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Palmer B, Irwin C, Desbrow B. A review of factors influencing drinking behaviours in young Australian adults using a behavioural framework approach. Drug Alcohol Rev 2024; 43:170-187. [PMID: 37830638 DOI: 10.1111/dar.13760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 09/20/2023] [Accepted: 09/20/2023] [Indexed: 10/14/2023]
Abstract
ISSUES Young adults (aged 18-24 years) are more likely to binge drink than any other age group in Australia. These behaviours expose young adults to possible adverse events, with potential for acute harms. APPROACH A behavioural framework (capability, opportunity, motivation-behaviour [COM-B model]) was used to explore factors that influence the drinking behaviours of young Australian adults. Potential studies were identified by searching four online data bases. Content pertaining to factors moderating young adults' alcohol consumption behaviours (either increasing or decreasing alcohol consumption) in an Australian population was extracted. Factors were then categorised/mapped into the six sub-components of the COM-B model. A narrative synthesis/discussion was subsequently undertaken. KEY FINDINGS Factors increasing or reducing alcohol consumption behaviours were identified across all components of the COM-B model. Overall, alcohol consumption behaviours appear strongly influenced by physical and social opportunities, and young adults have reflective and automatic motivations (i.e., habitual processes, emotional responding and analytical decisional making that directs behaviour) to consume alcohol with purpose and/or reason. IMPLICATIONS AND CONCLUSION The use of a behavioural framework (e.g., the COM-B model) facilitates an integrated understanding of factors influencing alcohol consumption behaviours. Future harm minimisation strategies need to consider the interrelated, contemporary factors underpinning a young adult's decision to consume alcohol within the context of modern Australian society.
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Affiliation(s)
- Blake Palmer
- School of Health Sciences and Social Work, Griffith University, Gold Coast, Australia
- Menzies Health Institute Queensland, Griffith University, Gold Coast, Australia
| | - Christopher Irwin
- School of Health Sciences and Social Work, Griffith University, Gold Coast, Australia
- Menzies Health Institute Queensland, Griffith University, Gold Coast, Australia
| | - Ben Desbrow
- School of Health Sciences and Social Work, Griffith University, Gold Coast, Australia
- Menzies Health Institute Queensland, Griffith University, Gold Coast, Australia
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2
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Carey TA, Cibich M, Carey M, Hines S. Meet us where we are: non-Indigenous young peoples' ideas on how to reduce alcohol-related harm in Mparntwe (Alice Springs). Aust N Z J Public Health 2023; 47:100100. [PMID: 38035664 DOI: 10.1016/j.anzjph.2023.100100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Revised: 09/15/2023] [Accepted: 09/21/2023] [Indexed: 12/02/2023] Open
Abstract
OBJECTIVE This research sought to understand the strategies young people in a remote central Australian town believed would reduce alcohol-related harms amongst their peers. METHODS A total of 38 non-Indigenous residents of Mparntwe (Alice Springs), aged between 14 and 18 years, participated in focus groups at their school. Participants discussed strategies they thought would reduce alcohol-related harms among people their age. Data were analysed using thematic analysis. RESULTS Participants suggested that young peoples' drinking behaviour developed with peers. Through social learning in peer groups, drinking alcohol was perceived as fun and normal. Participants indicated a willingness to learn about strategies to stay safe around alcohol. Their ideas for doing so reflected their existing social methods of learning about alcohol: having comfortable conversations and storytelling with a small group of peers and a relatable role model. CONCLUSIONS Young residents of Mparntwe (Alice Springs) advised that alcohol-related harm reduction strategies would be most effective if focussed on safety, rather than abstinence, and applied social-learning strategies. IMPLICATIONS FOR PUBLIC HEALTH Young people value their burgeoning self-determination. Youth health interventions must engage youth in intervention co-design and aim to assist young people to make safer decisions, rather than making decisions on their behalf.
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Affiliation(s)
- Timothy A Carey
- WACHS Curtin Research and Innovation Alliance, Curtin University, Australia.
| | - Mikaela Cibich
- Flinders Rural and Remote Health, College of Medicine and Public Health, Flinders University, NT, Australia
| | - Margaret Carey
- Flinders Rural and Remote Health, College of Medicine and Public Health, Flinders University, NT, Australia
| | - Sonia Hines
- Flinders Rural and Remote Health, College of Medicine and Public Health, Flinders University, NT, Australia; Mparntwe Centre for Evidence in Health, Flinders University: A JBI Centre of Excellence, Alice Springs, NT, Australia
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3
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Patrick ME, Terry-McElrath YM. Consideration of an upper-bound continuous maximum drinks measure for adolescent binge and high-intensity drinking prevalence. Alcohol Clin Exp Res 2021; 45:1821-1828. [PMID: 34342001 PMCID: PMC8526374 DOI: 10.1111/acer.14676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 07/12/2021] [Accepted: 07/13/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND The degree to which binge and high-intensity drinking prevalence estimates vary from fixed threshold frequency and continuous maximum drinks measures is unknown. The current study compared prevalence estimates for adolescent binge and high-intensity drinking (5+ drinks, 10+ drinks, respectively) and sex-specific thresholds using fixed threshold frequency and continuous maximum drinks measures. METHODS Data were obtained from 7911 respondents participating in the 2018 and 2019 nationally representative Monitoring the Future 12th-grade surveys. Comparisons of frequency prevalence (e.g., any occasions of 5+ drinking using the frequency measure) versus maximum drinks prevalence (e.g., reporting 5 or more drinks using the maximum number of drinks measure) were made using all respondents and then separately within males and females. RESULTS Among the sample overall and within sex, binge drinking estimates from the 5+ frequency prevalence and 5+ maximum drinks prevalence measures evidenced overlapping confidence intervals (estimates were slightly higher for frequency prevalence); similar results were observed for high-intensity drinking 10+ frequency prevalence and 10+ maximum drinks prevalence. For example, among the sample overall, 5+ frequency prevalence was 11.4% [95% CI 10.3, 12.6]; 5+ maximum drinks prevalence was 10.7% [9.6, 11.8]; 10+ frequency prevalence was 5.1% [4.4, 5.8]; and 10+ maximum drinks prevalence was 4.1% [3.5, 4.7]. Using sex-specific thresholds (i.e., 4+ drinks for females and 5+ drinks for males), binge frequency and maximum drinks levels also had overlapping confidence intervals. Binge drinking prevalence estimates for females were approximately 1.5 times higher using sex-specific (4+) versus universal (5+) thresholds. CONCLUSIONS In this nationally representative sample of 12th-grade students, prevalence levels for 5+ and 10+ drinking did not differ significantly when using frequency versus maximum drinks measures. Among females, binge drinking prevalence was higher using sex-specific versus universal thresholds. Both the frequency and maximum drinks measures provided comparable estimates of binge and high-intensity drinking prevalence among older adolescents.
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Lam T, Laslett AM, Fischer J, Salom C, Ogeil RP, Lubman DI, Aiken A, Mattick R, Gilmore W, Allsop S. Disclosures of harming others during their most recent drinking session: Findings from a large national study of heavy-drinking adolescents. Drug Alcohol Rev 2021; 41:197-207. [PMID: 34181785 DOI: 10.1111/dar.13336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Revised: 05/07/2021] [Accepted: 05/10/2021] [Indexed: 11/28/2022]
Abstract
INTRODUCTION The extant Alcohol's Harms to Others (AHTO) literature is largely comprised of reports from victims. We investigated AHTO from perpetrators' perspectives, including how harms were associated with individual characteristics, and alcohol quantities consumed during the perpetration incident. METHODS Participants (N = 2932) were 14-19 years old, recruited primarily through social media and screened as risky drinkers. They completed face-to-face (n = 594) or self-administered (n = 2338) surveys. They self-reported whether during their last risky drinking session (LRDS) they had perpetrated any verbal abuse, physical abuse or property damage. A multinomial logistic regression examined whether nine factors were associated with perpetrating zero, one or 2+ categories of AHTO. RESULTS Eleven percent (n = 323) reported perpetrating at least one form of AHTO (7.5% verbal, 1.9% physical and 4.6% property). Perpetration of AHTO at LRDS was uniquely associated with: younger age, male gender, experiences of childhood physical punishment, greater perpetration incident-specific drinking, concurrent illicit drug use, and less frequent use of safety strategies while drinking in the past 12 months. Controlling for the other variables, an increase of six Australian standard drinks (60 g of alcohol) increased the odds of perpetration by 15% [95% confidence interval (CI) adjusted odds ratio (AOR) 1.08, 1.23], and an increase of 15 Australian standard drinks increased the odds by 42% (95% CI AOR 1.20, 1.69). DISCUSSION AND CONCLUSIONS Individual characteristics, larger quantities of alcohol consumed, and a disinclination to practice harm reduction amplified risk of AHTO perpetration. This has implications for health promotion and risk prevention/reduction strategies.
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Affiliation(s)
- Tina Lam
- Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Australia.,Faculty of Health Sciences, National Drug Research Institute, Curtin University, Perth, Australia
| | - Anne-Marie Laslett
- Faculty of Health Sciences, National Drug Research Institute, Curtin University, Perth, Australia.,Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
| | - Jane Fischer
- National Centre for Education and Training on Addiction, Flinders University, Adelaide, Australia
| | - Caroline Salom
- Institute for Social Science Research, The University of Queensland, Brisbane, Australia
| | - Rowan P Ogeil
- Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Australia.,Turning Point, Eastern Health, Melbourne, Australia
| | - Dan I Lubman
- Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Australia.,Turning Point, Eastern Health, Melbourne, Australia
| | - Alexandra Aiken
- National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia
| | - Richard Mattick
- National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia
| | - William Gilmore
- Faculty of Health Sciences, National Drug Research Institute, Curtin University, Perth, Australia
| | - Steve Allsop
- Faculty of Health Sciences, National Drug Research Institute, Curtin University, Perth, Australia
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Lawler SM, Stapinski LA, Barrett EL, Newton NC, Sunderland M, Slade T, Teesson M. Is Adolescent Alcohol Use Linked to Spikes in Aggressive Behaviour? A Growth Curve Analysis. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2020; 22:534-544. [PMID: 33244726 DOI: 10.1007/s11121-020-01188-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/31/2020] [Indexed: 11/29/2022]
Abstract
A relationship between alcohol use and aggression is well-established; however, less is known about how these factors develop and influence each other over time. This study examined the immediate and delayed effects of alcohol use on aggression during adolescence. Alcohol use and aggression were measured in a subset of students (n = 1560) from the Climate and Preventure study, Australia. Participants completed self-report surveys across five assessments (ages 13, 13.5, 14, 15 and 16). In a two-stage analysis, parallel and auto-regressive latent growth curve models were applied to investigate person-specific trajectories (or between-person effects) of alcohol use and aggression and identify the time-varying impact (or within-person effects) of alcohol use on aggression. Average alcohol consumption increased between ages 13 and 16, while average aggression levels decreased over time. Overall growth in alcohol use was positively related to heightened aggression at age 16, and vice versa. Spikes (time-varying increases) in alcohol use were linked to corresponding increases in aggression at each time point. There was evidence of a prospective effect where aggression was associated with hazardous alcohol use a year later, but no evidence that alcohol use was associated with subsequent aggression. Change in hazardous alcohol consumption and aggression beginning early in adolescence are interrelated and are predictive of one another at age 16. The time-varying effects of alcohol on aggression appear to be immediate rather than delayed; however, there is evidence for a prospective relationship where aggression influences later alcohol use. Implications for the timing and nature of novel harm reduction intervention approaches for young people are discussed.
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Affiliation(s)
- Siobhan M Lawler
- Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, University of Sydney, Sydney, NSW, 2006, Australia.
| | - Lexine A Stapinski
- Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, University of Sydney, Sydney, NSW, 2006, Australia
| | - Emma L Barrett
- Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, University of Sydney, Sydney, NSW, 2006, Australia
| | - Nicola C Newton
- Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, University of Sydney, Sydney, NSW, 2006, Australia
| | - Matthew Sunderland
- Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, University of Sydney, Sydney, NSW, 2006, Australia
| | - Tim Slade
- Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, University of Sydney, Sydney, NSW, 2006, Australia
| | - Maree Teesson
- Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, University of Sydney, Sydney, NSW, 2006, Australia
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Chapman J, Harrison N, Kostadinov V, Skinner N, Roche A. Older Australians' perceptions of alcohol-related harms and low-risk alcohol guidelines. Drug Alcohol Rev 2019; 39:44-54. [PMID: 31829473 DOI: 10.1111/dar.13022] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2019] [Revised: 10/21/2019] [Accepted: 11/24/2019] [Indexed: 12/24/2022]
Abstract
INTRODUCTION AND AIMS Australia has an ageing population. Given the concomitant increase in the numbers and proportion of risky drinkers among older adults, research examining contributory factors is a priority. The current study examined older adults' estimates of the NHMRC low-risk drinking guidelines, consumption patterns and associated harms and self-identification of drinking type. DESIGN AND METHODS Data from respondents aged 50+ years (N = 11 886) in the 2016 National Drug Strategy Household Survey were subjected to secondary analyses. Estimates of low-risk drinking levels, perceived level of harm from current drinking, self-identification of drinking type and awareness of standard drinks and labelling were included. Data were examined for those aged 50-59 years and 60+. RESULTS Seventeen percent of older Australians drank at both long-term and short-term risk levels. Approximately 39% of males and 11% of females overestimated the long-term low-risk levels and 54% of males and 20% of females overestimated the short-term low-risk levels. Overestimation was highest among risky drinkers. Most older risky drinkers were aware of standard drinks and labelling; however, less than half perceived their drinking as harmful, instead identifying as social drinkers. DISCUSSION AND CONCLUSIONS Although substantial gaps are evident in older respondents' estimates of low-risk drinking, additional public awareness campaigns are likely to be of limited use. Older peoples' engagement with the public health system presents 'windows of opportunity' to provide targeted, age-appropriate harm reduction strategies. Appropriate intervention and policy responses are required to direct resources to this emerging area of concern.
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Affiliation(s)
- Janine Chapman
- National Centre for Education and Training on Addiction, Flinders University, Adelaide, Australia
| | - Nathan Harrison
- National Centre for Education and Training on Addiction, Flinders University, Adelaide, Australia
| | - Victoria Kostadinov
- National Centre for Education and Training on Addiction, Flinders University, Adelaide, Australia
| | - Natalie Skinner
- National Centre for Education and Training on Addiction, Flinders University, Adelaide, Australia
| | - Ann Roche
- National Centre for Education and Training on Addiction, Flinders University, Adelaide, Australia
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7
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Hurley E, Dietrich T, Rundle-Thiele S. A systematic review of parent based programs to prevent or reduce alcohol consumption in adolescents. BMC Public Health 2019; 19:1451. [PMID: 31684909 PMCID: PMC6829962 DOI: 10.1186/s12889-019-7733-x] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2019] [Accepted: 10/09/2019] [Indexed: 01/03/2023] Open
Abstract
BACKGROUND Adolescent alcohol consumption is an issue of ongoing concern and programs targeting parents have been identified as an important component in minimizing and preventing alcohol related harm in adolescents. This paper aims to evaluate existing parent based alcohol education programs with a focus on understanding parent specific outcomes including parental attitudes, parent-child communication, alcohol specific rule setting and parental monitoring; study quality, the extent of stakeholder engagement in program design and the level of theory application. METHOD A systematic review of electronic databases EBSCO, Emerald, ProQuest, PubMed, Ovid, ScienceDirect, Taylor and Francis and Web of Science was conducted from database inception to August 2019. A total of 4288 unique records were retrieved from the eight databases. Studies were included if they evaluated school based alcohol education programs that included a parent component and detailed outcome measures associated with parent data. The methodological quality of the included studies was assessed using the Effective Public Health Practice Project (EPHPP) quality assessment tool. RESULTS In total 17 studies qualified for assessment, detailing 13 individual parent programs. Of these, ten programs demonstrated positive effects in at least one parent reported outcome measure. Stakeholder engagement during the design of programs was lacking with the majority of programs. One third of the programs did not report theory use and when theory was used reporting was weak with three programs applying theory, five testing theory and none building theory. According to the EPHPP tool, overall ten programs were rated as weak, three as moderate and none as strong. CONCLUSION Future studies are recommended to further enhance the effectiveness of parental programs by improving study quality, increasing stakeholder engagement and increasing the level of theory application and reporting.
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Affiliation(s)
- Erin Hurley
- Social Marketing @ Griffith, Griffith University, 170 Kessels Road, Nathan, Qld 4111, Australia.
| | - Timo Dietrich
- Social Marketing @ Griffith, Griffith University, 170 Kessels Road, Nathan, Qld 4111, Australia
| | - Sharyn Rundle-Thiele
- Social Marketing @ Griffith, Griffith University, 170 Kessels Road, Nathan, Qld 4111, Australia
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8
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Lam T, Ogeil RP, Fischer J, Midford R, Lubman DI, Gilmore W, Chikritzhs TN, Liang W, Lenton SR, Aiken A, Allsop S. Alcohol supply as a favour for a friend: Scenarios of alcohol supply to younger friends and siblings. Health Promot J Austr 2019; 31:112-120. [PMID: 31175675 DOI: 10.1002/hpja.264] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2018] [Accepted: 06/01/2019] [Indexed: 11/06/2022] Open
Abstract
ISSUES ADDRESSED Adolescents under the legal purchase age primarily source their alcohol through social networks. This study assessed the provision context from the perspective of both underage recipients and their suppliers who were older peers and siblings. METHODS Interviewer-administered surveys were conducted with 590 risky-drinking (50 g alcohol per session, at least monthly) adolescents. Participants of legal purchase age (18- to 19-year-olds; n = 269) reported their provision to 16- to 17-year-olds under eight scenarios. Those aged 14-17 (n = 321) reported receipt of alcohol under the same scenarios plus two parental supply contexts. RESULTS Purchase-age participants reported supply: to an underage friend (67%), an acquaintance (44%) or a sibling (16%) to drink at the same party; to a friend (43%) or sibling (20%) to take to another party (20%) and to a stranger near a bottle shop (5%). Supply to a friend at the same party was more likely if money was exchanged (60% vs 40%; P < 0.001). Almost all (98%) 14- to 17-year-olds reported receiving alcohol from an adult (including 36% from a parent for consumption away from the parent), with a similar pattern of receipt scenarios as those reported by the 18- to 19-year-olds. CONCLUSIONS Provision of alcohol was more frequent with a friend than a sibling or stranger, in close environmental proximity, and if money was exchanged. SO WHAT?: As supply may be sensitive to monetary considerations, the incidence of underage receipt may be affected by community-wide pricing measures. Traditional alcohol availability regulations should be supplemented by strategies relating to the social nature of supply and demand.
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Affiliation(s)
- Tina Lam
- Monash Addiction Research Centre, Monash University, Melbourne, Vic., Australia.,National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - Rowan P Ogeil
- Monash Addiction Research Centre, Monash University, Melbourne, Vic., Australia.,Turning Point and Monash University, Melbourne, Vic., Australia
| | - Jane Fischer
- National Centre for Education and Training on Addiction, Flinders University, Adelaide, SA, Australia
| | - Richard Midford
- National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia.,Charles Darwin University and the Menzies School of Health Research, Tiwi, NT, Australia
| | - Dan I Lubman
- Monash Addiction Research Centre, Monash University, Melbourne, Vic., Australia.,Turning Point and Monash University, Melbourne, Vic., Australia
| | - William Gilmore
- National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - Tanya N Chikritzhs
- National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - Wenbin Liang
- National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - Simon R Lenton
- National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - Alexandra Aiken
- National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Steve Allsop
- National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
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Poulton A, Mata A, Pan J, Bruns LR, Sinnott RO, Hester R. Predictors of Adverse Alcohol Use Consequences Among Tertiary Students. Alcohol Clin Exp Res 2019; 43:877-887. [PMID: 30779436 DOI: 10.1111/acer.13988] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2019] [Accepted: 02/08/2019] [Indexed: 12/01/2022]
Abstract
BACKGROUND The alcohol consumption patterns of young adults are of concern. Critically, tertiary students consume greater quantities of alcohol, are at increased risk of injury/harm, and have higher rates of alcohol use disorders as compared to their nonuniversity enrolled peers. The Brief Young Adult Alcohol Consequences Questionnaire (BYAACQ) is one of several tools utilized to explore adverse alcohol-related outcomes among tertiary students. Alcohol intake behavior, assessed via retrospective summary measures, has been linked to BYAACQ score. It is unclear, however, how drinking assessed in real time, in conjunction with variables such as age of drinking onset, might predict severity of adverse alcohol consequences as captured by the BYAACQ. METHODS The psychometric properties of the BYAACQ were explored using a large Australian sample of tertiary students (N = 893). A subsample (n = 504) provided alcohol intake information in real time (21 days; event and notification contingent) via a smartphone app (CNLab-A) plus details related to age of drinking onset, drug use, parental alcohol/drug use, and anxiety/depression symptomology. RESULTS Average BYAACQ score was 7.53 (SD = 5.37). Classical and item response theory analyses revealed inconsistencies related to dimensionality, progressive item severity, and male/female differential item functioning. Current drinking-namely, frequency of intake and quantity per drinking occasion-plus age of drinking onset predicted BYAACQ score after controlling for age, other drug use, and depression symptomology. CONCLUSIONS The BYAACQ is a sound tool for use with Australian samples. Information related to current drinking, age of drinking onset, and drug use is useful for predicting severity of alcohol use consequences. These markers might enable tertiary institutions to better target students who could benefit from prevention/intervention programs.
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Affiliation(s)
- Antoinette Poulton
- Melbourne School of Psychological Sciences , University of Melbourne, Parkville, VIC, Australia
| | - Adrienn Mata
- Melbourne School of Psychological Sciences , University of Melbourne, Parkville, VIC, Australia
| | - Jason Pan
- Melbourne School of Psychological Sciences , University of Melbourne, Parkville, VIC, Australia
| | - Loren Richard Bruns
- Computing and Information Systems , University of Melbourne, Parkville, VIC, Australia
| | - Richard O Sinnott
- Computing and Information Systems , University of Melbourne, Parkville, VIC, Australia
| | - Robert Hester
- Melbourne School of Psychological Sciences , University of Melbourne, Parkville, VIC, Australia
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10
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Abstract
University students engage in risky patterns of alcohol consumption, which may affect their health and performance at university. This study provides a novel analysis which tracked students' interaction with online course materials over time, and examined associations between online activity and alcohol related harm (as indicated by the Alcohol Use Disorders Identification Test). Study 1 tracked 63 undergraduate psychology students in the second half of a semester and found risky drinking behaviors were marginally related to reductions in online study activity. Study 2 tracked 88 undergraduate psychology students in the first half of a semester. Risky drinking behaviors were associated with less online activity after midday. Students reporting more alcohol related harm were less likely to login between 7 pm and midnight, and between 1 am and 6 am. This study demonstrates a potential sensitivity of online activity levels to alcohol use.
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Affiliation(s)
- James G Phillips
- a Psychology Department , Auckland University of Technology, North Shore Campus, Northcote , Auckland , New Zealand
| | - C Erik Landhuis
- b School of Social Sciences and Public Policy, Auckland University of Technology, Wellesley Campus , Auckland , New Zealand
| | - Rowan P Ogeil
- c Eastern Health Clinical School, Monash University and Turning Point , Melbourne , Victoria , Australia
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11
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Lam T, Ogeil RP, Allsop S, Chikritzhs T, Fischer J, Midford R, Gilmore W, Lenton S, Liang W, Lloyd B, Aiken A, Mattick R, Burns L, Lubman DI. Insomnia and Regulation of Sleep-Wake Cycle With Drugs Among Adolescent Risky Drinkers. J Clin Sleep Med 2018; 14:1529-1537. [PMID: 30176972 DOI: 10.5664/jcsm.7330] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2018] [Accepted: 05/22/2018] [Indexed: 11/13/2022]
Abstract
STUDY OBJECTIVES We aimed to explore symptoms of insomnia in a group of youths characterized as engaging in risky drinking, their use of drugs as sleep/ wake aids, and the relationships between alcohol and other drug use and insomnia. METHODS Face-to-face interviews were conducted with 596 Australian 14 to 19-year-olds identified as engaging in regular risky drinking. They completed the Insomnia Severity Index and were assessed for recent alcohol and other drug use, including drugs used specifically as sleep aids or to stay awake. Alcohol-related problems, emotional distress, self-control, and working outside of traditional hours were also assessed using validated scales. RESULTS More than one-third of the study participants (36%) reported moderate to very severe sleep-onset insomnia, and 39% screened positive for clinical insomnia using adolescent criteria. Three-fourths used drugs in the past 2 weeks to regulate their sleep cycle (65% used stimulants to stay awake, mainly caffeine, and 32% used a depressant to get to sleep, mainly cannabis). Regression analyses showed that after controlling for variables such as sex, emotional distress, self-control, alcohol use problems, and past 6-month illicit or non-prescribed drug use, those who used drugs specifically to get to sleep or to stay awake were 2.0 (P < .001) and 1.7 (P = .02) times more likely to report clinical insomnia, respectively. CONCLUSIONS Insomnia was commonly reported in this community sample of adolescents characterized as engaging in risky drinking. Those with symptoms of insomnia appeared to be managing their sleep-related symptoms through alcohol and other drug use, which may have further exacerbated their sleep issues.
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Affiliation(s)
- Tina Lam
- National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, Australia
| | - Rowan P Ogeil
- Turning Point and Monash University, Melbourne, Australia
| | - Steve Allsop
- National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, Australia
| | - Tanya Chikritzhs
- National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, Australia
| | - Jane Fischer
- National Centre for Education and Training on Addiction, Flinders University, Adelaide, Australia
| | - Richard Midford
- Charles Darwin University and the Menzies School of Health Research, Darwin, Australia
| | - William Gilmore
- National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, Australia
| | - Simon Lenton
- National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, Australia
| | - Wenbin Liang
- National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, Australia
| | - Belinda Lloyd
- Turning Point and Monash University, Melbourne, Australia
| | - Alexandra Aiken
- National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia
| | - Richard Mattick
- National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia
| | - Lucinda Burns
- National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia
| | - Dan I Lubman
- Turning Point and Monash University, Melbourne, Australia
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12
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Caluzzi G. Changing but resistant: the importance of integrating heavier young drinkers within a declining drinking culture. DRUGS-EDUCATION PREVENTION AND POLICY 2018. [DOI: 10.1080/09687637.2018.1498457] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Gabriel Caluzzi
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
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Wilson J, Ogeil RP, Lam T, Lenton S, Lloyd B, Burns L, Aiken A, Gilmore W, Chikritzhs T, Mattick R, Lubman DI, Allsop S. Re-thinking pre-drinking: Implications from a sample of teenagers who drink in private settings. THE INTERNATIONAL JOURNAL OF DRUG POLICY 2017; 52:20-24. [PMID: 29227879 DOI: 10.1016/j.drugpo.2017.11.024] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2017] [Revised: 11/09/2017] [Accepted: 11/28/2017] [Indexed: 11/16/2022]
Affiliation(s)
- James Wilson
- National Drug Research Institute, Curtin University, 7 Parker Place, Building 609, Level 2, Technology Park, Bentley 6102, Western Australia, Australia; Turning Point, Eastern Health, 54-62 Gertrude St., Fitzroy 3065, Victoria, Australia.
| | - Rowan P Ogeil
- Turning Point, Eastern Health, 54-62 Gertrude St., Fitzroy 3065, Victoria, Australia; Eastern Health Clinical School, Monash University, Level 2, 5 Arnold St., Box Hill 3128, Victoria, Australia
| | - Tina Lam
- National Drug Research Institute, Curtin University, 7 Parker Place, Building 609, Level 2, Technology Park, Bentley 6102, Western Australia, Australia
| | - Simon Lenton
- National Drug Research Institute, Curtin University, 7 Parker Place, Building 609, Level 2, Technology Park, Bentley 6102, Western Australia, Australia
| | - Belinda Lloyd
- Turning Point, Eastern Health, 54-62 Gertrude St., Fitzroy 3065, Victoria, Australia; Eastern Health Clinical School, Monash University, Level 2, 5 Arnold St., Box Hill 3128, Victoria, Australia
| | - Lucy Burns
- National Drug and Alcohol Research Centre, University of New South Wales, 22-32 King St., Randwick 2031, New South Wales, Australia
| | - Alexandra Aiken
- National Drug and Alcohol Research Centre, University of New South Wales, 22-32 King St., Randwick 2031, New South Wales, Australia
| | - William Gilmore
- National Drug Research Institute, Curtin University, 7 Parker Place, Building 609, Level 2, Technology Park, Bentley 6102, Western Australia, Australia
| | - Tanya Chikritzhs
- National Drug Research Institute, Curtin University, 7 Parker Place, Building 609, Level 2, Technology Park, Bentley 6102, Western Australia, Australia
| | - Richard Mattick
- National Drug and Alcohol Research Centre, University of New South Wales, 22-32 King St., Randwick 2031, New South Wales, Australia
| | - Dan I Lubman
- Turning Point, Eastern Health, 54-62 Gertrude St., Fitzroy 3065, Victoria, Australia; Eastern Health Clinical School, Monash University, Level 2, 5 Arnold St., Box Hill 3128, Victoria, Australia
| | - Steve Allsop
- National Drug Research Institute, Curtin University, 7 Parker Place, Building 609, Level 2, Technology Park, Bentley 6102, Western Australia, Australia
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