Acta Paediatrica 2011

Alcohol intoxication among Dutch adolescents; gender differences and trends over time.

Authors: E. van Zanten, J.J. van Hoof, N. van der Lely.

Alcohol intoxication among adolescents is an increasing concern in paediatric care. The WHO recently identified alcohol intoxication among young people (10-24 years) as the most important factor contributing to disability adjustable life years (DALY’s).  Alcohol use at a young age is related to alcohol abuse in later life and risk seeking behaviours such as substance abuse, high risk sexual engagement, violence and aggression.

Purpose Obtaining more insight into the population of adolescents admitted with alcohol intoxication, by analysing trends, gender differences and factors associated with increasing BAC.

Material Since 2007 alcohol intoxication among adolescents has been registered by the Dutch Paediatric Surveillance System (NSCK). Paediatricians report any patient under the age of 18 admitted with a Blood Alcohol Concentration (BAC) of more than 0,0 g/L.

Methods Data were collected from all general and academic Dutch hospitals via a questionnaire. We included children aged 11-18 years, with a BAC > 0,0 g/L and presenting with reduced consciousness. Of a total of 2023 cases reported in the years 2007-2010, 1618 questionnaires were analysed.

Results The number of reports rose from 297 to 684 per year. Age increased among boys (14.9 to 15.6 years, p < 0.001) but not among girls (14.8 to 15.0 years, p = 0.124). Duration of reduced consciousness increased from 2.2  to 3.1 hrs (p = 0.046). Boys were older (15.7 vs. 15.3 years, p < 0.001) and were admitted with higher BAC than girls (1.94 vs. 1.79, p = 0.001). Boys drank more than girls during the weekend (3.34 vs. 1.98 glasses, p < 0.001). Multivariate analysis showed that BAC increased with age (p = 0.042), male gender (p = 0.001) and higher educational level (p = 0.002).

Omschrijving

In Nederland worden sinds 2007 alle kinderen opgenomen met een alcoholvergiftiging geregistreerd. In dit artikel vatten we de resultaten samen. Het aantal kinderen is flink toegenomen in de loop van de jaren. De gemiddelde leeftijd stijgt onder jongens, maar niet onder meisjes. Jongens zijn ouders bij opname, en hebben een hoger promillage bij opname en drinken meer gedurende het weekend. Kinderen op het VWO worden opgenomen met hogere alcohol promillages.