Citation

Bendtsen P, Damsgaard MT, Tolstrup JS, Ersbøll AK, Holstein BE. J. Adolesc. Health 2013; 53(3): 368-373.

Affiliation

National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark. Electronic address: pebn@niph.dk.

Copyright

(Copyright © 2013, Elsevier Publishing)

DOI

10.1016/j.jadohealth.2013.04.021

PMID

23763965

Abstract

PURPOSE: Risk factors for adolescent alcohol use are typically conceptualized at the individual level, and school- and community-level risk factors have received little attention. Based on the theoretical understanding of youth alcohol consumption as a reflection of community social practice, we analyzed whether adolescent drunkenness was related to community-level adult alcohol use (AAC), when taking individual and school-level risk factors for drunkenness into account. Furthermore, we investigated whether the association between community-level AAC and adolescent drunkenness was attenuated after inclusion of parental drinking. METHODS: We used data from three sources: data about adolescent drunkenness from the Health Behavior in School-Aged Children 2010 survey (N = 2,911; 13- to 15-year-olds nested in 175 school classes and 51 schools); data about community-level AAC derived from the Danish National Health Survey 2010 (177,639 participants); and data on school-level variables from Health Behavior in School-Aged Children School Leader Survey 2010. We performed multilevel logistic regression analysis with data from students nested within school classes and schools. RESULTS: Overall, 33.5% of students had been drunk twice or more. High community-level AAC was significantly associated with adolescent drunkenness (odds ratio [95% confidence interval], 1.94 [1.21-3.11]). Parental drinking was strongly related to adolescent drunkenness but did not attenuate the relationship between community-level AAC and adolescent drunkenness. We found no association between adolescent drunkenness and school-level variables (youth friendly environment, alcohol education, and exposure to alcohol outlets). CONCLUSIONS: Adolescent drunkenness was associated with community-level AAC and was not explained by parental drinking.

Language: en