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Updated: Jan 7, 2026

The Motivation for Alcohol Reward: Predictors of Progressive-Ratio Intravenous Alcohol Self-Administration in Humans
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Inconsistent Reporting of Alcohol Use Among Adolescents: Implications for Survey Validity.

Romain Brisson1

  • 1Centre for Childhood and Youth Research, University of Luxembourg, Esch-sur-Alzette, Luxembourg.

Annals of the New York Academy of Sciences
|December 18, 2025
PubMed
Summary

Nearly 19% of adolescents inconsistently reported alcohol use (AU) and inebriation experience (IE), potentially biasing research. Addressing this inconsistency is crucial for accurate adolescent substance use studies.

Keywords:
HBSC studyadolescentsalcohol useinconsistent reportinginebriation experience

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Area of Science:

  • Adolescent Health
  • Substance Use Research
  • Data Validity

Background:

  • Cross-sectional studies on adolescent alcohol consumption often overlook reporting inconsistencies.
  • Inconsistent reporting can introduce bias into research findings.
  • Accurate data on adolescent alcohol use (AU) and inebriation experience (IE) is vital.

Purpose of the Study:

  • To estimate the prevalence of inconsistent reporters of AU and IE among adolescents.
  • To identify factors associated with inconsistent reporting.
  • To examine the impact of excluding inconsistent reporters on AU/IE prevalence and life satisfaction associations.

Main Methods:

  • Analysis of data from 42,772 adolescents (aged 11-18) across five quadrennial surveys (2006-2022).
  • Identification of inconsistent reporters through logical contradictions in self-reported AU and IE.
  • Comparison of prevalence estimates and statistical associations before and after excluding inconsistent reporters.

Main Results:

  • Approximately 19% of adolescents were identified as inconsistent reporters, with significant year-to-year variation (2.6% in 2022 to 31.4% in 2014).
  • Sex and school type were associated with inconsistent reporting, though effect sizes were small.
  • Exclusion of inconsistent reporters primarily impacted prevalence estimates for abstainers, infrequent users, and those with minimal IE, and altered 17.5% of life satisfaction association significance.

Conclusions:

  • Inconsistent reporting significantly compromises the validity of adolescent alcohol use research.
  • Systematic methods to address reporting inconsistencies are necessary for accurate findings.
  • Studies that do not account for inconsistent reporting should be interpreted with caution.