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Alcohol outlet density, perceived availability and adolescent alcohol use: a multilevel structural equation model
E Kuntsche1, H Kuendig, G Gmel
1Swiss Institute for the Prevention of Alcohol and Drug Problems (SIPA), Research Department, PO Box 870, CH-1001 Lausanne, Switzerland. ekuntsche@sfa-ispa.ch
Adolescent alcohol use is linked to perceived alcohol availability, influenced by social factors and community alcohol outlet density. Prevention efforts should address social norms and physical access to alcohol.
Area of Science:
- Public Health
- Sociology
- Adolescent Psychology
Background:
- Perceived alcohol availability is a known correlate of adolescent alcohol consumption.
- Factors influencing adolescents' perceptions of alcohol availability remain underexplored.
Purpose of the Study:
- To examine the relationship between perceived alcohol availability and adolescents' social environment and community alcohol outlet density.
- To investigate the association between adolescent alcohol use and perceived availability, social environment, and outlet density.
Main Methods:
- Multilevel structural equation modeling was employed.
- Data from a national representative sample of 6,183 adolescents (8th and 9th graders) in 254 Swiss communities were analyzed.
Main Results:
- Social environment characteristics (e.g., peer/sibling drinking, unsupervised outings) and on-premises outlet density were associated with perceived alcohol availability.
- Adolescent alcohol use increased with social environment permissiveness and perceived availability.
- Community perceived availability and on-premises outlet density correlated with drinking volume, but not frequency of risky drinking occasions.
Conclusions:
- Adolescents' social and physical environments shape perceived alcohol availability and drinking volume.
- Perceived availability may lead adolescents to believe underage drinking is common and accepted.
- Preventive strategies should consider social norms and the physical availability of alcohol.
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