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      Adolescent alcohol use and parental and adolescent socioeconomic position in six European cities

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          Abstract

          Background

          Many risk behaviours in adolescence are socially patterned. However, it is unclear to what extent socioeconomic position (SEP) influences adolescent drinking in various parts of Europe. We examined how alcohol consumption is associated with parental SEP and adolescents’ own SEP among students aged 14–17 years.

          Methods

          Cross-sectional data were collected in the 2013 SILNE study. Participants were 8705 students aged 14–17 years from 6 European cities. The dependent variable was weekly binge drinking. Main independent variables were parental SEP (parental education level and family affluence) and adolescents’ own SEP (student weekly income and academic achievement). Multilevel Poisson regression models with robust variance and random intercept were fitted to estimate the association between adolescent drinking and SEP.

          Results

          Prevalence of weekly binge drinking was 4.2% (95%CI = 3.8–4.6). Weekly binge drinking was not associated with parental education or family affluence. However, weekly binge drinking was less prevalent in adolescents with high academic achievement than those with low achievement (PR = 0.34; 95%CI = 0.14–0.87), and more prevalent in adolescents with >€50 weekly income compared to those with ≤€5/week (PR = 3.14; 95%CI = 2.23–4.42). These associations were found to vary according to country, but not according to gender or age group.

          Conclusions

          Across the six European cities, adolescent drinking was associated with adolescents’ own SEP, but not with parental SEP. Socio-economic inequalities in adolescent drinking seem to stem from adolescents’ own situation rather than that of their family.

          Electronic supplementary material

          The online version of this article (doi:10.1186/s12889-017-4635-7) contains supplementary material, which is available to authorized users.

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          Most cited references35

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          A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010

          The Lancet, 380(9859), 2224-2260
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            Characteristics of binge drinkers in Europe.

            Binge drinking has been shown to be associated with considerable social harm and disease burden. This review aims to give an overview from a European perspective of the socio-demographical, individual, and social factors that affect binge drinking and to identify effective interventions to reduce binge drinking. To this end, a computer-assisted search of relevant articles was conducted. Results showed that males tended to binge drinking more frequently than females. Binge drinking was most prevalent among adolescents and young adults, and prevalence levelled off later in life. Socio-economic conditions seemed to have an effect on binge drinking, independent of their effects on the volume of alcohol consumed. The early onset of binge drinking was associated with a history of drinking in the family, but pathways into adulthood are less clear. Binge drinking often co-occurred with other substance use. Motives for binge drinking included both social camaraderie and tension reduction. Which aspect prevails may vary according to the type of binge drinker, but to date has not been satisfactorily explained. Binge drinkers were not likely to know enough about or be aware of the potential risks of bingeing. Pressure from peers was one of the strongest influencing factors for binge drinking and seemed to outweigh parental influences, especially from late adolescence onwards. Binge drinking also varied according to both the predominant adult and adolescent drinking culture with more binge drinking in the northern and middle parts of Europe compared to the southern parts. Thus, a variety of socio-demographical, individual, and social characteristics associated with binge drinking have been identified. However, knowledge in this area is limited, as most research has been conducted among particular groups in specific situations, in particular North American college students. More research in Europe is urgently needed, as results from other cultural backgrounds are difficult to generalize. Copyright 2003 Elsevier Ltd.
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              Ten-year prospective study of public health problems associated with early drinking.

              To compare early nondrinkers, experimenters, and drinkers on the prevalence of problem behaviors at grades 7 and 12 and at age 23 (N = 6338, 4265, and 3369, respectively). Results are based on longitudinal self-report data from individuals who were originally recruited from 30 California and Oregon schools at grade 7 (1985) and assessed again at grade 12 (1990) and at age 23 (1995). Logistic regression was used to develop weighted estimates of the prevalence of academic difficulties, employment problems, substance use, and delinquent and violent behaviors within the 3 drinking status groups at grades 7, 12, and/or at age 23. Huber variance estimates, which adjust for weighting and clustering of observations, were used to assess the statistical significance of differences across groups. Early drinkers and experimenters were more likely than nondrinkers to report academic problems, substance use, and delinquent behavior in both middle school and high school. By young adulthood, early alcohol use was associated with employment problems, other substance abuse, and criminal and violent behavior. Early drinkers do not necessarily mature out of a problematic lifestyle as young adults. Interventions for these high-risk youth should start early and address their other public health problems, particularly their tendency to smoke and use other illicit drugs.
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                Author and article information

                Contributors
                0034 932027701 , mbosque@aspb.cat
                m.a.kuipers@amc.uva.nl
                aespelt@aspb.cat
                m.richter@medizin.uni-halle.de
                arja.rimpela@uta.fi
                jperelman@ensp.unl.pt
                b.federico@unicas.it
                tbrugal@aspb.cat
                vincent.lorant@uclouvain.be
                a.kunst@amc.uva.nl
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                8 August 2017
                8 August 2017
                2017
                : 17
                : 646
                Affiliations
                [1 ]ISNI 0000 0001 2164 7602, GRID grid.417718.c, , Agencia de Salut Pública de Barcelona, ; Plaça Lesseps 1, 08023 Barcelona, Spain
                [2 ]Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau), Carrer Sant Antoni Maria Claret 167, 08025 Barcelona, Spain
                [3 ]ISNI 0000 0001 2172 2676, GRID grid.5612.0, , Universitat Pompeu Fabra, ; Carrer Doctor Aiguader 80, 08003 Barcelona, Spain
                [4 ]ISNI 0000000084992262, GRID grid.7177.6, Department of Public Health, Academic Medical Center, , University of Amsterdam, ; 1100 DD Amsterdam, Amsterdam, the Netherlands
                [5 ]Centros de Investigación Biomédica en Red. Epidemiología y Salud Pública (CIBERESP), Calle Melchor Fernández Almagro 3-5, 28029 Madrid, Spain
                [6 ]GRID grid.7080.f, Departament de Psicobiologia i Metodologia en Ciències de la Salut, Facultat de Psicologia, , Universitat Autònoma de Barcelona, ; Campus UAB Bellaterra, 08193 Cerdanyola del Vallès, Spain
                [7 ]ISNI 0000 0001 0679 2801, GRID grid.9018.0, Institute of Medical Sociology (IMS), Medical Faculty, , Martin Luther University Halle-Wittenberg, ; Magdeburger Str. 8, 06112 Halle (Saale), Germany
                [8 ]ISNI 0000 0001 2314 6254, GRID grid.5509.9, School of Health Sciences and PERLA - Tampere Centre for Childhood, Youth and Family Research, , University of Tampere, ; 33014 Tampere, Finland
                [9 ]ISNI 0000 0004 0628 2985, GRID grid.412330.7, Department of Adolescent Psychiatry, , Tampere University Hospital, ; -33521 Tampere, FI Finland
                [10 ]ISNI 0000000121511713, GRID grid.10772.33, Escola Nacional de Saúde Pública, , Universidade NOVA de Lisboa, ; 1600-560 Lisbon, Portugal
                [11 ]Centro de Investigação em Saúde Pública, 1600-560 Lisbon, Portugal
                [12 ]ISNI 0000 0004 1762 1962, GRID grid.21003.30, Department of Human Sciences, Society and Health, , University of Cassino and Southern Lazio, ; 03043 Cassino, Italy
                [13 ]ISNI 0000 0001 2294 713X, GRID grid.7942.8, Institute of Health and Society, , Université Catholique de Louvain, ; 3016-1200 Brussels, Belgium
                Author information
                http://orcid.org/0000-0002-8830-8880
                Article
                4635
                10.1186/s12889-017-4635-7
                5549347
                28789626
                94b36832-cffa-43ee-9c74-5138e6fdb8da
                © The Author(s). 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 23 November 2016
                : 26 July 2017
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100007601, Horizon 2020;
                Award ID: 635056
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/100004431, Directorate-General for Research and Innovation;
                Award ID: 278273
                Award Recipient :
                Funded by: Red de Trastornos Adictivos
                Award ID: RD12/0028/0018
                Award Recipient :
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2017

                Public health
                alcohol drinking,adolescence,socioeconomic factors,europe
                Public health
                alcohol drinking, adolescence, socioeconomic factors, europe

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