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Are changes in attitudes towards school associated with declining youth drinking? A multi-level analysis of 37 countries

BACKGROUND: Changes in adolescents’ attitudes towards school are a potential explanation for recent declines in young people’s alcohol consumption. However, this has not been tested using multi-national survey data, which would permit stronger causal inferences by ruling out other country-specific e...

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Autores principales: Stevely, Abigail K, Vashishtha, Rakhi, Fairbrother, Hannah, Fenton, Laura, Henney, Madeleine, Livingston, Michael, Holmes, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9159339/
https://www.ncbi.nlm.nih.gov/pubmed/35333320
http://dx.doi.org/10.1093/eurpub/ckac029
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author Stevely, Abigail K
Vashishtha, Rakhi
Fairbrother, Hannah
Fenton, Laura
Henney, Madeleine
Livingston, Michael
Holmes, John
author_facet Stevely, Abigail K
Vashishtha, Rakhi
Fairbrother, Hannah
Fenton, Laura
Henney, Madeleine
Livingston, Michael
Holmes, John
author_sort Stevely, Abigail K
collection PubMed
description BACKGROUND: Changes in adolescents’ attitudes towards school are a potential explanation for recent declines in young people’s alcohol consumption. However, this has not been tested using multi-national survey data, which would permit stronger causal inferences by ruling out other country-specific explanations. This study, therefore, uses an international survey of schoolchildren to examine the associations between changing attitudes towards school and adolescent alcohol consumption. METHODS: We used data from 247 325 15-year-olds across 37 countries participating in four waves of the Health Behaviour in School-aged Children study (2001/02–2013/14). Attitudes towards school were assessed using two measures—self-reported pressure from schoolwork and whether respondents like school. Outcome measures were weekly alcohol consumption and having been drunk twice in one’s lifetime. We used whole population and gender-specific hierarchical linear probability models to assess the relationship between attitudes and alcohol outcomes within countries over time. RESULTS: Country-level changes over time in liking school were not associated with changes in alcohol consumption. However, a 10% increase in feeling pressured by schoolwork was associated with a 1.8% decline in drunkenness [95% confidence interval (CI): −3.2% to −0.3%] and weakly associated with a 1.7% decline in weekly drinking (95% CI: −3.6% to 0.2%). Among girls only, increases in feeling pressured by schoolwork were associated with a 2.1% decline in weekly drinking (95% CI: −3.7% to −0.6%) and a 2.4% decline in drunkenness (95% CI: −3.8% to −1.1%). CONCLUSION: Changes in attitudes towards school may have played a minor role in the decline in alcohol consumption among adolescent girls only.
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spelling pubmed-91593392022-06-05 Are changes in attitudes towards school associated with declining youth drinking? A multi-level analysis of 37 countries Stevely, Abigail K Vashishtha, Rakhi Fairbrother, Hannah Fenton, Laura Henney, Madeleine Livingston, Michael Holmes, John Eur J Public Health Child and Adolescent Health BACKGROUND: Changes in adolescents’ attitudes towards school are a potential explanation for recent declines in young people’s alcohol consumption. However, this has not been tested using multi-national survey data, which would permit stronger causal inferences by ruling out other country-specific explanations. This study, therefore, uses an international survey of schoolchildren to examine the associations between changing attitudes towards school and adolescent alcohol consumption. METHODS: We used data from 247 325 15-year-olds across 37 countries participating in four waves of the Health Behaviour in School-aged Children study (2001/02–2013/14). Attitudes towards school were assessed using two measures—self-reported pressure from schoolwork and whether respondents like school. Outcome measures were weekly alcohol consumption and having been drunk twice in one’s lifetime. We used whole population and gender-specific hierarchical linear probability models to assess the relationship between attitudes and alcohol outcomes within countries over time. RESULTS: Country-level changes over time in liking school were not associated with changes in alcohol consumption. However, a 10% increase in feeling pressured by schoolwork was associated with a 1.8% decline in drunkenness [95% confidence interval (CI): −3.2% to −0.3%] and weakly associated with a 1.7% decline in weekly drinking (95% CI: −3.6% to 0.2%). Among girls only, increases in feeling pressured by schoolwork were associated with a 2.1% decline in weekly drinking (95% CI: −3.7% to −0.6%) and a 2.4% decline in drunkenness (95% CI: −3.8% to −1.1%). CONCLUSION: Changes in attitudes towards school may have played a minor role in the decline in alcohol consumption among adolescent girls only. Oxford University Press 2022-03-25 /pmc/articles/PMC9159339/ /pubmed/35333320 http://dx.doi.org/10.1093/eurpub/ckac029 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of the European Public Health Association. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Child and Adolescent Health
Stevely, Abigail K
Vashishtha, Rakhi
Fairbrother, Hannah
Fenton, Laura
Henney, Madeleine
Livingston, Michael
Holmes, John
Are changes in attitudes towards school associated with declining youth drinking? A multi-level analysis of 37 countries
title Are changes in attitudes towards school associated with declining youth drinking? A multi-level analysis of 37 countries
title_full Are changes in attitudes towards school associated with declining youth drinking? A multi-level analysis of 37 countries
title_fullStr Are changes in attitudes towards school associated with declining youth drinking? A multi-level analysis of 37 countries
title_full_unstemmed Are changes in attitudes towards school associated with declining youth drinking? A multi-level analysis of 37 countries
title_short Are changes in attitudes towards school associated with declining youth drinking? A multi-level analysis of 37 countries
title_sort are changes in attitudes towards school associated with declining youth drinking? a multi-level analysis of 37 countries
topic Child and Adolescent Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9159339/
https://www.ncbi.nlm.nih.gov/pubmed/35333320
http://dx.doi.org/10.1093/eurpub/ckac029
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