudinal Study of Adolescent Health. Soc Sci Med. 2003, 57 (11): 2049-54. 10.1016/S0277-9536(03)00096-0.CrossRefPubMed Nonnemaker JM, McNeely CA, Blum RW: Public and private domains of religiosity and adolescent health risk behaviors: evidence from the National Longitudinal Study of Adolescent Health. Soc Sci Med. 2003, 57 (11): 2049-54. 10.1016/S0277-9536(03)00096-0.CrossRefPubMed
24.
go back to reference Kendler KS, et al: Dimensions of religiosity and their relationship to lifetime psychiatric and substance use disorders. Am J Psychiatry. 2003, 160 (3): 496-503. 10.1176/appi.ajp.160.3.496.CrossRefPubMed Kendler KS, et al: Dimensions of religiosity and their relationship to lifetime psychiatric and substance use disorders. Am J Psychiatry. 2003, 160 (3): 496-503. 10.1176/appi.ajp.160.3.496.CrossRefPubMed
25.
go back to reference Wills TA, Yaeger AM, Sandy JM: Buffering effect of religiosity for adolescent substance use. Psychol Addict Behav. 2003, 17 (1): 24-31. 10.1037/0893-164X.17.1.24.CrossRefPubMed Wills TA, Yaeger AM, Sandy JM: Buffering effect of religiosity for adolescent substance use. Psychol Addict Behav. 2003, 17 (1): 24-31. 10.1037/0893-164X.17.1.24.CrossRefPubMed
26.
go back to reference Van der Meer Sanchez Z, De Oliveira LG, Nappo SA: Religiosity as a protective factor against the use of drugs. Subst Use Misuse. 2008, 43 (10): 1476-86. 10.1080/10826080802183288.CrossRefPubMed Van der Meer Sanchez Z, De Oliveira LG, Nappo SA: Religiosity as a protective factor against the use of drugs. Subst Use Misuse. 2008, 43 (10): 1476-86. 10.1080/10826080802183288.CrossRefPubMed
27.
go back to reference Beets MW, et al: Longitudinal patterns of binge drinking among first year college students with a history of tobacco use. Drug Alcohol Depend. 2009, 103 (1-2): 1-8. 10.1016/j.drugalcdep.2008.12.017.CrossRefPubMed Beets MW, et al: Longitudinal patterns of binge drinking among first year college students with a history of tobacco use. Drug Alcohol Depend. 2009, 103 (1-2): 1-8. 10.1016/j.drugalcdep.2008.12.017.CrossRefPubMed
28.
go back to reference Miller KE, et al: Jocks, gender, race, and adolescent problem drinking. J Drug Educ. 2003, 33 (4): 445-62. 10.2190/XPV5-JD5L-RYLK-UMJA.CrossRefPubMed Miller KE, et al: Jocks, gender, race, and adolescent problem drinking. J Drug Educ. 2003, 33 (4): 445-62. 10.2190/XPV5-JD5L-RYLK-UMJA.CrossRefPubMed
29.
30.
go back to reference White HR, et al: Increases in alcohol and marijuana use during the transition out of high school into emerging adulthood: The effects of leaving home, going to college, and high school protective factors. J Stud Alcohol. 2006, 67 (6): 810-22.CrossRefPubMedPubMedCentral White HR, et al: Increases in alcohol and marijuana use during the transition out of high school into emerging adulthood: The effects of leaving home, going to college, and high school protective factors. J Stud Alcohol. 2006, 67 (6): 810-22.CrossRefPubMedPubMedCentral
31.
go back to reference Catalano RF, Hawkins JD: The social development model: A theory of antisocial behavior. Delinquency and Crime: Current Theories. Edited by: Hawkins JD. 1996, New York: Cambridge University Press Catalano RF, Hawkins JD: The social development model: A theory of antisocial behavior. Delinquency and Crime: Current Theories. Edited by: Hawkins JD. 1996, New York: Cambridge University Press
32.
33.
go back to reference Smart RG, Hughes DPH, Johnston LD: Methodology for students drug-use surveys. 1980, Geneva: World Health Organization Smart RG, Hughes DPH, Johnston LD: Methodology for students drug-use surveys. 1980, Geneva: World Health Organization
34.
go back to reference Hibell B, et al: The 2007 ESPAD Report - Substance Use Among Students in 35 European Countries. 2009, Stockholm: The Swedish Council for Information on Alcohol and other Drugs Hibell B, et al: The 2007 ESPAD Report - Substance Use Among Students in 35 European Countries. 2009, Stockholm: The Swedish Council for Information on Alcohol and other Drugs
36.
go back to reference Hosmer DW, Lemeshow S: Applied Logistic Regression. 2001, New York: John Wiley & Sons, 2 Hosmer DW, Lemeshow S: Applied Logistic Regression. 2001, New York: John Wiley & Sons, 2
37.
go back to reference Laranjeira R, Pinsky I, Zaleski M, Caetano R: First Brazilian Household Survey of Patterns of Alcohol Use. 2007, Brasília: Secretaria Nacional Antidrogas, Presidência da República Laranjeira R, Pinsky I, Zaleski M, Caetano R: First Brazilian Household Survey of Patterns of Alcohol Use. 2007, Brasília: Secretaria Nacional Antidrogas, Presidência da República
38.
go back to reference Miller JW, et al: Binge drinking and associated health risk behaviors among high school students. Pediatrics. 2007, 119 (1): 76-85. 10.1542/peds.2006-1517.CrossRefPubMed Miller JW, et al: Binge drinking and associated health risk behaviors among high school students. Pediatrics. 2007, 119 (1): 76-85. 10.1542/peds.2006-1517.CrossRefPubMed
39.
go back to reference Xing Y, Ji C, Zhang L: Relationship of binge drinking and other health-compromising behaviors among urban adolescents in China. J Adolesc Health. 2006, 39 (4): 495-500. 10.1016/j.jadohealth.2006.03.014.CrossRefPubMed Xing Y, Ji C, Zhang L: Relationship of binge drinking and other health-compromising behaviors among urban adolescents in China. J Adolesc Health. 2006, 39 (4): 495-500. 10.1016/j.jadohealth.2006.03.014.CrossRefPubMed
40.
go back to reference Kuntsche E, Rehm J, Gmel G: Characteristics of binge drinkers in Europe. Soc Sci Med. 2004, 59 (1): 113-27. 10.1016/j.socscimed.2003.10.009.CrossRefPubMed Kuntsche E, Rehm J, Gmel G: Characteristics of binge drinkers in Europe. Soc Sci Med. 2004, 59 (1): 113-27. 10.1016/j.socscimed.2003.10.009.CrossRefPubMed
41.
go back to reference Silva LV, et al: [Factors associated with drug and alcohol use among university students]. Rev Saude Publica. 2006, 40 (2): 280-8.CrossRefPubMed Silva LV, et al: [Factors associated with drug and alcohol use among university students]. Rev Saude Publica. 2006, 40 (2): 280-8.CrossRefPubMed
42.
go back to reference Weitzman ER, Nelson TF, Wechsler H: Taking up binge drinking in college: the influences of person, social group, and environment. J Adolesc Health. 2003, 32 (1): 26-35. 10.1016/S1054-139X(02)00457-3.CrossRefPubMed Weitzman ER, Nelson TF, Wechsler H: Taking up binge drinking in college: the influences of person, social group, and environment. J Adolesc Health. 2003, 32 (1): 26-35. 10.1016/S1054-139X(02)00457-3.CrossRefPubMed
43.
go back to reference Romano M, et al: [Alcohol purchase survey by adolescents in two cities of State of Sao Paulo, Southeastern Brazil]. Rev Saude Publica. 2007, 41 (4): 495-501. 10.1590/S0034-89102007000400001.CrossRefPubMed Romano M, et al: [Alcohol purchase survey by adolescents in two cities of State of Sao Paulo, Southeastern Brazil]. Rev Saude Publica. 2007, 41 (4): 495-501. 10.1590/S0034-89102007000400001.CrossRefPubMed
44.
go back to reference Austin E, Pinkleton B, Fujioka Y: Effects on Adolescents' Use of Alcohol The Role of Interpretation Processes and Parental Discussion in the Media's. Pediatrics. 2000, 105: 343-349. 10.1542/peds.105.2.343.CrossRefPubMed Austin E, Pinkleton B, Fujioka Y: Effects on Adolescents' Use of Alcohol The Role of Interpretation Processes and Parental Discussion in the Media's. Pediatrics. 2000, 105: 343-349. 10.1542/peds.105.2.343.CrossRefPubMed
45.
go back to reference Miller P: Family structure, personality, drinking, smoking and illicit drug use: a study of UK teenagers. Drug Alcohol Depend. 1997, 45 (1-2): 121-9. 10.1016/S0376-8716(97)01345-8.CrossRefPubMed Miller P: Family structure, personality, drinking, smoking and illicit drug use: a study of UK teenagers. Drug Alcohol Depend. 1997, 45 (1-2): 121-9. 10.1016/S0376-8716(97)01345-8.CrossRefPubMed
46.
go back to reference Branstetter SA, Furman W, Cottrell L: The influence of representations of attachment, maternal-adolescent relationship quality, and maternal monitoring on adolescent substance use: a 2-year longitudinal examination. Child Dev. 2009, 80 (5): 1448-62. 10.1111/j.1467-8624.2009.01344.x.CrossRefPubMedPubMedCentral Branstetter SA, Furman W, Cottrell L: The influence of representations of attachment, maternal-adolescent relationship quality, and maternal monitoring on adolescent substance use: a 2-year longitudinal examination. Child Dev. 2009, 80 (5): 1448-62. 10.1111/j.1467-8624.2009.01344.x.CrossRefPubMedPubMedCentral
47.
go back to reference Johnson K, et al: Preventing and reducing alcohol and other drug use among high-risk youths by increasing family resilience. Soc Work. 1998, 43 (4): 297-308.CrossRefPubMed Johnson K, et al: Preventing and reducing alcohol and other drug use among high-risk youths by increasing family resilience. Soc Work. 1998, 43 (4): 297-308.CrossRefPubMed
48.
go back to reference Arria AM, et al: High school drinking mediates the relationship between parental monitoring and college drinking: a longitudinal analysis. Subst Abuse Treat Prev Policy. 2008, 3: 6-10.1186/1747-597X-3-6.CrossRefPubMedPubMedCentral Arria AM, et al: High school drinking mediates the relationship between parental monitoring and college drinking: a longitudinal analysis. Subst Abuse Treat Prev Policy. 2008, 3: 6-10.1186/1747-597X-3-6.CrossRefPubMedPubMedCentral
49.
go back to reference Sinha JW, Cnaan RA, Gelles RJ: Adolescent risk behaviors and religion: findings from a national study. J Adolesc. 2007, 30 (2): 231-49. 10.1016/j.adolescence.2006.02.005.CrossRefPubMed Sinha JW, Cnaan RA, Gelles RJ: Adolescent risk behaviors and religion: findings from a national study. J Adolesc. 2007, 30 (2): 231-49. 10.1016/j.adolescence.2006.02.005.CrossRefPubMed
50.
go back to reference Stylianou S: The role of religiosity in the opposition to drug use. Int J Offender Ther Comp Criminol. 2004, 48 (4): 429-48. 10.1177/0306624X03261253.CrossRefPubMed Stylianou S: The role of religiosity in the opposition to drug use. Int J Offender Ther Comp Criminol. 2004, 48 (4): 429-48. 10.1177/0306624X03261253.CrossRefPubMed
51.
go back to reference van der Meer Sanchez Z, Nappo SA: Religious treatments for drug addiction: an exploratory study in Brazil. Soc Sci Med. 2008, 67 (4): 638-46. 10.1016/j.socscimed.2008.04.009.CrossRefPubMed van der Meer Sanchez Z, Nappo SA: Religious treatments for drug addiction: an exploratory study in Brazil. Soc Sci Med. 2008, 67 (4): 638-46. 10.1016/j.socscimed.2008.04.009.CrossRefPubMed
52.
go back to reference Edlund MJ, et al: Religiosity and decreased risk of substance use disorders: is the effect mediated by social support or mental health status?. Soc Psychiatry Psychiatr Epidemiol. 45 (8): 827-36. 10.1007/s00127-009-0124-3. Edlund MJ, et al: Religiosity and decreased risk of substance use disorders: is the effect mediated by social support or mental health status?. Soc Psychiatry Psychiatr Epidemiol. 45 (8): 827-36. 10.1007/s00127-009-0124-3.
53.
go back to reference Morral AR, McCaffrey DF, Chien S: Measurement of adolescent drug use. J Psychoactive Drugs. 2003, 35 (3): 301-9.CrossRefPubMed Morral AR, McCaffrey DF, Chien S: Measurement of adolescent drug use. J Psychoactive Drugs. 2003, 35 (3): 301-9.CrossRefPubMed
Metadata
Title
Social factors associated to binge drinking: a cross-sectional survey among Brazilian students in private high schools
Authors
Zila M Sanchez
Silvia S Martins
Emerita S Opaleye
Yone G Moura
Danilo P Locatelli
Ana R Noto
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-11-201

Other articles of this Issue 1/2011

BMC Public Health 1/2011 Go to the issue