ArticleThe International journal on drug policy2022
An examination of the role of changes in country-level leisure time internet use and computer gaming on adolescent drinking in 33 European countries.
Article in The International journal on drug policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- A latent class analysis of change and continuity in adolescent health and wellbeing in England during the decline in youth alcohol consumption: A repeat cross-sectional study.Preventive medicine reports · 2023Article
- Trends in physical health complaints among adolescents from 2014 - 2019: Considering screen time, social media use, and physical activity.SSM - population health · 2023Article
- The Declining Trend in Adolescent Drinking: Do Volume and Drinking Pattern Go Hand in Hand?International journal of environmental research and public health · 2022Article
- Are changes in attitudes towards school associated with declining youth drinking? A multi-level analysis of 37 countries.European journal of public health · 2022Article
- Response to commentaries: (de)normalization of drinking and its implications for young people, sociality, culture and epidemiology.Addiction (Abingdon, England) · 2022Article
- Long-term trends in adolescent alcohol, tobacco and cannabis use and emerging substance use issues in Aotearoa New Zealand.Journal of the Royal Society of New Zealand · 2022Review
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Authors and funding
5 authors.
Funding
Abstract
introductionAdolescent alcohol consumption has been declining in many high-income countries since the turn of this century. Research investigating the plausible explanations for these declines has been mostly based on individual-level studies, which are largely inconclusive. Changes in leisure time internet use and computer gaming (referred to in this article as 'computer activities') have been hypothesised to play a role in declining adolescent alcohol consumption at a country-level. The aim of this study was to examine the association between country-level changes over time in computer activities and adolescent drinking in 33 European countries.
methodsThis is a multi-level repeated cross-national study examining the role of changes over time in country-level and individual-level computer activities on regular drinking. We utilised four waves of the European School Survey Project on Alcohol and Drugs (ESPAD) from 2003, 2007, 2011 and 2015. At an individual-level the primary exposure of interest was daily engagement in computer activities and aggregated means were used to measure country-level daily computer activities in each included country. Data were analysed using three-level hierarchical linear probability methods.
resultsIn the fully adjusted model, for between individual effects, we found significant positive association between daily computer activities and regular drinking (β = 0.043, p-value <0.001 and 95% CI = 0.033-0.054). However, at a country-level, we did not find any association between within-country changes in daily computer activities and regular drinking (β = 0.031, p-value = 0.652 and 95% CI = -0.103-0.164.
conclusionFindings from this study suggest that broad cultural shifts towards increased computer-based activities among adolescents has played a little or no role in declining adolescent drinking. Future research should be directed towards examining other high-level cultural changes which may have influenced cross-national reductions in adolescent drinking.
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