期刊论文详细信息
Substance Abuse Treatment, Prevention, and Policy
A qualitative exploration of attitudes towards alcohol, and the role of parents and peers of two alcohol-attitude-based segments of the adolescent population
Henk FL Garretsen4  Hans AM van Oers3  Marja JH van Bon-Martens2  Jolanda JP Mathijssen4  Meriam M Janssen1 
[1] Regional Public Health Service “Hart voor Brabant”, PO Box 3166, 5203 DD ‘s-Hertogenbosch, The Netherlands;The Trimbos Institute, Netherlands Institute of Mental Health and Addiction, PO Box 725, 3500 AS Utrecht, The Netherlands;National Institute for Public Health and the Environment, PO Box 1, 3720 BA Bilthoven, The Netherlands;Tranzo Department, Scientific Center for Care and Welfare, Tilburg University, PO Box 90153, 5000 LE Tilburg, The Netherlands
关键词: Parents;    Peers;    Attitudes;    Alcohol;    Adolescents;    Audience segmentation;    Social marketing;   
Others  :  833262
DOI  :  10.1186/1747-597X-9-20
 received in 2014-02-03, accepted in 2014-05-19,  发布年份 2014
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【 摘 要 】

Background

An earlier study using social marketing and audience segmentation distinguished five segments of Dutch adolescents aged 12–18 years based on their attitudes towards alcohol. The present, qualitative study focuses on two of these five segments (‘ordinaries’ and ‘ordinary sobers’) and explores the attitudes of these two segments towards alcohol, and the role of parents and peers in their alcohol use in more detail.

Methods

This qualitative study was conducted in the province of North-Brabant, the Netherlands. With a 28-item questionnaire, segments of adolescents were identified. From the ordinaries and ordinary sobers who were willing to participate in a focus group, 55 adolescents (30 ordinaries and 25 ordinary sobers) were selected and invited to participate. Finally, six focus groups were conducted with 12–17 year olds, i.e., three interviews with 17 ordinaries and three interviews with 20 ordinary sobers at three different high schools.

Results

The ordinaries thought that drinking alcohol was fun and relaxing. Curiosity was an important factor in starting to drink alcohol. Peer pressure played a role, e.g., it was difficult not to drink when peers were drinking. Most parents advised their child to drink a small amount only. The attitude of ordinary sobers towards alcohol was that drinking alcohol was stupid; moreover, they did not feel the need to drink. Most parents set strict rules and prohibited the use of alcohol before the age of 16.

Conclusions

Qualitative insight into the attitudes towards alcohol and the role played by parents and peers, revealed differences between ordinaries and ordinary sobers. Based on these differences and on health education theories, starting points for the development of interventions, for both parents and adolescents, are formulated. Important starting points for interventions targeting ordinaries are reducing perceived peer pressure and learning to make one’s own choices. For the ordinary sobers, an important starting point includes enabling them to express to others that they do not feel the need to drink alcohol. Starting points for parents include setting strict rules, restricting alcohol availability at home and monitoring their child’s alcohol use.

【 授权许可】

   
2014 Janssen et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Currie C, Zanotti C, Morgan A, Currie D, de Looze M, Roberts C, Samdal O, Smith ORF, Barnekow V: Social determinants of health and well-being among young people. Health behaviour in school-aged children (HBSC) study: international report from the 2009/2010 survey. In Health Policy for Children and Adolescents, No. 6. Copenhagen: World Health Organization Regional Office for Europe; 2012.
  • [2]European Monitoring Centre for Drugs and Drug Addiction: Summary 2011 ESPAD Report. Substance use Among Students in 36 European Countries. Luxembourg: Publications Office of the European Union; 2012.
  • [3]Cleveland MJ, Feinberg ME, Greenberg MT: Protective families in high- and low-risk environments: implications for adolescent substance use. J Youth Adolesc 2010, 39(2):114-126.
  • [4]Kristjansson AL, Sigfusdottir ID, James JE, Allegrante JP, Helgason AR: Perceived parental reactions and peer respect as predictors of adolescent cigarette smoking and alcohol use. Addict Behav 2010, 35(3):256-259.
  • [5]Mares SHW, van der Vorst H, Engels R, Lichtwarck-Aschoff A: Parental alcohol use, alcohol-related problems, and alcohol-specific attitudes, alcohol-specific communication, and adolescent excessive alcohol use and alcohol-related problems: an indirect path model. Addict Behav 2011, 36(3):209-216.
  • [6]Walls TA, Fairlie AM, Wood MD: Parents do matter: a longitudinal two-part mixed model of early college alcohol participation and intensity. J Stud Alcohol Drugs 2009, 70(6):908-918.
  • [7]Schelleman-Offermans K, Kuntsche E, Knibbe RA: Associations between drinking motives and changes in adolescents’ alcohol consumption: a full cross-lagged panel study. Addiction 2011, 106(7):1270-1278.
  • [8]Barnes GM, Reifman AS, Farrell MP, Dintcheff BA: The effects of parenting on the development of adolescent alcohol misuse: a six-wave latent growth model. J Marriage Fam 2000, 62:175-186.
  • [9]Koning IM, Engels R, Verdurmen JEE, Vollebergh WAM: Alcohol-specific socialization practices and alcohol use in Dutch early adolescents. J Adolesc 2010, 33(1):93-100.
  • [10]Koning IM, van den Eijnden RJ, Verdurmen JE, Engels RC, Vollebergh WA: A cluster randomized trial on the effects of a parent and student intervention on alcohol use in adolescents four years after baseline: no evidence of catching-up behavior. Addict Behav 2013, 38(4):2032-2039.
  • [11]van der Vorst H, Engels R, Burk WJ: Do parents and best friends influence the normative increase in adolescents’ alcohol use at home and outside the home? J Stud Alcohol Drugs 2010, 71(1):105-114.
  • [12]Chan GCK, Kelly AB, Toumbourou JW, Hemphill SA, Young RM, Haynes MA, Catalano RF: Predicting steep escalations in alcohol use over the teenage years: age-related variations in key social influences. Addiction 2013, 108(11):1924-1932.
  • [13]Musher-Eizenman DR, Holub SC, Arnett M: Attitude and peer influences on adolescent substance use: the moderating effect of age, sex, and substance. J Drug Educ 2003, 33(1):1-23.
  • [14]Spijkerman R, van den Eijnden R, Vitale S, Engels R: Explaining adolescents’ smoking and drinking behavior: the concept of smoker and drinker prototypes in relation to variables of the theory of planned behavior. Addict Behav 2004, 29(8):1615-1622.
  • [15]Alcohol and Public Policy Group: Alcohol: no ordinary commodity-a summary of the second edition. Addiction 2010, 105(5):769-779.
  • [16]Forthofer MS, Bryant CA: Using audience-segmentation techniques to tailor health behavior change strategies. Am J Health Behav 2000, 24(1):36-43.
  • [17]Slater MD: Theory and method in health audience segmentation. J Health Commun 1996, 1(3):267-283.
  • [18]Moss HB, Kirby SD, Donodeo F: Characterizing and reaching high-risk drinkers using audience segmentation. Alcohol Clin Exp Res 2009, 33(8):1336-1345.
  • [19]Boslaugh SE, Kreuter MW, Nicholson RA, Naleid K: Comparing demographic, health status and psychosocial strategies of audience segmentation to promote physical activity. Health Educ Res 2005, 20(4):430-438.
  • [20]Mathijssen JJP, Janssen MM, Van Bon-Martens MJH, Van de Goor LAM: Adolescents and alcohol: an explorative audience segmentation analysis. BMC Public Health 2012., 12(742) doi: 10.1186/1471-2458-12-742
  • [21]Strunin L: Assessing alcohol consumption: developments from qualitative research methods. Soc Sci Med 2001, 53:215-226.
  • [22]Samardžić S, Bujšić G, Kožul K, Tadijan D: Drinking in adolescents - qualitative analysis. Coll Antropol 2011, 35(1):123-126.
  • [23]Demant J, Järvinen M: Constructing maturity through alcohol experience - focus group interviews with teenagers. Addiction Res Theor 2006, 14(6):589-602.
  • [24]Kuntsche E, Knibbe RA, Gmel G, Engels R: Why do young people drink? A review of drinking motives. Clin Psychol Rev 2005, 25:841-861.
  • [25]Ajzen I: From intentions to actions: a theory of planned behavior. In Action Control: From Cognition to Behavior. Edited by Kuhl J, Beckmann J. Heidelberg, Berlin: Springer-Verlag; 1985:11-39.
  • [26]Ajzen I: The theory of planned behavior. Organ Behav Hum Decis Process 1991, 50:179-211.
  • [27]Oei TPS, Burrow T: Alcohol expectancy and drinking refusal self-efficacy: a test of specificity theory. Addict Behav 2000, 25(4):499-507.
  • [28]Oei TPS, Lee Jarmin C: Alcohol expectancies, drinking refusal self-efficacy and drinking behaviour in Asian and Australian students. Drug Alcohol Depend 2007, 87:281-287.
  • [29]Oei TPS, Morawska A: A cognitive model of binge drinking: the influence of alcohol expectancies and drinking refusal self-efficacy. Addict Behav 2004, 29:159-179.
  • [30]Bandura A: Social Foundations of Thought and Action: A Social Cognitive Theory. New Jersey: Englewood Cliffs; 1986.
  • [31]Bourdeau B, Miller B, Vanya M, Duke M, Ames G: Defining alcohol-specific rules among parents of older adolescents: moving beyond no tolerance. J Fam Commun 2012, 12(2):111-128.
  • [32]Gilligan C, Kypri K: Parent attitudes, family dynamics and adolescent drinking: qualitative study of the Australian parenting guidelines for adolescent alcohol use. BMC Public Health 2012., 12(491) doi:10.1186/1471-2458-12-491
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