The country‐level effects of drinking, heavy drinking and drink prices on pre‐drinking: an international comparison of 25 countries

Labhart, Florian, Ferris, Jason, Winstock, Adam and Kuntsche, Emmanuel (2017) The country‐level effects of drinking, heavy drinking and drink prices on pre‐drinking: an international comparison of 25 countries. Drug and Alcohol Review, . doi:10.1111/dar.12525


Author Labhart, Florian
Ferris, Jason
Winstock, Adam
Kuntsche, Emmanuel
Title The country‐level effects of drinking, heavy drinking and drink prices on pre‐drinking: an international comparison of 25 countries
Journal name Drug and Alcohol Review   Check publisher's open access policy
ISSN 0959-5236
1465-3362
Publication date 2017-03-13
Sub-type Article (original research)
DOI 10.1111/dar.12525
Open Access Status Not yet assessed
Total pages 9
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2018
Language eng
Formatted abstract
Introduction and Aims: The practice and adverse consequences of pre-drinking have been documented within a dozen countries, but little remains known about the differences between countries or the country-specific determinants of pre-drinking. This study aims to estimate the percentage of pre-drinkers in different countries and the impact of country-level indicators such as the price of alcohol and the prevalence of drinkers and of heavy drinkers.

Design and Methods: Using data from the Global Drug Survey, the percentage of pre-drinkers was estimated for 25 countries from 65 126 respondents. Bivariate and multivariate multilevel models were used to model the impact of the on-premise/off-premise drinks price ratio, the prevalence of current drinkers and of heavy drinkers on the percentage of pre-drinkers.

Results: The estimated percentage of pre-drinkers per country ranged from 17.7% (Greece) to 85.4% (Ireland). Across all countries, the higher the prevalence of current drinkers, the higher the percentage of pre-drinkers. In addition, an interaction between the prevalence of heavy drinkers and the price ratio was found. In countries with a low price ratio, the higher the prevalence of heavy drinkers, the higher the percentage of pre-drinkers. The opposite effect was observed in countries with high price ratios.

Discussion and Conclusions: Pre-drinking appears to be a worldwide phenomenon. The significant effects of all three indicators demonstrate the role of country-level determinants underpinning the prevalence of pre-drinking across countries. Policy makers could use the reported findings for initiating campaigns to reduce pre-drinking behaviour.
Keyword Pre-drinking
Drinking culture
Prevalence
Cross-country comparison
Price
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Institute for Social Science Research - Publications
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Created: Sun, 19 Mar 2017, 15:07:36 EST by Jason Ferris on behalf of School of Social Science