Abstract

BackgroundThe main aim of this study was to determine the socioeconomic and family factors associated with binge drinking (BD) in Spanish adolescents who participated in a web-based computer intervention for the prevention of binge drinking known as Alerta Alcohol.MethodsLongitudinal analyses were carried out in a sample of Andalusian adolescents aged 15 to 19 enrolled in public schools, which was part of a two-arm cluster randomized controlled trial with an intervention group (IG) who received the Alerta Alcohol programme and a control group (CG) who did not receive any active intervention. Panel count data and the following econometric procedures were used: negative binomial, a two-part model and a finite mixture model. The endogenous variable in all models was the number of BD occasions in the last 30 days. A total of 1247 subjects in the pre-intervention period, with an average age of 16.8 years, plus 612 adolescents in the follow-up period (4 months later), were included in the analysis.ResultsIn relation to findings, being older (≥ 17 years old), having more pocket money and higher family alcohol consumption were associated with greater BD. By contrast, subjects who completed the questionnaire on Wednesday, Thursday or Friday, further from the previous weekend, indicated a lower number of BD occasions.ConclusionsOur results suggest the need to include families, especially parents and siblings, in interventions aimed at preventing alcohol use among adolescents, given the association shown between BD and both family alcohol consumption and weekly pocket money or availability of money to adolescents. Given the findings with regard to age, future research aimed at intervening in early adolescence to prevent BD would be justified.Trial registration(ClinicalTrials.gov): NCT03288896. Registration date: September 20, 2017. “Retrospectively registered”.

Highlights

  • The main aim of this study was to determine the socioeconomic and family factors associated with binge drinking (BD) in Spanish adolescents who participated in a web-based computer intervention for the prevention of binge drinking known as Alerta Alcohol

  • In relation to the main differences between subjects who replied to the post-questionnaire and those who did not reply to it, we found that the missing subjects were older, their father’s and mother’s schooling years were lower, the current job situation of the mother was worse, they had a worse economic situation at home and they had higher weekly pocket money

  • In relation to alcohol use, those who did not answer the post-intervention questionnaire had engaged in binge drinking more frequently and consumed more alcohol in the last week; they had friends/a best friend who consumed alcohol more frequently

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Summary

Introduction

The main aim of this study was to determine the socioeconomic and family factors associated with binge drinking (BD) in Spanish adolescents who participated in a web-based computer intervention for the prevention of binge drinking known as Alerta Alcohol. According the World Health Organization (WHO), alcohol was the seventh cause of disease and premature death among the world’s population in 2016. With regard to alcohol use in different life stages, it is known that alcohol abuse is a public health concern across all age groups. The pattern of alcohol consumption differs according to the age of the population. It has been pointed out that binge drinking (BD) among young people is a prevalent pattern of alcohol consumption, characterized by the intake of high amounts of alcohol (at least five standard drinks for men and four standard drinks for women) on a single occasion [8,9,10,11]. There are different definitions of “standard drink unit”, as the amount that constitutes one unit of alcohol in grams of pure alcohol differs by country [13]

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