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van der Kruk S, Harrison NJ, Bartram A, Newton S, Miller C, Room R, Olver I, Bowden J. Prevalence of parental supply of alcohol to minors: a systematic review. Health Promot Int 2023; 38:daad111. [PMID: 37758201 PMCID: PMC10533326 DOI: 10.1093/heapro/daad111] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/30/2023] Open
Abstract
Parental supply of alcohol to minors (i.e. those under the legal drinking age) is often perceived by parents as protective against harms from drinking, despite evidence linking it with adverse alcohol-related outcomes. This systematic review describes the prevalence of parental supply of alcohol, as reported in the international literature. The review was registered with PROSPERO (CRD42020218754). We searched seven online databases (Medline, Embase, PsycINFO, CINAHL, Scopus, Web of Science and Public Health Database) and grey literature from January 2011 to December 2022 and assessed the risk of bias with the JBI Critical Appraisal Checklist. Among 58 articles included in narrative synthesis from 29 unique datasets, there was substantial variation in the definition and measurement of parental supply of alcohol. Overall prevalence rates ranged from 7.0 to 60.0% for minor-report samples, and from 24.0 to 48.0% for parent-report samples. Data indicate that parental supply prevalence is generally proportionately higher for older minors or later-stage students, for girls, and has increased over time among minors who report drinking. Literature on the prevalence of parental supply of alcohol is robust in quantity but inconsistent in quality and reported prevalence. Greater consistency in defining and measuring parental supply is needed to better inform health promotion initiatives aimed at increasing parents' awareness.
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Affiliation(s)
- Shannen van der Kruk
- Health Policy Centre, South Australian Health and Medical Research Institute, Kaurna Country, Adelaide, South Australia 5000, Australia
| | - Nathan J Harrison
- Health Policy Centre, South Australian Health and Medical Research Institute, Kaurna Country, Adelaide, South Australia 5000, Australia
- National Centre for Education and Training on Addiction, Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Kaurna Country, Adelaide, South Australia 5001, Australia
| | - Ashlea Bartram
- Health Policy Centre, South Australian Health and Medical Research Institute, Kaurna Country, Adelaide, South Australia 5000, Australia
- National Centre for Education and Training on Addiction, Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Kaurna Country, Adelaide, South Australia 5001, Australia
| | - Skye Newton
- Adelaide Health Technology Assessment, School of Public Health, University of Adelaide, Kaurna Country, Adelaide, South Australia 5000, Australia
| | - Caroline Miller
- Health Policy Centre, South Australian Health and Medical Research Institute, Kaurna Country, Adelaide, South Australia 5000, Australia
- School of Public Health, University of Adelaide, Kaurna Country, Adelaide, South Australia 5000, Australia
| | - Robin Room
- Centre for Alcohol Policy Research, School of Psychology & Public Health, La Trobe University, Bundoora, Victoria 3086, Australia
- Department of Public Health Sciences, Centre for Social Research on Alcohol and Drugs, Stockholm University, Stockholm 10691, Sweden
| | - Ian Olver
- School of Psychology, University of Adelaide, Kaurna Country, Adelaide, South Australia 5000, Australia
- School of Medicine, University of Notre Dame Australia, Sydney, New South Wales 2010, Australia
| | - Jacqueline Bowden
- Health Policy Centre, South Australian Health and Medical Research Institute, Kaurna Country, Adelaide, South Australia 5000, Australia
- National Centre for Education and Training on Addiction, Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Kaurna Country, Adelaide, South Australia 5001, Australia
- School of Public Health, University of Adelaide, Kaurna Country, Adelaide, South Australia 5000, Australia
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2
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Prasartpornsirichoke J, Kalayasiri R, Vichitkunakorn P, Ratta-apha W, Atsariyasing W, Anekwit N, Lamyai W, Thongpanich C, Likhitsathian S, Rungnirundorn T, Rattanasumawong W, Chuatai N, Srisuklorm S, Tanaree A, Patanavanich R. Association of supply sources of alcohol and alcohol-related harms in adolescent drinkers: the baseline characteristics of a high school cohort across Thailand. BMC Public Health 2022; 22:2277. [PMID: 36471267 PMCID: PMC9724364 DOI: 10.1186/s12889-022-14767-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Accepted: 11/29/2022] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND The main objective of this study was to investigate the association between parental supply of alcohol, alcohol-related harms, and the severity of alcohol use disorder in Thai 7th grade middle school students. METHODS A cross-sectional descriptive study obtained the baseline data from the project named the Thailand Parental Supply and Use of Alcohol, Cigarettes & Drugs Longitudinal Study Cohort in Secondary School Students in 2018. The sample size was 1187 students who have ever sipped or drank alcohol in the past 12 months. Pearson's Chi square, binary logistic regression, and ordinal logistic regression are applied in the analysis. RESULTS A single source of parental supply is not significantly associated with any alcohol-related harm and the severity of alcohol use disorder, while parental supply with peers and siblings supply of alcohol plays an important role in both outcomes. The increasing number of sources of alcohol supply increases the risk of alcohol-related harm and the severity of alcohol use disorder. Other risk factors found in both associations included binge drinking, alcohol flushing, low household economic status, distance from the student's family, and poor academic performance. Gender, exposure to alcohol ads on social media and location of residency were not associated with alcohol-related harms or severity of alcohol use disorder. CONCLUSIONS The results did not support parental guidance in teaching or giving children a drink or sip of alcohol within family to prevent related harms when drinking outside with their peers.
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Affiliation(s)
- Jirada Prasartpornsirichoke
- grid.7922.e0000 0001 0244 7875Department of Psychiatry, Faculty of Medicine, Chulalongkorn University, 1873 Rama 4 Road, Pathumwan, Bangkok, 10330 Thailand
| | - Rasmon Kalayasiri
- grid.7922.e0000 0001 0244 7875Department of Psychiatry, Faculty of Medicine, Chulalongkorn University, 1873 Rama 4 Road, Pathumwan, Bangkok, 10330 Thailand ,grid.411628.80000 0000 9758 8584Department of Psychiatry, King Chulalongkorn Memorial Hospital, Bangkok, Thailand
| | - Polathep Vichitkunakorn
- grid.7130.50000 0004 0470 1162Department of Family and Preventive Medicine, Faculty of Medicine, Prince of Songkla University, Songkla, Thailand
| | - Woraphat Ratta-apha
- grid.10223.320000 0004 1937 0490Department of Psychiatry, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Wanlop Atsariyasing
- grid.10223.320000 0004 1937 0490Department of Psychiatry, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Natwarat Anekwit
- Department of Mental Health, Psychiatry and Drugs, Mahasarakham Hospital, Mahasarakham, Thailand
| | - Warot Lamyai
- Nakhon Phanom Rajanagarindra Psychiatric Hospital, Nakhon Phanom, Thailand
| | | | - Surinporn Likhitsathian
- grid.7132.70000 0000 9039 7662Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
| | - Teerayuth Rungnirundorn
- grid.7922.e0000 0001 0244 7875Department of Psychiatry, Faculty of Medicine, Chulalongkorn University, 1873 Rama 4 Road, Pathumwan, Bangkok, 10330 Thailand ,grid.411628.80000 0000 9758 8584Department of Psychiatry, King Chulalongkorn Memorial Hospital, Bangkok, Thailand
| | - Wanida Rattanasumawong
- grid.414965.b0000 0004 0576 1212Department of Psychiatry and Neurology, Phramongkutklao Hospital, Bangkok, Thailand
| | - Nawapat Chuatai
- grid.7922.e0000 0001 0244 7875Department of Psychiatry, Faculty of Medicine, Chulalongkorn University, 1873 Rama 4 Road, Pathumwan, Bangkok, 10330 Thailand
| | - Sakol Srisuklorm
- grid.7922.e0000 0001 0244 7875Department of Psychiatry, Faculty of Medicine, Chulalongkorn University, 1873 Rama 4 Road, Pathumwan, Bangkok, 10330 Thailand
| | - Athip Tanaree
- Songkhla Rajanagarindra Psychiatric Hospital, Songkhla, Thailand
| | - Roengrudee Patanavanich
- grid.10223.320000 0004 1937 0490Department of Community Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
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3
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Aiken A, Chan G, Yuen WS, Clare PJ, Hutchinson D, McBride N, Najman JM, McCambridge J, Upton E, Slade T, Boland VC, De Torres C, Bruno R, Kypri K, Wadolowski M, Mattick RP, Peacock A. Trajectories of parental and peer supply of alcohol in adolescence and associations with later alcohol consumption and harms: A prospective cohort study. Drug Alcohol Depend 2022; 237:109533. [PMID: 35752023 DOI: 10.1016/j.drugalcdep.2022.109533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2022] [Revised: 05/17/2022] [Accepted: 06/06/2022] [Indexed: 11/03/2022]
Abstract
BACKGROUND Supply of alcohol to adolescents is associated with increased alcohol consumption and harms including alcohol use disorder (AUD). We aimed to identify: (1) trajectories of alcohol supply to adolescents; (2) sociodemographic characteristics associated with supply trajectory; (3) patterns of alcohol consumption by supply trajectory; and (4) supply trajectory associations with adverse alcohol outcomes. METHODS We used Australian longitudinal survey data (N = 1813) to model latent trajectories of parent and peer alcohol supply over five annual follow-ups (Waves 2-6; Mage 13.9-17.8 years). Regression models assessed associations between supply trajectories and Wave 1 (Mage=12.9 years) sociodemographic factors and associations between supply trajectories and Wave 7 (Mage=18.8 years) alcohol outcomes. RESULTS We identified five alcohol supply classes: (1) minimal supply (n = 739, 40.8%); (2) early parent sips, late peer/parent whole drinks (n = 254, 14.0%); (3) late peer/parent whole drinks (n = 419, 23.1%); (4) early parent sips, mid peer/parent whole drinks (n = 293, 16.2%); (5) early peer/parent whole drinks (n = 108, 6.0%). Compared to minimal supply, the other classes were 2.7-12.9 times as likely to binge drink, 1.6-3.0 times as likely to experience alcohol-related harms, and 2.1-8.6 times as likely to report AUD symptoms at age 19. CONCLUSION Earlier supply of whole drinks, particularly from peers, was associated with increased risk of early adulthood adverse alcohol outcomes. While minimal supply represented the lowest risk, supplying sips only in early-mid adolescence and delaying supply of whole drinks until late adolescence is likely to be less risky than earlier supply of whole drinks.
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Affiliation(s)
- Alexandra Aiken
- National Drug & Alcohol Research Centre, UNSW Sydney, NSW 2052, Australia.
| | - Gary Chan
- National Centre For Youth Substance Use Research, The University of Queensland, St Lucia, QLD 4067, Australia
| | - Wing See Yuen
- National Drug & Alcohol Research Centre, UNSW Sydney, NSW 2052, Australia
| | - Philip J Clare
- National Drug & Alcohol Research Centre, UNSW Sydney, NSW 2052, Australia; Prevention Research Collaboration, The Charles Perkins Centre, The University of Sydney, Camperdown, NSW 2006, Australia
| | - Delyse Hutchinson
- National Drug & Alcohol Research Centre, UNSW Sydney, NSW 2052, Australia; Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Deakin University, Geelong, VIC 3220, Australia; Department of Paediatrics, The University of Melbourne, Parkville, VIC 3010, Australia; Murdoch Children's Research Institute, Royal Children's Hospital, The University of Melbourne, Parkville, VIC 3052, Australia
| | - Nyanda McBride
- National Drug Research Institute, Curtin University, Perth, WA 6845, Australia
| | - Jackob M Najman
- Queensland Alcohol and Drug Research and Education Centre, University of Queensland, Brisbane, QLD 4072, Australia
| | - Jim McCambridge
- Department of Health Sciences, Seebohm Rowntree Building, University of York, Heslington, York YO10 5DD, United Kingdom
| | - Emily Upton
- National Drug & Alcohol Research Centre, UNSW Sydney, NSW 2052, Australia
| | - Tim Slade
- Sydney Medical School / The Matilda Centre, The University of Sydney, Camperdown, NSW 2006, Australia
| | - Veronica C Boland
- National Drug & Alcohol Research Centre, UNSW Sydney, NSW 2052, Australia
| | - Clara De Torres
- National Drug & Alcohol Research Centre, UNSW Sydney, NSW 2052, Australia
| | - Raimondo Bruno
- National Drug & Alcohol Research Centre, UNSW Sydney, NSW 2052, Australia; School of Psychology, University of Tasmania, Hobart, TAS 7000, Australia
| | - Kypros Kypri
- Centre for Clinical Epidemiology and Biostatistics, School of Medicine and Public Health, University of Newcastle, Newcastle, NSW 2308, Australia
| | - Monika Wadolowski
- Faculty of Medicine, Health and Human Sciences, Macquarie University, NSW 2109, Australia
| | - Richard P Mattick
- National Drug & Alcohol Research Centre, UNSW Sydney, NSW 2052, Australia
| | - Amy Peacock
- National Drug & Alcohol Research Centre, UNSW Sydney, NSW 2052, Australia; School of Psychology, University of Tasmania, Hobart, TAS 7000, Australia
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4
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Caluzzi G, Livingston M, Holmes J, MacLean S, Lubman D, Dietze P, Vashishtha R, Herring R, Pennay A. Declining drinking among adolescents: Are we seeing a denormalisation of drinking and a normalisation of non-drinking? Addiction 2022; 117:1204-1212. [PMID: 34159676 PMCID: PMC7614939 DOI: 10.1111/add.15611] [Citation(s) in RCA: 24] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Accepted: 06/08/2021] [Indexed: 12/12/2022]
Abstract
BACKGROUND In the early 2000s, alcohol use among young people began to decline in many western countries, especially among adolescents (ages between 12-17 years old). These declines have continued steadily over the past two decades, against the backdrop of much smaller declines among the general population. ARGUMENT Hypotheses examining individual factors fail adequately to provide the necessary 'big picture' thinking needed to understand declines in adolescent drinking. We use the normalisation thesis to argue that there is strong international evidence for both processes of denormalisation of drinking and normalisation of non-drinking occurring for adolescents in many western countries. CONCLUSIONS Research on declining adolescent drinking provides evidence of both denormalisation of alcohol consumption and normalisation of non-drinking. This has implications for enabling policy environments more amenable to regulation and increasing the acceptability of non-drinking in social contexts. Normalisation theory (and its various interpretations) provides a useful multi-dimensional tool for understanding declines in adolescent drinking.
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Affiliation(s)
- Gabriel Caluzzi
- Centre for Alcohol Policy Research, La Trobe University, Bundoora, Victoria, Australia
| | - Michael Livingston
- Centre for Alcohol Policy Research, La Trobe University, Bundoora, Victoria, Australia
- National Drug Research Institute, Curtin University, Perth, Western Australia, Australia
| | - John Holmes
- School of Health and Related Research, University of Sheffield, Sheffield, UK
| | - Sarah MacLean
- Centre for Alcohol Policy Research, La Trobe University, Bundoora, Victoria, Australia
- School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia
| | - Dan Lubman
- Turning Point, Eastern Health, Melbourne, Victoria, Australia
- Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Australia
| | - Paul Dietze
- National Drug Research Institute, Curtin University, Perth, Western Australia, Australia
- Behaviours and Health Risks Program, Burnet Institute, Melbourne, Victoria, Australia
| | - Rakhi Vashishtha
- Centre for Alcohol Policy Research, La Trobe University, Bundoora, Victoria, Australia
| | - Rachel Herring
- Drug and Alcohol Research Centre, Middlesex University, London, UK
| | - Amy Pennay
- Centre for Alcohol Policy Research, La Trobe University, Bundoora, Victoria, Australia
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5
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Mitchell S, Campbell R, MacArthur GJ. Parent/caregiver attitudes, motivations and behaviours in relation to alcohol use among offspring aged 13-18 years: a qualitative study. BMC Public Health 2022; 22:656. [PMID: 35382782 PMCID: PMC8982295 DOI: 10.1186/s12889-022-12992-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2021] [Accepted: 03/01/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Parental alcohol consumption and alcohol-related behaviour play a critical role in shaping adolescent alcohol use, but comparatively little is known about the perspectives of parents regarding adolescent alcohol use from qualitative studies in England. This study aimed to explore parental views and attitudes towards alcohol use during adolescence, among their offspring and among young people in general. METHODS Twenty-three parents (21 mothers, 2 fathers) of children aged 13-18 years were recruited via schools, workplaces and community settings, predominantly in the West of England (n = 19) between 2017 and 2018. Data were collected via in-depth one-to-one interviews and analysed thematically, using an inductive, constructionist approach. RESULTS Five major themes were identified in the data: (1) the parental alcohol environment, (2) balance and acceptance, (3) influences of the parental approach, (4) boundaries and parental monitoring, and (5) wider influences shaping young people's behaviour. Overall, parents were aware of the risks and consequences of alcohol use and the wide range of influences shaping drinking behaviour, and expressed broad disapproval of alcohol use among young people. However, adolescent alcohol use was viewed as inevitable, and set within a context of a tolerant drinking culture. Many parents therefore chose a balanced and reluctantly accepting approach. This approach was determined by weighing disapproval of drinking against consistency with wider culture and parental behaviour, support for autonomy of the child, and avoidance of social sanctions. Parents' responses were also determined by a desire to protect the parent-child relationship, maintain an open, communicative and trusting relationship, and ultimately limit risk and minimise harm. Various boundaries and strategies were employed to this end, including care around role modelling, gradual introductions to alcohol, boundaried provision, clear risk reduction messaging and parental monitoring. CONCLUSIONS Parents employ a range of mechanisms to reduce alcohol-related risk and to balance harms of alcohol use among their offspring against adolescent behavioural norms. A downward shift in community consumption and changing socio-cultural norms could alter the accepting context in which parents are required to navigate adolescent alcohol use.
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Affiliation(s)
- Siobhan Mitchell
- Child Mental Health, University of Exeter Medical School, South Cloisters, St Luke's Campus, University of Exeter, Exeter, EX1 1TE, UK
| | - Rona Campbell
- Department of Population Health Sciences, Bristol Medical School, University of Bristol, 39 Whatley Road, Bristol, BS8 2PS, UK.,Public Health Research, Department of Population Health Sciences, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK
| | - Georgie J MacArthur
- Department of Population Health Sciences, Bristol Medical School, University of Bristol, 39 Whatley Road, Bristol, BS8 2PS, UK.
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6
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Vashishtha R, Pennay A, Dietze PM, Livingston M. The Role of Parental Control and Support in Declining Adolescent Drinking: A Multi-Level Study Across 30 European Countries. Alcohol Alcohol 2022; 57:470-476. [PMID: 35015803 DOI: 10.1093/alcalc/agab083] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Revised: 11/24/2021] [Accepted: 11/26/2021] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Adolescent drinking has declined in many high-income countries since the early 2000s. It has been suggested that changing parenting practices may have contributed to the decline. However, previous studies investigating parenting have focused on single countries and have provided conflicting evidence. This study tested the association between changes in individual- and population-level parental control and parental support and changes in past month adolescent drinking. METHODS A total of 271,823 adolescents aged 15-16 years, from 30 European countries between 2003 and 2015 were included in this study. Our key independent variables were adolescent reports of parental control and parental support. Our outcome measure was a dichotomous measure of any alcohol use in the 30 days before the survey, referred as past month drinking. Aggregated measures of parenting variables were used to estimate between-country and within-country effects of parenting on adolescent drinking. Data were analysed using three-level hierarchical linear probability methods. RESULTS At the individual-level, we found a negative association between the two parental measures, i.e. parental control (β = -0.003 and 95% CI = -0.021 to 0.017) and parental support (β = -0.008 and 95% CI = -0.010 to 0.006) and past month drinking. This suggests adolescents whose parents exert higher control and provide more support tend to drink less. At a population level, we did not find any evidence of association on between-country and within-country parenting changes and past month drinking. CONCLUSIONS It is unlikely that changes in parental control or support at the population-level have contributed to the decline in drinking among adolescents in 30 European countries.
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Affiliation(s)
- Rakhi Vashishtha
- Centre for Alcohol Policy Research, La Trobe University, Melbourne 3083, Australia.,Programme in Health Services and Systems Research, Duke-NUS Medical School, Singapore 169857, Singapore
| | - Amy Pennay
- Centre for Alcohol Policy Research, La Trobe University, Melbourne 3083, Australia
| | - Paul M Dietze
- National Drug Research Institute, Curtin University, Melbourne 3004, Australia.,School of Public Health and Preventive Medicine, Monash University, Melbourne 3004, Australia.,Behaviours and Health Risks Program, Burnet Institute, Melbourne 3004, Australia
| | - Michael Livingston
- Centre for Alcohol Policy Research, La Trobe University, Melbourne 3083, Australia.,National Drug Research Institute, Curtin University, Melbourne 3004, Australia.,Department of Clinical Neurosciences, Karolinska Institutet, Stockholm 17176, Sweden
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7
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Lee Y, Kim Y, Leatherdale ST, Chung H. Multilevel Latent Class Profile Analysis: An Application to Stage-Sequential Patterns of Alcohol Use in a Sample of Canadian Youth. Eval Health Prof 2021; 44:50-60. [PMID: 33511854 DOI: 10.1177/0163278721989547] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Recently, latent class analysis (LCA) and its variants have been proposed to identify subgroups of individuals who follow similar sequential patterns of latent class membership for longitudinal study. A primary assumption underlying the family of LCA is that individual observations are independent. In many applications, however, particularly in research on adolescent substance use, individuals are often dependent because of multilevel data structure, where the unit of observation (e.g., students) is nested in higher level units (e.g., schools). In this study, we propose multilevel latent class profile analysis (MLCPA), which will allow us to analyze the longitudinal data with a multilevel structure under the framework of LCA. We apply an MLCPA using data from the COMPASS study, a 9-year study funded by the Canadian Institutes of Health Research and Health Canada, in order to identify representative sequential drinking patterns of Canadian youth and investigate whether these sequential patterns vary across schools. The MLCPA identified three common student-level drinking behaviors: non-drinker, ever lifetime, and binge drinker. The sequence of drinking behaviors can be classified into one of three longitudinal sequential patterns: non-drinking stayer, light drinking advancer, and heavy drinking advancer. In addition, MLCPA uncovered two latent clusters (low-use school and high-use school) out of 64 schools in Ontario and Alberta based on the prevalences of sequential drinking patterns.
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Affiliation(s)
- Yunah Lee
- Department of Statistics, 34973Korea University, Seoul, South Korea
| | - Youngsun Kim
- Department of Statistics, 34973Korea University, Seoul, South Korea
| | - Scott T Leatherdale
- School of Public Health and Health Systems, 8430University of Waterloo, Canada
| | - Hwan Chung
- Department of Statistics, 34973Korea University, Seoul, South Korea
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8
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Boland VC, Clare PJ, Yuen WS, Peacock A, Aiken A, Wadolowski M, Hutchinson D, Najman J, Slade T, Bruno R, McBride N, Degenhardt L, Kypri K, Mattick RP. The association between parental supply of alcohol and supply from other sources to young people: a prospective cohort. Addiction 2020; 115:2140-2147. [PMID: 32141130 DOI: 10.1111/add.15033] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2019] [Revised: 06/21/2019] [Accepted: 03/04/2020] [Indexed: 12/21/2022]
Abstract
AIMS Despite legal age limits set for alcohol consumption, parents are one of the main suppliers of alcohol to underage minors. Although supply from non-parental sources has been found to be associated with greater risk of harm compared with parental supply, the association between parental supply and supply from other sources is unclear. This study investigated the associations between parental supply of sips and whole serves of alcohol on subsequent other supply, conditional on current supply from non-parental sources. METHODS Data from the Australian Parental Supply of Alcohol Longitudinal Study cohort of adolescents was used. A cohort of 1927 Australian children recruited in grade 7 (mean age 12.9 years) was surveyed annually from 2010 to 2016 (94%, n = 1821 included for analyses). The primary outcome was alcohol exposure from other sources ('other supply'), including alcohol supply from other adults, friends, siblings, or self-supply, compared with adolescents reporting no supply from these sources. Analyses were conducted using random intercept logistic regression (to account for within-respondent correlation). RESULTS Parental supply of alcohol alone was associated with increased odds of receiving alcohol from other non-parental sources in subsequent years (OR: 1.99; 95% CI: 1.65-2.39) after adjusting for confounders. Increased odds of subsequent other supply were associated with current parental supply of sips (OR: 1.92; 95% CI: 1.56-2.36) and whole drinks (OR: 2.76; 95% CI: 1.85-4.11). CONCLUSIONS Parental supply of alcohol appears to increase the risk of subsequent supply of alcohol from other sources in certain contexts.
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Affiliation(s)
- Veronica C Boland
- National Drug and Alcohol Research Centre, Faculty of Medicine, UNSW Australia, Sydney, , NSW, 2052, Australia
| | - Philip J Clare
- National Drug and Alcohol Research Centre, Faculty of Medicine, UNSW Australia, Sydney, , NSW, 2052, Australia
| | - Wing See Yuen
- National Drug and Alcohol Research Centre, Faculty of Medicine, UNSW Australia, Sydney, , NSW, 2052, Australia
| | - Amy Peacock
- National Drug and Alcohol Research Centre, Faculty of Medicine, UNSW Australia, Sydney, , NSW, 2052, Australia
| | - Alexandra Aiken
- National Drug and Alcohol Research Centre, Faculty of Medicine, UNSW Australia, Sydney, , NSW, 2052, Australia
| | - Monika Wadolowski
- Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, NSW, 2109, Australia
| | - Delyse Hutchinson
- National Drug and Alcohol Research Centre, Faculty of Medicine, UNSW Australia, Sydney, , NSW, 2052, Australia.,Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Deakin University Geelong, Geelong, Victoria, 3220, Australia.,Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, Victoria, 3010, Australia.,Murdoch Children's Research Institute, Parkville, Victoria, 3052, Australia.,Centre for Adolescent Health, Royal Children's Hospital, Parkville, Victoria, 3052, Australia
| | - Jackob Najman
- Queensland Alcohol and Drug Research and Education Centre, University of Queensland, Brisbane, QLD, 4072, Australia
| | - Tim Slade
- The Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, NSW, 2006, Australia
| | - Raimondo Bruno
- School of Psychology, University of Tasmania, Hobart, TAS, 7000, Australia
| | - Nyanda McBride
- National Drug Research Institute, Curtin University, GPO Box U1987, Perth, , WA, 6845, Australia
| | - Louisa Degenhardt
- National Drug and Alcohol Research Centre, Faculty of Medicine, UNSW Australia, Sydney, , NSW, 2052, Australia
| | - Kypros Kypri
- School of Medicine and Public Health, University of Newcastle, Newcastle, , NSW, 2308, Australia
| | - Richard P Mattick
- National Drug and Alcohol Research Centre, Faculty of Medicine, UNSW Australia, Sydney, , NSW, 2052, Australia
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9
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Parental supply of sips and whole drinks of alcohol to adolescents and associations with binge drinking and alcohol-related harms: A prospective cohort study. Drug Alcohol Depend 2020; 215:108204. [PMID: 32871506 DOI: 10.1016/j.drugalcdep.2020.108204] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Revised: 07/01/2020] [Accepted: 07/22/2020] [Indexed: 01/07/2023]
Abstract
BACKGROUND Parents frequently supply alcohol to their children, often only sips. We investigated whether supply of sips and whole drinks, from parents and other sources, are differentially associated with subsequent drinking outcomes. METHODS A cohort of 1910 adolescents (mean age 12.9yrs) were surveyed annually over seven years from 2010-11. We examined prospective, adjusted associations between the quantity of supply from parental and non-parental sources in the preceding 12 months and five outcomes in the subsequent year, over several consecutive years: binge drinking; alcohol-related harms; symptoms of alcohol abuse, dependence and alcohol use disorder (AUD). RESULTS In early waves, most parental supply comprised sips, while supply of whole drinks increased in later waves. Among those not receiving alcohol from other sources, parental supply of sips was associated with increased odds of binge drinking (OR: 1.85; 99.5 % CI: 1.17-2.91) and alcohol-related harms (OR: 1.70; 99.5 % CI: 1.20-2.42), but not with reporting symptoms of alcohol abuse, dependence or AUD, compared with no supply. Relative to no supply, supply of sips from other sources was associated with increased odds of binge drinking (OR: 2.04; 99.5 % CI: 1.14-3.67) only. Compared with supply of sips, supply of whole drinks by parents or others had higher odds of binge drinking, alcohol-related harms, symptoms of dependence and of AUD. Secondary analysis demonstrated that supply of larger quantities was associated with an increased risk of all outcomes. CONCLUSION Parental provision of sips is associated with increased risks and the supply of greater quantities was associated with an increasing risk of adverse outcomes. CLINICAL TRIAL REGISTRATION ClinicalTrials.gov (NCT02280551).
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Lam T, Fischer J, Salom C, Ogeil R, Wilson J, Lubman DI, Burns L, Lenton S, Gilmore W, Chikritzhs T, Aiken A, Allsop S. Safety first: Beliefs of older peers supplying alcohol to underage friends. Health Promot J Austr 2020; 32:407-415. [PMID: 32589329 DOI: 10.1002/hpja.378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2019] [Revised: 04/16/2020] [Accepted: 06/22/2020] [Indexed: 11/08/2022] Open
Abstract
ISSUE ADDRESSED Underage drinkers most commonly source alcohol from older peers. However, few studies have examined older peers' supply-related beliefs and motivations. METHODS A sample of 270 risky drinkers aged 18-19 years were interviewed in Australia where the legal purchase age is 18. They were asked about their provision to underage friends, awareness of secondary supply legislation (intended to prohibit such supply) and 24 psycho-legal beliefs around supply. RESULTS Half (49%) provided alcohol to a 16- to 17-year-old friend to drink at a party they were both attending at least twice a year. Three-quarters reported provision was okay so long as the recipient(s) were in a safe environment, and 46% reported "everyone gives alcohol to teenagers if they are in a safe environment." There was significantly higher agreement that "my friends would think I was mean if I did not give alcohol to a friend under the age of 18" (37%), compared to "my friends would think I was uncool if I did not give alcohol to a friend under the age of 18" (26%). Two thirds (69%) felt more responsible for an underage friend's safety if they provided the alcohol. A multivariate logistic regression revealed supply was more likely if the supplier: was aged 18 compared to 19 (95% CI OR: 1.57, 4.84), male (1.06, 3.27), of a higher SES quintile (1.08, 1.80) and believed alcohol supply to minors was morally acceptable (1.01, 1.33) and normal (1.04, 1.38). Knowledge of regulatory strategies (68%) designed to prevent supply to minors, and their perceived deterrent value did not significantly impact supply. CONCLUSIONS Supply of alcohol to underage peers was perceived as morally and socially acceptable in a group of 18- to 19-year-old risky drinkers. SO WHAT?: Opportunities include harm reduction initiatives that prioritise caring responsibilities towards friends, as opposed to relying on external enforcement measures alone.
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Affiliation(s)
- Tina Lam
- Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Frankston, VIC, Australia.,National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - Jane Fischer
- National Centre for Education and Training on Addiction, Flinders University, Adelaide, SA, Australia
| | - Caroline Salom
- Institute for Social Science Research, The University of Queensland, Brisbane, QLD, Australia
| | - Rowan Ogeil
- Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Frankston, VIC, Australia.,Turning Point, Eastern Health Clinical School, Monash University, Richmond, VIC, Australia
| | - James Wilson
- Turning Point, Eastern Health Clinical School, Monash University, Richmond, VIC, Australia
| | - Dan I Lubman
- Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Frankston, VIC, Australia.,Turning Point, Eastern Health Clinical School, Monash University, Richmond, VIC, Australia
| | - Lucinda Burns
- National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Simon Lenton
- National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - William Gilmore
- National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - Tanya Chikritzhs
- National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - Alexandra Aiken
- National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Steve Allsop
- National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
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11
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Cappelli C, Pike JR, Christodoulou G, Riggs NR, Warren CM, Pentz MA. The effect of sensation seeking on alcohol use among middle school students: a latent state-trait analysis. THE AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE 2020; 46:316-324. [PMID: 31509018 PMCID: PMC7064400 DOI: 10.1080/00952990.2019.1660885] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2019] [Accepted: 08/23/2019] [Indexed: 01/07/2023]
Abstract
BACKGROUND Sensation seeking has been implicated as a major risk factor for underage alcohol use, however little research into this personality trait has been conducted among children. OBJECTIVE The current study examined if sensation seeking presents as a state or trait in children, and if the state or trait predicted future alcohol use. METHODS A latent state-trait (LST) analysis was conducted among 552 individuals (54.3% female; age range 8-13; mean age 9.3) to determine the state or trait-based aspects of sensation seeking, and if this state or trait predicted future alcohol use. Sensation seeking behavior and lifetime alcohol use were assessed at four time points using two previously validated measures. RESULTS Between 49.4% and 95.3% of individual differences in sensation seeking could be attributed to a stable underlying sensation seeking trait. Further, logistic regression of the stable trait of sensation seeking predicted future alcohol use. A one unit increase in the latent trait increased the odds a student would try alcohol by 7.83 times (95% CI = 1.49-41.11, p = .015). Standardized regression coefficients revealed that an increase of one standard deviation in the latent trait of sensation seeking increased the odds of experimentation with alcohol by 1.29 times (95% CI = 1.11-1.49, p = .001). CONCLUSION Findings suggest sensation seeking presents as a stable trait during childhood, which can cause children to seek out a novel or exciting behaviors such as alcohol use. Future substance use interventions may need to account for the influence of the underlying trait.
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Affiliation(s)
- Christopher Cappelli
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 North Soto St. Los Angeles, CA 90089, USA
| | - James Russell Pike
- School of Community and Global Health, Claremont Graduate University, 675 West Foothill Blvd. Suite 210, Claremont, CA 91711, USA
| | - Georgia Christodoulou
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 North Soto St. Los Angeles, CA 90089, USA
| | - Nathaniel R. Riggs
- Department of Human Development and Family Studies, Colorado State University, Fort Collins, CO 80523, USA
| | - Christopher M. Warren
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 North Soto St. Los Angeles, CA 90089, USA
| | - Mary Ann Pentz
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 North Soto St. Los Angeles, CA 90089, USA
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12
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Gohari MR, Cook RJ, Dubin JA, Leatherdale ST. Identifying patterns of alcohol use among secondary school students in Canada: A multilevel latent class analysis. Addict Behav 2020; 100:106120. [PMID: 31622948 DOI: 10.1016/j.addbeh.2019.106120] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2019] [Revised: 09/03/2019] [Accepted: 09/04/2019] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Harm from alcohol use depend not only on the volume of consumption but also on drinking patterns. This study identifies patterns of alcohol consumption in youth and investigates how these patterns vary across schools and whether individual- and school-level factors are associated with engagement in patterns of alcohol consumption. METHODS The sample consists of 45,298 grade 9 to 12 students attending 89 secondary schools across Ontario and Alberta (Canada), who participated in the COMPASS study during the school year 2013-14. The frequency of drinking, the frequency of binge drinking, and age of alcohol-use initiation were used to characterize alcohol use patterns. RESULTS The multilevel latent class analysis identified 4 student-level latent groups and 2 school-level latent groups. Student-level groups of youth were characterized as non-drinkers (44.2%), light drinkers (41.8%), regular drinkers (11.1%), and heavy drinkers (2.9%). Two groups of schools were characterized as either low-use (44.9%) or high-use (55.1%) schools, with significantly different probability of membership in each student-level group. Male students (OR 1.30) and upper grades (OR 1.93) were significantly associated with membership in higher use groups of individuals. The median household income and the number of off-premise alcohol outlets had no significant association with patterns of alcohol consumption within schools. CONCLUSIONS A large proportion of students reported a level of drinking, suggesting that, in addition to delaying the onset of alcohol use, interventions need to encourage drinker students to quit drinking or lower their consumption. Schools may need to select and/or alter external interventions according to the dominant patterns of alcohol use among their students.
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Affiliation(s)
- Mahmood R Gohari
- School of Public Health and Health Systems, University of Waterloo, Canada.
| | - Richard J Cook
- Department of Statictics and Actuarial Science, University of Waterloo, Canada.
| | - Joel A Dubin
- Department of Statistics and Actuarial Science And School of Public Health and Health Systems, University of Waterloo, Canada.
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13
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Alcohol Consumption Among Spanish Female Adolescents: Related Factors and National Trends 2006-2014. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16214294. [PMID: 31694258 PMCID: PMC6862579 DOI: 10.3390/ijerph16214294] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/11/2019] [Revised: 11/03/2019] [Accepted: 11/04/2019] [Indexed: 11/28/2022]
Abstract
Background: The purpose of this study was: (a) to estimate trends over time in the prevalence of alcohol consumption among female adolescents between 2006 and 2014; (b) to identify the factors associated with the probability of consuming alcohol during this period for Spanish female adolescents (14–18 years old). Methods: Spanish nationwide, epidemiological, cross-sectional study on alcohol consumption by adolescent women. We used individualized secondary data retrieved from the 2006 and 2014 Spanish state survey on drug use in secondary education, for a total of 48,676 survey respondents aged 14 to 18 years. Alcohol use was the dependent variable. We also analyzed sociodemographic and educational features, lifestyle habits, perceived health risk for consumption, and perceived availability of substance using logistic regression models. Results: The prevalence of alcohol consumption among female adolescents was 62.35% during the study period. Alcohol consumption increased with age and was more frequent on weekends than on school days. The variables associated with a greater probability of alcohol consumption were tobacco, marijuana (aOR = 2.37; 95% CI: 2.08–2.72), and alcohol consumption by friends (aOR = 7.24; 95% CI: 6.42–8.16). Conclusions: Alcohol consumption by female adolescents in Spain significantly increased from 2006 to 2014. Marijuana and alcohol consumption by friends were associated factors.
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Huckle T, Romeo J, Casswell S. A restrictive alcohol social supply law change is associated with less supply to friends under 18 years. Drug Alcohol Rev 2019; 38:737-743. [DOI: 10.1111/dar.12993] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2019] [Revised: 08/19/2019] [Accepted: 08/25/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Taisia Huckle
- SHORE and Whariki Research Centre, College of HealthMassey University Auckland New Zealand
| | - Jose Romeo
- SHORE and Whariki Research Centre, College of HealthMassey University Auckland New Zealand
| | - Sally Casswell
- SHORE and Whariki Research Centre, College of HealthMassey University Auckland New Zealand
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Mahedy L, MacArthur GJ, Hammerton G, Edwards AC, Kendler KS, Macleod J, Hickman M, Moore SC, Heron J. The effect of parental drinking on alcohol use in young adults: the mediating role of parental monitoring and peer deviance. Addiction 2018; 113:2041-2050. [PMID: 29806869 PMCID: PMC6176713 DOI: 10.1111/add.14280] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2017] [Revised: 12/20/2017] [Accepted: 05/23/2018] [Indexed: 11/26/2022]
Abstract
BACKGROUND AND AIMS Evidence demonstrating an association between parental alcohol use and offspring alcohol use from robust prospective studies is lacking. We tested the direct and indirect associations between parental and young adult alcohol use via early alcohol initiation, parental monitoring and associating with deviant peers. DESIGN Prospective birth cohort study. Path analysis was used to assess the possible association between parental alcohol use (assessed at 12 years) and alcohol use in young adults (assessed at 18 years) via potential mediators (assessed at 14 and 15.5 years, respectively). SETTING South West England. PARTICIPANTS Data were available on 3785 adolescents and their parents from the Avon Longitudinal Study of Parents and Children. MEASUREMENTS The continuous Alcohol Use Disorders Identification Test (AUDIT) score was used as the primary outcome measure. Maternal alcohol use was defined as light (< 4 units on any day), moderate (≥ 4 units on 1-3 days) and high-risk (≥ 4 units on ≥ 4 days in 1 week). Partner alcohol use was also defined as light, moderate and high risk. Socio-economic variables were included as covariates. FINDINGS There was strong evidence of a total effect from maternal alcohol use to young adult alcohol use [moderate: b = 1.07, 95% confidence interval (CI) = 0.64, 1.49, P < 0.001; high risk: b = 1.71, 95% CI = 1.07, 2.35, P < 0.001]. The majority of this association was explained through early alcohol initiation (moderate: b = 0.14, 95% CI = 0.04, 0.25, P = 0.01; high risk: b = 0.24, 95% CI = 0.07, 0.40, P < 0.01) and early alcohol initiation/associating with deviant peers (moderate: b = 0.06, 95% CI = 0.02, 0.10, P < 0.01; high risk: b = 0.10, 95% CI = 0.03, 0.16, P < 0.01). There was strong evidence of a remaining direct effect (moderate: b = 0.81, 95% CI = 0.39, 1.22, P < 0.001; high risk: b = 1.28, 95% CI = 0.65, 1.91, P < 0.001). A similar pattern of results was evident for partner alcohol use. CONCLUSIONS Young adults whose parents have moderate or high-risk alcohol consumption are more likely to consume alcohol than those with parents with lower alcohol consumption. This association appears to be partly accounted for by earlier alcohol use initiation and higher prevalence of association with deviant peers.
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Affiliation(s)
- Liam Mahedy
- Population Health Sciences, Bristol Medical SchoolUniversity of BristolUnited Kingdom
| | - Georgina J. MacArthur
- Population Health Sciences, Bristol Medical SchoolUniversity of BristolUnited Kingdom
| | - Gemma Hammerton
- Population Health Sciences, Bristol Medical SchoolUniversity of BristolUnited Kingdom
| | - Alexis C. Edwards
- Department of Psychiatry and School of MedicineVirginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth UniversityRichmondVirginiaUnited States of America
| | - Kenneth S. Kendler
- Department of Psychiatry and School of MedicineVirginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth UniversityRichmondVirginiaUnited States of America
| | - John Macleod
- Population Health Sciences, Bristol Medical SchoolUniversity of BristolUnited Kingdom
| | - Matthew Hickman
- Population Health Sciences, Bristol Medical SchoolUniversity of BristolUnited Kingdom
| | - Simon C. Moore
- School of Dentistry, College of Biomedical and Life ScienceCardiff UniversityUnited Kingdom
| | - Jon Heron
- Population Health Sciences, Bristol Medical SchoolUniversity of BristolUnited Kingdom
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16
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Moñino-García M, Adoamnei E, Gadea-Nicolás A, Arense-Gonzalo JJ, López-Espín JJ, Torres-Cantero AM. Family environmental factors associated with underage drinking. JOURNAL OF SUBSTANCE USE 2018. [DOI: 10.1080/14659891.2018.1523965] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Miriam Moñino-García
- Division of Preventive Medicine and Public Health, Department of Public Health Sciences, University of Murcia School of Medicine, Espinardo (Murcia), Spain
- Institute for Biomedical Research of Murcia, IMIB-Arrixaca, El Palmar (Murcia), Spain
| | - Evdochia Adoamnei
- Division of Preventive Medicine and Public Health, Department of Public Health Sciences, University of Murcia School of Medicine, Espinardo (Murcia), Spain
- Institute for Biomedical Research of Murcia, IMIB-Arrixaca, El Palmar (Murcia), Spain
| | - Alicia Gadea-Nicolás
- Division of Preventive Medicine and Public Health, Department of Public Health Sciences, University of Murcia School of Medicine, Espinardo (Murcia), Spain
| | - Julián J. Arense-Gonzalo
- Division of Preventive Medicine and Public Health, Department of Public Health Sciences, University of Murcia School of Medicine, Espinardo (Murcia), Spain
- Institute for Biomedical Research of Murcia, IMIB-Arrixaca, El Palmar (Murcia), Spain
| | - José J. López-Espín
- Institute for Biomedical Research of Murcia, IMIB-Arrixaca, El Palmar (Murcia), Spain
- Center of Operation Research, Miguel Hernández University of Elche, Elche, Spain
| | - Alberto M. Torres-Cantero
- Division of Preventive Medicine and Public Health, Department of Public Health Sciences, University of Murcia School of Medicine, Espinardo (Murcia), Spain
- Institute for Biomedical Research of Murcia, IMIB-Arrixaca, El Palmar (Murcia), Spain
- CIBER Epidemiology and Public Health (CIBERESP), Carlos III Health Institute, Madrid, Spain
- Department of Preventive Medicine, “Virgen de la Arrixaca” University Clinical Hospital, El Palmar (Murcia), Spain
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17
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Chan GCK, Leung J, Kelly AB, Connor J, Edward S, Hall W, Degenhardt L, Chiu V, Patton G. Familial alcohol supply, adolescent drinking and early alcohol onset in 45 low and middle income countries. Addict Behav 2018; 84:178-185. [PMID: 29723800 DOI: 10.1016/j.addbeh.2018.04.014] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2017] [Revised: 04/19/2018] [Accepted: 04/19/2018] [Indexed: 12/17/2022]
Abstract
AIMS This study estimated the extent of familial alcohol supply in 45 low and middle income countries (LMIC), and examined the country-level effects of familial alcohol supply on adolescents' alcohol use. METHOD We used data from 45 LMICs that participated in the Global School-Based Student Health Survey (GSHS) between 2003 and 2013 (n = 139,840). The weighted prevalence of familial alcohol supply in each country was estimated. Multilevel binary and ordinal logistic regression analyses were used to examine the country-level effect of familial alcohol supply on early onset of alcohol use (first alcohol before 12), past 30-day alcohol use, lifetime drunkenness and alcohol-related social problems. RESULTS There were large variations between LMICs in the prevalence of familial alcohol supply and pattern of adolescent alcohol use. The prevalence of familial supply ranged from 0.1% in Tajikistan to 23.8% in St Lucia. It was estimated that a one percentage change in prevalence of familial alcohol supply was associated with 10%, 12% and 12% change in the odds of lifetime drunkenness (OR = 1.10, 95% CI = [1.04, 1.16]), early onset of alcohol use (OR = 1.12, 95% CI = [1.07, 1.08]) and more frequent drinking in the past month (OR = 1.12, 95% CI = [1.04, 1.20]). CONCLUSION There were large variations in the prevalence of familial alcohol supply and adolescent alcohol use among LMICs. Adolescents in countries with higher prevalence of familial alcohol supply were more likely to start using alcohol at an earlier age, to have used alcohol in the past 30 days and experience intoxication.
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Affiliation(s)
- Gary C K Chan
- Centre for Youth Substance Abuse Research, The University of Queensland, Australia.
| | - Janni Leung
- School of Public Health, The University of Queensland, Australia
| | - Adrian B Kelly
- School of Psychology and Counselling, Faculty of Health, Queensland University of Technology, Australia
| | - Jason Connor
- Centre for Youth Substance Abuse Research, The University of Queensland, Australia; Discipline of Psychiatry, The University of Queensland, Australia
| | - Stephanie Edward
- School of Public Health, The University of Queensland, Australia
| | - Wayne Hall
- Centre for Youth Substance Abuse Research, The University of Queensland, Australia
| | - Louisa Degenhardt
- National Drug and Alcohol Research Centre, The University New South Wales, Australia
| | - Vivian Chiu
- Centre for Youth Substance Abuse Research, The University of Queensland, Australia
| | - George Patton
- Centre for Adolescent Health, Murdoch Children's Research Institute, Australia
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18
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Pape H, Rossow I, Brunborg GS. Adolescents drink less: How, who and why? A review of the recent research literature. Drug Alcohol Rev 2018; 37 Suppl 1:S98-S114. [PMID: 29573020 DOI: 10.1111/dar.12695] [Citation(s) in RCA: 111] [Impact Index Per Article: 18.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2017] [Revised: 02/15/2018] [Accepted: 02/20/2018] [Indexed: 01/26/2023]
Abstract
ISSUES Today's teenagers have been described as a sober generation and we asked: 'What is known about the recent decline in youth drinking?' APPROACH A literature review (2005-2017). KEY FINDINGS Research from wealthier parts of the world provides solid evidence of less alcohol use by youth since the millennium shift. Some studies show that this is reflected at all levels of consumption, but there are also indications that the heaviest drinkers have not reduced their drinking. The decrease is predominately seen in underage youth, and has been larger for boys than for girls in several countries. Teenagers across social strata drink less, but some disadvantaged subgroups have not followed the downward trend. Underage drinkers have apparently not become a more deviant group as the prevalence of drinking has dropped, indicating no hardening of the group. The major gap in the literature pertains to the issue of underlying driving forces. We found no evidence in support of the widespread assumption that the digital revolution has been of importance. A decline in parenting practices that are conductive to underage drinking has occurred in several countries, but studies examining whether these changes have contributed to less alcohol use by youth are almost non-existent. IMPLICATIONS To inform alcohol policy and prevention, it is imperative to find out why teenage drinking has decreased in a fairly consistent way across numerous countries. CONCLUSION Future research into the issue of falling prevalence rates of youth drinking should focus on possible explanatory factors at the population level rather than at the individual level.
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Affiliation(s)
- Hilde Pape
- Norwegian Institute of Public Health, Oslo, Norway.,The Research Department, University College of Norwegian Prison Service, Lillestrøm, Norway
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