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May 25, 2026Open Access

Health and behavioral factors associated with binge drinking among university students in nine ASEAN countries

Key Points

The study aims to identify health and behavioral factors associated with binge drinking among university students in nine ASEAN countries.
Cross-sectional study conducted in 2015 with 8809 undergraduate students from 13 universities across nine ASEAN countries.
Self-administered questionnaires were used to gather data on drinking behavior and associated factors.
Multivariate logistic regression analyses were employed to explore relationships between binge drinking and various factors.
12.8% of students were infrequent binge drinkers and 6.4% were frequent binge drinkers.
Significant associations for males included older age, living with parents, lower religious activity, and substance use.
For females, factors included older age, poorer family background, and lower life satisfaction impacting binge drinking rates.

Abstract

Heavy drinking among university students has been globally recognized as a major public health burden. In the Association of Southeast Asian Nations (ASEAN) region, studies on this issue have been scant, country-specific and in different time frames. The aim of this study was to identify social and behavioral factors associated with binge drinking among university students in nine ASEAN countries. This cross-sectional study was conducted in 2015 among 8809 undergraduate university students from 13 universities in Cambodia, Indonesia, Laos, Malaysia, Myanmar, the Philippines, Singapore, Thailand and Vietnam using self-administered questionnaire. Multivariate logistic regression analyses were conducted to explore the associated factors. Results: More than half (62.3%) of the study sample were female with a mean age of 20.5 (SD = 2.0) years. Of total, 12.8% were infrequent (<once per month) and 6.4% frequent (�� once per month) binge drinkers. After adjustment, among males, higher binge drinking remained significantly associated with being in older age groups, living with parents or guardians, lower level of non-organized religious activity, lack of knowledge on alcohol-heart disease relationship, weak beliefs in the importance of limiting alcohol use, poor subjective health status, lower level of life satisfaction, tobacco and illicit drug use, depressive symptoms and high level physical activity. Among females, higher prevalence of binge drinking remained significantly associated with being in the older age groups, poorer family background, living in an upper-middle- or high-income country, lower level of non-organized religious activity, lack of knowledge on alcohol-heart disease relationship, lack of knowledge on alcohol-high blood pressure relationship, weak beliefs in the importance of limiting alcohol use, lower level of life satisfaction, use of other substances such as tobacco and illicit drug, depressive symptoms and high level of physical activity. Findings from this study indicate a need for devising or refining university health promotion programs that integrate binge drinking, other substance use, co-occurring addictive behaviors and health beliefs in the respective countries.

Health and behavioral factors associated with binge drinking among university students in nine ASEAN countries

Key Points

Abstract

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