OBJECTIVE: The goal of this study was to investigate whether the association between exposure to images of alcohol use in movies and binge drinking among adolescents is independent of cultural context. METHODS: A cross-sectional survey study in 6 European countries (Germany, Iceland, Italy, Netherlands, Poland, and Scotland) was conducted. A total of 16 551 pupils from 114 public schools with a mean (± SD) age of 13.4 (± 1.18) years participated. By using previously validated methods, exposure to alcohol use in movies was estimated from the 250 top-grossing movies of each country (years 200422009). Lifetime binge drinking was the main outcome measure. RESULTS: Overall, 27% of the sample had consumed >5 drinks on at least 1 occasion in their life. After controlling for age, gender, family affluence, school performance, television screen time, sensation seeking and rebelliousness, and frequency of drinking of peers, parents, and siblings, the adjusted β-coefficient for lifetime binge drinking in the entire sample was 0.12 (95% confidence interval: 0.1020.14; P < .001). The crude relationship between movie alcohol use exposure and lifetime binge drinking was significant in all countries; after covariate adjustment, the relationship was still significant in 5 of 6 countries. A sensitivity analysis revealed that the association is content specific, as there was no significant association between lifetime binge drinking and exposure to smoking in movies. CONCLUSIONS: The link between alcohol use in movies and adolescent binge drinking was robust and seems relatively unaffected by cultural contexts.
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机译：目的：本研究的目的是调查电影中使用酒精饮料的暴露与青少年狂饮之间的关联是否独立于文化背景。方法：在六个欧洲国家（德国，冰岛，意大利，荷兰，波兰和苏格兰）进行了横断面调查研究。来自114所公立学校的16 551名学生的平均（±SD）年龄为13.4（±1.18）岁。通过使用先前验证的方法，从每个国家的250部最卖座的电影（200422009年）中估计了电影中酒精使用的暴露量。终身饮酒是主要的预后指标。结果：总体上，有27％的样本在其生命中至少有1次饮酒量超过5种。在控制了年龄，性别，家庭富裕程度，学校表现，电视屏幕播放时间，寻求感觉和叛逆性以及同伴，父母和兄弟姐妹的饮酒频率之后，整个样本中终身饮酒的调整后β系数为0.12（ 95％置信区间：0.1020.14; P <.001）。电影酒精使用暴露与终生暴饮酒之间的粗略关系在所有国家中都很重要;经过协变量调整后，该关系在6个国家中的5个中仍然很重要。敏感性分析表明，这种关联是特定于内容的，因为在电影中，一生的狂饮和吸烟之间没有显着关联。结论：电影中饮酒与青少年狂饮之间的联系是牢固的，并且似乎不受文化背景的影响。
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