Cross-national time trends in adolescent alcohol use from 2002 to 2014

Leal-López, E., Sánchez-Queija, I., Vieno, A., Currie, D., Torsheim, T., Pavlova, D., Moreno-Maldonado, C., De Clercq, B., Kalman, M. and Inchley, J. (2021) Cross-national time trends in adolescent alcohol use from 2002 to 2014. European Journal of Public Health, 31(4), pp. 859-866. (doi: 10.1093/eurpub/ckab024) (PMID:34259859)

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Abstract

Background: Adolescent alcohol consumption is a major public health concern that should be continuously monitored. This study aims (i) to analyze country-level trends in weekly alcohol consumption, drunkenness and early initiation in alcohol consumption and drunkenness among 15-year-old adolescents from 39 countries and regions across Europe and North America between 2002 and 2014 and (ii) to examine the geographical patterns in adolescent alcohol-related behaviours. Methods: The sample was composed of 250 161 adolescents aged 15 from 39 countries and regions from Europe and North America. Survey years were 2002, 2006, 2010 and 2014. The alcohol consumption and drunkenness items of the HBSC questionnaire were employed. Prevalence ratios and 95% confidence intervals were estimated using Poisson regression models with robust variance. Results: Data show a general decrease in all four alcohol variables between 2002 and 2014 except for some countries. However, there is variability both within a country (depending on the alcohol-related behaviour under study) and across countries (in the beginning and shape of trends). Some countries have not reduced or even increased their levels in some variables. Although some particularities have persisted over time, there are no robust patterns by regions. Conclusions: Despite an overall decrease in adolescent alcohol consumption, special attention should be paid to those countries where declines are not present, or despite decreasing, rates are still high. Further research is needed to clarify factors associated with adolescent drinking, to better understand country specificities and to implement effective policies.

Item Type:Articles
Additional Information:This work was supported by public sources in each member country. Specifically, this work was supported by Ministerio de Sanidad, Política Social e Igualdad of Spain to E.L.L., I.S.Q. and C.M.M.; by the VI Plan Propio de Investigación de la Universidad de Sevilla 2018, under the action “II.5B Contrato de acceso al Sistema Español de Ciencia, Tecnología e Innovación para el Desarrollo del Programa Propio de I+D+i de la Universidad de Sevilla” to C.M.M.; by the European Regional Development Fund-Project "Effective Use of Social Research Studies for Practice " [CZ.02.1.01/0.0/0.0/16_025/0007294] and by the Technology Agency of the Czech Republic [ÉTA TL01000335] to M.K. and by the UK Medical Research Council [MC_UU_12017/12] and the Chief Scientist Office [SPHSU12] to J.I.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Inchley, Dr Joanna
Authors: Leal-López, E., Sánchez-Queija, I., Vieno, A., Currie, D., Torsheim, T., Pavlova, D., Moreno-Maldonado, C., De Clercq, B., Kalman, M., and Inchley, J.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
Journal Name:European Journal of Public Health
Publisher:Oxford University Press
ISSN:1101-1262
ISSN (Online):1464-360X
Published Online:14 July 2021
Copyright Holders:Copyright © 2021 The Authors
First Published:First published in European Journal of Public Health 31(4): 859-866
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
727641Understanding and Improving Health within Settings and OrganisationsKathryn HuntMedical Research Council (MRC)MC_UU_12017/12HW - MRC/CSO Social and Public Health Sciences Unit
727641Understanding and Improving Health within Settings and OrganisationsKathryn HuntOffice of the Chief Scientific Adviser (CSO)SPHSU12HW - MRC/CSO Social and Public Health Sciences Unit