Drinking patterns and attitudes about alcohol among New Zealand adolescents

ABSTRACT

Questionnaires about alcohol use were administered to consenting Year 10 students at 10 secondary schools located in regions of Southland, Otago and Hawkes Bay (n?=?579) to examine drinking patterns and attitudes about alcohol of 14–15-year-olds. The average age of first drink was 12.6 years, two years younger than previously reported, with no difference in age of first drink for different socioeconomic statuses or ethnicities. Fifty-four per cent self-reported having consumed alcohol, and 23% had done so at least once within the last four weeks, with 13% reported regularly drinking more than five drinks in one session. While almost half of the 14–15-year-olds in this study reported never drinking alcohol, 75 individuals reported regular binge drinking. This was more common for students in lower socioeconomic schools; almost a third of students in the lowest socioeconomic group reported drinking five or more drinks every time they drink. There may be benefits of alcohol education resources for children as young as 12 years.     

Drinking: Another glass ceiling? Social drinking and alcohol use among women in Korea

Korean society is experiencing a rapid increase in alcohol consumption among women. Research on women's alcohol use has focused mostly on problems and pathological symptoms associated with alcohol use. Focusing only on problems of alcohol use risks overlooking some important social phenomena where alcohol use is a medium. We examined the association between marital status, childcare responsibility, employment status and social drinking behaviour. Our aim was to examine how these factors influence women's alcohol consumption in order to provide an empirical explanation of how the traditional division of labour limits women's social drinking practices. Findings show that women are structurally excluded from social drinking behaviour due to domestic responsibilities (as a wife and a mother). In other words, social drinking has become another glass ceiling for women. Key Practitioner Message: ● Attention should be given to structural influences on women's alcohol use; ● It is important to consider gender inequality in both formal and informal domains.     

The association of smoking with drinking pattern may provide opportunities to reduce smoking among students

There is evidence that smoking and alcohol consumption are paired behaviours among university students, but we know little about how New Zealand students engage in these behaviours. We estimated prevalence of daily and occasional smoking among university students, and associations of smoking with drinking patterns, demographics and smokefree policies of the university. This research was conducted with 2822 university students, aged 17–25, from five New Zealand universities who participated in an online health survey in 2013. Fourteen percent reported they currently smoke occasionally, and 3% reported smoking on a daily basis. Increasing age, living situation, drinking more often, and drinking more alcohol during drinking occasions were all associated with greater levels of smoking. Understanding patterns of smoking in relation to alcohol consumption may help efforts to further reduce smoking prevalence. Specifically, policy makers should consider approaches that de-couple tobacco and alcohol consumption, such as expanding the smokefree perimeter of bars and disallowing the sale of tobacco at premises licensed to sell alcohol.     

Alcohol Promotional Clothing Items and Alcohol Use by University Students

The purpose of this study was to examine ownership, visibility, and association with alcohol use of alcohol promotional clothing items (APCIs). Participants were 180 male and 140 female university students; 96.3% had tried drinking alcohol. Almost 45% of participants owned an APCI with t-shirts and hats being the most commonly owned items. Participants who owned APCIs differed in alcohol use from non-owners. Participants who had received an APCI from their parents were likely to perceive that their parents approved of them drinking. The presence of alcohol promotional clothing items contributes to the already saturated pro-drinking social context prevalent on college campuses. Empirical studies establishing a link between alcohol use and APCIs can support proposals to restrict production and distribution of APCIs.     

Regulatory Self‐efficacy as a Moderator of Peer Socialization Relating to Italian Adolescents' Alcohol Intoxication

The present study investigated regulatory self‐efficacy (RSE) as a predictor of friendship and adolescent alcohol intoxication and as a moderator of peer socialization processes related to alcohol intoxication. The longitudinal sample included 457 Italian adolescents (262 females and 195 males) ranging in age of 14 to 20 years (M = 16.1 years of age). Sociometric and behavioral data were collected at the beginning and end of the academic school year. Actor‐based models were applied to simultaneously estimate selection and socialization processes accounting for interdependencies among friends' drinking behaviors. The results indicated that adolescents did not select friends with similar levels of alcohol intoxication or RSE, but adolescents did adopt their friends' drinking behaviors. RSE was negatively associated with adolescent drinking behaviors and moderated socialization processes related to alcohol use, with adolescents reporting higher levels of RSE being less likely to adopt their friends' drinking behaviors than adolescents with lower levels of RSE.     

Trajectory and Predictors of Early Adolescent Alcohol Use

The aim of this study was to identify the developmental trajectory and predictors of Korean early adolescents’ alcohol use. The sample comprised 2844 adolescents who participated in the five‐wave longitudinal Korea Youth Panel Study, in which students were assessed annually from grade 4 (aged 11 years) in 2004 to grade 8 (aged 15 years) in 2008. Latent growth curve (LGC) modeling was conducted and a quadratic (J‐shaped) LGC model was supported. Personality‐ and environment‐system predictors, based on problem‐behavior theory, were specified to account for variation in intra‐individual changes in alcohol use. Self‐control, depressive affect, parental abuse, number of drinking friends, and gender significantly predicted the initial level of alcohol use. Self‐control, depressive affect, parental abuse, peer attachment, gender, and family structure predicted the quadratic slope that was associated with the rate of acceleration of alcohol use. These findings suggest that more effort needs to be directed toward the implementation of alcohol prevention programs early in elementary schools and practitioners who are involved in effective alcohol‐prevention and intervention programs that are aimed at delaying the initiation of alcohol use and reducing drinking during adolescence should consider various psychosocial factors.     

Alcohol Misuse Among Older Adult Public Housing Residents

Low-income older adults living in public housing are at heightened risk for substance misuse. This study identified the prevalence of alcohol misuse among older public housing residents (n?=?187) and explored predictors of problem drinking. Including weekly drinking levels and binge drinking, 23% of the sample engaged in problem drinking behaviors. Logistic regression analysis revealed that race, gender, employment status, years smoking, and illegal drug use were significant predictors of problem drinking. No residents were receiving substance abuse treatment. As the number of older adults increase, training social workers to assess and treat alcohol misuse in older adults is critical.     

Are people overoptimistic about the effects of heavy drinking?

We test whether heavy or binge drinkers are overly optimistic about probabilities of adverse consequences from these activities or are relatively accurate about these probabilities. Using data from a survey in eight cities, we evaluate the relationship between subjective beliefs and drinking. We assess accuracy of beliefs about several outcomes of heavy/binge drinking: reduced longevity, liver disease onset, link between alcohol consumption and Driving While Intoxicated (DWI), probability of an accident after drinking, accuracy of beliefs about encountering intoxicated drivers on the road, and legal consequences of DWI—ranging from being stopped to receiving fines and jail terms. Overall, there is no empirical support for the optimism bias hypothesis. We do find that persons consuming a lot of alcohol tend to be more overconfident about their driving abilities and ability to handle alcohol. However, such overconfidence does not translate into over-optimism about consequences of high levels of alcohol consumption.     

Development and validation of the Dutch Social Attunement Questionnaire (SAQ)

The social plasticity hypothesis proposes that social attunement, that is, the adaptation to and harmonization with one's environment, plays a crucial role in the risk for developing alcohol use disorders (AUDs) during adolescence, whereas in adulthood it paradoxically may make individuals more sensitive to the social pull to reduce drinking. This study aimed to develop a valid measure of social attunement: the social attunement questionnaire (SAQ). A total of 26 items were developed and the questionnaire was completed by 576 Dutch mid to late adolescents and adults over three rounds of online data collection. Using exploratory factor analysis in part of the sample (N = 373), the final questionnaire was reduced to two subscales with a total of 11 items. This structure was confirmed using confirmatory factor analysis in the second part of the sample (N = 203). Results showed that the SAQ has acceptable internal consistency, good measurement invariance to gender, and subscales assessing both cognitive as well as behavioural components of social attunement. In line with expectations on alcohol use settings, SAQ scores were not associated directly with alcohol use, but they were predictive of alcohol use when taking into account the interaction between perceived peer drinking and age. The SAQ appears suitable for the assessment of social attunement in (young) adult men and women, particularly assessing the role of social attunement in alcohol use settings. Further research is needed to confirm the utility of the SAQ in older adults and a broader variety of social settings.     

Gender differences in college binge drinking: Examining the role of depression and school stress

In this paper the associations among binge drinking, depression, and school-related stress are examined for a sample of college men and women. Data are taken from a survey of 248 undergraduate students at the University of North Dakota – located in a state with high underage and binge drinking rates. The current study challenges past work showing that college women are more likely to respond to depression by binge drinking: depression is indirectly and negatively associated with binge drinking among the women in this sample through its association with school-related stress. Among men, depression is directly and positively associated with binge drinking.     

Romantic relationships,college student alcohol use,and negative consequences of drinking

This study examined whether being in a romantic relationship is associated with undergraduates’ alcohol use and negative consequences of drinking. Alcohol use was operationalized to include amount and frequency of drinking, binge drinking, and drunkenness. Negative consequences included: having a hangover, missing a class, getting behind in school work, doing something that was later regretted, forgetting where the student was or what they did, having unplanned sex, and getting hurt or injured. Data came from an online survey distributed to Midwestern undergraduate students (N = 572), with analyses conducted separately for men and women. Results indicated that being in a committed relationship generally served as a protective factor against drunkenness, but did not reduce frequency of drinking or binge drinking. Whereas romantically committed men were only less likely to report doing something that was later regretted, women in romantic relationships were less likely to experience all negative consequences of drinking considered here.     

Hard to reach and easy to ignore: the drinking careers of young people not in education,employment or training

Young people's drinking in the UK remains a matter of medical, social, media and political concern. The notion of transition and drinking styles in the move from childhood to adulthood and from education to employment has been central to understanding young people's drinking behaviour, but little is known about how the drinking patterns of those not in education or employment, both men and women, develop over time. This paper reports on research which aimed to examine the current drinking habits and drinking careers of young people not in education employment and training who are traditionally described as hard to reach. In‐depth qualitative interviews were undertaken with 23 young people: 15 women and 8 men aged between 14 and 23. The findings are presented with respect to three stages of drinking: starting, continuing or increasing, and decreasing or stopping. The conclusions indicate that for the majority of these young people, alcohol is a significant factor in their lives and that peers, gender, time and place combine to structure both their current alcohol use and drinking career. The paper argues that an understanding of young people's drinking career development and current alcohol use will help target effective social work and multi‐agency intervention.     

Beyond the Bottle: Introducing Anthropological Debate to Research into Aboriginal Alcohol Use

This paper selectively identifies two recurring misconceptions of theory present in the existing research literature on Aboriginal alcohol use which may impede future research and prevention activities: the denial of contemporary Aboriginal cultures, particularly in urban areas, and the consequent failure to conceive of Aboriginal drinking as socially, culturally and politically meaningful behaviour; and an emphasis on rural/remote communities in research initiatives which reflects outdated conceptual paradigms which have been brought to bear on the prevention of alcohol-related problems and has hindered innovation in program design for urban areas. Evidence from recent anthropological studies of both Aboriginal society and culture and Aboriginal alcohol use is presented which conflicts with the identified misconceptions and a case is made for the value of such analyses. Following an examination of these conflicting viewpoints, suggestions are made with respect to future research.     

Alcohol and Aborigines In Cross-Cultural Situations

During a two-year association with Sydney Aboriginal households, opportunities arose for observation and discussion concerning alcohol use, and certain impressions emerged: (a) personal factors related to problem drinking stressed by investigators such as the McCords could operate among the Aboriginal people; (b) drinking customs fulfil certain social needs; the public drinking house serves several functions within urban Aboriginal life, including communication and social integration as well as relaxation. Social control of alcohol abuse demands provision of functional equivalents of these aspects of drinking patterns; and (c) whilst the role of racial tension in the genesis of problem drinking is not clear, racial factors may contribute to personal stress and communal malaise among the Aborigines. The complexity of the genesis of the present situation is stressed and its understanding is considered to be a continuing challenge.     

Increasing the use of alcohol screening and brief intervention in New Zealand

New Zealand has high rates of acute alcohol-related harm relative to chronic harm, and when compared with other countries. Acute harm is typically caused by binge drinking. New Zealand alcohol use surveys consistently find that about 20–25% of adult drinkers binge drink. There is substantial overseas evidence that alcohol screening and brief intervention (SBI) in primary health care is effective and cost-effective for reducing alcohol harm among binge drinkers. However, while there is also growing evidence that alcohol SBI can successfully be implemented in New Zealand, the approach has been significantly under-utilised. This article provides a brief overview of New Zealand research that supports a case for increasing the use of alcohol SBI in primary health care. It also highlights that when looking to successfully implement alcohol SBI in other settings, it is important to ensure that the intervention is simple and purpose-built for both the setting and recipient.     

‘Drink a 12 box before you go’: pre-loading among young people in Aotearoa New Zealand

The practice of pre-loading—drinking large amounts of alcohol rapidly in private spaces prior to socialising in the night-time economy—has come to notice recently in the study of alcohol-related harm, but no studies have explored these phenomena in Aotearoa New Zealand. We used a theoretical framework developed with public health alcohol studies for understanding drinking cultures that conceptualises patterns of behaviours as arising within a dynamic interaction between forces of hedonism, function and control. We report findings from 34 focus groups conducted with 18–25 year olds as part of a project supported by the Marsden Fund, between 2011 and 2012, to investigate drinking cultures among young people. Our thematic analyses of participants’ accounts of pre-loading show that the term is in common use, applying to a range of practices motivated by price of alcohol but influenced by the pleasures of intoxication, the importance of peer processes and certain aspects of the regulatory system. We conclude with a discussion of the usefulness of the framework and the implications of the findings for public health policy that aims to reduce alcohol consumption and the harm that arises from it.     

Sociocultural Perceptions and Patterns of Cigarette and Alcohol Use among College Students in Vietnam

This empirical study was conducted in the Socialist Republic of Vietnam to investigate cross‐sectionally the influences of sociocultural contexts on the patterns of addictive substance use cigarette, alcohol, and illicit drugs. A sample of 202 monolingual adults who were enrolled in college courses at the University of Hanoi in Vietnam responded to a self‐reported questionnaire in their native language on the frequency, quantity, and occasions of addictive behavior. The project staff were fluent in English and Vietnamese. The questionnaire was critically reviewed for its face validity and cultural appropriateness before being translated into Vietnamese. In addition to patterns of use, this research explored the central role of drinking alcohol and smoking cigarettes in peer socialization among college adults. Vietnam, like other Asian cultures, emphasizes initiation and conformity to social traditions and norms. The empirical findings provide invaluable knowledge of the complex roles of cigarette and alcohol in the social processes and relationship‐building among college adults in Vietnam. Further knowledge will assist in identifying intervention approaches and health prevention that is more focused and congruent with cultural and social beliefs about this behavior and these substances. Its implications for research into culturally appropriate intervention and prevention are also discussed.     

The Application of Labeling Theory to Alcoholism

As applied to alcoholism, the labeling theory of deviance contends that being labeled by others as an alcoholic results in the acceptance of self-labels, and a self-fulfilling prophecy of alcoholic behavior. This theory was tested in a sample of treated alcoholics who varied in the numbers of alcoholic labels they acknowledged from family members and others. These alcoholics were questioned five to eight years following admission to a treatment facility to determine if they were now drinking moderately vs. abstaining or drinking heavily. The strongest predictor of all alcoholic labels was the total number of lifetime problems with alcohol; alcoholics did not tend to adopt self-labels in response to others' labels of them. Follow-up drinking status was related to gender and lifetime alcohol problems, with women and those acknowledging fewer problems more likely to be drinking moderately. Race was not related to labeling or drinking status at follow-up. The results do not support the hypothesis that being labeled an alcoholic results in poor drinking outcomes.     

‘Did you see that,Mom?’: Social Looking in Three‐Year‐Old Boys

This study examined social looking, defined as child‐initiated looking to a caregiver's face, in a sample of three‐year‐old boys and their mothers: 59.6% of boys looked to their mothers at least once over the course of emotion‐eliciting puppet show vignettes. Social looking occurred more often during puppet show events that were child‐focused and positive in valence. Boys’ social looking was related to their concurrent affective state, with more expressions of positive emotion looking associated with more social looks. Patterns of family emotionality predicted children's use of social looking. Specifically, a history of positive family expressiveness was associated with children's less frequent use of social looking, whereas a history of negative family expressiveness was associated with children's more frequent use of social looking.     

A Study of the Development of Alcohol Use Disorder in Muslim Immigrant Workers in Korea

Abstract

This study examines the process by which Muslim immigrant workers, prohibited by their religion from drinking, develop alcohol use disorder when working in Korea. Participants were seven male immigrant workers who have lived in Korea for 6–10?years and all experienced a change in immigrant status, shifting from registered to unregistered. Utilizing grounded theory devised by Strauss and Corbin, 87 concepts, 24 subcategories, and 10 categories were derived as a result. By converting these categories into a paradigm model, participants moved through stages of “self-monitoring,” “confusion,” “self-despair,” and “daily collapse” as they developed alcohol use disorder, and began to take on an existence as drifters, not settling into life in Korea. Their “learning experiences of drinking to survive turning into experiences of causing social death” is considered a core category. The study’s results suggest that a rehabilitation program for immigrant workers needs to be developed wherein the program not only enables them to reflect on their current existence but also allows them to develop specific coping skills. Future research should be broadened to consider social support mechanisms and viewpoints of other people, including female immigrant workers, and local community members in close contact with Muslim immigrant workers.