Differences in risky behaviors between non-drinkers & current drinkers in Michigan youth

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1 Differences in risky behaviors between non-drinkers & current drinkers in Michigan youth - 9 Katy Gonzales, MPH Alcohol Epidemiologist Michigan Department of Community Health April 1, 11

2 Youth Risk Behavior Survey Monitors health-risk behaviors six categories Anonymous & self-reported Administered biennially

3 9 YRBS 43 public high schools 3,411 high school students Representative of 9 th -12 th graders attending public school

4 9 YRBS Engaging in risky behaviors Violence & Suicide Sexual Activity Weight Control Drinking & Driving

5 Current & Binge Drinkers Current: Reported having at least 1 alcoholic drink (in previous 3 days) Binge: Reported drinking 5 or more alcoholic drinks in a row, within a couple of hours (in previous 3 days) Underestimate for females

6 Current & Binge Drinkers 45 current drinkers 68 binge drinking Large differences observed Non-drinkers & drinkers (statistically significant, p<.5) Current Drinkers: non-binge & binge

7 Non-drinkers v. drinkers re: Violent & Suicidal Behavior

8 Carried a weapon Weapon defined as gun, knife or club Past 3 days

9 Carried Weapon among Non-drinkers 5 4 Non-drinker 3 Carried Weapon

10 Carried Weapon among Non-drinkers & Drinkers 5 4 Non-drinker Current, non-binge 3 17 Carried Weapon

11 Carried Weapon among Non-drinkers & Drinkers 5 4 Non-drinker Current, non-binge Current, binge Carried Weapon

12 Past 12 months Physical Fight

13 Physical Fights among Non-drinkers 6 5 Non-drinker 4 3 Physical Fight

14 Physical Fights among Non-drinkers & Drinkers 6 5 Non-drinker Current, non-binge Physical Fight

15 Physical Fights among Non-drinkers & Drinkers Non-drinker Current, non-binge Current, binge Physical Fight

16 Depressive Feelings For two continuous weeks In the past 12 months

17 Depressive Feelings among Non-drinkers 6 5 Non-drinkers Felt Sad

18 Depressive Feelings among Non-drinkers & Drinkers 6 5 Non-drinkers Current, non-binge Felt Sad

19 Depressive Feelings among Non-drinkers & Drinkers Non-drinker Current, non-binge Current, binge Felt Sad

20 Past 12 months Suicide Ideation

21 Suicide Ideation among Non-drinkers 5 4 Non-drinker 3 11 Made Suicide Plan

22 Suicide Ideation among Non-drinkers & Drinkers 5 4 Non-drinker Current, non-binge Made Suicide Plan

23 Suicide Ideation among Non-drinkers & Drinkers 5 Non-drinker 4 Current, non-binge 3 Current, binge Made Suicide Plan

24 Violence & Suicide Drinkers more likely to report violent behavior & suicide ideation Violent behavior males Suicide Ideation females Drinkers have increased risk of injury

25 Non-drinkers v. drinkers re: Sexual Behavior

26 Lifetime Sex

27 Lifetime Sex among Non-drinkers Non-drinker 29 Lifetime Sex

28 Lifetime Sex among Non-drinkers & Drinkers Non-drinker Current, non-binge 29 Lifetime Sex 51

29 Lifetime Sex among Non-drinkers & Drinkers Non-drinker Current, non-binge Current, binge Lifetime Sex 78

30 Recent Sex Having sex in last 3 months

31 Recent Sex among Non-drinkers 7 6 Non-drinker Recent Sex

32 Recent Sex among Non-drinkers & Drinkers Non-drinker Current, non-binge 42 Recent Sex

33 Recent Sex among Non-drinkers & Drinkers Non-drinker Current, non-binge Current, binge Recent Sex

34 Multiple Partners Having sex with 4 or more people Lifetime

35 Multiple Partners among Non-drinkers 35 3 Non-drinker

36 Multiple Partners among Non-drinkers & Drinkers Non-drinker Current, non-binge Multiple Partners

37 Multiple Partners among Non-drinkers & Drinkers Non-drinker Current, non-binge Current, binge Multiple Partners

38 Pregnancy Ever caused or have ever been pregnant

39 Pregnancy among Non-drinkers Non-drinker 3 Lifetime Pregnancy

40 Pregnancy among Non-drinkers & Drinkers Non-drinker Current, non-binge 6 3 Lifetime Pregnancy

41 Pregnancy among Non-drinkers & Drinkers Non-drinker Current, non-binge Current, binge Lifetime Pregnancy

42 Sexual Behavior Large differences between non-drinkers & drinkers Current, non-binge and binge Drinkers at elevated risk Unintended pregnancy Sexually transmitted diseases

43 Non-drinkers v. drinkers re: Weight Control Behavior

44 Overweight Status By self-reported height & weight BMI > 25

45 Overweight Status among Non-drinkers 5 Non-drinker Overweight

46 Overweight Status among Non-drinkers & Drinkers 5 4 Non-drinker Current, non-binge Overweight

47 Overweight Status among Non-drinkers & Drinkers 5 4 Non-drinker Current, non-binge Current, binge Overweight

48 Fasting for > 24 Hours To lose weight or keep from gaining weight Past 3 days

49 Fasting among Non-drinkers 25 Non-drinker Fasting 24 Hours

50 Fasting among Non-drinkers & Drinkers Non-drinker Current, non-binge 8 16 Fasting 24 Hours

51 Fasting among Non-drinkers & Drinkers 25 Non-drinker Current, non-binge Current, binge Fasting 24 Hours

52 Diet Pill Use Use of any diet pill, powder or liquid to lose weight or keep gaining weight Past 3 days

53 Diet Pill Use among Non-drinkers Non-drinker Diet Pill Use

54 Diet Pill Use among Non-drinkers & Drinkers Non-drinker Current, non-binge Diet Pill Use

55 Diet Pill Use among Non-drinkers & Drinkers Non-drinker Current, non-binge Current, binge Diet Pill Use

56 Vomiting/Laxative Use To lose or keep from gaining weight Past 3 days

57 Vomiting and Laxative Use among Non-drinkers Non-drinker Vomiting/Laxative Use

58 Vomiting and Laxative Use among Non-drinkers & Drinkers Non-drinker Current, non-binge Vomiting/Laxative Use

59 Vomiting and Laxative Use among Non-drinkers & Drinkers Non-drinker Current, non-binge Current, binge Vomiting/Laxative Use

60 Weight Control Behavior Similar proportions of non-drinkers & drinkers reported being overweight, obese Drinkers more likely to report extreme measures of weight loss & control

61 Non-drinkers v. drinkers re: Riding with a Drinking Driver

62 1 time Non-drinkers v. drinkers re: Riding with a Drinking Driver In the past 3 days

63 Riding with a Drinking Driver among Non-drinkers : 1 Time 3 25 Non-drinker Time

64 Riding with a Drinking Driver among Non-drinkers & Drinkers: 1 Time 3 25 Non-drinker Current, non-binge Time

65 Riding with a Drinking Driver among Non-drinkers & Drinkers: 1 Time Non-drinker Current, non-binge Current, binge Time

66 Non-drinkers v. drinkers re: Riding with a Drinking Driver 2 or more times In the past 3 days

67 Riding with a Drinking Driver among Non-drinkers: > 2 Times Non-drinker 7 2 or More Times

68 Riding with a Drinking Driver among Non-drinkers & Drinkers: > 2 Times Non-drinker Current, non-binge 7 2 or More Times 16

69 Riding with a Drinking Driver among Non-drinkers & Drinkers: > 2 Times Non-drinker Current, non-binge Current, binge or More Times 38

70 Riding with a Drinking Driver More common among current drinkers Higher frequencies among binge drinkers Increased risk for motor vehicle crashes

71 Driving after Drinking Alcohol among Current Drinkers

72 Non-drinkers v. drinkers re: Driving after Drinking 1 time Past 3 days

73 Driving after Drinking among current drinkers: 1 Time Current, non-binge Time

74 Driving after Drinking among current drinkers: 1 Time 15 Current, non-binge Current, binge Time

75 2 or more times Driving after Drinking among current drinkers In the past 3 days

76 Driving after Drinking among current drinkers: > 2 Times Current, non-binge or More Times

77 Driving after Drinking among current drinkers: > 2 Times 15 Current, non-binge Current, binge or More Times

78 Driving after Drinking Binge drinkers 3 times more likely than non-binge Increased risk of motor vehicle crashes & injury

79 Limitations Self-reported Underestimate Absent students not included Not generalizable to: Home-schooled, vocational, alternative, private students

80 Conclusions Current drinkers more likely to report engaging in riskier behavior than nondrinkers Greater risk in binge drinkers

81 Conclusions Cont. Drinkers at increased risk: Overall alcohol-related harm Motor Vehicle Crashes & Injuries Acquiring sexually transmitted diseases and pregnancy Developing unhealthy & dangerous weight loss solutions

82 Conclusions Cont. All risky behaviors increase with alcohol use Reducing underage drinking may reduce correlated behavior

83 Questions?

84 Katy Gonzales

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