Acquiring a Taste: Alcohol Experiences of German Elementary School Children

Few data are available on alcohol experiences among elementary school children, although early onset and trying of alcohol use is known to be a risk factor for adolescent alcohol abuse. Until now, research leaves open the question on which factors encourage early trying behavior. In a cross-sectional study design, a written survey was conducted in 49 randomly selected elementary schools in Germany. The survey was carried out among 3rd and 4th graders with a median age of 9 years during class time in the school year 2010/2011. 1806 questionnaires were included in the study. The risk behavior of having tried alcohol was analyzed. A total of 37.7% (n = 681) of all children reported to have already tried alcohol. While grade and age had no significant influence in the final multivariate model, the gender effect stayed relevant (Male: aOR 1.2, 95%-CI 1.0–1.5), as did the question of whether the child liked going to school (No: aOR 1.4, 95%-CI 1.1–1.7), a lack of parental monitoring (aOR 1.5, 95%-CI 1.1–2.1), consistent parenting (Sometimes/never: aOR 1.5, 95%-CI 1.1–1.9), a regularly provided break-time snack (No: aOR 2.2, 95%-CI 1.3–3.8), as well as parents’ drinking (Yes: aOR 2.0, 95%-CI 1.6–2.6) and drinking among peers (Yes: aOR 8.5, 95%-CI 6.2–11.6). Our study shows that alcohol experiences can be highly prevalent among 3rd and 4th grade elementary school children in Germany. Our findings suggest that especially those variables which may be controlled by the parents are strongly associated with children’s alcohol experiences suggesting a starting point for preventative intervention measures. The results also indicate the need for innovative gender-sensitive approaches in the living environment of elementary school children.     

The Influence of Families on Early Adolescent School Connectedness: Evidence That This Association Varies with Adolescent Involvement in Peer Drinking Networks

School connectedness is central to the long term well-being of adolescents, and high quality parent–child relationships facilitate school connectedness. This study examined the extent to which family relationship quality is associated with the school connectedness of pre- and early teenagers, and how this association varies with adolescent involvement in peer drinking networks. The sample consisted of 7,372 10–14 year olds recruited from 231 schools in 30 Australian communities. Participants completed the Communities that Care youth survey. A multi-level model of school connectedness was used, with a random term for school-level variation. Key independent variables included family relationship quality, peer drinking networks, and school grade. Control variables included child gender, sensation seeking, depression, child alcohol use, parent education, and language spoken at home. For grade 6 students, the association of family relationship quality and school connectedness was lower when peer drinking networks were present, and this effect was nonsignificant for older (grade 8) students. Post hoc analyses indicated that the effect for family relationship quality on school connectedness was nonsignificant when adolescents in grade 6 reported that the majority of friends consumed alcohol. The results point to the importance of family-school partnerships in early intervention and prevention.     

Personal and social correlates of alcohol consumption among mid‐adolescents

A prospective, cohort survey of 540 mid‐adolescent students was conducted to identify personal, family and social correlates of alcohol use. A structured questionnaire recorded alcohol involvement, other substance use, perceived parental alcohol use and related factors, alcohol‐related attitudes and beliefs, psychological well‐being, social and peer behaviours, and school conduct problems. Participants drank on 17.5 days in the past 3 months; on a typical drinking day they consumed 4.7 units, with 28.5% reported drinking six or more units. More frequent drinking was independently correlated with being male, perceiving that parents encouraged drinking, drinking without parental knowledge, drinking to alter mood, buying alcoholic beverages, spending more time with friends who drink, perceiving social pressure to drink, and being excluded from school and truanting. Parental discouragement for alcohol was related to more frequent drinking in females and less frequent drinking in males. Drinking more intensively was associated with use of cannabis, parental encouragement to drink, spending more time with friends who drink, school exclusion, and being in trouble with teachers. These results highlight multidimensional correlates of drinking during mid‐adolescence and underline the importance of addressing personal, family, peer, and school conduct factors in school‐based alcohol education programmes.     

Alcohol Use in Adolescent Twins and Affiliation with Substance Using Peers

Affiliation with substance using peers is one of the strongest predictors of adolescent alcohol use. This association is typically interpreted causally: peers who drink incite their friends to drink. This association may be complicated by uncontrolled genetic and environmental confounds because teens with familial predispositions for adolescent substance use may be more likely to select into social networks where drinking is common. We test this alternative hypothesis using a sample of 1,820 twin and sibling pairs, and their same-sex best friends, from three waves of the National Longitudinal Study of Adolescent Health. Across all three waves, peer report of substance use did not influence adolescent alcohol use when genetic and shared environmental predispositions for drinking were considered. The association between alcohol use and peer behavior may be a spurious association attributable to a shared genetic liability to drink alcohol and associate with peers who drink alcohol.     

Social anxiety,disengagement coping,and alcohol-use behaviors among adolescents

Background and Objectives: Although research indicates that social anxiety (SA) is associated with problematic drinking, few studies have examined these relations among adolescents, and all alcohol-related assessments have been retrospective. Socially anxious youth may be at risk to drink in an effort to manage negative affectivity, and a proclivity toward disengagement coping (e.g. avoidance of aversive stimuli) may enhance the desire to drink and learning of coping-related use. Design: Adding to research addressing adolescent SA and alcohol use, the current study examined (1) proportional drinking motives (subscale scores divided by the sum of all subscales), (2) current desire to drink in a socially relevant environment (introduction to research laboratory), and (3) the indirect effect of retrospectively reported disengagement in social stress contexts on proportional coping motives and desire to drink. Method: Participants were 70 community-recruited adolescents who reported recent alcohol use. Level of SA, disengagement coping, drinking motives, and desire to drink following laboratory introduction were assessed. Results: Proclivity toward disengagement in prior socially stressful contexts accounted for significant variance in the positive relations between SA and both proportional coping motives and current desire to drink. Conclusions: These data complement existing work. Continued efforts in building developmentally sensitive models of alcohol use are needed.     

The Role of the Family in Promoting Responsible Substance Use in Adolescence

The aim of this study was to examine the role of family dimensions in tobacco, alcohol, and cannabis use among adolescents. Furthermore, we investigated how demographic variables (adolescents’ gender and age) influence substance use and moderate the relationship between family dimensions and substance use. The sample consisted of 14,825 adolescents aged 13–14, 15–16, and 17–18 who participated in the 2006 edition of the Health Behaviour in School-aged Children (HBSC) study in Spain. The HBSC-2006 questionnaire included demographic variables (gender and age), substance use variables (tobacco, alcohol, and cannabis use), and family dimensions (parental affection, parental promotion of autonomy, family activities, adolescent disclosure, parental solicitation, and parental knowledge). The results indicated that adolescent disclosure, family activities, and parental knowledge had a significant effect on substance use. Specifically, maternal variables were shown to be slightly more relevant than paternal variables. Additionally, substance use was higher in older adolescents than in younger adolescents, and boys smoked less than girls. The discussion focused on how family dimensions promoted responsible substance use in adolescence.     

Early drinking onset: A study of prevalence and determinants among 13‐year‐old adolescents in Norway

Early drinking onset is associated with different psychosocial adjustment problems among adolescents. The aim of this study was to assess determinants associated with early drinking and to identify factors predicting early drinking onset among adolescents. The study included 1,550 eighth‐graders with a mean age of 13.5 years from 41 schools. A total of 24% (boys 29%, girls 19%) had ever drunk alcohol, while 14% had drunk some alcohol in the last 30 days. Further, early drinking was associated with gender, religion, school performance, smoking and bullying in the bivariate tests. Predictors of early drinking onset were identified by generalized linear mixed models with two multivariable models created. The first model included social and environmental variables. Entering intentions, expectancies, attitudes and norms into the multivariable analysis resulted in a significant improvement of the model fit constituting 86% in the second model. The percentage correctly classified those (56%) who had been drinking in the second model which was two times higher compared to the first model. Gender, religion and smoking emerged as significant predictors of drinking in both models.     

Sex differences in indicators of well-being in adolescents

The 1999 Youth Risk Behavior Survey, administered to 964 females and 852 males in randomly selected high schools in a midwestern state, indicated significantly greater negative indicators of mental and physical well-being for adolescent girls than adolescent boys. Results of the 1997 survey finding that significantly more adolescent girls reported engaging in several high risk sexual and drug behaviors such as having their first drink of alcohol at an earlier age, driving a vehicle in the past 30 days when they had been drinking, smoking at an earlier age, smoking more cigarettes per day, and using over-the-counter drugs to get high more often, were supported and enlarged.     

High school drinking and its consequences

The present study surveyed 930 high school students regarding self-reported alcohol use, their perceptions of parents and peers, and the negative consequences of drinking. Two-fifths of males and one-fifth of females reported frequent problem (binge) drinking. Problem drinkers reported more negative consequences associated with drinking. In addition, problem drinkers reported greater susceptibility to peer pressure, perceived their peers as drinking more, and reported less parental monitoring and more use of alcohol by parents. The results demonstrate the importance of both parent and peer variables in adolescent substance use and highlight the negative consequences of drinking reported by high school students.     

Adolescent Social Structure and Drinking Behavior

The study examines adolescent drinking customs in the context of the informal social structure of the high school. Teenage drinking behavior was also examined in relationship to demographic variables and parental use of alcoholic beverages. The study identified a mosaic adolescent society consisting of eight informal social status subgroups with contrasting and often hostile values, attitudes, and leisure-time patterns. A highly significant (p < .001) relationship was found between the students' subgroup membership and drinking category. Parental alcohol use also was related to teenagers' use (p < .001), and interesting variations were identified when teenage drinking behavior was studied in relationship to demographic factors.     

Academic performance,popularity, and depression predict adolescent substance use

Eighty-nine high school seniors completed a questionnaire on their feelings and activities, including their use of drugs. Adolescents with a low grade point average, high popularity, and high depression were more likely to smoke cigarettes, drink alcohol, and smoke marijuana than were their peers. Cigarette and alcohol use predicted marijuana use, which in turn predicted cocaine use.     

Alcohol-specific parenting,adolescent alcohol use and the mediating effect of adolescent alcohol-related cognitions

Objectives : Previous research indicated that alcohol-specific parenting is an important precursor of adolescent alcohol use, but failed to define the underlying mechanism. Based on social cognitive theory, alcohol-related cognitions such as alcohol refusal self-efficacy and alcohol-related expectancies were hypothesised to mediate this link.

Design : A cross-sectional survey included 1349 mothers and their sixth grade (11–12?years old) adolescent offspring. Structural equation modelling was employed to test the association between alcohol-specific parenting and adolescent alcohol use, mediated by adolescent alcohol-related cognitions.

Main outcome measures : Adolescent alcohol use, drinking refusal self-efficacy and alcohol expectancies.

Results : The associations between frequency of communication, maternal alcohol use and adolescent alcohol use were mediated by negative alcohol-related expectancies. The associations between quality of communication, rules and disclosure and adolescent alcohol use were mediated by self-efficacy.

Conclusions : The present study provides a first indication that the underlying mechanism of the association between the most important alcohol-specific parenting practices and adolescent alcohol use can be contributed to the mediating effect of alcohol-refusal self-efficacy.     

An Analysis of Environmental and Social Factors Affecting Adolescent Problem Drinking

Researchers only recently have begun to examine the environmental and contextual factors that influence adolescent drinking behavior. The objective of this study was to create and test a comprehensive model of adolescent problem drinking. Items from the National Education Longitudinal Study: 1988–1994 (NELS:88; National Center for Educational Statistics, 1996) were used to create measurement models for all latent variables in the hypothesized structural model. Results indicated that high levels of parental support and a positive school climate in the 8th grade influence the formation of relationships with peers with positive values in the 10th grade that guarded against problem‐drinking behavior in the 10th grade.     

Alcohol Use and Church Attendance Among Seventh Through Twelfth Grade Students,Dominican Republic, 2011

Excessive alcohol consumption increases the years of life lost to premature death and disability worldwide. Religion is a mitigating factor in alcohol consumption. A survey in the Dominican Republic showed increasing church attendance by middle and high school students (N = 3,478) was associated with a delay in age at first alcoholic drink, fewer students who had consumed alcohol in the past month (current drinkers), lower alcohol consumption levels, fewer episodes of inebriation, and less heavy episodic alcohol consumption (all P < 0.0001). The results suggested that it may be useful to conceive of church-attending youth as a subset of the adolescent social network when planning primary alcohol prevention programs for young people.     

A Test of Three Alternative Hypotheses Regarding the Effects of Early Delinquency on Adolescent Psychosocial Functioning and Substance Involvement

This study compared alternative hypotheses (from general deviance, life course, and developmental psychopathology perspectives) regarding the effects of early adolescent delinquency on psychosocial functioning in family, school, and peer contexts, and on alcohol use. Analyses also examined parent-child negative affective quality, prosocial school orientation, and peer substance use as possible direct predictors of problem substance use. Participants in this longitudinal study, extending from age 11 to age 18, were 429 rural teens (222 girls) and their families. Path model comparisons supported the tenability of a partial mediation model that included mediating pathways and a direct effect of delinquency on alcohol use, as hypothesized by developmental psychopathology. A supplemental analysis controlling for the stability of the family, school, and peer variables revealed that delinquency had less pervasive direct effects on, and a nonsignificant indirect effect through, changes in the mediators over time. Results also showed that peer substance use was a direct positive predictor of problem use.     

Prospective Relations Between Organized Activity Participation and Psychopathology During Adolescence

This longitudinal study examined psychopathology as a predictor and outcome of organized activity involvement during high school among 198 adolescents who varied in risk for psychopathology as a function of their mother's depression history. Higher levels of internalizing and externalizing symptoms in eighth grade significantly predicted lower levels of involvement in academic clubs during high school, over and above risk and SES. Tobacco use prior to high school predicted lower levels of involvement overall and in academic clubs and performance arts. Controlling for psychopathology prior to high school, higher levels of activity involvement were associated with lower levels of externalizing symptoms, less tobacco use, and fewer diagnoses of behavior disorders and substance abuse in 12th grade. The positive association between risk and adolescent psychopathology was not buffered by adolescent activity involvement. Overall, these findings suggest that involvement in organized activities may contribute to lower levels of externalizing psychopathology during high school even when controlling for prior psychopathology.     

Democratic School Climate and Sense of Community in School: A Multilevel Analysis

This study examines individual- and school-level predictors of sense of community in school among adolescents. Hierarchical linear modeling was used to examine the relationships between individual (demographics, control and monitoring by parents, and perception of democratic school climate), class, and school characteristics (mean democratic school climate, demographics, activities, school size, public/private governance of the school, and facilities) and students' sense of community in the school. Data were analyzed using a three-level model based on 4,092 10- to 18-year-old students nested within 248 classes (across three grade levels: 6th, 8th, and 10th grade level, where the median age was 11, 13, and 15, respectively) in 134 schools in the Veneto region of northeast Italy. Individual and contextual measures of the perception of a democratic school climate, modeled at the individual, class, and school levels simultaneously, were each significant predictor of school sense of community. More parental monitoring and less parental control were also predictive at the individual level. School-level SES predicted between school variation in sense of community, controlling for individual student SES and other student and school-level predictors. School size, facilities (physical spaces resources), level of interaction of the school with the community, public, or private governance, and number of extracurricular activities offered were all nonsignificant. The study demonstrates significant variation in school sense of community at the student, class, and school levels and the important role played by democratic school practices, such as student participation in making rules and organizing events, freedom of expression, and the perceived fairness of rules and teachers, in determining this variable.     

Adolescents'' alcohol use related to perceived norms

A questionnaire survey was carried out among 898 Norwegian adolescents age twelve to twenty. The study focused on the relation between adolescents' alcohol use on one side and estimated drinking norms (peers' drinking) together with attributed opinion norms (parents' and friends' acceptance of adolescents' alcohol use) on the other. On average, 5% of students in 7th, 8th, and 9th grade reported weekly alcohol use. They overestimated the number of fellow students using alcohol every week seven-fold. Students' estimates were significantly related to self-reported alcohol use. Even in high-school (10th, 11th and 12th grade) where 29% reported weekly alcohol use, students overestimated number of weekly drinkers among friends and fellow students by two-fold. Contrary to the results from a previous study conducted in Norway, in this study opinions attributed to both friends and parents about adolescents' alcohol use were significantly related to the students' own alcohol use. Estimated behavior norms and attributed opinion norms explained 46% of the observed variance in students' self-reported frequency of drinking. In a health promotion context, these results point to the importance of correcting student misconceptions about how often friends and fellow students drink alcohol.     

Restrained drinking and cognitive control among adolescents

The present study investigated restrained drinking and self-control in relation to alcohol consumption and problem drinking in a sample of adolescents. One hundred ninety-eight high school students (97 males and 101 females; mean age = 16.45 years) completed questionnaires that assessed levels of alcohol consumption, problem drinking, restrained drinking, and cognitive self-control. The findings were similar for males and females: higher levels of restrained drinking, as measured by cognitive emotional preoccupation (CEP), predicted higher levels of alcohol consumption and problem drinking. Moreover, it was high CEP in combination with a low score on a general measure of cognitive self-control that differentiated problem drinking from high levels of drinking. The results are consistent with previous research on young adults. The findings are discussed in relation to Baumeister and Heatherton's (1996) model of self-regulation failure.