Individual and regional factors affecting stress and problem alcohol use: A representative nationwide study of China.

Objectives: The objective of this study was to examine the association between individual and environmental stressors and problem alcohol use among Chinese university students.Methods: Participants were 11,942 students, who were identified through a multistage survey sampling process that included 5...

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Publicado en:Health & Place Vol. 51; pp. 19 - 28
Autores principales: Yang, Tingzhong, Barnett, Ross, Peng, Sihui, Yu, Lingwei, Zhang, Chichen, Zhang, Weifang
Formato: research Journal Article
Publicado: Elsevier B.V. May2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2018
      vid: 51
      pid: 467
      pub: Elsevier B.V.
      place: New York, New York
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        130074552
        130074552
        NLM29518714
        130074552
        10.1016/j.healthplace.2018.02.008
        NLM29518714
        130074552
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        atl: Individual and regional factors affecting stress and problem alcohol use: A representative nationwide study of China.
      aug:
        au:
          Yang, Tingzhong
          Barnett, Ross
          Peng, Sihui
          Yu, Lingwei
          Zhang, Chichen
          Zhang, Weifang
        affil: Department of Social Medicine/Center for Tobacco Control Research, Zhejiang University School of Medicine, Hangzhou 310058, China
      sug:
        subj:
          Stress, Psychological Psychosocial Factors
          Alcoholism Epidemiology
          Self Report
          Students Statistics and Numerical Data
          Colleges and Universities
          Human
          Male
          China
          Adult
          Students Psychosocial Factors
          Young Adult
          Female
          Stress, Psychological Economics
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Adult: 19-44 years
          Male
          Female
      ab: Objectives: The objective of this study was to examine the association between individual and environmental stressors and problem alcohol use among Chinese university students.Methods: Participants were 11,942 students, who were identified through a multistage survey sampling process that included 50 universities. Individual information, including feelings of stress and perceptions of problem alcohol use, was obtained by self report. Urban and regional variables were retrieved from the National Bureau of Statistics database. Both unadjusted and adjusted methods were considered in the analyses.Results: Almost one third (32.6%) of the students suffered from some form of severe stress while problem alcohol use prevalence was 7.3%, (95% CI: 4.1-10.4%). The multilevel logistic regression model found that uncertainty stress, gender, father's occupation and monthly expenses were associated with problem alcohol use. Of the contextual factors home region and the university city GDP and unemployment rate were important. When interactions were considered, the relationship between monthly expenses and financial uncertainty and problem drinking was most evident in high level universities. By contrast, the effects of uncertainty stress on problem drinking were most evident in middle and low level universities.Conclusions: The findings underscore that efforts to control problem alcohol use among students in China should pay greater attention to environmental determinants of stress and particularly to improvements in stress management in university settings.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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