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The Declining Trend in Adolescent Drinking: Do Volume and Drinking Pattern Go Hand in Hand?
Ingeborg Rossow1, Elin K Bye1, Inger Synnøve Moan1
1Department of Alcohol, Tobacco and Drugs, Norwegian Institute of Public Health, 0213 Oslo, Norway.
Summary
Adolescent drinking volume and heavy episodic drinking (HED) declined across Europe. While country-level trends aligned, individual associations weakened in Nordic nations, indicating evolving youth alcohol consumption patterns.
Area of Science:
- Public Health
- Sociology
- Adolescent Health
Background:
- Adolescent drinking cultures historically varied between Nordic (low volume, frequent heavy episodic drinking) and Mediterranean countries.
- Understanding secular trends and individual associations in alcohol consumption is crucial for public health interventions.
Purpose of the Study:
- To examine secular trends in adolescent alcohol volume and heavy episodic drinking (HED) from 1999 to 2019.
- To investigate country-level and individual-level associations between alcohol volume and HED across different European regions.
Main Methods:
- Utilized data from the European School Survey Project on Alcohol and Other Drugs (ESPAD) covering six countries (Finland, Iceland, Norway, Sweden, France, Italy).
- Analyzed six cross-sectional surveys from 1999 to 2019, involving 126,126 adolescents aged 15-16.
- Employed statistical methods to assess temporal trends and correlations at both aggregate and individual levels.
Main Results:
- Alcohol consumption volume and HED frequency decreased in all Nordic countries and showed curvilinear trends in France and Italy.
- Strong positive correlation observed between consumption volume and HED at the country level across all nations.
- Individual-level correlation between alcohol volume and HED weakened over time in Finland, Norway, and Sweden, while remaining stable in France, Iceland, and Italy.
Conclusions:
- Secular trends in adolescent alcohol consumption volume and HED patterns moved in tandem at the aggregate level.
- The association between alcohol volume and HED at the individual level has weakened in several Nordic countries.
- Significant declines in adolescent drinking since 2000 are evident, with evolving patterns in drinking associations.
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