Assessing Heavy Episodic Drinking: A Random Survey of 18 to 34-Year-Olds in Four Cities in Four Different Continents
- PMID: 30818783
- PMCID: PMC6427135
- DOI: 10.3390/ijerph16050706
Assessing Heavy Episodic Drinking: A Random Survey of 18 to 34-Year-Olds in Four Cities in Four Different Continents
Abstract
Background: Heavy episodic drinking (HED) can have health and social consequences. This study assesses the associations between HED and demographic, socioeconomic, motivation and effects indicators for people aged 18⁻34 years old living in four cities in different regions of the world.
Method: Multistage random sampling was consistent across the four cities (Ilorin (Nigeria), Wuhan (China), Montevideo (Uruguay) and Moscow (Russia)). The questionnaire was forward/back translated and face-to-face interviewing was undertaken. A total of 6235 interviews were undertaken in 2014. Separate univariable and multivariable modelling was undertaken to determine the best predictors of HED.
Results: HED prevalence was 9.0%. The best predictors differed for each city. The higher probability of HED in the final models included beliefs that they have reached adulthood, feeling relaxed as an effect of drinking alcohol, and forgetting problems as an effect of drinking alcohol. Lower probability of HED was associated with not being interested in alcohol as a reason for limiting alcohol, and the belief that drinking alcohol is too expensive or a waste of money.
Conclusion: Although some indicators were common across the four cities, the variables included in the final models predominantly differed from city to city. The need for country-specific prevention and early intervention programs are warranted.
Keywords: Ilorin; Montevideo; Moscow; Wuhan; adolescent; alcohol; heavy episodic drinking; survey.
Conflict of interest statement
BMB, as keynote speaker/expert adviser, has received reimbursement of travel expenses and/or time from Anheuser-Busch, Noctis, and the International Centre for Alcohol Policies. BB has been in receipt of a research grant provided by the European Research Advisory Board (ERAB) and is currently a recipient of a research grant provided by the International Alliance for Responsible Drinking (IARD). BMB has received reimbursement of reasonable expenses incurred as a member of the independent Research Advisory Board for the European Foundation for Alcohol Research. These projects/activities did not influence the current work. AWT is currently a recipient of a research grant provided by the International Alliance for Responsible Drinking (IARD). The other authors declare that they have no competing interest other than those mentioned in the acknowledgment section. The other authors declare that they have no competing interest other than those mentioned in the acknowledgment section.
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