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BY-NC-ND 3.0 license Open Access Published by De Gruyter Open Access April 8, 2011

Alcohol consumption among adolescents in Kraljevo, Serbia

  • Natasa Djordjevic EMAIL logo , Jelena Bogojevic and Marina Kostic
From the journal Open Medicine

Abstract

The aim of this study was to investigate the prevalence and predictors of alcohol consumption among adolescents in one town in Central Serbia. A questionnaire was used to obtain data from 191 Serbian students aged 18 years regarding personal experience with alcohol consumption and cigarette smoking, along with sociodemographics data. Alcohol consumption was reported by 97.4% subjects, with 34.9% having the first experience with alcohol at the age of 14 years or less. Binge drinking (the intake of five or more drinks at one sitting) was reported by 37.8% subjects. Significantly higher consumption of beer (p<0.0001) and spirits (p=0.03) was observed in boys. The most common reason for both initiation and continuation of drinking, regardless of gender, were celebrations (p≥0.12). Smokers were more likely than nonsmokers to consume all alcoholic beverages more frequently (p≤0.04) and in larger quantities (p≤0.004). More frequent or more extensive alcohol consumption, or both, was associated in boys with frequent going out and socializing (p≤0.01), close peer relationship (p=0.04), alcohol abuse within the immediate environment (p≤0.04), better financial status of family (p=0.04), and parental criticism (p≤0.02); in girls, it was associated with parental disapproval (p≤0.02), alcohol abuse within the immediate environment (p≤0.04), and general discontentedness (p=0.049). Regardless of gender, positive alcohol outcome expectancies increased alcohol consumption (p≤0.048), and negative expectancies decreased intake (p≤0.047).

[1] Tur, J.A., Puig, M.S., Pons, A., Benito, E., Alcohol consumption among school adolescents in Palma de Mallorca, Alcohol Alcoholism, 2003, 38, 243–248 http://dx.doi.org/10.1093/alcalc/agg06110.1093/alcalc/agg061Search in Google Scholar

[2] Malatestinic, D., Vladimir Micovic, V., Kendjel, G., Baricev-Novakovic, Z., Assessment of psychological and social factors in adolescents risk behavior: questionnaire study, Croat Med J, 2005, 46, 81–87 (in Croatian) Search in Google Scholar

[3] Steinhausen, H.C., Eschmann, S., Heimgartner, A., Metzke, C.W., Frequency, course and correlates of alcohol use from adolescence to young adulthood in a Swiss community survey, BMC Psychiatry, 2008, 8, doi:10.1186/1471-1244X-1188-1185 Search in Google Scholar

[4] Neighbors, C., Lee, C.M., Lewis, M.A., Fossos, N., Larimer, M.E., Are social norms the best predictor of outcomes among heavy- drinking college students?, J Stud Alcohol Drugs, 2007, 68, 556–565 10.15288/jsad.2007.68.556Search in Google Scholar

[5] Geshi, M., Hirokawa, K., Taniguchi, T., Fujii, Y., Kawakami, N., Effects of alcohol-related health education on alcohol and drinking behavior awareness among Japanese junior college students: a randomized controlled trial, Acta Med Okayama, 2007, 61, 345–354 Search in Google Scholar

[6] Grucza, R.A., Przybeck, T.R., Cloninger, C.R., Screening for alcohol problems: an epidemiological perspective and implications for primary care, Mo Med, 2008, 105, 67–71 Search in Google Scholar

[7] Beck, K.H., Arria, A.M., Caldeira, K.M., Vincent, K.B., O’Grady, K.E., Wish, E.D., Social context of drinking and alcohol problems among college students, Am J Health Behav, 2008, 32, 420–430 10.5993/AJHB.32.4.9Search in Google Scholar

[8] Brook, U., Tepper, A., Consumption, knowledge and attitudes of high school pupils towards alcohol and alcoholism: the Israeli experience, Patient Educ Couns, 2002, 47, 115–119 http://dx.doi.org/10.1016/S0738-3991(01)00182-310.1016/S0738-3991(01)00182-3Search in Google Scholar

[9] Ljubotina, D., Galic, J., Jukic, V., Prevalence and risk factors of substance use among urban adolescents: questionnaire study, Croat Med J, 2004, 45, 88–98 (in Croatian) Search in Google Scholar

[10] Zaborskis, A., Sumskas, L., Maser, M., Pudule, I., Trends in drinking habits among adolescents in the Baltic countries over the period of transition: HBSC survey results, 1993–2002, BMC Public Health, 2006, 6, doi:10.1186/1471-2458-1186-1167 Search in Google Scholar

[11] Azaiza, F., Shoham, M., Bar-Hamburger, R., Abu-Asbeh, K., Psychoactive substance use among Arab adolescent school dropouts in Israel: a phenomenon and its implications, Health Soc Care Comm, 2008, 17, 27–35 http://dx.doi.org/10.1111/j.1365-2524.2008.00794.x10.1111/j.1365-2524.2008.00794.xSearch in Google Scholar

[12] Slutske, W.S., Alcohol use disorders among US college students and their non-college-attending peers, Arch Gen Psychiatry, 2005, 62, 321–327 http://dx.doi.org/10.1001/archpsyc.62.3.32110.1001/archpsyc.62.3.321Search in Google Scholar

[13] Rehm, J., Monga, N., Adlaf, E., Taylor, B., Bondy, S.J., Fallu, J., School matters: drinking dimensions and their effects on alcohol-related problems among Ontario secondary school students, Alcohol Alcoholism, 2005, 40, 569–574 http://dx.doi.org/10.1093/alcalc/agh21210.1093/alcalc/agh212Search in Google Scholar

[14] Epstein, J.A., Botvin, G.J., Diaz, T., Etiology of alcohol use among Hispanic adolescents.Sexspecific effects of social influences to drink and problem behaviors, Arch Pediatr Adolesc Med, 1999, 153, 1077–1084 10.1001/archpedi.153.10.1077Search in Google Scholar

[15] Khosla, V., Thankappan, K.R., Mini, G.K., Sarma, P.S., Prevalence & predictors of alcohol use among college students in Ludhiana, Punjab, India, Indian J Med Res, 2008, 128, 79–81 Search in Google Scholar

[16] Andersson, B., Hibell, B., Beck, F., Choquet, M., Kokkevi, A., Fotiou, A., et al., 2007. Alcohol and drug use among European 17–18 year old students. Data from the ESPAD project. The Swedish Council for Information on Alcohol and Other Drugs (CAN), Stockholm. Search in Google Scholar

[17] Donovan, J.E., Adolescent alcohol initiation: a review of psychosocial risk factors, J Adolesc Health, 2004, 35, 529 e527-518 10.1016/S1054-139X(04)00066-7Search in Google Scholar

[18] Pagan, J.L., Rose, R.J., Viken, R.J., Pulkkinen, L., Kaprio, J., Dick, D.M., Genetic and environmental influences on stages of alcohol use across adolescence and into young adulthood, Behav Genet, 2006, 36, 483–497 http://dx.doi.org/10.1007/s10519-006-9062-y10.1007/s10519-006-9062-ySearch in Google Scholar PubMed PubMed Central

[19] Hingson, R.W., Heeren, T., Winter, M.R., Age at drinking onset and alcohol dependence. Age at onset, duration, and severity., Arch Pediatr Adolesc Med, 2006, 160, 739–746 http://dx.doi.org/10.1001/archpedi.160.7.73910.1001/archpedi.160.7.739Search in Google Scholar

[20] Callas, P.W., Flynn, B.S., Worden, J.K., Potentially modifiable psychosocial factors associated with alcohol use during early adolescence, Addict Behav, 2004, 29, 1503–1515 http://dx.doi.org/10.1016/j.addbeh.2004.02.02810.1016/j.addbeh.2004.02.028Search in Google Scholar

[21] Blozis, S.A., Feldman, B., Conger, R.D., Adolescent alcohol use and adult alcohol disorders: a two-part random-effects model with diagnostic outcomes, Drug Alcohol Depend, 2007, 88S, S85–S96 http://dx.doi.org/10.1016/j.drugalcdep.2006.12.00810.1016/j.drugalcdep.2006.12.008Search in Google Scholar

[22] Schulte, M.T., Ramo, D., Brown, S.A., Gender differences in factors influencing alcohol use and drinking progression among adolescents, Clin Psychol Rev, 2009, 29, 535–547 http://dx.doi.org/10.1016/j.cpr.2009.06.00310.1016/j.cpr.2009.06.003Search in Google Scholar

[23] Ariza Cardenal, C., Nebot Adell, M., Factors associated with problematic alcohol consumption in schoolchildren, J Adolesc Health, 2000, 27, 425–433 http://dx.doi.org/10.1016/S1054-139X(99)00117-210.1016/S1054-139X(99)00117-2Search in Google Scholar

[24] Bauman, A., Phongsavan, P., Epidemiology of substance use in adolescence: prevalence, trends and policy implications, Drug Alcohol Depend, 1999, 55, 187–207 http://dx.doi.org/10.1016/S0376-8716(99)00016-210.1016/S0376-8716(99)00016-2Search in Google Scholar

[25] Urban, R., Kokonyei, G., Demetrovics, Z., Alcohol outcome expectancies and drinking motives mediate the association between sensation seeking and alcohol use among adolescents, Addict Behav, 2008, 33, 1344–1352 http://dx.doi.org/10.1016/j.addbeh.2008.06.00610.1016/j.addbeh.2008.06.006Search in Google Scholar

[26] Stritzke, W.G., Butt, J.C., Motives for not drinking alcohol among Australian adolescents: development and initial validation of a five-factor scale, Addict Behav, 2001, 26, 633–649 http://dx.doi.org/10.1016/S0306-4603(00)00147-710.1016/S0306-4603(00)00147-7Search in Google Scholar

[27] Moreira, T.C., Belmonte, E.L., Vieira, F.R., Noto, A.R., Ferigolo, M., Barros, H.M.T., Community violence and alcohol abuse among adolescents: a sex comparison, J Pediatr (Rio J), 2008, 84, 244–250 http://dx.doi.org/10.2223/JPED.179510.2223/JPED.1795Search in Google Scholar

[28] Young, S.E., Corley, R.P., Stallings, M.C., Rhee, S.H., Crowley, T.J., Hewitt, J.K., Substance use, abuse and dependence in adolescence: prevalence, symptom profiles and correlates, Drug Alcohol Depend, 2002, 68, 309–322 http://dx.doi.org/10.1016/S0376-8716(02)00225-910.1016/S0376-8716(02)00225-9Search in Google Scholar

[29] Duhig, A.M., Cavallo, D.A., McKee, S.A., George, T.P., Krishnan-Sarin, S., Daily patterns of alcohol, cigarette, and marijuana use in adolescent smokers and nonsmokers, Addict Behav, 2005, 30, 271–283 http://dx.doi.org/10.1016/j.addbeh.2004.05.01610.1016/j.addbeh.2004.05.016Search in Google Scholar

[30] Duarte, R., Escario, J.J., Alcohol abuse and truancy among Spanish adolescents: a count-data approach, Econ Educ Rev, 2006, 25, 179–187 http://dx.doi.org/10.1016/j.econedurev.2005.01.00710.1016/j.econedurev.2005.01.007Search in Google Scholar

[31] Parry, C.D., Myers, B., Morojele, N.K., Flisher, A.J., Bhana, A., Donson, H., et al., Trends in adolescent alcohol and other drug use: findings from three sentinel sites in South Africa (1997–2001), J Adolesc, 2004, 27, 429–440 http://dx.doi.org/10.1016/j.adolescence.2003.11.01310.1016/j.adolescence.2003.11.013Search in Google Scholar

[32] Pavlovic, Z., Jakovljevic, B., Frequency of alcohol use among elementary school pupils at Belgrade Territory, Srp Arh Celok Lek, 2008, 136, 141–147 (in Serbian) http://dx.doi.org/10.2298/SARH0804141P10.2298/SARH0804141PSearch in Google Scholar

[33] O’Nell, T.D., Mitchell, C.M., Alcohol use among American Indian adolescents: the role of culture in pathological drinking, Soc Sci Med, 1996, 42, 565–578 http://dx.doi.org/10.1016/0277-9536(95)00157-310.1016/0277-9536(95)00157-3Search in Google Scholar

[34] Matthews, D.B., Adolescence and alcohol: recent advances in understanding the impact of alcohol use during a critical developmental window, Alcohol, 2010, 44, 1–2 http://dx.doi.org/10.1016/j.alcohol.2009.10.01810.1016/j.alcohol.2009.10.018Search in Google Scholar

[35] Heffernan, T., O’Neill, T., Ling, J., Holroyd, S., Bartholomew, J., Betney, G., Does excessive alcohol use in teenagers affect their everyday prospective memory?, Clinical Effectiveness in Nursing, 2006, 9S3, e302–e307 http://dx.doi.org/10.1016/j.cein.2006.05.00310.1016/j.cein.2006.05.003Search in Google Scholar

[36] Stafstrom, M., Ostergren, P.O., A community-based intervention to reduce alcohol-related accidents and violence in 9th grade students in southern Sweden: the example of the Trelleborg project, Accid Anal Prev, 2008, 40, 920–925 http://dx.doi.org/10.1016/j.aap.2007.10.00810.1016/j.aap.2007.10.008Search in Google Scholar

[37] Jakovljevic, B., Stojanov, V., Paunovic, K., Belojevic, G., Milic, N., Alcohol consumption and mortality in Serbia: twenty-year follow-up study, Croat Med J, 2004, 45, 764–768 (in Serbian) Search in Google Scholar

[38] Laukkanen, E.R., Shemeikka, S.L., Viinamaki, H.T., Polkki, P.L., Lehtonen, J.O., Heavy drinking is associated with more severe psychosocial dysfunction among girls than boys in Finland, J Adolescent Health, 2001, 28, 270–277 http://dx.doi.org/10.1016/S1054-139X(00)00183-X10.1016/S1054-139X(00)00183-XSearch in Google Scholar

[39] Witt, E.D., Puberty, hormones, and sex differences in alcohol abuse and dependence, Neurotoxicol Teratol, 2007, 29, 81–95 http://dx.doi.org/10.1016/j.ntt.2006.10.01310.1016/j.ntt.2006.10.013Search in Google Scholar PubMed

[40] Palmer, R.H., Young, S.E., Hopfer, C.J., Corley, R.P., Stallings, M.C., Crowley, T.J., et al., Developmental epidemiology of drug use and abuse in adolescence and young adulthood: Evidence of generalized risk, Drug Alcohol Depend, 2009, 102, 78–87 http://dx.doi.org/10.1016/j.drugalcdep.2009.01.01210.1016/j.drugalcdep.2009.01.012Search in Google Scholar

[41] Mandic-Gajic, G., Psychoactive substances and youth — are we aware of real risk?, Vojnosanit Pregl, 2008, 65, 421–423 (in Serbian) Search in Google Scholar

[42] Kraus, L., Metzner, C., Piontek, D., Alcopops, alcohol consumption and alcohol-related problems in a sample of German adolescents: is there an alcopop-specific effect?, Drug Alcohol Depend, 2010, 110, 15–20 http://dx.doi.org/10.1016/j.drugalcdep.2010.01.02010.1016/j.drugalcdep.2010.01.020Search in Google Scholar

[43] Engels, R.C., Knibbe, R.A., Young people’s alcohol consumption from a European perspective: risks and benefits, Eur J Clin Nutr, 2000, 54Suppl 1, S52–55 10.1038/sj.ejcn.1600985Search in Google Scholar

[44] Eitle, T.M., Wahl, A.M., Aranda, E., Immigrant generation, selective acculturation, and alcohol use among Latina/o adolescents, Soc Sci Res, 2009, 38, 732–742 http://dx.doi.org/10.1016/j.ssresearch.2009.01.00610.1016/j.ssresearch.2009.01.006Search in Google Scholar

[45] Turrisi, R., Mallett, K.A., Mastroleo, N.R., Heavy drinking in college students: who is at risk and what is being done about it?, J Gen Psychol, 2006, 133, 401–420 http://dx.doi.org/10.3200/GENP.133.4.401-42010.3200/GENP.133.4.401-420Search in Google Scholar

[46] Danielsson, A.K., Wennberg, P., Tengstrom, A., Romelsjo, A., Adolescent alcohol use trajectories: Predictors and subsequent problems, Addict Behav, 2010, 35, 848–852 http://dx.doi.org/10.1016/j.addbeh.2010.05.00110.1016/j.addbeh.2010.05.001Search in Google Scholar

[47] Poelen, E.A., Engels, R.C., Van Der Vorst, H., Scholte, R.H., Vermulst, A.A., Best friends and alcohol consumption in adolescence: a withinfamily analysis, Drug Alcohol Depend, 2007, 88, 163–173 http://dx.doi.org/10.1016/j.drugalcdep.2006.10.00810.1016/j.drugalcdep.2006.10.008Search in Google Scholar

[48] Kuntsche, E., Knibbe, R., Engels, R., Gmel, G., Bullying and fighting among adolescents—do drinking motives and alcohol use matter?, Addict Behav, 2007, 32, 3131–3135 http://dx.doi.org/10.1016/j.addbeh.2007.07.00310.1016/j.addbeh.2007.07.003Search in Google Scholar

[49] Ross, V., DeJong, W., 2008. Alcohol and other drug abuse among first-year college students. In: prevention, T.h.e.c.f.a.a.o.d.a.a.v. (Ed.). U.S. Department of Education. Search in Google Scholar

[50] Bot, S.M., Engels, R.C., Knibbe, R.A., Meeus, W.H., Friend’s drinking behaviour and adolescent alcohol consumption: the moderating role of friendship characteristics, Addict Behav, 2005, 30, 929–947 http://dx.doi.org/10.1016/j.addbeh.2004.09.01210.1016/j.addbeh.2004.09.012Search in Google Scholar

[51] Epstein, J.A., Williams, C., Botvin, G.J., How universal are social influences to drink and problem behaviors for alcohol use? A test comparing urban African-American and Caribbean-American adolescents, Addict Behav, 2002, 27, 75–86 http://dx.doi.org/10.1016/S0306-4603(00)00165-910.1016/S0306-4603(00)00165-9Search in Google Scholar

[52] Gage, A.J., Suzuki, C., Risk factors for alcohol use among male adolescents and emerging adults in Haiti, J Adolesc, 2006, 29, 241–260 http://dx.doi.org/10.1016/j.adolescence.2005.05.00110.1016/j.adolescence.2005.05.001Search in Google Scholar

[53] Melchior, M., Choquet, M., Le Strat, Y., Hassler, C., Gorwood, P., Parental alcohol dependence, socioeconomic disadvantage and alcohol and cannabis dependence among young adults in the community, Eur Psychiatry, 2010, doi:10.1016/j. eurpsy.2009.1012.1011 Search in Google Scholar

[54] Van Der Vorst, H., Burk, W.J., Engels, R.C., The role of parental alcohol-specific communication in early adolescents’ alcohol use, Drug Alcohol Depend, 2010, doi:10.1016/j.drugalcdep.2010.1003.1023 Search in Google Scholar

[55] Koning, I.M., Engels, R.C., Verdurmen, J.E., Vollebergh, W.A., Alcohol-specific socialization practices and alcohol use in Dutch early adolescents, J Adolesc, 2010, 33, 93–100 http://dx.doi.org/10.1016/j.adolescence.2009.05.00310.1016/j.adolescence.2009.05.003Search in Google Scholar

[56] Abar, C., Turrisi, R., How important are parents during the college years? A longitudinal perspective of indirect influences parents yield on their college teens’ alcohol use, Addict Behav, 2008, 33, 1360–1368 http://dx.doi.org/10.1016/j.addbeh.2008.06.01010.1016/j.addbeh.2008.06.010Search in Google Scholar

[57] Anderson, K.G., Ramo, D.E., Schulte, M.T., Cummins, K., Brown, S.A., Substance use treatment outcomes for youth: integrating personal and environmental predictors, Drug Alcohol Depend, 2007, 88, 42–48 http://dx.doi.org/10.1016/j.drugalcdep.2006.09.01410.1016/j.drugalcdep.2006.09.014Search in Google Scholar

[58] Haase, C.M., Silbereisen, R.K., Effects of positive affect on risk perceptions in adolescence and young adulthood, J Adolesc, 2010, doi:10.1016/j.adolescence.2010.1003.1004 Search in Google Scholar

[59] Bensley, L.S., Spieker, S.J., Van Eenwyk, J., Schoder, J., Self-reported abuse history and adolescent problem behaviors. II. Alcohol and drug use, J Adolesc Health, 1999, 24, 173–180 http://dx.doi.org/10.1016/S1054-139X(98)00112-810.1016/S1054-139X(98)00112-8Search in Google Scholar

[60] Dinn, W.M., Aycicegi, A., Harris, C.L., Cigarette smoking in a student sample: neurocognitive and clinical correlates, Addict Behav, 2004, 29, 107–126 http://dx.doi.org/10.1016/j.addbeh.2003.07.00110.1016/j.addbeh.2003.07.001Search in Google Scholar PubMed

[61] Pavlovic, Z., Jakovljevic, B., Frequency and risk factors of the use of psychoactive substances among the young, Vojnosanit Pregl, 2008, 65, 441–448 (in Serbian) http://dx.doi.org/10.2298/VSP0806441P10.2298/VSP0806441PSearch in Google Scholar

[62] Chin, V.S., Van Skike, C.E., Matthews, D.B., Effects of ethanol on hippocampal function during adolescence: a look at the past and thoughts on the future, Alcohol, 2010, 44, 3–14 http://dx.doi.org/10.1016/j.alcohol.2009.10.01510.1016/j.alcohol.2009.10.015Search in Google Scholar PubMed

Published Online: 2011-4-8
Published in Print: 2011-6-1

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