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Binge drinking among Māori secondary school students in New Zealand: associations with source, exposure and perceptions of alcohol use

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Authors:
Summary:

These researchers investigated factors and outcomes associated with patterns of alcohol use among a sample of 1702 Māori secondary school students from the 2007 national youth health survey. Among current drinkers, 31.5% reported binge drinking (5–9 drinks) and 30.4% reported heavy binge drinking (≥10 drinks) in a 4-hour session in the past 4 weeks. Compared with non-binge drinkers, binge drinkers more frequently reported ‘drinking alcohol was okay for people their age’ (ORbinge 1.9; ORheavy binge 2.4), p<0.0001), had friends that drank alcohol (ORbinge 2.4; ORheavy binge 4.0, p<0.0001), had sourced alcohol from friends (ORbinge 1.7; ORheavy binge 1.2; p=0.002) or from ‘other adults’ (ORbinge 1.6; ORheavy binge 1.7; p=0.0004) and buying their own alcohol (ORbinge 1.7; ORheavy binge 2.8; p<0.0001). Binge drinking was associated with poorer school performance, unsafe sex, unwanted sex, an injury, injuring someone else, motor vehicle crashes and ‘doing things that could cause trouble’. Binge and heavy binge drinkers reported greater difficulty accessing drug and alcohol services (ORbinge 2.30; ORheavy binge 4.97; p<0.0001).

Comment:
Binge drinking is associated with major risks, especially in adolescents, of cognitive impairments and possible irreversible brain damage – urgent action has been recommended. There is some evidence that interventions by schools and employers, such as health and lifestyle checks, psychosocial skills training and peer referral, can reduce the level of binge drinking. Conducting interviews in emergency departments of young people suspected of harmful drinking patterns and trying to persuade them to accept individual counselling in youth addiction counselling services are also effective strategies for reducing the harm of binge drinking.
Reference: N Z Med J 2013;126(1370):55-69
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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