Binge drinking, parental substance use and family socio-economic status in France: evidence for an alcohol harm paradox in adolescence (original) (raw)
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In Europe use of alcohol by adolescents is a large and increasing problem. The aim of this study is to examine the effects of family factors such as structure, social control, affluence, and negative life events on adolescents' risky alcohol use. Data on alcohol use and family factors were obtained from the International Self-Report Delinquency Study (ISRD-2). Using multilevel analysis, it was found that overall, complete family and high social control by parents were lowering the intense alcohol use whereas negative life events in the family and high family affluence were increasing youngsters' intense alcohol use. Differences between regions of Europe were present for all family factors except affluence. Namely, in Northern Europe the impact of family structure and social control on intense alcohol use was stronger than that in other regions (e.g., Western Europe, Mediterranean, and Postsocialist countries). Also, in Northern Europe where the proportion of adolescents who have not experienced negative life events is the highest, the impact of negative life events on intense alcohol use was stronger; that is, negative life events increased the alcohol use. We conclude that family plays a significant role in adolescents' risky alcohol use.
International journal of environmental research and public health, 2014
There is expedient evidence showing that differences in adolescent alcohol consumption and other risk-behaviour depend on both family structure and family member drunkenness exposure. Data were obtained among adolescents (N = 12,115, mean age 14.9 ± 0.89) in Austria, Estonia, France, Germany, Hungary, Ireland, Israel, Italy,Romania, Slovenia and Spain within the European Union'ss 7th Framework Programme funded project, 'Saving and Empowering Young Lives in Europe (SEYLE)’. The current study reveals how adolescents' alcohol consumption patterns are related to their family structure and having seen their family member drunk. The results revealed statistically significant differences in adolescent alcohol consumption depending on whether the adolescent lives in a family with both birth parents, in a single-parent family or in a family with one birth parent and one step-parent. The study also revealed that the abstaining from alcohol percentage among adolescents was greater ...
BMC Psychiatry, 2008
Background: Few studies have analyzed the frequency of alcohol use across time from adolescence to young adulthood and its outcome in young adulthood. A Swiss longitudinal multilevel assessment project using various measures of psychopathology and psychosocial variables allowed for the study of the frequency and correlates of alcohol use so that this developmental trajectory may be better understood. Method: Alcohol use was studied by a questionnaire in a cohort of N = 593 subjects who had been assessed at three times between adolescence and young adulthood within the Zurich Psychology and Psychopathology Study (ZAPPS). Other assessment included questionnaire data measuring emotional and behavioural problems, life events, coping style, self-related cognitions, perceived parenting style and school environment, and size and efficiency of the social network. Results: The increase of alcohol use from early adolescence to young adulthood showed only a few sex-specific differences in terms of the amount of alcohol consumption and the motives to drink. In late adolescence and young adulthood, males had a higher amount of alcohol consumption and were more frequently looking for drunkenness and feeling high. Males also experienced more negative consequences of alcohol use. A subgroup of heavy or problem drinkers showed a large range of emotional and behavioural problems and further indicators of impaired psychosocial functioning both in late adolescence and young adulthood. Conclusion: This Swiss community survey documents that alcohol use is problematic in a sizeable proportion of youth and goes hand in hand with a large number of psychosocial problems. Background The international trends in substance use and its determinants among youths have been analyzed in various recent reviews [1,2]. There can be no doubt that alcohol is among the leading substances used and abused by adolescents and young adults. A European prevalence study based on data collected in 26 countries found the highest rates of drunkenness, binge drinking, and alcohol consumption among British, Danish, and Irish youths. Alcohol use and misuse was much more widely reported than illicit drugs [3].
International Journal of Drug Policy, 2020
Background Previous research found inconsistent associations between alcohol control policies and socioeconomic inequality with adolescent drinking outcomes. This study expands the focus beyond individual associations to examine whether a combination of policies is related to socioeconomic inequality in adolescent drinking outcomes and whether this relationship varies across survey years. Methods Multilevel modelling of 4 waves of repeat cross-sectional survey data (2001/02, 2005/06, 2009/10, and 2013/14) from the Health Behaviour in School-aged Children (HBSC) study was carried out. The sample was composed of 671,084 adolescents (51% girls) aged 11, 13, and 15 (mean age=13.58; SD=1.65) from 33 European and North American countries/regions. The dependent variables were lifetime alcohol consumption, weekly alcohol consumption, and lifetime drunkenness. Independent variables were of three types: individuallevel variables (age, sex, Family Affluence Scale, and the Perceived Family Wealth), time-level variable (survey year), and context-level variables (minimum legal drinking age, physical availability, advertising restrictions, a total alcohol policy index, and affordability of alcohol). Results The total alcohol policy index showed a negative relationship with both lifetime and weekly consumption. Higher affordability of alcohol was related to higher lifetime and weekly consumption and higher lifetime drunkenness. Family Affluence Scale was positively related to all three alcohol measures and Perceived Family Wealth was negatively related to lifetime drunkenness, with these associations increasing across survey years. The total alcohol policy index buffered the associations of Family Affluence Scale and Perceived Family Wealth with adolescent drinking outcomes. Conclusion A combination of alcohol control policies is more effective in reducing adolescent drinking outcomes than single policy measures. Reducing the affordability of alcohol stood out as the most successful single measure. Socioeconomic inequalities (i.e. higher alcohol consumption and drunkenness in adolescents with higher family affluence and higher drunkenness in adolescents perceiving their families to be poor) have persisted and even increased across survey years. A combined alcohol control policy can help in tackling them. The harmful use of alcohol is one of the most important risk factors for population health worldwide, causing more than 200 disease and injury conditions, and being responsible for 3 million deaths every year (5.3% of all deaths) (World Health Organization, 2018). Special attention needs to be paid to adolescent drinking. First, consuming alcohol in adolescence has been shown to be related to significant differences in brain structure and functioning (Feldstein-Ewing, Sakhardande & Blakemore, 2014) as well as to different physical and mental health
Alcohol consumption is a major risk factor for disease burden in developed countries. In addition to genetic susceptibility, alcohol consumption is patterned by the social and familial environment. The goal of our study was to examine associations between the quality of familial relationships and alcohol abuse and dependence. We used a national sample of 1,101 French young adults aged 22-35, for which data was collected in 2009. Alcohol-related problems were measured with the Alcohol Use Disorders Identification Test (AUDIT). Main exposure variables included young adults' self-report of quality of parental relationships. In logistic regression models adjusted for demographic and other covariates, we found that having a poor relationship with one's mother (OR 1.7, 95%CI 1.0-2.7) or father (OR 1.7, 95% CI 1.1-2.7) was associated alcohol abuse and dependence. Gender stratified analyses suggested that a poor quality relationship with one's mother was associated with alcohol ...
Drug and Alcohol Dependence, 1999
Over the past decade, we have observed a disparity between alcohol consumption and related mortality, especially in its regional distribution. Two epidemiological surveys carried out by CRSSA and INSERM (unit 472) focused on drinking behaviour patterns among young conscripts and secondary school students. Regular drinkers in particular were studied. Geographical distribution of regular alcohol use differs from that of alcohol-related deaths. Alcohol consumption is higher in the south of France than in the north, while mortality from alcohol abuse remains higher in the north.
International Journal of Environmental Research and Public Health, 2021
The aim of the study presented here was to estimate the prevalence of parental alcohol problems during childhood in a general population of Norwegian adults, and to investigate associations between parental alcohol problems during childhood and lower socioeconomic status in adulthood. This cross-sectional study recruited 28,047 adults (≥18 years) to an online health survey (Norwegian Counties Public Health Surveys). We evaluated demographic and socioeconomic measures and responses to a shortened version of the Children of Alcoholics Screening Test (CAST-6) scale to assess whether respondents perceived parental alcohol consumption during childhood as problematic. Respondents reported parental alcohol problems at a rate of 15.6%, but the experience was more prevalent among adults with a low education (20.0%), compared to those with intermediate (16.4%) or high educations (13.8%, χ2(2) = 87.486, p < 0.001), and it was more common among respondents with low economic capabilities (21....