目的分析广州市高中生饮酒模式,探讨不同社会经济地位指标与青少年过量饮酒行为的关系,为制定控制策略措施提供依据。方法采用多阶段分层随机整群抽样方法,抽取广州市4个区高一和高二学生共3 282人,采用自填问卷进行调查。结果 75.61%的学生有饮酒经历;过去一年内,60.22%的学生曾饮酒,27.67%曾醉酒;过去30d内,22.75%的学生曾饮酒,7.17%曾重度饮酒。总体上,男生五种饮酒行为流行率均高于女生,差异均有统计学意义(P<0.05);采用广义混合线性模型,分析不同社会经济地位指标对青少年过量饮酒的影响。结果显示,与家庭富裕程度低、学业成就高的青少年相比,来自家庭富裕程度高、学业成就低的青少年较可能有重度饮酒及醉酒行为。结论广州地区高中生饮酒普遍化,提示防治工作的紧迫性,应及早开展健康教育和干预工作来减少酒精的可及性和青少年的饮酒行为。 Objective To analyze the drinking pattern of high school students in Guangzhou and to explore the relationship between different socio-economic status indicators and excessive drinking behavior among adolescents and to provide basis for the formulation of control strategies and measures. Methods A multistage stratified stratified random cluster sampling method was used to extract 3 282 freshmen and sophomore students from 4 districts in Guangzhou. The questionnaires were used to investigate. Results 75.61% of the students had drinking experience. In the past year, 60.22% of students had drunk, 27.67% had drunk, 22.75% of students had drunk in the past 30 days and 7.17% had severe drinking. Overall, the prevalence of five drinking behaviors among boys was higher than that of girls, the difference was statistically significant (P <0.05). The generalized mixed linear model was used to analyze the influence of different socio-economic status indicators on teenage alcohol overdose. The results show that adolescents with high family affluence and academic achievement are more likely to have severe alcoholism and drunkenness than teenagers with low family affluence and academic achievement. Conclusions The prevalence of high school students’ drinking in Guangzhou suggests the urgency of prevention and treatment. Health education and intervention should be carried out as early as possible to reduce the availability of alcohol and the drinking behavior of adolescents.