Alcohol use in Macau Secondary School Students and relating family factors

Main Article Content

Teng Fai Ng
Lin Ian Lio

Abstract

Objective: To understand the current status of alcohol use in Macau secondary students and to explore the relationship between alcohol use behaviour in the students and various family factors. At the same time, the study also aimed to analyze the predictive power of various family factors on alcohol use, to provide a reference for the formulation of strategies for prevention and control of alcohol use in Macau adolescents.


Material and Methods: The study was a cross-sectional study with data collection using a self-constructed questionnaire. The study samples were students in formal or vocational education in Macau in the school year 2020/2021, with randomization using randomized multistage stratified cluster sampling. A total of 939 valid samples were collected for data analysis. The distributions of the background variables and the behavior of alcohol use were analyzed using descriptive analysis, while Chi-square test (Chi-square), one-way analysis of variance (One-Way ANOVA), Kruskal-Wallis one-way analysis of variance, and logistic regression analysis were used for inferential statistical analysis.


Conclusion: There is an increased risk of current alcohol use in the students whose siblings also have a drinking habit, who have helped family members buy alcohol, and whose parents are more positive about drinking and who think their parents do not care about them. Intervention measures should be formulated targeting these factors.

Downloads

Download data is not yet available.

Article Details

How to Cite
Ng, T. F., & Lio, L. I. (2022). Alcohol use in Macau Secondary School Students and relating family factors. Medical Science and Discovery, 9(9), 523–531. https://doi.org/10.36472/msd.v9i9.811
Section
Research Article
Author Biographies

Teng Fai Ng, Health Bureau, Centre for Disease Control and Prevention (CDC), Macau

Dr. Ng Teng Fai obtained his Bachelor degree in Clinical Medicine in Sun Yat-Sen University in Guangzhou, China in 2004. He has been practicing as a general physician until 2015 when he started going into the field of Public Health. Currently he is working in the Centre of Disease Control and Prevention (CDC) in Macau as a Public Health Doctor. He mainly specializes in the monitoring of injury in Macau, Environmental Health and Public Health Emergency. With his knowledge and postgraduate training in Public Health and Statistics, he has contributed to the establishment of the methodology and the statistical analysis of the study. Currently, he is also engaging on a project of “Alcohol Use in Macau Secondary Students---a Study on Knowledge, Belief and Behavior of Alcohol Use and their Correlating Factors”. This is also the original unpublished research where the data for the study came from.

Lin Ian Lio, Centro Hospitalar Conde de São Januário (CHCSJ), Psychiatry Department, Macau

Dr. Lio Lin Ian obtained her Bachelor degree in Clinical Medicine in Jinan University in Guangzhou, China in 2007, Master degree in Child Health in the University of Warwick, United Kingdom in 2008 and Master Diploma in Family Medicine in Chinese University, Hong Kong in 2011. Now she is a resident doctor in the department of Psychiatry in Centro Hospitalar Conde de São Januário, Macau. Her main interest is Child and Adolescent Psychiatry. She has published a paper on the suicide idea of the students in a university in Guangzhou and also a case report of a case of IgG4 aortitis. She has training and experience in paper reading, critical appraisal and writing systematic review paper since postgraduate study in UK.

Received 2022-09-11
Accepted 2022-09-20
Published 2022-09-21

References

Global status report on alcohol and health 2018: World Health Organization [Report on the Internet]. World Health Organization; [cited 2022 July 22]. Available from: https://www.who.int/publications/i/item/9789241565639

Anderson, P. & Baumberg, B. “Alcohol in Europe–public health perspective: report summary." Drugs: education, prevention and policy. [Internet] 2006 [cited 2022 July 22]; 13(6) 483-488. Available from: https://www.tandfonline.com/doi/abs/10.1080/09687630600902477?journalCode=idep20 DOI: https://doi.org/10.1080/09687630600902477

Addictive behaviors and psychosocial correlates among Chinese adolescents in Macau Research Report 2017 [Report on the Internet]. The Bosco Youth Service Network in Macau and the Tung Wah Group of Hospitals; [cited 2022 Aug 9]. Available from: The Bosco Youth Service Network in Macau and the Tung Wah Group of Hospitals

Johannessen, E. L., Andersson, H. W., Bjørngaard, J. H., & Pape, K. Anxiety and depression symptoms and alcohol use among adolescents-a cross sectional study of Norwegian secondary school students. BMC Public Health. [Internet] 2017 [cited 2022 July 22]; 17(1), 494. Available from: https://ntnuopen.ntnu.no/ntnu-xmlui/handle/11250/2457637 DOI: https://doi.org/10.1186/s12889-017-4389-2

LIN, D. H, FANG X. Y., & MAO R. The Effect of Parental and Peer Factors on Adolescent Drinking Behavior. Psychological Development and Education. [Internet]2008[cited 2022 Aug 8]; 24(3),36-42. Available from: http://www.devpsy.com.cn/EN/Y2008/V24/I3/36

LIN M. X. A Study on Risk Behaviors Related to Health and Probe into the Relative Factors among Adolescents in Taiwan. [Dissertation] National Taiwan Normal University; 2007

Liou, M. Y. & Chou, P. Prevalence and Related Factors of Acohol use Among Adolescent Students in Taiwan. Taiwan Journal of Public Health. [Internet]2001[cited 2022 Aug 8]; 20(2),143-152. Available from: https://scholar.nycu.edu.tw/en/publications/prevalence-and-related-factors-of-acohol-use-among-adolescent-stu

Núcleo de Prevenção de Doenças Crónicas e Promoção de Saúde, Macau CDC Study on Health Behavior in Macau Secondary Students in School Year 2012-2013. [Report on the Internet]. Servico de saude Macau; [cited 2022 March 11]. Available from: https://www.ssm.gov.mo/cpc/monitor

Núcleo de Prevenção de Doenças Crónicas e Promoção de Saúde, Macau CDC Study on Health Behavior in Macau Secondary Students in School Year 2017-2018. [Report on the Internet]. Servico de saude Macau; [cited 2022 March 11]. Available from: https://www.ssm.gov.mo/cpc/monitor

Niaaa.nih.gov [Internet] Drinking Levels Defined [cited 2022 Aug 08]. Available from: https://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/moderate-binge-drinking

Ho, D., Huang, R., Wang, M., Lo, W., & Lam, T. (2019). Adolescent alcohol drinking in Hong Kong: a school-based survey. Hong Kong medical journal. [Internet] 2019 [cited 2022 July 22]; 25 Suppl 3(1):13-15. Available from: https://pubmed.ncbi.nlm.nih.gov/30792366/

Inchley, J. C., Currie, D. B., Vieno, A., Torsheim, T., Ferreira-Borges, C., Weber, M.et al. Adolescent alcohol-related behaviours: trends and inequalities in the WHO European Region, 2002–2014: observations from the Health Behaviour in School-aged Children (‎HBSC)‎ WHO collaborative cross-national study. [Report on the Internet]. World Health Organization. Regional Office for Europe. [cited 2022 July 22]. Available from: https://apps.who.int/iris/handle/10665/342239

Barclay, G., Barbour, J., Stewart, S., Day, C., & Gilvarry, E. Adverse physical effects of alcohol misuse. Advances in Psychiatric Treatment. [Internet] 2008 [cited 2022 July 22]; 14(2), 139-151. Available from: https://www.cambridge.org/core/journals/advances-in-psychiatric-treatment/article/adverse-physical-effects-of-alcohol-misuse/712D871F7C2B7B1C1285A6359189EA31 DOI: https://doi.org/10.1192/apt.bp.105.001263

Perkins, H. W. Surveying the damage: a review of research on consequences of alcohol misuse in college populations. Journal of Studies on Alcohol, supplement. [Internet] 2002 [cited 2022 July 22]; (14), 91-100. Available from: https://www.jsad.com/doi/abs/10.15288/jsas.2002.s14.91 DOI: https://doi.org/10.15288/jsas.2002.s14.91

Eskander, N., Prabhudesai, S., Imran, H., Amuk, O. C., & Patel, R. S. Alcohol use disorder increases risk of traumatic brain injury-related hospitalization: insights from 3.8 million children and adolescent inpatients. Cureus. [Internet] 2020. [cited 2022 July 22]; 12(6). Available from: https://www.cureus.com/articles/34304-alcohol-use-disorder-increases-risk-of-traumatic-brain-injury-related-hospitalization-insights-from-38-million-children-and-adolescent-inpatients DOI: https://doi.org/10.7759/cureus.8740

Welch, K. A., Carson, A., & Lawrie, S. M. Brain structure in adolescents and young adults with alcohol problems: systematic review of imaging studies. Alcohol and alcoholism. [Internet] 2013. [cited 2022 July 22]; 48(4), 433-444. Available from: https://academic.oup.com/alcalc/article/48/4/433/534074 DOI: https://doi.org/10.1093/alcalc/agt037

Guerri, C., & Pascual, M. (2010). Mechanisms involved in the neurotoxic, cognitive, and neurobehavioral effects of alcohol consumption during adolescence. Alcohol. [Internet] 2010. [cited 2022 July 22]; 44(1), 15-26. Available from: https://pubmed.ncbi.nlm.nih.gov/20113871/ DOI: https://doi.org/10.1016/j.alcohol.2009.10.003

Zeigler, D. W., Wang, C. C., Yoast, R. A., Dickinson, B. D., McCaffree, M. A., Robinowitz, C. B. et al. The neurocognitive effects of alcohol on adolescents and college students. Preventive medicine. [Internet] 2005 [cited 2022 July 22]; 40(1), 23-32. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0091743504002658 DOI: https://doi.org/10.1016/j.ypmed.2004.04.044

LU S. J. Drinking Behavior Survey and Control Strategy Study in Adolescents in Six Chinese Cities [Dissertation]. Chinese Center for Disease Control and Prevention; 2015.

Babor, T. F., Hofmann, M., DelBoca, F. K., Hesselbrock, V., Meyer, R. E., Dolinsky, Z. S., & Rounsaville, B. Types of alcoholics, I: Evidence for an empirically derived typology based on indicators of vulnerability and severity. Archives of general psychiatry. [Internet] 1992 [cited 2022 July 22]; 49(8), 599-608. Available from: https://jamanetwork.com/journals/jamapsychiatry/article-abstract/495821 DOI: https://doi.org/10.1001/archpsyc.1992.01820080007002

Hughes, T., McCabe, S. E., Wilsnack, S. C., West, B. T., & Boyd, C. J. Victimization and substance use disorders in a national sample of heterosexual and sexual minority women and men. Addiction. [Internet] 2010 [cited 2022 July 22]; 105(12), 2130-2140. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1360-0443.2010.03088.x DOI: https://doi.org/10.1111/j.1360-0443.2010.03088.x

Grant, J. D., Scherrer, J. F., Lynskey, M. T., Lyons, M. J., Eisen, S. A., Tsuang, M. T. et al. Adolescent alcohol use is a risk factor for adult alcohol and drug dependence: evidence from a twin design. Psychological Medicine. [Internet] 2006 [cited 2022 July 22]; 36(1) :109 – 118. Available from: https://www.cambridge.org/core/journals/psychological-medicine/article/abs/adolescent-alcohol-use-is-a-risk-factor-for-adult-alcohol-and-drug-dependence-evidence-from-a-twin-design/CF214B68973E7743918599866FAE097C DOI: https://doi.org/10.1017/S0033291705006045

DeWit, D. J., Adlaf, E. M., Offord, D. R., & Ogborne, A. C. Age at first alcohol use: a risk factor for the development of alcohol disorders. American Journal of Psychiatry. [Internet] 2000 [cited 2022 July 22]; 157(5), 745-750. Available from: https://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.157.5.745 DOI: https://doi.org/10.1176/appi.ajp.157.5.745

Kuntsche, E., Rehm, J., & Gmel, G. Characteristics of binge drinkers in Europe. Social Science & Medicine. [Internet] 2004 [cited 2022 July 22]; 59(1), 113-127. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0277953603005458 DOI: https://doi.org/10.1016/j.socscimed.2003.10.009

Collishaw, S., Maughan, B., Goodman, R., & Pickles, A. Time trends in adolescent mental health. Journal of child psychology and psychiatry. [Internet] 2004 [cited 2022 July 22]; 45(8), 1350-1362. Available from: https://acamh.onlinelibrary.wiley.com/doi/abs/10.1111/j.1469-7610.2004.00335.x DOI: https://doi.org/10.1111/j.1469-7610.2004.00335.x

Simpson, K., Janssen, I., Boyce, W. F., & Pickett, W. Risk taking and recurrent health symptoms in Canadian adolescents. Preventive medicine. [Internet] 2006 [cited 2022 July 22]; 43(1), 46-51. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0091743506001010 DOI: https://doi.org/10.1016/j.ypmed.2006.03.005

Tarter, R. E., Kirisci, L., Feske, U., & Vanyukov, M. Modeling the pathways linking childhood hyperactivity and substance use disorder in young adulthood. Psychology of Addictive Behaviors. [Internet] 2007 [cited 2022 July 22]; 21(2), 266. Available from: https://psycnet.apa.org/record/2007-08148-019 DOI: https://doi.org/10.1037/0893-164X.21.2.266