Alcohol use and abuse: a cross-sectional study among Italian adolescents
JPMH - Vol 59, No 2 (2018)
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Keywords

Alcohol laws
parents alcohol consumption
alcohol initiation

Abstract

Introduction. Alcohol is recognized as one of four major risk factors for non-communicable diseases. Exposure to alcoholic beverages during the adolescence has been linked to increased heavier drinking habits: obviously, the age of alcohol initiation resulted an important determinant of alcohol dependence. The aim of this study is to analyze knowledge, attitudes and practices in alcohol habit of adolescent population.

Methods. 943 students from 13 schools (middle and upper secondary schools) of the Bari district were enrolled in the study: in each school one class for each age was randomly selected. The research was carried out by an anonymous, self-administered questionnaire which investigated alcohol consumption, knowledge of alcohol consumption of parents and knowledge of the law regulating alcohol consumption.

Results. 34.8% (328) have never consumed alcoholic drinks while 65.2% (615) declare the use of alcohol; the average age of alcohol initiation was 12.2 years. 35.7% (329/921) of mothers and 36.6% (335/915) of fathers drink alcohol only on special occasions. 17.9% (168/939) considered that alcohol could be free sale at all while 16.4% (154/939) reported that sale is forbidden for children under 14.

Conclusions. The higher prevalence of alcohol habits and the poor knowledge on alcohol law seemed to indicated the need of improving public health efforts in the prevention of alcohol consumption among Italian adolescents.

https://doi.org/10.15167/2421-4248/jpmh2018.59.2.868
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References

World Health Organization. Global status report on alcohol and health. Geneva: World Health Organization; 2014

World Health Organization. Alcohol in developing societies: a public health approach. Geneva: World Health Organization; 2002

World Health Organization. Four non-communicable diseases, four shared risk factors. Geneva: World Health Organization. Available on line at: http://www.who.int/ncdnet/about/4diseases/en/index.html

Beaglehole R, Bonita R, Alleyne G, Horton R, Li L, Lincoln P, Mbanya JC, McKee M, Moodie R, Nishtar S. UN high-level meeting on Non-communicable diseases: addressing four questions. Lancet 2011, 378:449-455

Corrao G. A meta-analysis of alcohol consumption and the risk of 15 diseases. Preventive Medicine. 2004;38(5):613-619

European Commission. EU Alcohol strategy. Available on line at: https://ec.europa.eu/health/alcohol/policy_en

Meier PS, Purshouse R, Brennan A. Policy options for alcohol price regulation: the importance of population heterogeneity. Addiction, 2009;105(3): 383–93

Hastings G, Anderson A, Cooke E, Gordon R. Alcohol marketing and young people’s drinking: a review of the research. Journal of Public Health Policy, 2005; 26(3): 296–311

Forsyth A. Front, side and back-loading: patrons’ rationales for consuming alcohol purchased off-premises before, during, or after attending nightclubs. Journal of Substance Use, 2009; 15(1): 31–41

King K, Chassin L. A prospective study of the effects of age of initiation of alcohol and drug use on young adult substance dependence. Journal of Studies on Alcohol and Drugs. 2007;68(2):256-265.

DeWit D. Age at first alcohol use: a risk factor for the development of alcohol disorders. American Journal of Psychiatry. 2000;157(5):745-750.

Boyd C, McCabe SE, Morales M. College students’alcohol use: a critical review. Annual Review of Nursing Research. 2005,23:179-211.

Tanaree A, Assanangkornchai S, Kittirattanapaiboon P. Pattern and risk of developing alcohol use disorders, illegal substance use and psychiatric disorders after early onset of alcohol use: Results of the Thai National Mental Health Survey 2013. Drug and Alcohol Dependence. 2017;170:102-111.

Assanangkornchai S, Mukthong A, Intanont T. Prevalence and patterns of alcohol consumption and health-risk behaviors among high school students in Thailand. Alcohol. Clin. Exp. Res. 2009; 33: 2037–2046.

De Bellis MD, Narasimhan A, Thatcher DL, Keshavan MS, Soloff P, Clark DB. Prefrontal cortex, thalamus, and cerebellar volumes in adolescents and young adults with adolescent-onset alcohol use disorders and comorbid mental disorders. Alcohol. Clin. Exp. Res. 2005; 29: 1590–1600

Patton L. Adolescent substance abuse: Risk factors and protective factors. Pediatric Clinics of North America 1995;42(2):283-93.

Denton R, Kampfe CM. Relationship between family variables and adolescent substance abuse: A literature review. Adolescence. 1994;29(114):475-95.

Cranford J, Zucker R, Jester J, Puttler L, Fitzgerald H. Parental alcohol involvement and adolescent alcohol expectancies predict alcohol involvement in male adolescents. Psychology of Addictive Behaviors. 2010;24(3):386-396.

Oshri A, Tubman J, Burnette M. Childhood Maltreatment Histories, Alcohol and Other Drug Use Symptoms, and Sexual Risk Behavior in a Treatment Sample of Adolescents. American Journal of Public Health. 2012;102(S2):S250-S257.

Sartor C, Lynskey M, Heath A, Jacob T, True W. The role of childhood risk factors in initiation of alcohol use and progression to alcohol dependence. Addiction. 2007;102(2):216-225.

Deas D, Thomas S. Comorbid psychiatric factors contributing to adolescent alcohol and other drug use. Alcohol Research and Health. 2002;26(2):116-21.

Hawkins J, Catalano RF, Miller JY. Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: implications for substance abuse prevention. Psychological Bulletin 1992;112(1):64-105.

Italian Ministy of Health. Law No. 189, November 8, 2012, published in Gazzetta Ufficiale, No. 263, 10 November 10 2012.

Yang Y, Liu DC, Wang QM, Long QQ, Zhao S, Zhang Z, Ma Y, Wang ZM, Chen LL, Wang LS. Alcohol consumption and risk of coronary artery disease: A dose-response meta-analysis of prospective studies. Nutrition. 2016;32(6):637-644.

Roerecke M, Rehm J. Alcohol use disorders and mortality: a systematic review and meta-analysis. Addiction. 2013;108(9):1562-1578.

Istituto Superiore di Sanità. Osservatorio Nazionale Alcol CNESPS. Strategia Globale per ridurre il consumo dannoso di alcol. 2013. Available on line at: http://www.epicentro.iss.it/alcol/apd2013/global%20strategy%20italian%20translation.pdf