Health and behavioral factors associated with binge drinking among university students in nine ASEAN countries

Siyan Yi, Chanrith Ngin, Karl Peltzer, Supa Pengpid, Siyan Yi, Chanrith Ngin, Karl Peltzer, Supa Pengpid

Abstract

Background: Heavy drinking among university students has been globally recognized as a major public health burden. In the Association of Southeast Asian Nations (ASEAN) region, studies on this issue have been scant, country-specific and in different time frames. The aim of this study was to identify social and behavioral factors associated with binge drinking among university students in nine ASEAN countries.

Methods: This cross-sectional study was conducted in 2015 among 8809 undergraduate university students from 13 universities in Cambodia, Indonesia, Laos, Malaysia, Myanmar, the Philippines, Singapore, Thailand and Vietnam using self-administered questionnaire. Multivariate logistic regression analyses were conducted to explore the associated factors.

Results: More than half (62.3%) of the study sample were female with a mean age of 20.5 (SD = 2.0) years. Of total, 12.8% were infrequent (<once per month) and 6.4% frequent (≥ once per month) binge drinkers. After adjustment, among males, higher binge drinking remained significantly associated with being in older age groups, living with parents or guardians, lower level of non-organized religious activity, lack of knowledge on alcohol-heart disease relationship, weak beliefs in the importance of limiting alcohol use, poor subjective health status, lower level of life satisfaction, tobacco and illicit drug use, depressive symptoms and high level physical activity. Among females, higher prevalence of binge drinking remained significantly associated with being in the older age groups, poorer family background, living in an upper-middle- or high-income country, lower level of non-organized religious activity, lack of knowledge on alcohol-heart disease relationship, lack of knowledge on alcohol-high blood pressure relationship, weak beliefs in the importance of limiting alcohol use, lower level of life satisfaction, use of other substances such as tobacco and illicit drug, depressive symptoms and high level of physical activity.

Conclusions: Findings from this study indicate a need for devising or refining university health promotion programs that integrate binge drinking, other substance use, co-occurring addictive behaviors and health beliefs in the respective countries.

Keywords: ASEAN; Binge drinking; Social and health risk factors; Substance use; University students.

Conflict of interest statement

Consent for publication

Consent to publish was obtained from participants as stated in the informed consent form.

Competing interests

The authors declare that they have no competing interests.

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References

    1. World Health Organization (WHO). Global status report on alcohol and health 2014. Geneva, Switzerland: WHO; 2014.
    1. Fernquest J. Thailand leads Asia in reducing drinking and alcohol. Bangkok, Thailand: Bloomberg News Agency, 2015.
    1. Oota H, Pakstis AJ, Bonne-Tamir B, Goldman D, Grigorenko E, Kajuna SL, et al. The evolution and population genetics of the ALDH2 locus: random genetic drift, selection, and low levels of recombination. Ann Hum Genet. 2004;68:93–109. doi: 10.1046/j.1529-8817.2003.00060.x.
    1. Spence JP, Liang T, Eriksson CJ, Taylor RE, Wall TL, Ehlers CL, et al. Evaluation of aldehyde dehydrogenase 1 promoter polymorphisms identified in human populations. Alcohol Clin Exp Res. 2003;27(9):1389–1394. doi: 10.1097/01.ALC.0000087086.50089.59.
    1. Dantzer C, Wardle J, Fuller R, Pampalone SZ, Steptoe A. International study of heavy drinking: attitudes and sociodemographic factors in university students. J Am Coll Heal. 2006;55(2):83–89. doi: 10.3200/JACH.55.2.83-90.
    1. El Ansari W, Sebena R, Stock C. Socio-demographic correlates of six indicators of alcohol consumption: survey findings of students across seven universities in England, Wales and Northern Ireland. Arch Public Health. 2013;71(1):29. doi: 10.1186/2049-3258-71-29.
    1. Perera B, Torabi MR. Alcohol use behavior among undergraduates: a cross-cultural comparison between the United States and Sri Lanka. Southeast Asian J Trop Med Public Health. 2012;43(4):1025–1034.
    1. Sebena R, Orosova O, Mikolajczyk RT, van Dijk JP. Selected sociodemographic factors and related differences in patterns of alcohol use among university students in Slovakia. BMC Public Health. 2011;11:849. doi: 10.1186/1471-2458-11-849.
    1. Slutske WS. Alcohol use disorders among US college students and their non-college-attending peers. Alcohol use disorders among US college students and their non-college-attending peers. Arch Gen Psychiatry. 2005;62(3):321–327. doi: 10.1001/archpsyc.62.3.321.
    1. Venegas J, Cooper TV, Naylor N, Hanson BS, Blow JA. Potential cultural predictors of heavy episodic drinking in Hispanic college students. Am J Addict. 2012;21(2):145–149. doi: 10.1111/j.1521-0391.2011.00206.x.
    1. Wicki M, Kuntsche E, Gmel G. Drinking at European universities? A review of students’ alcohol use. Addict Behav. 2010;35(11):913–924. doi: 10.1016/j.addbeh.2010.06.015.
    1. Isralowitz R, Hong OT. Singapore: a study of university students’ drinking behaviour. Br J Addict. 1988;83(11):1321–1323. doi: 10.1111/j.1360-0443.1988.tb03043.x.
    1. Karam E, Kypri K, Salamoun M. Alcohol use among college students: an international perspective. Curr Opin Psychiatry. 2007;20(3):213–221. doi: 10.1097/YCO.0b013e3280fa836c.
    1. Ji CY, Hu PJ, Song Y. The epidemiology of alcohol consumption and misuse among Chinese college students. Alcohol Alcohol. 2012;47(4):464–472. doi: 10.1093/alcalc/ags037.
    1. Kim JH, Chan KW, Chow JK, Fung KP, Fong BY, Cheuk KK, et al. University binge drinking patterns and changes in patterns of alcohol consumption among Chinese undergraduates in a Hong Kong university. J Am Coll Heal. 2009;58(3):255–265. doi: 10.1080/07448480903295318.
    1. Zverev Y. Problem drinking among university students in Malawi. Coll Antropol. 2008;32(1):27–31.
    1. Abayomi O, Onifade PO, Adelufosi AO, Akinhanmi AO. Psychosocial correlates of hazardous alcohol use among undergraduates in southwestern Nigeria. Gen Hosp Psychiatry. 2013;35(3):320–324. doi: 10.1016/j.genhosppsych.2012.11.014.
    1. Pengpid S, Peltzer K, Van der Heever H. Problem alcohol use and associated factors in a sample of university students in South Africa. J Psychol Afr. 2013;23(2):243–250.
    1. Young C, Mayson T. The Alcohol use disorders identification scale (AUDIT) normative scores for a multiracial sample of Rhodes University residence students. J Child Adolesc Ment Health. 2010;22(1):15–23. doi: 10.2989/17280583.2010.493659.
    1. Chaveepojnkamjorn W. Alcohol consumption patterns among vocational school students in central Thailand. Southeast Asian J Trop Med Public Health. 2012;43(6):1560–1567.
    1. Stafström M, Agardh A. Socio-economic determinants for alcohol consumption and heavy episodic drinking in a Ugandan student population. Int J Alcohol Drug Res. 2013;1(1):57–67. doi: 10.7895/ijadr.v1i1.40.
    1. Pham DB, Clough AR, Nguyen HV, Kim GB, Buettner PG. Alcohol consumption and alcohol-related problems among Vietnamese medical students. Drug Alcohol Rev. 2010;29(2):219–226. doi: 10.1111/j.1465-3362.2009.00094.x.
    1. Miskulin M, Petrović G, Miskulin I, Puntarić D, Milas J. Dahl DPrevalence and risk factors of alcohol abuse among university students from eastern Croatia: questionnaire study. Coll Antropol. 2010;34(4):1315–1322.
    1. Vantamay S. Alcohol consumption among university students: applying a social ecological approach for multi-level preventions. Southeast Asian J Trop Med Public Health. 2009;40(2):354–369.
    1. Deressa W, Azazh A. Substance use and its predictors among undergraduate medical students of Addis Ababa University in Ethiopia. BMC Public Health. 2011;11:660. doi: 10.1186/1471-2458-11-660.
    1. Atwoli L, Mungla PA, Ndung’u MN, Kinoti KC, Ogot EM. Prevalence of substance use among college students in Eldoret, Westrn Kenya. BMC Psychiatry. 2011;11:34. doi: 10.1186/1471-244X-11-34.
    1. Cheung NW. Low self-control and co-occurrence of gambling with substance use and delinquency among Chinese adolescents. J Gambl Stud. 2014;30(1):105–124. doi: 10.1007/s10899-012-9351-8.
    1. Murphy JG, McDevitt-Murphy ME, Barnett NP. Drink and be merry? Gender, life satisfaction, and alcohol consumption among college students. Psychol Addict Behav. 2005;19(2):184–191. doi: 10.1037/0893-164X.19.2.184.
    1. Paul LA, Grubaugh AL, Frueh BC, Ellis C, Egede LE. Associations between binge and heavy drinking and health behaviors in a nationally representative sample. Addict Behav. 2011;36(12):1240–1245. doi: 10.1016/j.addbeh.2011.07.034.
    1. Tang YL, Xiang XJ, Wang XY, Cubells JF, Babor TF, Hao W. Alcohol and alcohol-related harm in China: policy changes needed. Bull World Health Organ. 2013;91(4):270–276. doi: 10.2471/BLT.12.107318.
    1. Snow P, Wallace S, Straiger P, Stolz-Grobusch B. “as long as it doesn’t spill over into class”: harms arising from students’ alcohol use, and the role of policy in reducing them. Int J Drug Policy. 2003;14(1):5–16. doi: 10.1016/S0955-3959(02)00198-6.
    1. Diep PB, Knibbe RA, Giang KB, De Vries N. Alcohol-related harm among university students in Hanoi, Vietnam. Glob Health Action. 2013;6:1–10.
    1. Scholly K, Katz AR, Kehl L. Examining factors associated with heavy episodic drinking among college undergraduates. Health Psychol Res. 2014;2(2):1457. doi: 10.4081/hpr.2014.1457.
    1. Balogun O, Koyanagi O, Stickley A, Gilmore S, Shibuya K. Alcohol consumption and psychological distress in adolescents: a multi-country study. J Adolesc Health. 2014;54(2):228–234. doi: 10.1016/j.jadohealth.2013.07.034.
    1. Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro M. AUDIT: the Alcohol use disorder identification test. Geneva, Switzerland: World Health Organization; 2001.
    1. World Health Organization (WHO). Heavy episodic drinking among drinkers, 2017: Situation and trend. Geneva, Switzerland: WHO; 2017
    1. Wardle J, Steptoe A. The European health and behaviour survey: rationale, methods and initial results from the United Kingdom. Soc Sci Med. 1991;33(8):925–936. doi: 10.1016/0277-9536(91)90263-C.
    1. World Health Organization (WHO). Guidelines for controlling and monitoring the tobacco epidemic. Geneva, Switzerland: WHO; 1998.
    1. Andresen EM, Malmgren JA, Carter WB, Patrick DL. Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale) Am J Prev Med. 1994;10(2):77–84.
    1. Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical Activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381–1395. doi: 10.1249/01.MSS.0000078924.61453.FB.
    1. Koenig HG, Parkerson GR Jr, Meador KG. (1997). Religion index for psychiatric research. Am J Psychiatry 1997;154, 885–886.
    1. Koenig HG, Bussing A. The Duke University religion index (DUREL): a five-item measure for use in epidemiological studies. Religions. 2010;1:78–85. doi: 10.3390/rel1010078.
    1. Peltzer K, Pengpid S. Heavy drinking and social and health factors in university students from 24 low, middle income and emerging economy countries. Community Ment Health J. 2016;52(2):239–244. doi: 10.1007/s10597-015-9925-x.
    1. Cook WK, Bond J, Greenfield TK. Are alcohol policies associated with alcohol consumption in low- and middle-income countries? Addiction. 2014;109(7):1081–1090. doi: 10.1111/add.12571.
    1. DeWit DJ, Adlaf EM, Offord DR, Ogborne AC. Age at first alcohol use: a risk factor for the development of alcohol disorders. Am J Psychiatry. 2000;157(5):745–750. doi: 10.1176/appi.ajp.157.5.745.
    1. Kraus L, Bloomfield K, Augustin R, Reese A. Prevalence of alcohol use and the association between onset of use and alcohol-related problems in a general population sample in Germany. Addiction. 2000;95(9):1389–1401. doi: 10.1046/j.1360-0443.2000.95913899.x.
    1. Sartor CE, Lynskey MT, Heath AC, Jacob T, True W. The role of childhood risk factors in initiation of alcohol use and progression to alcohol dependence. Addiction. 2007;102(2):216–225. doi: 10.1111/j.1360-0443.2006.01661.x.
    1. Weitzman ER, Nelson TF, Wechsler H. Taking up binge drinking in college: the influences of person, social group, and environment. J Adolesc Health. 2003;32(1):26–35. doi: 10.1016/S1054-139X(02)00457-3.
    1. Merikangas KR, Stolar M, Stevens DE, Goulet J, Preisig MA, Fenton B, et al. Familial transmission of substance use disorders. Arch Gen Psychiatry. 1998;55(11):973–979. doi: 10.1001/archpsyc.55.11.973.
    1. World Health Organization. Neuroscience of psychoactive substance use and dependence. Geneva, Switzerland: WHO; 2004.
    1. Mäkelä P. Alcohol-related mortality during an economic boom and recession. Contemp Drug Problems. 1999;26:369–390.
    1. McKee M, Pomerleau J, Robertson A, Pudule I, Grinberga D, Kadziauskiene K, et al. Alcohol consumption in the Baltic republics. J Epidemiol Community Health. 2000;54(5):361–366. doi: 10.1136/jech.54.5.361.
    1. Chartier KG, Vaeth PA, Caetano R. Focus on: ethnicity and the social and health harms from drinking. Alcohol Res. 2013;35(2):229–237.
    1. Neumark YD, Rahav G, Jaffe DH. Socio-economic status and binge drinking in Israel. Drug Alcohol Depend. 2003;69(1):15–21. doi: 10.1016/S0376-8716(02)00248-X.
    1. Luczak SE, Wall TL, Shea SH, Byun SM, Carr LG. Binge drinking in Chinese, Korean, and white college students: genetic and ethnic group differences. Psychol Addict Behav. 2001;15(4):306–309. doi: 10.1037/0893-164X.15.4.306.
    1. Cacciola EE, Nevid JS. Alcohol consumption in relation to residence status and ethnicity in college students. Psychol Addict Behav. 2014;28(4):1278–1283. doi: 10.1037/a0038362.

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