effective environmental strategies for the prevention of alcohol abuse amond adolescents in europe...
TRANSCRIPT
Effective Environmental Strategies for the Prevention
of Alcohol Abuse amond Adolescents in Europe
An overview of AAA-prevent
Underage drinking worldwide problem
Traffic crashes, risky driving behaviourIntended and unintended injuriesPrecursive to violenceAssociated with problem behavioursAffects brain developmentAssociated with alcohol related disorders later
Europe
Highest alcohol consumption among youngstersEspecially in western and eastern EuropeDivergent picture of prevalence ratesProblematic alcohol drinking is increasingInitiation age is loweringNumber of girls involved in heavy drinking is increasing
Preventive possibilities
Understanding patterns of alcohol useRelated to the country where you grow upRelated to risk factors which are associated with alcohol use
Sample
ISRD-sample (2006; see Junger-Tas et al., 2009, 2011)57.771 youngsters25 European countriesAge 12-16 years
Abstinence
Last month life time beer
Last month and life time spirits
Binge drinking beer
Binge drinking spirits
Europe and country
Theory
Family
Strong relation on adolescents use of alcohol both on how much and on how oftenFamily structure and family control/bonding protectFamily affluence as well as negative life events lead to more use
Alcohol use and Family Risk Factors (AOR)
School
Strong effect on alcohol useImportant setting to influence adolescent alcohol useSchool disorganization and social bonding show strong effects
Alcohol use and School Risk factors (AOR)
Peer
Inportant domain when relation with family becomes less and with friends strongerWe find here the strongest relationDelinquent friends or deviant behaviour
Alcohol use and Peer Risk factors (AOR)
Individu
Low self-control and Attitudes towards violence are related to alcohol useImportant factors for preventive action
Alcohol use and Individual Risk Factors (AOR)
Community/Neighbourhood
Bonding to neighbourhood decrease alcohol use of adolescentsAdolescents who live in disorganized neighbourhood use more alcohol
Alcohol use and Neighbourhood Risk Factors (AOR)
Multilevel analysis
Influence of country on alcohol useCombination of individual variables and country variablesAnalyzing patterns of use
ICC
Alcohol life time prevalence 14%Alcohol last month prevalence 9%Drunkeness 10%Binge drinking 10%
Multilevel class analyse as an example
Alcohol use everAlcohol use last monthDrunkenessBinge drinkingAbstainers
Latent classes traditional
Abstainers (37,1%)Moderate drinkers (39,6%)Heavy drinkers (23,3%)
Latent classes of countries
LOW drinking countries (n=12.879; N=7: Bosnia-Herz., Cyprus, France, Iceland, Norway, Portugal, Spain).low drinking countries (n=16.179; N=6: Armenia, Belgium, Italy, Russia, Slovenia, Sweden)heavy drinking countries (n=17.865; N=8: Austria, Denmark, Finland, Germany, Ireland, Netherlands, Poland, Estonia)HEAVY drinking countries (n=10.101; N=4: Czech Republic, Estonia, Hungary, Lithunia)
Multilevel classes
HEAVY heavy
LOW
Low Total
Abstainers16,40 (1657/2,9)
32,21(5754/10,1)
58,77(7686/17,4)
30,1(6157/10,8)
37,14%(21,254)
(Moderate drinkers52,97(5351/ 9,3)
39,05(6976/12,2)
29,52(3861/6,7)
44,26(7166/12,5)
40,81%(23,354)
Heavy drinkers30,62(3093/ 5,4)
28,74(5135/8,9)
11,71(1532/2,7)
17,65(2856, 5)
22,05%(12,616)
Total 10,101 17,865 12,879 16,179 57,224
Multilevel analysis of prevention
FamilySchoolPeersIndividuNeighbourhoodCountry
Effective programs
TargetGroupAgeRisk FactorMethodLiteratureOrganisationEvaluation
