Severity of alcohol use and problem behaviors among school-based youths in Puerto Rico.
OBJECTIVE
The present study sought to: (a) categorize youths into groups based on their level of alcohol use and number of symptoms of alcohol abuse and dependence defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), and (b) examine whether these categories were associated with other problem behaviors in which youths engage (marijuana use, sexual intercourse, and having been arrested or having trouble with the law).


METHODS
The study is based on a cross-sectional survey administered to 972 school-based youths from one middle school and one high school in San Juan, Puerto Rico. Youths were categorized based on their alcohol use and alcohol problems. These categories were then examined for associations with lifetime marijuana use, lifetime sexual intercourse, and having been arrested or having had trouble with the law in the past year. The original eight categories of alcohol use were collapsed into six categories based on the results.


RESULTS
For virtually every group characterized by higher severity of alcohol use and alcohol problems, researchers found an increasing prevalence of marijuana use in their lifetimes, increasing odds of sexual intercourse in their lifetimes, and having had trouble with the law in the past year.


CONCLUSIONS
Knowing about variations in alcohol use and alcohol problems may be instrumental in measuring the degree to which youths may also be engaging in a range of other elevated risk behaviors and a progression to more serious forms of alcohol and drug use.
Johns Hopkins Bloomberg School of Public Health, Department of Mental Health, Baltimore 21205, Maryland, USA. wlatimer@jhsph.edu
William W
WW
Latimer
Vanessa Cecilia
VC
Rojas
Brent Edward
BE
Mancha
D000293:Adolescent; D000437:Alcoholism / Q000453:epidemiology*; D002648:Child; D019955:Conduct Disorder / Q000453:epidemiology*; D006801:Humans; D011647:Puerto Rico / Q000453:epidemiology; D012309:Risk-Taking; D012574:Schools; D012720:Severity of Illness Index; D012725:Sexual Behavior; D013334:Students / Q000706:statistics & numerical data*