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Ksinan A, Ksinan Jiskrova G, Hrežová E, Pikhart H, Bobák M. Does parental supply of alcohol predict later adolescent alcohol use in a highly permissive context? Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab164.783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Considerable number of children and adolescents get their first experience with alcohol in a family setting. Evidence suggests that parental supply of alcohol is a risk factor for drinking later in life. However, the vast majority of previous studies have been conducted in North America or Western Europe. Czechia has amongst the highest alcohol consumption per capita, including among adolescents. Providing own children with sips of alcohol is widely perceived as a good way to introduce them to safe drinking. This study examined whether parental supply of alcohol would predict alcohol use among adolescents in an Eastern European alcohol-permissive context.
Methods
We used a subsample of 2,570 adolescents from ELSPAC, a longitudinal study of Czech mothers and their children. The outcome was adolescent alcohol use at age 15, reported by adolescents and their pediatricians. Different sources of alcohol (parents, family member, friend, own supply, or other sources) at age 11 were used as longitudinal predictors. The structural equation models controlled for sex, family structure, maternal education, and parental alcohol use.
Results
Parental supply of alcohol consistently emerged as the strongest longitudinal predictor of using alcohol in adolescence. The adjusted odds ratio for self-reported and pediatrician-reported frequent drinking at age 15 was 2.64 [1.45, 4.83]) and 2.68 [1.26, 5.67], respectively. The population risk fraction attributable to parental supply of alcohol at age 11 was 23%, reflecting the high prevalence of parental supply (18%),
Conclusions
Parental supply of alcohol is a risk factor for later adolescent alcohol use in this high alcohol-permissive population. These findings should encourage preventative strategies aiming to decrease the high rates of alcohol use among Czech adolescents by focusing on dispelling the myth of safe introduction to alcohol by parents.
Key messages
Parental supply of alcohol at the age of 11 was associated with increased alcohol use at age 15. These findings dispel the common myth in Czechia of safe introduction to alcohol by parents.
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Affiliation(s)
- A Ksinan
- RECETOX, Masaryk University, Brno, Czechia
| | | | - E Hrežová
- RECETOX, Masaryk University, Brno, Czechia
| | - H Pikhart
- RECETOX, Masaryk University, Brno, Czechia
- Institute of Epidemiology & Health, University College London, London, UK
| | - M Bobák
- RECETOX, Masaryk University, Brno, Czechia
- Institute of Epidemiology & Health, University College London, London, UK
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