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, countryspecific and in different time frames. This study aimed to to identify social and behavioural factors associated with binge drinking among university students in nine ASEAN countries.
A 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 a self-administered questionnaire. Multivariate logistic regression analyses were conducted to explore the associated factors.
In the study population, 12.8% were infrequent ( < once per month) and 6.4% frequent (>/= once per month) binge drinkers. After adjustment, among males, a higher prevalence of binge drinking remained significantly associated with being in older age groups, living with parents or guardians, lower level of non-organised 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, a 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-organised 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.
The authors suggest that the findings from this study indicate a need for devising or refining university health promotion programmes that integrate binge drinking, other substance use, co-occurring addictive behaviours and health beliefs in the respective countries.
Source: Health and behavioral factors associated with binge drinking among university students in nine ASEAN countries. Yi S; Ngin C; Peltzer K; Pengpid S, Substance Abuse Treatment Prevention and Policy. Vol 12, Art No 32, 2017, 10pp.