PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of bmcphBioMed Centralsearchsubmit a manuscriptregisterthis articleBMC Public Health
 
BMC Public Health. 2012; 12: 263.
Published online Apr 2, 2012. doi:  10.1186/1471-2458-12-263
PMCID: PMC3378431
Predictors of binge drinking in adolescents: ultimate and distal factors - a representative study
Carolin Donath,1 Elmar Gräßel,corresponding author1 Dirk Baier,2 Christian Pfeiffer,2 Stefan Bleich,3 and Thomas Hillemacher3
1Department Medical Psychology and Medical Sociology, Psychiatric University Hospital Erlangen (Friedrich-Alexander-Universität Erlangen-Nürnberg), Schwabachanlage 6, 91054 Erlangen, Germany
2Criminological Research Institute of Lower Saxony, Lützerodestr. 9, 30161 Hannover, Germany
3Center for Addiction Research, Clinic for Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany
corresponding authorCorresponding author.
Carolin Donath: carolin.donath/at/uk-erlangen.de; Elmar Gräßel: elmar.graessel/at/uk-erlangen.de; Dirk Baier: baier/at/kfn.uni-hannover.de; Christian Pfeiffer: kfn/at/kfn.uni-hannover.de; Stefan Bleich: bleich.stefan/at/mh-hannover.de; Thomas Hillemacher: hillemacher.thomas/at/mh-hannover.de
Received July 1, 2011; Accepted April 2, 2012.
Abstract
Background
As epidemiological surveys have shown, binge drinking is a constant and wide-spread problem behavior in adolescents. It is not rare to find that more than half of all adolescents engage in this behavior when assessing only the last 4 weeks of time independent of the urbanity of the region they live in. There have been several reviews on predictors of substance consumption in adolescents in general, but there has been less high quality research on predictors of binge drinking, and most studies have not been theoretically based. The current study aimed to analyze the ultimate and distal factors predicting substance consumption according to Petraitis' theory of triadic influence. We assessed the predictive value of these factors with respect to binge drinking in German adolescents, including the identification of influence direction.
Methods
In the years 2007/2008, a representative written survey of N = 44,610 students in the 9th grade of different school types in Germany was carried out (net sample). The return rate of questionnaires was 88% regarding all students whose teachers or school directors had agreed to participate in the study. In this survey, prevalence of binge drinking was investigated as well as potential predictors from the social/interpersonal, the attitudinal/environmental, and the intrapersonal fields (3 factors of Petraitis). In a multivariate logistic regression analysis, these variables were included after testing for multicollinearity in order to assess their ability to predict binge drinking.
Results
Prevalence of binge drinking in the last 30 days was 52.3% for the surveyed adolescents with a higher prevalence for boys (56.9%) than for girls (47.5%). The two most influential factors found to protect against binge drinking with p < .001 were low economic status and importance of religion. The four most relevant risk factors for binge drinking (p < .001) were life-time prevalence of school absenteeism/truancy, academic failure, suicidal thoughts, and violence at school in the form of aggressive behavior of teachers. The model of Petraitis was partly confirmed for Binge Drinking in German adolescents and the direction of influence factors was clarified.
Conclusions
Whereas some of the risk and protective factors for binge drinking are not surprising since they are known for substance abuse in general, there are two points that could be targeted in interventions that do not focus on adolescents alone: (a) training teachers in positive, reassuring behavior and constructive criticism and (b) a focus on high risk adolescents either because they have a lack of coping strategies when in a negative mood or because of their low academic achievement in combination with absenteeism from school.
Articles from BMC Public Health are provided here courtesy of
BioMed Central