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Updated: Jul 7, 2026
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Published on: June 23, 2023
Sixth grade students who use alcohol: do we need primary prevention programs for "tweens"?
Keryn E Pasch1, Cheryl L Perry, Melissa H Stigler
1Division of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, MN 55454, USA. pasch@umn.edu
Summary
Early adolescent alcohol use is a concern. Prevention programs should target sixth graders before they start drinking, as this age group shows significant risk factors for early alcohol consumption.
Area of Science:
- Public Health
- Adolescent Psychology
- Substance Abuse Research
Background:
- Young adolescent alcohol users exhibit higher consumption rates and are less responsive to interventions.
- Early initiation of alcohol use is associated with long-term problematic drinking patterns.
- Understanding risk factors in pre-adolescence is crucial for effective prevention.
Purpose of the Study:
- To identify demographic, behavioral, intrapersonal, and socioenvironmental factors associated with alcohol use and intentions in young adolescents.
- To compare these factors between alcohol users and non-users in a large urban sample.
- To inform the development of targeted primary prevention strategies for early alcohol use.
Main Methods:
- Cross-sectional study of 4,150 sixth graders in Chicago (2002).
- Comparison of alcohol users versus non-users based on self-reported past-year alcohol use.
- Regression analyses to determine factors associated with alcohol use behavior and intentions.
Main Results:
- Multiple regression models explained 35% of the variance in alcohol use behavior and 56% in intentions among non-users.
- Significant associations were found between various factors and alcohol use/intentions in both user and non-user groups.
- The study identified key predictors for early alcohol initiation in this age group.
Conclusions:
- Primary prevention programs for adolescent alcohol use should be implemented before sixth grade.
- Interventions need to address the identified risk factors, particularly for high-risk individuals.
- Early identification and intervention are critical to mitigate the trajectory of adolescent alcohol use.
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