Download - Effective Environmental Strategies for the Prevention of Alcohol Abuse amond Adolescents in Europe
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Effective Environmental Strategies for the Prevention
of Alcohol Abuse amond Adolescents in Europe
An overview of AAA-prevent
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Underage drinking worldwide problem
Traffic crashes, risky driving behaviourIntended and unintended injuriesPrecursive to violenceAssociated with problem behavioursAffects brain developmentAssociated with alcohol related disorders later
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Europe
Highest alcohol consumption among youngstersEspecially in western and eastern EuropeDivergent picture of prevalence ratesProblematic alcohol drinking is increasingInitiation age is loweringNumber of girls involved in heavy drinking is increasing
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Preventive possibilities
Understanding patterns of alcohol useRelated to the country where you grow upRelated to risk factors which are associated with alcohol use
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Sample
ISRD-sample (2006; see Junger-Tas et al., 2009, 2011)57.771 youngsters25 European countriesAge 12-16 years
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Abstinence
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Last month life time beer
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Last month and life time spirits
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Binge drinking beer
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Binge drinking spirits
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Europe and country
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Theory
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Family
Strong relation on adolescents use of alcohol both on how much and on how oftenFamily structure and family control/bonding protectFamily affluence as well as negative life events lead to more use
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Alcohol use and Family Risk Factors (AOR)
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School
Strong effect on alcohol useImportant setting to influence adolescent alcohol useSchool disorganization and social bonding show strong effects
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Alcohol use and School Risk factors (AOR)
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Peer
Inportant domain when relation with family becomes less and with friends strongerWe find here the strongest relationDelinquent friends or deviant behaviour
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Alcohol use and Peer Risk factors (AOR)
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Individu
Low self-control and Attitudes towards violence are related to alcohol useImportant factors for preventive action
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Alcohol use and Individual Risk Factors (AOR)
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Community/Neighbourhood
Bonding to neighbourhood decrease alcohol use of adolescentsAdolescents who live in disorganized neighbourhood use more alcohol
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Alcohol use and Neighbourhood Risk Factors (AOR)
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Multilevel analysis
Influence of country on alcohol useCombination of individual variables and country variablesAnalyzing patterns of use
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ICC
Alcohol life time prevalence 14%Alcohol last month prevalence 9%Drunkeness 10%Binge drinking 10%
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Multilevel class analyse as an example
Alcohol use everAlcohol use last monthDrunkenessBinge drinkingAbstainers
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Latent classes traditional
Abstainers (37,1%)Moderate drinkers (39,6%)Heavy drinkers (23,3%)
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Latent classes of countries
LOW drinking countries (n=12.879; N=7: Bosnia-Herz., Cyprus, France, Iceland, Norway, Portugal, Spain).low drinking countries (n=16.179; N=6: Armenia, Belgium, Italy, Russia, Slovenia, Sweden)heavy drinking countries (n=17.865; N=8: Austria, Denmark, Finland, Germany, Ireland, Netherlands, Poland, Estonia)HEAVY drinking countries (n=10.101; N=4: Czech Republic, Estonia, Hungary, Lithunia)
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Multilevel classes
HEAVY heavy
LOW
Low Total
Abstainers16,40 (1657/2,9)
32,21(5754/10,1)
58,77(7686/17,4)
30,1(6157/10,8)
37,14%(21,254)
(Moderate drinkers52,97(5351/ 9,3)
39,05(6976/12,2)
29,52(3861/6,7)
44,26(7166/12,5)
40,81%(23,354)
Heavy drinkers30,62(3093/ 5,4)
28,74(5135/8,9)
11,71(1532/2,7)
17,65(2856, 5)
22,05%(12,616)
Total 10,101 17,865 12,879 16,179 57,224
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Multilevel analysis of prevention
FamilySchoolPeersIndividuNeighbourhoodCountry
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Effective programs
TargetGroupAgeRisk FactorMethodLiteratureOrganisationEvaluation