Vitimização de violência está associado com o consumo em binge de álcool entre adolescentes brasileiros?

Abstract

Exposure to violence and alcohol has been associated with numerous impacts, such as mental health problems, alcohol intoxication and dependence, suicidal behavior, bodily harm, and involvement in crime. Thus, binge drinking and violence in adolescence are considered public health problems. The aim of this study is to evaluate the association between having suffered violence and binge drinking among adolescents. A cross-sectional school-based study was conducted with 2,461 students aged 14 to 19 enrolled in high school in 26 state public schools in Olinda/PE. Data collection occurred between March and June 2018 through the self-administered and validated Youth Risk Behavior Survey and questions from National Adolescent Schoolbased Health Survey (PeNSE). The dependent variable was binge drinking in the last month, defined as the consumption of 5 or more drinks on a single occasion. The variables of interest were the variables related to violence victimization (school bullying, cyberbullying and physical violence) and the covariates were cigarette and drug use, weapon carrying, suicide attempt, sex, age, religion, parental education and family income. Descriptive analysis and Poisson regression (p < 0.05, 95%CI) were performed. The prevalence of binge drinking in the last 30 days was 31.7% (n = 769). The frequency of school bullying was 19.4% (n = 468), cyberbullying was 10.9% (n = 264), physical violence was 14.3% (n = 351) and carrying a weapon was 5.1% (n = 123). School bullying (IRR = 1.194; 95% IC = 0.971-1.468), cyberbullying (IRR = 0.781; 95% IC = 0.603-1.013) and physical violence (IRR = 1.007; 95% IC = 0.821-1.236) were not associated with binge drinking. Weapon carrying (IRR = 1,302; IC 95% = 1,016-1,667) was associated with binge drinking. Adolescents who reported having suffered violence were not associated with binge drinking, although carrying a weapon was a possible risk factor for binge drinking. These findings have public health implications, such as establishing programs to delay early alcohol consumption and youth access to guns, prevent a variety of risky behaviors, inform parents and educators about behavioral risks, encourage school adaptation, and promote discussion on topics such as mental health, peer victimization, and substance and weapon use.