|Titre :||Alcohol use, heavy episodic drinking and subsequent problems among adolescents in 23 European countries: does the prevention paradox apply? (2012)|
|Titre traduit :||(Alcoolisation, abus ponctuel d'alcool et problèmes consécutifs chez les adolescents de 23 pays européens : le paradoxe de la prévention s'applique-t-il ?)|
|Auteurs :||A. K. DANIELSSON ; P. WENNBERG ; B. HIBELL ; A. ROMELSJO|
|Type de document :||Article : Périodique|
|Dans :||Addiction (Vol.107, n°1, January 2012)|
|Article en page(s) :||71-80|
|Discipline :||EPI (Epidémiologie / Epidemiology)|
Thésaurus TOXIBASEESPAD ; ENQUETE ; ADOLESCENT ; ALCOOL ; PREVENTION ; PREVALENCE ; ABUS ; DIFFERENCE DE GENRE ; CONSOMMATION
AIMS: According to the prevention paradox, a majority of alcohol-related problems in a population can be attributed to low to moderate drinkers simply because they are more numerous than heavy drinkers, who have a higher individual risk of adverse outcomes. We examined the prevention paradox in annual alcohol consumption, heavy episodic drinking (HED) and alcohol-related problems among adolescents in 23 European countries.
DESIGN AND SETTING: Survey data from the 2007 European School Survey Project on Alcohol and Drugs (ESPAD) among 16-year-old students were analysed.
PARTICIPANTS: A total of 38 370 alcohol-consuming adolescents (19 936 boys and 18 434 girls) from 23 European countries were included.
MEASUREMENTS: The upper 10% and the bottom 90% of drinkers by annual alcohol intake, with or without HED, and frequency of HED, were compared for the distribution of 10 different alcohol-related problems.
FINDINGS: Although the mean levels of consumption and alcohol-related problems varied largely between genders and countries, in almost all countries the heavy episodic drinkers in the bottom 90% of consumers by volume accounted for most alcohol-related problems, irrespective of severity of problem. However, adolescents with three or more occasions of HED a month accounted for a majority of problems.
CONCLUSIONS: The prevention paradox, based on measures of annual consumption and heavy episodic drinking, seems valid for adolescent European boys and girls. However, a minority with frequent heavy episodic drinking accounted for a large proportion of all problems, illustrating limitations of the concept. As heavy episodic drinking is common among adolescents, our results support general prevention initiatives combined with targeted interventions.
|Domaine :||Alcool / Alcohol|
|Refs biblio. :||29|
|Affiliation :||Karolinska Institute, Department of Public Health Sciences, Division of Social Medicine, Stockholm, Sweden|