Does the social context of early alcohol use affect risky drinking in adolescents? Prospective cohort study

Degenhardt, Louisa, Romaniuk, Helena, Coffey, Carolyn, Hall, Wayne D., Swift, Wendy, Carlin, John B., O'Loughlin, Christina and Patton, George C. (2015) Does the social context of early alcohol use affect risky drinking in adolescents? Prospective cohort study. BMC Public Health, 15 1: 1-9. doi:10.1186/s12889-015-2443-5

Author Degenhardt, Louisa
Romaniuk, Helena
Coffey, Carolyn
Hall, Wayne D.
Swift, Wendy
Carlin, John B.
O'Loughlin, Christina
Patton, George C.
Title Does the social context of early alcohol use affect risky drinking in adolescents? Prospective cohort study
Journal name BMC Public Health   Check publisher's open access policy
ISSN 1471-2458
Publication date 2015-11-16
Year available 2015
Sub-type Article (original research)
DOI 10.1186/s12889-015-2443-5
Open Access Status DOI
Volume 15
Issue 1
Start page 1
End page 9
Total pages 9
Place of publication London, United Kingdom
Publisher BioMed Central
Language eng
Formatted abstract
There are limited longitudinal data on the associations between different social contexts of alcohol use and risky adolescent drinking.

Australian prospective longitudinal cohort of 1943 adolescents with 6 assessment waves at ages 14–17 years. Drinkers were asked where and how frequently they drank. Contexts were: at home with family, at home alone, at a party with friends, in a park/car, or at a bar/nightclub. The outcomes were prevalence and incidence of risky drinking (≥5 standard drinks (10g alcohol) on a day, past week) and very risky drinking (>20 standard drinks for males and >11 for females) in early (waves 1–2) and late (waves 3–6) adolescence.

Forty-four percent (95 % CI: 41-46 %) reported past-week risky drinking on at least one wave during adolescence (waves 1–6). Drinking at a party was the most common repeated drinking context in early adolescence (28 %, 95 % CI 26-30 %); 15 % reported drinking repeatedly (3+ times) with their family in early adolescence (95 % CI: 14-17 %). For all contexts (including drinking with family), drinking 3+ times in a given context was associated with increased the risk of risky drinking in later adolescence. These effects remained apparent after adjustment for potential confounders (e.g. for drinking with family, adjusted RR 1.9; 95 % CI: 1.5-2.4). Similar patterns were observed for very risky drinking.

Our results suggest that consumption with family does not protect against risky drinking. Furthermore, parents who wish to minimise high risk drinking by their adolescent children might also limit their children’s opportunities to consume alcohol in unsupervised settings.
Keyword Alcohol
Risky drinking
Binge drinking
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
Centre for Youth Substance Abuse Research Publications
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Created: Tue, 24 Nov 2015, 10:23:34 EST by System User on behalf of Centre for Youth Substance Abuse