Predictive Factors of Alcohol Initiation among Brazilian Adolescents: Assessing the Role of Attitudes, Decision-Making, Communication, and Resistance Skills.

IF 3.6 3区医学 Q1 PSYCHIATRY

Revista Brasileira de Psiquiatria Pub Date : 2025-01-14 DOI:10.47626/1516-4446-2024-3896

Juliana Y Valente, Sheila C Caetano, Miguel Henrique da Silva Dos Santos, Zila M Sanchez

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引用次数: 0

Abstract

Objective: This study aims to evaluate if attitudes toward drug use, decision-making, communication, and alcohol resistance skills act as predictors of alcohol use and binge drinking initiation among Brazilian students, considering the sex differences.

Methods: We used a longitudinal sample of 1,103 seventh-grade students from 15 Brazilian public schools. We explored if attitudes toward drug use, decision-making, communication, and alcohol resistance skills at baseline predicted alcohol outcomes nine months later.

Results: We found that lower levels of resistance skills (i.e., ORboys=0.29, 95% CI: 0.12; 0.70) and positive attitudes toward drugs (i.e., ORgirls:=1.41, 95% CI: 1.02; 1.94) are predictors of alcohol use onset and binge drinking, independently of sex. Decision-making predicts binge drinking initiation only for girls (OR=0.73, 95% CI: 0.59; 0.91). Negative attitudes toward drugs are a risk factor for alcohol use initiation only for boys (OR=0.78, 95% CI: 0.64; 0.95).

Conclusion: Our findings highlighted the importance of understanding the predictors of adolescents' alcohol outcomes to inform the key components that preventive programs should address in their activities to achieve the expected preventive outcomes.

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巴西青少年开始饮酒的预测因素：评估态度、决策、沟通和抵抗技能的作用。

研究目的本研究旨在评估巴西学生对药物使用的态度、决策能力、沟通能力和抵制酒精的能力是否是预测酒精使用和开始酗酒的因素，同时考虑到性别差异：我们对巴西 15 所公立学校的 1,103 名七年级学生进行了纵向抽样调查。我们探讨了基线时对药物使用的态度、决策、沟通和抵制酒精的技能是否能预测九个月后酗酒的结果：结果：我们发现，较低水平的抗酒技能（即 ORboys=0.29，95% CI：0.12；0.70）和对毒品的积极态度（即 ORgirls：=1.41，95% CI：1.02；1.94）是预测开始饮酒和暴饮的因素，与性别无关。决策仅对女孩开始酗酒有预测作用（OR=0.73，95% CI：0.59; 0.91）。对毒品的消极态度仅是男孩开始酗酒的风险因素（OR=0.78，95% CI：0.64; 0.95）：我们的研究结果凸显了了解青少年酗酒结果预测因素的重要性，从而为预防计划在其活动中应解决的关键因素提供依据，以达到预期的预防效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Brasileira de Psiquiatria 医学-精神病学

CiteScore

6.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Revista Brasileira de Psiquiatria (RBP) is the official organ of the Associação Brasileira de Psiquiatria (ABP - Brazilian Association of Psychiatry). The Brazilian Journal of Psychiatry is a bimonthly publication that aims to publish original manuscripts in all areas of psychiatry, including public health, clinical epidemiology, basic science, and mental health problems. The journal is fully open access, and there are no article processing or publication fees. Articles must be written in English.