AUTHOR=Arruda Patrycia Sarah Martins , Silva Aline Natália , Rinaldi Ana Elisa Madalena , Silva Luciana Saraiva da , Azeredo Catarina Machado 

TITLE=Individual and Contextual Characteristics Associated With Alcohol Use Among Brazilian Adolescents

JOURNAL=International Journal of Public Health

VOLUME=67

YEAR=2022

URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2022.1604397

DOI=10.3389/ijph.2022.1604397

ISSN=1661-8564

ABSTRACT=<p><bold>Objective:</bold> To analyze the association between individual and contextual characteristics with alcohol indicators of experimentation, use in the last 30 days and drunkenness in Brazilian adolescents.</p><p><bold>Methods:</bold> Cross-sectional study based on data from 100,914 student attending 9<sup>th</sup> grade from the 2015 National School Health Survey. Multilevel logistic regression models were performed for the outcomes: alcohol experimentation; use in the last 30 days and drunkenness; and exposures, adjusted for adolescents’ sociodemographic characteristics.</p><p><bold>Results:</bold> Girls were more likely to experiment alcohol (OR = 1.09; 95% CI = 1.05–1.12), use it in the last 30 days (OR = 1.09; 95% CI = 1.00–1.13) and less prone to drunkenness (OR = 0.90; 95% CI = 0.87–0.93). A higher proportion of public-school students reported drinking. There was a positive association of substance use by parents, peers and the adolescents themselves with the outcomes. Having a policy of banning alcohol consumption at school was associated with a greater chance of alcohol experimentation in public schools.</p><p><bold>Conclusion:</bold> Exposure to legal and illegal substances by friends, family members and a prohibitive school environment favored the outcomes.</p>