Sociodemographic, Psychological and Adolescent–related Factors Associated with Alcohol Consumption among School-going Adolescents


Affiliations

  • Universiti Sultan Zainal Abidin, Faculty of Medicine, Kuala Terenggan, Terengganu, 20400, Malaysia
  • Universiti Sultan Zainal Abidin, Faculty of Medicine, Kuala Terengganu, Terengganu, 20400, Malaysia

Abstract

Drinking alcohol is a potential addictive behavior causing significant morbidity and mortality that can be prevented in adolescents. Psychological and other significant factors related to adolescent drinking need to be identified to design a more population-specific screening and intervention to prevent alcohol use among adolescents. This study aims to find the prevalence of alcohol consumption and the psychological factors associated with it among school-going adolescents in Terengganu, Malaysia. This cross-sectional study was conducted among 732 school adolescents aged between 13 and 18 years from 12 secondary schools in Terengganu, Malaysia. Cluster sampling was applied to choose the schools and classes were selected by computerized simple random sampling. A validated questionnaire adapted from Global Health School Survey (GSHS) was used and psychological aspects were assessed using the validated Malay version of Strength and Difficulty Questionnaire (SDQ). Data were analyzed using SPSS ver. 25, using multiple logistic regressions for dependent variable of alcohol drinking. Alcohol consumption was defined as any alcohol beverage intake of more than a few sips. Prevalence of alcohol consumption was 5.2% (95% CI: 3.7, 7.1). Peer problems score was significantly associated with ever drinking of alcohol (p = 0.046, OR: 1.39, 95% CI: 1.01, 1.93); together with other significantly associated factors; namely younger age (p<0.001, OR: 0.46, 95% CI: 0.31, 0.67), race (p = 0.002, OR: 47.92, CI= 19.42, 118.26), having single parents (p=0.021, OR:4.35, CI=1.25, 15.19)and being with drunk friends (p = 0.001, OR:1.52, CI=1.81, 1.96). The study findings emphasized the significance of peers-related factors with consumption of alcohol among adolescents; either having peer problems or being around drunk friends, other than younger age, race and having divorced or single parent. Screening and intervening via peer problems may be a way to prevent onset of alcohol addiction in adolescents and thus preventing the future morbidity and mortality associated with it.

Keywords

Alcohol, Adolescents, Peer Problems, SDQ

Subject Discipline

Medicine, Health Care

Full Text:

References

Shield K, Manthey J, Rylett M, Probst C, Wettlaufer A, Parry CDH. National, regional, and global burdens of disease from 2000 to 2016 attributable to alcohol use: A comparative risk assessment study. Lancet Public Health. 2020; 5(1):E51–61. https://doi.org/10.1016/S2468-2667(19)30231-2

National Institute of Health. Fact sheet NHMS 2019. Malaysia; Ministry of Health [Internet]. 2020 [Cited 2020 May 31st]. Available from: http://iku.moh.gov.my/nhms2019.

NIDA. Principles of adolescent substance use disorder treatment: A research- based guide. National Institute on Drug Abuse [Internet]. 2020 [Cited 2020 Jan 17]. Available from: https://www.drugabuse.gov/publications/ principles-adolescent-substance-use-disorder-treatmentresearchbased-guide.

Institute for Public Health (IPH). Adolescent Health Survey 2017, National Health and Morbidity Survey 2017. Malaysia; Ministry of Health [Internet]. 2017 [Cited 2020 Apr 30]. Available from: http://www.iku.gov.my/images/IKU/Document/REPORT/NHMS2017/AHSReportNHMS2017.pdf. 2017.

Manickam MA, Mutalip MHA, Hamid HAA, Kamaruddin RB, Sabtu MY. Prevalence, comorbidities, and cofactors associated with alcohol consumption among school-going adolescents in Malaysia. Asia Pacific Journal of Public Health. 2014; 26(5):91S–9S. https://doi.org/10.1177/1010539514542194.

PMid:25038196

Jiang H, Xiang X, Hao W, Room R, Zhang X, Wang X. Measuring and preventing alcohol use and related harm among young people in Asian countries: a thematic review. Global Health Research and Policy. 2018; 3, 14. https://doi.org/10.1186/ s41256-018-0070-2. PMid:29761160. PMCid:PMC5941657

Lim KH, Teh CH, Heng PP, Pan S, Ling MY, Yusoff MFM, et al. Source of cigarettes among youth smokers in Malaysia: Findings from the Tobacco and E-Cigarette survey among Malaysian school Adolescents (TECMA). Tobacco Induced Diseases. 2018; 16:51. https://doi.org/10.18332/tid/96297.

PMid:31516448 PMCid:PMC6659477

WHO. Global School-based student Health Survey (GSHS). World Health Organization. [Internet]. 2020.

[Cited 2020 Jan 18]. Available from: https://www.who.int/ ncds/surveillance/gshs/en/. 2020.

Goodman R, Ford T, Simmons H, Gatward R, Meltzer H. Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. British Journal of Psychiatry. 2000; 177:534–9. https://doi.org/10.1192/bjp.177.6.534. PMid:11102329

Goodman R, Renfrew D, Mullick M. Predicting type of psychiatric disorder from Strengths and Difficulties Questionnaire (SDQ) scores in child mental health clinics in London and Dhaka. European Child and Adolescent Psychiatry. 2000; 9:129–34. https://doi.org/10.1007/s007870050008. PMid:10926063

Björnsdotter A, Enebrink P, Ghaderi A. Psychometric properties of online administered parental Strengths and Difficulties Questionnaire (SDQ), and normative databased on combined online and paper-and-pencil administration. Child and Adolescent Psychiatry and Mental Health. 2013; 7(1): 40. https://doi.org/10.1186/1753-2000-7-40. PMid:24325882 PMCid:PMC3898053

Dickey WC, Blumberg S. Revisiting the factor structure of the Strengths and Difficulties Questionnaire: United States, 2001. Journal of the American Academy of Child & Adolescent Psychiatry. 2004; 43:1159–67. https://doi.org/10.1097/01.chi.0000132808.36708.a9 PMid:15322420

Nurulhuda MH, Husain R, Aziz AA, Mazubir NN, Juhari SN, Norwati D. Validation of the Malay version of the Self-rated Strength and Difficulties (SDQ) Questionnaire. International Journal of Academic Research in Business and Social Sciences. 2019; 9(11):358–73. https://doi.org/10.6007/IJARBSS/v9-i11/6553

Carlo G, Crockett LJ, Wilkinson JL, Beal SJ. The longitudinal relationships between rural adolescents’ prosocial behaviors and young adult substance use. Youth and Adolescence. 2011; 40:1192. https://doi.org/10.1007/s10964-010-9588-4. PMid:20821257

Mi MF, Amer NA. Alcohol harm in Malaysia: Always the right time to discuss. Malaysian Journal of Psychiatry. 2014; 02(05).

Cheah KY. Socioeconomic determinants of alcohol consumption among non- malay’s in Malaysia. Hitotsubashi Journal of Economics. 2015; 56:55–72

Hatta AMM, Rozanim K, Mala M, Akmal AHH, Riyanti S. Alcohol consumption and risky drinking patterns in Malaysia: Findings from NHMS 2011. Alcohol and Alcoholism. 2014; 49(5):593–9. https://doi.org/10.1093/alcalc/agu042. PMid:25015981

Bich TH, Nga PTQ, Quang LNQ, Van Minh H, Ng N, Juvekar S, et al. Patterns of alcohol consumption in diverse rural adults populations in the Asian region. Glob Health Action. 2009; 2. https://doi.org/10.3402/gha.v2i0.2017. PMid:20027253 PMCid:PMC2785538

Malta DC, Mascarenhas MD, Porto DL, Barreto SM, Morais Neto OL. Exposição ao álcool entre escolares e fatores associados [Exposure to alcohol among adolescent students and associated factors]. Rev Saude Publica. 2014; 48(1):52– 62. https://doi.org/10.1590/S0034-8910.2014048004563. PMid:24789637. PMCid:PMC4206131

Isaksson J, Sjöblom S, Schwab-Stone M, Stickley A, Ruchkin V. Risk factors associated with alcohol use in early adolescence among american inner-city youth: A longitudinal study, substance use & misuse. 2020; 55:3, 358–66. https://doi.org/10.1080/10826084.2019.1671867. PMid:31686574

Mohamad M, Mohammad M, Mat Ali NA, Awang Z. The impact of life satisfaction on substance abuse: Delinquency as a mediator. International Journal of Adolescence and Youth. 2018; 23(1):25–35. https://doi.org/10.1080/02673843.2016.1267021

König C, Skriver MV, Iburg KM, Rowlands G. Understanding educational and psychosocial factors associated with alcohol use among adolescents in Denmark; Implications for health literacy interventions. International Journal of Environmental Research and Public Health. 2018; 15(8):1671. https://doi.org/10.3390/ijerph15081671. PMid:30082674 PMCid:PMC6121249

Badaly D, Schwartz D, Gorman AH. Social status, perceived social reputations, and perceived dyadic relationships in early adolescence. Social Development. 2012; 21:482–500. https://doi.org/10.1111/j.1467-9507.2011.00646.

Hamzah SR, Ismail M, Nor ZM. Does attachment to parents and peers influence health literacy among adolescents in Malaysia? Kontakt. 2018; 20(4):e348–355. https://doi.org/10.1016/j.kontakt.2018.10.006

Granville-Garcia AF, Clementino MA, Gomes MdC, Firmino RT, Ribeiro GLA, Siqueira MBLD. Alcohol consumption among adolescents: Ciência & Saúde Coletiva. 2014; 19(01):7–16. https://doi.org/10.1590/141381232014191.1989. PMid:24473598

Von Ranson KM, Iacono WG, McGue M. Disordered eating and substance use in an epidemiological sample: I. Associations within individuals. International Journal of Eating Disorders. 2002; 31(4):389–403. https://doi.org/10.1002/eat.10050. PMid:11948644

Mazubir NN, Hassan NM, Aziz AA, Suan WB. Disordered eating behaviour among school-going adolescents: prevalence and associated factors. International Journal of Academic Research in Progressive Education and Development. 2020; 9(1):193–207.

Malta DC, Mascarenhas MD, Porto DL, Barreto SM, Morais Neto OL. Exposição ao álcool entre escolares e fatores associados [Exposure to alcohol among adolescent students and associated factors]. Rev Saude Publica. 2014; 48(1):52– 62. https://doi.org/10.1590/S0034-8910.2014048004563.

PMid:24789637 PMCid:PMC4206131

Sham FM, Nazim AM, Mastor KA, Radzi AM. Religiosity as mediator in reducing misconduct of adolescents-atrisk. Journal of Religion and Health. 2019 Nov. https://doi.org/10.1007/s10943-019-00951-2. PMid:31732845

Htet H, Saw YM, Saw TN, Htun NMM, Lay Mon K, Cho SM, et al. Prevalence of alcohol consumption and its risk factors among university students: A cross-sectional study across six universities in Myanmar. PLoS ONE. 2020; 15(2). https://doi.org/10.1371/journal.pone.0229329. PMid:32084226. PMCid:PMC7034886


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