Abstract

Significance. Alcohol use (alcoholization) is one of the most common health risks that starts to develop in adolescence. The purpose of the study is to identify characteristics of alcohol use among modern urban adolescent schoolchildren. Material and methods. Alcohol use among urban adolescent schoolchildren aged 15-17 years was studied as part of the monitoring of consumption of psychoactive substances (PSA): alcohol, tobacco, narcotic substances in 2019-2020. The sampling of adolescents was guided by the method of multi-stage selection: from typological and random to continuous anonymous questioning. The study covered 12 cities from 6 Federal Districts of the Russian Federation. 14084 teenagers were examined including 6535 (46.4%) boys and 7549 (53.6%) girls. Statistical data processing included calculation of absolute and relative indicators. To calculate the statistical significance of differences in indicators, the nonparametric Pearson test (χ2) was used. Results. On average, the prevalence of alcohol use in adolescents in the surveyed cities equaled to 37.0 per 100 adolescents of the corresponding sex and age (p<0.001) among boys and 49.0 - among girls. Adolescents who frequently drink alcohol (twice a month or more often) are a “risk group”, the share of this group equals to 6.7 in boys and 7.83 in girls per 100 adolescents (p<0.01). The main motives for alcohol use in adolescents are traditional events - holidays and family celebrations - 49.1% of boys and 53.8% of girls. The number of those who first try alcohol under 12 years has decreased with the peak in the debut shifting to 13-16 years. Awareness of adolescents about dangers of alcohol is insufficient. Only about 60% consider alcohol unhealthy. Conclusion. Alcohol use among modern adolescents is characterized by a lower prevalence and a postponed first introduction to alcohol.

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