Association of alcohol control policies with adolescent alcohol consumption and with social inequality in adolescent alcohol consumption: A multilevel study in 33 countries and regions

Leal-López, Eva; Moreno-Maldonado, Concepción; Inchley, Joanna; Deforche, Benedicte; Havere, Tina Van; Damme, Joris Van; Buijs, Thomas; Sánchez‐Queija, Inmaculada; Currie, Dorothy; Vieno, Alessio; Clercq, Bart De

doi:10.1016/j.drugpo.2020.102854

Cited by 27 publications

(30 citation statements)

References 48 publications

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“…Our results showed a positive and significant trend to decrease the consumption (any use, independently of frequency, or quantity), among boys and girls, across time. Our results corroborate a sex difference (boys consume more than girls) and an increase with age also observed in other studies ( 31 , 32 ). Among adolescents, the social environment influences health behaviors mainly related to alcohol and smoking.…”

Section: Discussionsupporting

confidence: 93%

Trends of Healthy Lifestyles Among Adolescents: An Analysis of More Than Half a Million Participants From 32 Countries Between 2006 and 2014

et al. 2021

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The purpose of this study was to provide data regarding the prevalence and trends of adolescents' healthy lifestyles from 32 countries between 2006 and 2014 by sex and age interval. The data used in the present study were derived from the Health Behavior in School-aged Children (HBSC) 2006, 2010, and 2014 international database. Healthy lifestyle was assessed using the combination of daily physical activity, daily fruit and vegetable consumption, <2 h daily on screen-based behaviors, abstinence from alcohol, and abstinence from tobacco products. Healthy lifestyle measures were based on self-report. The final sample comprised 519,371 adolescents (aged between 10 and 16 years old). The prevalence of healthy lifestyle behaviors increased between 2006 and 2014. The healthy lifestyle score worsened with advancing age for boys and girls. Comparing countries, for boys, the highest values were observed in adolescents from Ireland (5.2%, 95% CI: 3.9, 6.4), and for girls, the highest values were observed in adolescents from Iceland (4.2%, 95% CI: 3.6, 4.7). The present study showed a slight trend to an improved healthy lifestyle among adolescents, although much more has to be done. A joint effort from multiple areas of knowledge must be made to improve adolescent health policies, since lifestyles in adolescence play an important role for the development of vulnerability and health in later life.

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Section: Discussionsupporting

confidence: 93%

Trends of Healthy Lifestyles Among Adolescents: An Analysis of More Than Half a Million Participants From 32 Countries Between 2006 and 2014

et al. 2021

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“…However, the investigation by Leal-López et al [63] in 33 countries with adolescents between 11 and 15 years old concluded that living with families of high material affluence represents a risk factor for increased alcohol consumption. In fact, among adolescents of 18 with high wealth levels, factors such as excessive pressure for goal achievement and their parents' emotional and physical distance make them vulnerable to substance abuse, depression, and anxiety than those of medium or low-income levels [64].…”

Section: Family Context Factors Of External Regulation: the Socio-educational Level Of Parentsmentioning

confidence: 99%

Effect of Personal and Contextual Factors of Regulation on Academic Achievement during Adolescence: The Role of Gender and Age

Arias

Malpica-Chavarria

Umerenkova

et al. 2021

IJERPH

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This investigation aimed to analyze the predictive differential value of personal (self-regulation, self-efficacy, procrastination) and contextual characteristics (parents’ socio-educational level), regarding academic achievement, among Colombian adolescents. A total of 430 students (from 11 to 18 years old) from both genders filled out validated self-reports and informed their academic achievement. We performed an ex-post-facto design, simple regression analyses, structural equations predictions analyses (SEM), and variance analyses (ANOVAs). The results showed that self-regulation is the most potent personal variable predictive of procrastination and achievement, positively associated with self-efficacy; additionally, the parents’ educational level was also a predictor, although to a lesser level. The female group and the elderly group negatively predicted academic achievement, behaving as modulatory variables of the above results.

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“…In this sense, some studies have detected inequalities in trends in alcohol consumption regarding sex, socioeconomic status or native/immigrant. 35–38 A recent study conducted with HBSC data showed that, despite the confirmed overall downward trend in adolescent alcohol use between 2002 and 2014, socioeconomic inequalities related to family material affluence (higher lifetime use, weekly drinking and drunkenness among adolescents from a higher position) and perceived family wealth (higher drunkenness among adolescents who perceived their families to be poor) persisted in lifetime and weekly use and even increased in drunkenness. 35 At regional- and country-level, future studies should analyze the reasons why specific countries have not decreased over time, or even while decreasing in some behaviours, have remained among the most prevalent in others.…”

Section: Discussionmentioning

confidence: 98%

“…taxation and price regulation) have stood out as one of the most effective measures. 29 , 34 , 35 Efforts should be focused not just on what may be related to the decrease, but also on exploring why the decline is present only (or to a larger extent) in some groups of adolescents and not others. In this sense, some studies have detected inequalities in trends in alcohol consumption regarding sex, socioeconomic status or native/immigrant.…”

Section: Discussionmentioning

confidence: 99%

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

Leal-López

Sánchez‐Queija

Vieno

et al. 2021

European Journal of Public Health

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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.

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Association of alcohol control policies with adolescent alcohol consumption and with social inequality in adolescent alcohol consumption: A multilevel study in 33 countries and regions

Cited by 27 publications

References 48 publications

Trends of Healthy Lifestyles Among Adolescents: An Analysis of More Than Half a Million Participants From 32 Countries Between 2006 and 2014

Trends of Healthy Lifestyles Among Adolescents: An Analysis of More Than Half a Million Participants From 32 Countries Between 2006 and 2014

Effect of Personal and Contextual Factors of Regulation on Academic Achievement during Adolescence: The Role of Gender and Age

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

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