High carbonated soft drink consumption is associated with externalizing but not internalizing behaviours among university students in five ASEAN states
Received 21 March 2019
Accepted for publication 28 June 2019
Published 29 July 2019 Volume 2019:12 Pages 585—592
Checked for plagiarism Yes
Review by Single-blind
Peer reviewer comments 3
Editor who approved publication: Professor Igor Elman
Supa Pengpid,1,2 Karl Peltzer2
1ASEAN Institute for Health Development, Mahidol University, Salaya, Nakhonpathom, Thailand; 2Deputy Vice Chancellor Research and Innovation Office, North West University, Potchefstroom, South Africa
Background: The investigation aimed to estimate the association between carbonated soft drink consumption frequency and externalizing and internalizing behaviour among university students in five ASEAN counties.
Methods: A cross-sectional survey included 3353 university students from Indonesia, Malaysia, Myanmar, Thailand and Vietnam, median age 20 years (interquartile range 3 years).
Results: In all five ASEAN countries, the study found a prevalence no soft drink consumption in the past 30 days of 20.3%, less than one time a day 44.7%, once a day 25.4% and two or more times a day 9.6%. In the adjusted logistic regression analysis, higher frequency of soft drink consumption (one and/or two or more times a day) was associated with externalizing behaviour (in physical fight, injury, current tobacco use, problem drinking, drug use, pathological internet use and gambling behaviour), and higher frequency of soft drink consumption (two or more times a day) was associated with depression in females, but no association was found for the general student population in relation to internalizing behaviour (depression, posttraumatic stress disorder, suicidal ideation, suicide plan, suicide attempt and sleeping problem).
Conclusions: Findings suggest that carbonated soft drink consumption is associated with a number of externalizing but not internalizing health risk behaviours.
Keywords: soft drink consumption, addictive behaviour, substance use, mental distress, university students, ASEAN
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