@article{ref1,
title="Adolescent alcohol use reflects community-level alcohol consumption irrespective of parental drinking",
journal="Journal of Adolescent Health",
year="2013",
author="Bendtsen, Pernille and Damsgaard, Mogens Trab and Tolstrup, Janne Schurmann and Ersbøll, Annette Kjær and Holstein, Bjørn E.",
volume="53",
number="3",
pages="368-373",
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.<p /> <p>Language: en</p>",
language="en",
issn="1054-139X",
doi="10.1016/j.jadohealth.2013.04.021",
url="http://dx.doi.org/10.1016/j.jadohealth.2013.04.021"
}