Binge drinking, parental substance use and family socio-economic status in France: evidence for an alcohol harm paradox in adolescence (original) (raw)

Background Adolescent heavy episodic drinking (HED) represents a serious health threat. We explore the relation of HED and of emergency room visit because of acute alcoholic intoxication during life (ERV) with family socioeconomic status (SES), family living arrangement (living in a non-intact family or living independently) and parental substance use. Setting: A cross-sectional nationwide exhaustive 12-day survey in March 2017 of French youth aged 17-18.5 participating in the national mandatory civic information day. Participants: 13,314 adolescents answering a pen and paper questionnaire about their own alcohol consumption and the consumption of tobacco and alcohol of their parents. Measurements: Outcomes were the number of past month heavy drinking episodes and ERV. Risk ratios (RR) were computed using modified Poisson regressions. Results Compared to the adolescents with the highest SES, those from the lowest SES were less likely to report 1-2 or 3-5 episodes of heavy drinking i...