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Problematic Alcohol Use Among Adolescents in Germany: Representative Cross-Sectional Study.
Rebekka Schröder1, Tim Hamer1, Ralf Suhr1
1Stiftung Gesundheitswissen, Berlin, Germany.
JMIR Public Health and Surveillance
|February 6, 2026
Summary
Problematic alcohol use affects 12.7% of German adolescents, with higher rates in boys, older teens, and those with migration backgrounds. Targeted prevention strategies are crucial for this vulnerable population.
Area of Science:
- Public Health
- Adolescent Health
- Substance Use Research
Background:
- Alcohol use poses significant public health challenges, especially during adolescence.
- While alcohol consumption rates have declined in Germany, a plateau necessitates continued intervention efforts.
Purpose of the Study:
- To assess problematic alcohol use among adolescents in Germany.
- To explore associations between problematic alcohol use and sociodemographic/psychosocial factors, including health literacy.
- To inform targeted interventions for adolescent alcohol consumption.
Main Methods:
- Cross-sectional survey of 2006 adolescents (12-17 years) using online and face-to-face interviews.
- Assessed weekly alcohol use, problematic alcohol use (CRAFFT-d), sociodemographics, and health literacy (HLS-EU-Q16).
- Analyzed associations using Chi-square tests.
Main Results:
- 12.7% of adolescents screened positive for problematic alcohol use.
- Problematic use was associated with male gender, older age, lower social status, and migration background.
- No significant association found between problematic alcohol use and health literacy levels.
Conclusions:
- Problematic alcohol use is more prevalent in specific adolescent subgroups (boys, older teens, those with migration background).
- Frequent alcohol consumption is strongly linked to problematic use.
- Findings underscore the need for tailored prevention strategies addressing adolescent risk profiles.
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