Home > Alcohol consumption among first- and second-generation immigrant and native adolescents in 23 countries: Testing the importance of origin and receiving country alcohol prevalence rates.

Barsties, Lisa S and Walsh, Sophie D and Huijts, Tim and Bendtsen, Pernille and Molcho, Michal and Buijs, Thomas and Vieno, Alessio and Elgar, Frank J and Stevens, Gonneke WJM (2017) Alcohol consumption among first- and second-generation immigrant and native adolescents in 23 countries: Testing the importance of origin and receiving country alcohol prevalence rates. Drug and Alcohol Review , 36 , (6) , pp. 769-778.

INTRODUCTION AND AIMS
This internationally comparative study examines differences in alcohol consumption between first- and second-generation immigrant and native adolescents. We also investigate to what extent origin and receiving country alcohol per capita consumption (APCC) rates and proportions of heavy episodic drinkers (HED) are associated with immigrant adolescents' alcohol consumption.

DESIGN AND METHODS
We used cross-sectional survey data from the 2013/2014 Health Behaviour in School-aged Children study. Applying multilevel regression analyses, we investigated the lifetime frequency of alcohol use and drunkenness in 69 842 13- to 15-year-olds in 23 receiving countries, with immigrants from over 130 origin countries (82% natives, 6% first-generation immigrants and 12% second-generation immigrants).

RESULTS
The lifetime frequency of alcohol use was higher among natives than among first- and second-generation immigrants, while no differences were found between the latter two. Lifetime drunkenness was more frequent among first-generation immigrants than among natives and second-generation immigrants. Higher origin country APCC and HED were associated with more frequent lifetime alcohol use and drunkenness among immigrant adolescents. Cross-level interactions revealed that for lifetime frequency of alcohol use, the origin country HED effects were stronger for first- than for second-generation immigrant adolescents. Further, especially for first-generation immigrants, a higher receiving country HED was related to lower lifetime frequencies of alcohol use and drunkenness.

DISCUSSION AND CONCLUSIONS
Our results suggest differences in lifetime frequencies of alcohol use and drunkenness between natives and first- and second-generation immigrant adolescents. Origin country APCC and HED seem to affect immigrant adolescents' alcohol consumption differently than receiving country APCC and HED.


Item Type:Article
Date:November 2017
Page Range:pp. 769-778
Publisher:Wiley
Volume:36
Number:6
EndNote:View
Related URLs:
Subjects:A Substance use, abuse, and dependence > Prevalence
G Health and disease > Substance use disorder > Alcohol use
T Demographic characteristics > Adolescent / youth (teenager / young person)
VA Geographic area > International aspects
VA Geographic area > Europe > Ireland

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