romaniuk-doesthesocialcontext-2015.pdf (770.14 kB)
Does the social context of early alcohol use affect risky drinking in adolescents? Prospective cohort study
journal contribution
posted on 2015-11-16, 00:00 authored by Louisa Degenhardt, Helena RomaniukHelena Romaniuk, Carolyn Coffey, Wayne D Hall, Wendy Swift, John B Carlin, Christina O'Loughlin, George C PattonBACKGROUND: There are limited longitudinal data on the associations between different social contexts of alcohol use and risky adolescent drinking. METHODS: Australian prospective longitudinal cohort of 1943 adolescents with 6 assessment waves at ages 14-17 years. Drinkers were asked where and how frequently they drank. Contexts were: at home with family, at home alone, at a party with friends, in a park/car, or at a bar/nightclub. The outcomes were prevalence and incidence of risky drinking (≥5 standard drinks (10g alcohol) on a day, past week) and very risky drinking (>20 standard drinks for males and >11 for females) in early (waves 1-2) and late (waves 3-6) adolescence. RESULTS: Forty-four percent (95 % CI: 41-46 %) reported past-week risky drinking on at least one wave during adolescence (waves 1-6). Drinking at a party was the most common repeated drinking context in early adolescence (28 %, 95 % CI 26-30 %); 15 % reported drinking repeatedly (3+ times) with their family in early adolescence (95 % CI: 14-17 %). For all contexts (including drinking with family), drinking 3+ times in a given context was associated with increased the risk of risky drinking in later adolescence. These effects remained apparent after adjustment for potential confounders (e.g. for drinking with family, adjusted RR 1.9; 95 % CI: 1.5-2.4). Similar patterns were observed for very risky drinking. CONCLUSIONS: Our results suggest that consumption with family does not protect against risky drinking. Furthermore, parents who wish to minimise high risk drinking by their adolescent children might also limit their children's opportunities to consume alcohol in unsupervised settings.
History
Journal
BMC public healthVolume
15Article number
1137Pagination
1 - 9Publisher
BioMed CentralLocation
London, Eng.Publisher DOI
Link to full text
eISSN
1471-2458Language
engPublication classification
C1 Refereed article in a scholarly journalCopyright notice
2015, Degenhardt et al.Usage metrics
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Alcoholic IntoxicationAustraliaProspective StudiesRiskRisk-TakingSocial EnvironmentUnderage Drinkingalcoholadolescencerisky drinkingbinge drinkingScience & TechnologyLife Sciences & BiomedicinePublic, Environmental & Occupational HealthSUBSTANCE USESELF-REPORTYOUNGCOMMUNITYPARENTSAVAILABILITYYOUTHHOME
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