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Association and dose-response relationship between exposure to alcohol advertising media and current drinking: a nationwide cross-sectional study of Japanese adolescents

BACKGROUND: Underage drinking is a public health concern. However, few studies have examined the association between alcoholic beverage advertising and underage drinking, particularly in countries with low underage drinking rates, such as Japan. Therefore, we aimed to investigate the relationship be...

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Autores principales: Yoshida, Keita, Kanda, Hideyuki, Hisamatsu, Takashi, Kuwabara, Yuki, Kinjo, Aya, Yoshimoto, Hisashi, Ito, Teruna, Kasuga, Hideaki, Minobe, Ruriko, Maesato, Hitoshi, Jike, Maki, Matsumoto, Yuuki, Otsuka, Yuichiro, Itani, Osamu, Kaneita, Yoshitaka, Higuchi, Susumu, Osaki, Yoneatsu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese Society for Hygiene 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10569966/
https://www.ncbi.nlm.nih.gov/pubmed/37766544
http://dx.doi.org/10.1265/ehpm.23-00127
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author Yoshida, Keita
Kanda, Hideyuki
Hisamatsu, Takashi
Kuwabara, Yuki
Kinjo, Aya
Yoshimoto, Hisashi
Ito, Teruna
Kasuga, Hideaki
Minobe, Ruriko
Maesato, Hitoshi
Jike, Maki
Matsumoto, Yuuki
Otsuka, Yuichiro
Itani, Osamu
Kaneita, Yoshitaka
Higuchi, Susumu
Osaki, Yoneatsu
author_facet Yoshida, Keita
Kanda, Hideyuki
Hisamatsu, Takashi
Kuwabara, Yuki
Kinjo, Aya
Yoshimoto, Hisashi
Ito, Teruna
Kasuga, Hideaki
Minobe, Ruriko
Maesato, Hitoshi
Jike, Maki
Matsumoto, Yuuki
Otsuka, Yuichiro
Itani, Osamu
Kaneita, Yoshitaka
Higuchi, Susumu
Osaki, Yoneatsu
author_sort Yoshida, Keita
collection PubMed
description BACKGROUND: Underage drinking is a public health concern. However, few studies have examined the association between alcoholic beverage advertising and underage drinking, particularly in countries with low underage drinking rates, such as Japan. Therefore, we aimed to investigate the relationship between exposure to advertising in various media and alcohol drinking among Japanese adolescents. METHODS: We conducted a cross-sectional study involving 15,683 adolescents (51% girls) using data from a nationwide lifestyle survey in 2021 among junior and senior high schools across Japan. Media types were websites, stores, and public transportation. We defined current drinking as alcohol consumption of ≥1 day in the 30 days preceding the survey. Multivariable logistic regression was used to examine the association between exposure to alcohol advertisements and current drinking, adjusting for sex, grades, school area, lifestyle (bedtime and having fun at school), and addictive behaviors (smoking status and parents’ alcohol consumption). RESULTS: The prevalence of current drinking was 2.2% (2.3% of boys and 2.0% of girls). Students who were exposed to any alcohol advertising media had higher odds of current drinking compared with those who were not (odds ratio, 1.48; 95% confidence interval [CI], 1.18–1.87). Students who were exposed to web, in-store, and public transportation advertisements had odds ratios of 1.44 (95% CI, 1.14–1.81), 1.62 (1.28–2.05), and 1.45 (1.06–1.98) of current drinking, respectively, compared with those who were not. The association of exposure to alcohol advertising media with the prevalence of current drinking was similar among boys and girls (all p for sex interaction >0.1), except for that of exposure to web advertisements; its association with current drinking was more pronounced in girls (p for sex interaction = 0.046). Exposure to a larger cumulative number of different alcohol advertising media was independently associated with a higher prevalence of current drinking among all students, boys, and girls (p-values for trend <0.001, 0.031, and <0.001, respectively; p for sex interaction = 0.085). CONCLUSIONS: We found an association with a dose-response relationship between exposure to alcohol advertisements and current drinking among adolescents in junior and senior high schools across Japan. Our findings highlight the need for further advertising regulations to prevent underage drinking. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at https://doi.org/10.1265/ehpm.23-00127.
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spelling pubmed-105699662023-10-14 Association and dose-response relationship between exposure to alcohol advertising media and current drinking: a nationwide cross-sectional study of Japanese adolescents Yoshida, Keita Kanda, Hideyuki Hisamatsu, Takashi Kuwabara, Yuki Kinjo, Aya Yoshimoto, Hisashi Ito, Teruna Kasuga, Hideaki Minobe, Ruriko Maesato, Hitoshi Jike, Maki Matsumoto, Yuuki Otsuka, Yuichiro Itani, Osamu Kaneita, Yoshitaka Higuchi, Susumu Osaki, Yoneatsu Environ Health Prev Med Research Article BACKGROUND: Underage drinking is a public health concern. However, few studies have examined the association between alcoholic beverage advertising and underage drinking, particularly in countries with low underage drinking rates, such as Japan. Therefore, we aimed to investigate the relationship between exposure to advertising in various media and alcohol drinking among Japanese adolescents. METHODS: We conducted a cross-sectional study involving 15,683 adolescents (51% girls) using data from a nationwide lifestyle survey in 2021 among junior and senior high schools across Japan. Media types were websites, stores, and public transportation. We defined current drinking as alcohol consumption of ≥1 day in the 30 days preceding the survey. Multivariable logistic regression was used to examine the association between exposure to alcohol advertisements and current drinking, adjusting for sex, grades, school area, lifestyle (bedtime and having fun at school), and addictive behaviors (smoking status and parents’ alcohol consumption). RESULTS: The prevalence of current drinking was 2.2% (2.3% of boys and 2.0% of girls). Students who were exposed to any alcohol advertising media had higher odds of current drinking compared with those who were not (odds ratio, 1.48; 95% confidence interval [CI], 1.18–1.87). Students who were exposed to web, in-store, and public transportation advertisements had odds ratios of 1.44 (95% CI, 1.14–1.81), 1.62 (1.28–2.05), and 1.45 (1.06–1.98) of current drinking, respectively, compared with those who were not. The association of exposure to alcohol advertising media with the prevalence of current drinking was similar among boys and girls (all p for sex interaction >0.1), except for that of exposure to web advertisements; its association with current drinking was more pronounced in girls (p for sex interaction = 0.046). Exposure to a larger cumulative number of different alcohol advertising media was independently associated with a higher prevalence of current drinking among all students, boys, and girls (p-values for trend <0.001, 0.031, and <0.001, respectively; p for sex interaction = 0.085). CONCLUSIONS: We found an association with a dose-response relationship between exposure to alcohol advertisements and current drinking among adolescents in junior and senior high schools across Japan. Our findings highlight the need for further advertising regulations to prevent underage drinking. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at https://doi.org/10.1265/ehpm.23-00127. Japanese Society for Hygiene 2023-09-28 /pmc/articles/PMC10569966/ /pubmed/37766544 http://dx.doi.org/10.1265/ehpm.23-00127 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Yoshida, Keita
Kanda, Hideyuki
Hisamatsu, Takashi
Kuwabara, Yuki
Kinjo, Aya
Yoshimoto, Hisashi
Ito, Teruna
Kasuga, Hideaki
Minobe, Ruriko
Maesato, Hitoshi
Jike, Maki
Matsumoto, Yuuki
Otsuka, Yuichiro
Itani, Osamu
Kaneita, Yoshitaka
Higuchi, Susumu
Osaki, Yoneatsu
Association and dose-response relationship between exposure to alcohol advertising media and current drinking: a nationwide cross-sectional study of Japanese adolescents
title Association and dose-response relationship between exposure to alcohol advertising media and current drinking: a nationwide cross-sectional study of Japanese adolescents
title_full Association and dose-response relationship between exposure to alcohol advertising media and current drinking: a nationwide cross-sectional study of Japanese adolescents
title_fullStr Association and dose-response relationship between exposure to alcohol advertising media and current drinking: a nationwide cross-sectional study of Japanese adolescents
title_full_unstemmed Association and dose-response relationship between exposure to alcohol advertising media and current drinking: a nationwide cross-sectional study of Japanese adolescents
title_short Association and dose-response relationship between exposure to alcohol advertising media and current drinking: a nationwide cross-sectional study of Japanese adolescents
title_sort association and dose-response relationship between exposure to alcohol advertising media and current drinking: a nationwide cross-sectional study of japanese adolescents
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10569966/
https://www.ncbi.nlm.nih.gov/pubmed/37766544
http://dx.doi.org/10.1265/ehpm.23-00127
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