School-related risk factors for drunkenness among adolescents: risk factors differ between socio-economic groups.
OBJECTIVE
To examine, separately for boys and girls, whether socio-economic differences in drunkenness exist in adolescence, whether the level of exposure to school-related risk factors differ between socio-economic groups, and whether the relative contribution of school-related risk factors to drunkenness differ between socio-economic groups.


METHODS
The study population was a random sample of 1453 Danish 15-year-old students. The outcome measure was drunkenness 10 times or more, as a lifetime measure. Predictor variables comprised five aspects of well-being at school. Socio-economic position (SEP) was measured by parental occupation.


RESULTS
Among girls, exposures to school-related risk factors were more prevalent in lower socio-economic groups. Poor school satisfaction was associated with drunkenness among girls from high SEP, odds ratio (OR) = 2.98 (0.73-12.16). Among boys from high SEP autonomy in decision-making was associated with drunkenness, OR = 2.74 (1.06-7.08), whereas poor school satisfaction was associated with drunkenness among boys from intermediate SEP, OR = 2.26 (0.98-5.22). Weak Parental Support in school-related matters, OR = 3.92 (1.16-13.24), and disliking school, OR = 9.12 (1.77-47.09), were associated with drunkenness among boys from low SEP. These associations were also seen among girls although not significant.


CONCLUSIONS
We found that well-being at school had socially differential impact on drunkenness in adolescence.
Andersen
Anette
A
Institute of Public Health, University of Copenhagen, Denmark. anette.andersen@socmed.ku.dk
Holstein
Bjørn E
BE
Due
Pernille
P
D000223:Adaptation, Psychological / Q000502:physiology; D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000435:Alcoholic Intoxication / Q000453:epidemiology* / Q000523:psychology; D002648:Child; D003657:Decision Making / Q000502:physiology; D003718:Denmark / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D009790:Occupations; D016017:Odds Ratio; D010290:Parents; D026684:Personal Autonomy; D010549:Personal Satisfaction; D012307:Risk Factors; D012574:Schools; D017678:Sex Distribution; D012923:Social Class; D012944:Social Support; D012959:Socioeconomic Factors; D013334:Students / Q000523:psychology* / Q000706:statistics & numerical data