Home > Different drinking motives, different adverse consequences? Evidence among adolescents from 10 European countries.

Wicki, Matthias and Kuntsche, Emmanuel and Eichenberger, Yvonne and Aasvee, Katrin and Bendtsen, Pernille and Dankulincová Veselská, Zuzana and Demetrovics, Zsolt and Dzielska, Anna and Farkas, Judit and de Matos, Margarida Gaspar and Roberts, Chris and Tynjälä, Jorma and Välimaa, Raili and Vieno, Alessio (2017) Different drinking motives, different adverse consequences? Evidence among adolescents from 10 European countries. Drug and Alcohol Review , 36 , (6) , pp. 731-741.

INTRODUCTION AND AIM
This study, which builds on previous research demonstrating that drinking motives are associated with adverse consequences, investigates the associations between drinking motives and non-alcohol-attributed adverse consequences and disentangles alcohol-related and direct effects.

DESIGN AND METHOD
On the basis of a sample of 22 841 alcohol-using 13- to 16-year-olds (50.6% female) from Belgium, Denmark, Estonia, Finland, Ireland, Portugal, Scotland, Slovakia, Switzerland and Wales, structural equation models were used to estimate direct and indirect effects. Additionally, differences across countries were tested in a multigroup analysis.

RESULTS
The indirect effect (via alcohol use) was greater for injuries and academic problems than for more general outcomes such as life dissatisfaction and negative body image. For social, enhancement and coping motives, we found positive indirect effects (via alcohol use) on injuries and academic problems; the association was negative for conformity motives. The direct effect, that is, the effect above and beyond alcohol use, indicated more negative consequences among those who tended to drink more frequently for coping motives. More negative consequences, such as injuries and negative body image, were also found among those who drink for conformity motives. The pattern of association was largely comparable across countries.

DISCUSSION AND CONCLUSION
While the actual mean level of drinking motives, alcohol use and adverse consequence varied across countries, the consistency of association patterns implies that drinking motive-inspired health promotion efforts are likely to be beneficial across Europe. This is particularly important for coping drinkers because they are especially prone to adverse consequences over and above their alcohol use.


Item Type:Article
Date:November 2017
Page Range:pp. 731-741
Publisher:Wiley
Volume:36
Number:6
EndNote:View
Related URLs:
Subjects: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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