Outline. Reducing Alcohol-related Harm in Hong Kong Children and Adolescents. Age Cohorts on Underage Drinking

Transcription

1 Reducing Alcohol-related Harm in Hong Kong Children and Adolescents Dr. T.H. LEUNG Consultant, Community Medicine (Non-Communicable Disease) Centre For Health Protection Department of Health Outline Epidemiology and surveillance of alcohol use Local data Population Health Survey 3/ Behavioral Risk Factor Surveillance System Child Health Survey 5/6 Other researches in Hong Kong Comparison with some overseas countries Government s initiatives in reducing alcoholrelated harm 1 2 Alcohol Consumption per Capita (Aged 15+), Drinking Behaviour among HK Adolescents Aged Regular drinkers (drink (drank at at least once a a week) Occasional drinkers (drink (drank =/<3 days a a month) Ex-drinkers Non-drinkers Binge drinkers (have (had =/>5 can beer/5 glasses wine/ 5 pegs liquor on one occasion in last month) Base: 78 adolescents aged Source: Population Health Survey 3/, DH & Dept. of Community Med of HKU Type of Alcoholic Beverages Consumed among HK Adolescents Aged Age Cohorts on Underage Drinking Proportion of starting drinking before 18 among respondents by age group Beer Table wine Chinese rice wine Base: 68 adolescents aged who had ever drunk alcohol Source: Population Health Survey 3/, DH & Dept. of Community Med of HKU or above Age group 5 Source: Population Health Survey 3/, DH & Dept. of Community Med of HKU 6 1

2 5 Alcohol Consumption among HK Young People Ever drunk (drank at least 1 day a week) 5.3 Ever drunk (drank <1 day a week) Never drunk Binge drinkers *Notes: Drinking at least 5 glasses/cans of alcohol on one occasion Base: ~ 13 to 17 respondents of 18- years of age Base: children aged 11-1 Source: Behavioral Risk Factor Surveillance System, DH 7 Source: Child Health Survey 5/6 8 Prevalence of ever drinking and binge drinking* during the 3 days prior to the survey, 5-1 Ever drink (18-) Binge drink (18-) Ever drink (21-2) Binge drink (21-2) Ever drink (18-6) Binge drink (18-6) Drinking Behaviour among HK Children Aged Starting Age of Drinking among HK Children Aged Started at age of under 11 years Started at age of 11 years or older Alcohol Consumption among HK Secondary Students by Sex. Ever alcohol-taking day alcohol-taking Base: 13 children aged 11-1 who had ever drunk alcohol Source: Child Health Survey 5/6 9 Source: The 8/9 Survey of Drug Use among Students, 1 Alcohol Consumption among HK Secondary Students by Age Relationship between Use of Alcohol, Tobacco & Drugs among Secondary Students 1 Ever alcohol-taking day alcohol-taking or below or above Source: The 8/9 Survey of Drug Use among Students, 11 Source: The 8/9 Survey of Drug Use among Students, 12 2

3 1 8 6 Comparison with Selected Overseas Countries 6.9 Ever alcohol use 2.2 HK Secondary students (aged </=12-19) day alcohol use 51 US Grade 9-12 UK Students (aged ~1-17) (aged 11-15) Source: HK: The 8/9 Survey of Drug Use among Students, US: Youth Risk Behavioral Surveillance, 9 UK: Smoking, Drinking and Drug Use among Young People in England in 9 13 Comparison with Selected Overseas Countries (Drinking Prevalence by Age) percentage HK UK HK Age Ever use - HK Sec students (aged </=12-17) 3-day use - HK Sec students (aged </=12-17) Ever use - US Grade 9-12 (aged ~1-17) 3-day use - US Grade 9-12 (aged ~1-17) Ever use - UK students (aged 11-15) Source: HK: The 8/9 Survey of Drug Use among Students, US: Youth Risk Behavioral Surveillance, 9 UK: Smoking, Drinking and Drug Use among Young People in England in 9 US US 1 Alcohol Use among Local University Students Survey in 5 (263 Year 1 students; 6%M; mean age 18.9y) Survey in 6 (11 Year 2 students; 38% M; mean age.y) Data collected by self-administered questionnaire Ever drinking Binge drinking* Year 1 Male Year 2 Male Year 1 Female Year 2 Female 7.9 Why Do University Students Drink? Survey (self-administered questionnaire) 263 first year entrants to a HK university (6% M) Mean age: 18.9 (±1.1) years Alcohol use among ever drinkers: Notes: * Defined as having consumed 5 servings of alcohol on one occasion in the past month Sources: Kim JH, et al., 1; Griffiths S, et al., 6 15 Source: Griffiths S, et al., 6 16 Why Do University Students Drink? (cont ) Alcohol use among binge drinkers: Why Do Young People Drink? Semi-structured interview of 11 HK Chinese (6 M, 55 F) Aged 17 (M) and 16 (F) years on average Most of them claimed having 1st drink in presence of adult/ reported to their parents Youth were introduced to alcohol at home/ taste or sip from their parents beverage during dinner or family gatherings Reasons for drinking (among ever drinkers): Male (n = 27) Female (n = 26) Psychological effects (3%) Fitting in with peers (26%) Thirst (22%) Fun (15%) Escapism (11%) Fun (39%) Thirst (27%) Experimentation (27%) Escapism (15%) Removal of inhibitions (12%) Source: Griffiths S, et al., 6 17 Source: CC Lo, et al., 18 3

4 Observations Underage drinking Increasing trend reflected by age cohort More children drinks when they grows Effectiveness of Interventions Binge drinking in early s (characteristics of a life stage?) Knowledge gaps Parents has great influence in introducing alcohol use to their children Low awareness of alcohol-related harm 19 Effectiveness of Interventions Government s Initiatives NCD Framework for Control and Prevention of Non-communicable Diseases in HK Action Plan to Reduce Alcohol-related Harm in Hong Kong Drawn up by Working Group on Alcohol and Health Goals: Create a sustainable environment to reduce alcohol-related harm; General public can make informed choices about alcohol consumption; Reduce burden of alcohol-related harm. Content: 5 Priority areas 1 Recommendations 17 Actions 5. Supportive health promoting legislation Five Priority Areas. Responsive Health Sector 1. Effective information system Strategic directions 3. Capacity building 2. Strengthen Partnership Launched on 2 Oct

5 Your active participation is the key to success. Thank you! 25 5