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
Youth Risk Behavior Survey Monitors health-risk behaviors six categories Anonymous & self-reported Administered biennially
9 YRBS 43 public high schools 3,411 high school students Representative of 9 th -12 th graders attending public school
9 YRBS Engaging in risky behaviors Violence & Suicide Sexual Activity Weight Control Drinking & Driving
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
Current & Binge Drinkers 45 current drinkers 68 binge drinking Large differences observed Non-drinkers & drinkers (statistically significant, p<.5) Current Drinkers: non-binge & binge
Non-drinkers v. drinkers re: Violent & Suicidal Behavior
Carried a weapon Weapon defined as gun, knife or club Past 3 days
Carried Weapon among Non-drinkers 5 4 Non-drinker 3 Carried Weapon
Carried Weapon among Non-drinkers & Drinkers 5 4 Non-drinker Current, non-binge 3 17 Carried Weapon
Carried Weapon among Non-drinkers & Drinkers 5 4 Non-drinker Current, non-binge Current, binge 3 17 27 Carried Weapon
Past 12 months Physical Fight
Physical Fights among Non-drinkers 6 5 Non-drinker 4 3 Physical Fight
Physical Fights among Non-drinkers & Drinkers 6 5 Non-drinker Current, non-binge 4 36 3 Physical Fight
Physical Fights among Non-drinkers & Drinkers 6 5 4 Non-drinker Current, non-binge Current, binge 36 49 3 Physical Fight
Depressive Feelings For two continuous weeks In the past 12 months
Depressive Feelings among Non-drinkers 6 5 Non-drinkers 4 3 21 Felt Sad
Depressive Feelings among Non-drinkers & Drinkers 6 5 Non-drinkers Current, non-binge 4 3 21 31 Felt Sad
Depressive Feelings among Non-drinkers & Drinkers 6 5 4 3 Non-drinker Current, non-binge Current, binge 21 31 38 Felt Sad
Past 12 months Suicide Ideation
Suicide Ideation among Non-drinkers 5 4 Non-drinker 3 11 Made Suicide Plan
Suicide Ideation among Non-drinkers & Drinkers 5 4 Non-drinker Current, non-binge 3 11 16 Made Suicide Plan
Suicide Ideation among Non-drinkers & Drinkers 5 Non-drinker 4 Current, non-binge 3 Current, binge 11 16 21 Made Suicide Plan
Violence & Suicide Drinkers more likely to report violent behavior & suicide ideation Violent behavior males Suicide Ideation females Drinkers have increased risk of injury
Non-drinkers v. drinkers re: Sexual Behavior
Lifetime Sex
Lifetime Sex among Non-drinkers 9 8 7 6 5 4 3 Non-drinker 29 Lifetime Sex
Lifetime Sex among Non-drinkers & Drinkers 9 8 7 6 5 4 3 Non-drinker Current, non-binge 29 Lifetime Sex 51
Lifetime Sex among Non-drinkers & Drinkers 9 8 7 6 5 4 3 Non-drinker Current, non-binge Current, binge 29 51 Lifetime Sex 78
Recent Sex Having sex in last 3 months
Recent Sex among Non-drinkers 7 6 Non-drinker 5 4 3 Recent Sex
Recent Sex among Non-drinkers & Drinkers 7 6 5 4 3 Non-drinker Current, non-binge 42 Recent Sex
Recent Sex among Non-drinkers & Drinkers 7 6 5 4 3 Non-drinker Current, non-binge Current, binge 42 62 Recent Sex
Multiple Partners Having sex with 4 or more people Lifetime
Multiple Partners among Non-drinkers 35 3 Non-drinker 25 15 5 6
Multiple Partners among Non-drinkers & Drinkers 35 3 25 15 Non-drinker Current, non-binge 18 5 6 Multiple Partners
Multiple Partners among Non-drinkers & Drinkers 35 3 25 Non-drinker Current, non-binge Current, binge 3 15 18 5 6 Multiple Partners
Pregnancy Ever caused or have ever been pregnant
Pregnancy among Non-drinkers 9 8 7 6 5 4 3 2 1 Non-drinker 3 Lifetime Pregnancy
Pregnancy among Non-drinkers & Drinkers 9 8 7 6 5 4 3 2 1 Non-drinker Current, non-binge 6 3 Lifetime Pregnancy
Pregnancy among Non-drinkers & Drinkers 9 8 7 6 Non-drinker Current, non-binge Current, binge 6 9 5 4 3 3 2 1 Lifetime Pregnancy
Sexual Behavior Large differences between non-drinkers & drinkers Current, non-binge and binge Drinkers at elevated risk Unintended pregnancy Sexually transmitted diseases
Non-drinkers v. drinkers re: Weight Control Behavior
Overweight Status By self-reported height & weight BMI > 25
Overweight Status among Non-drinkers 5 Non-drinker 4 3 14 Overweight
Overweight Status among Non-drinkers & Drinkers 5 4 Non-drinker Current, non-binge 3 14 13 Overweight
Overweight Status among Non-drinkers & Drinkers 5 4 Non-drinker Current, non-binge Current, binge 3 14 13 15 Overweight
Fasting for > 24 Hours To lose weight or keep from gaining weight Past 3 days
Fasting among Non-drinkers 25 Non-drinker 15 8 5 Fasting 24 Hours
Fasting among Non-drinkers & Drinkers 25 15 5 Non-drinker Current, non-binge 8 16 Fasting 24 Hours
Fasting among Non-drinkers & Drinkers 25 Non-drinker Current, non-binge Current, binge 16 19 15 8 5 Fasting 24 Hours
Diet Pill Use Use of any diet pill, powder or liquid to lose weight or keep gaining weight Past 3 days
Diet Pill Use among Non-drinkers 14 12 Non-drinker 8 6 4 2 4 Diet Pill Use
Diet Pill Use among Non-drinkers & Drinkers 14 12 Non-drinker Current, non-binge 8 6 4 4 7 2 Diet Pill Use
Diet Pill Use among Non-drinkers & Drinkers 14 12 Non-drinker Current, non-binge Current, binge 11 8 6 4 4 7 2 Diet Pill Use
Vomiting/Laxative Use To lose or keep from gaining weight Past 3 days
Vomiting and Laxative Use among Non-drinkers 14 12 Non-drinker 8 6 4 2 3 Vomiting/Laxative Use
Vomiting and Laxative Use among Non-drinkers & Drinkers 14 12 Non-drinker Current, non-binge 8 6 7 4 2 3 Vomiting/Laxative Use
Vomiting and Laxative Use among Non-drinkers & Drinkers 14 12 Non-drinker Current, non-binge Current, binge 8 6 7 4 2 3 Vomiting/Laxative Use
Weight Control Behavior Similar proportions of non-drinkers & drinkers reported being overweight, obese Drinkers more likely to report extreme measures of weight loss & control
Non-drinkers v. drinkers re: Riding with a Drinking Driver
1 time Non-drinkers v. drinkers re: Riding with a Drinking Driver In the past 3 days
Riding with a Drinking Driver among Non-drinkers : 1 Time 3 25 Non-drinker 15 5 6 1 Time
Riding with a Drinking Driver among Non-drinkers & Drinkers: 1 Time 3 25 Non-drinker Current, non-binge 15 14 5 6 1 Time
Riding with a Drinking Driver among Non-drinkers & Drinkers: 1 Time 3 25 15 Non-drinker Current, non-binge Current, binge 14 17 5 6 1 Time
Non-drinkers v. drinkers re: Riding with a Drinking Driver 2 or more times In the past 3 days
Riding with a Drinking Driver among Non-drinkers: > 2 Times 45 4 35 3 25 15 5 Non-drinker 7 2 or More Times
Riding with a Drinking Driver among Non-drinkers & Drinkers: > 2 Times 45 4 35 3 25 15 5 Non-drinker Current, non-binge 7 2 or More Times 16
Riding with a Drinking Driver among Non-drinkers & Drinkers: > 2 Times 45 4 35 3 25 15 5 Non-drinker Current, non-binge Current, binge 7 16 2 or More Times 38
Riding with a Drinking Driver More common among current drinkers Higher frequencies among binge drinkers Increased risk for motor vehicle crashes
Driving after Drinking Alcohol among Current Drinkers
Non-drinkers v. drinkers re: Driving after Drinking 1 time Past 3 days
Driving after Drinking among current drinkers: 1 Time Current, non-binge 15 5 5 1 Time
Driving after Drinking among current drinkers: 1 Time 15 Current, non-binge Current, binge 14 5 5 1 Time
2 or more times Driving after Drinking among current drinkers In the past 3 days
Driving after Drinking among current drinkers: > 2 Times Current, non-binge 15 5 5 2 or More Times
Driving after Drinking among current drinkers: > 2 Times 15 Current, non-binge Current, binge 17 5 5 2 or More Times
Driving after Drinking Binge drinkers 3 times more likely than non-binge Increased risk of motor vehicle crashes & injury
Limitations Self-reported Underestimate Absent students not included Not generalizable to: Home-schooled, vocational, alternative, private students
Conclusions Current drinkers more likely to report engaging in riskier behavior than nondrinkers Greater risk in binge drinkers
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
Conclusions Cont. All risky behaviors increase with alcohol use Reducing underage drinking may reduce correlated behavior
Questions?
Katy Gonzales gonzalesk2@michigan.gov www.michigan.gov/substanceabuseepi 517-373-8352