Jander Astrid, Mercken Liesbeth, Crutzen Rik, de Vries Hein
Maastricht University, School of Public Health and Primary Care CAPHRI, Maastricht, The Netherlands.
BMC Public Health. 2013 Sep 24;13:882. doi: 10.1186/1471-2458-13-882.
Compared to other European countries, the Netherlands score among the highest of binge drinking rates of 16 to 18 year old adolescents. Dutch adolescents aged 16 are legally allowed to buy and consume low strength alcoholic beverages. This study focused on determinants of binge drinking in such a permissive environment from the perspectives of adolescents and parents.
Focus group interviews were conducted with adolescents aged 16 to 18 (N = 83), and parents of adolescents from this age group (N = 24). Data was analysed using thematic analyses methods.
Most reasons adolescents mentioned for drinking were to relax, increase a good mood and to be social. Also peers around them influenced and increased adolescents' drinking. Comparing adolescents and parental statements about their perspectives how alcohol use is handled and accepted by the parents we found that generally, those perspectives match. Parents as well as adolescents stated that alcohol use is accepted by parents. However, when looking at essential details, like the acceptable amounts that children may consume, the perspectives differ enormously. Adolescents think their parents accept any amount of drinking as long as they do not get drunk, whereas parents reported acceptable limits of 1 or 2 glasses every two weeks. Parents further indicated that they felt unsupported by the Dutch policies and regulations of alcohol use. Most of them were in favour of an increase of the legal purchasing age to 18 years.
Parents and adolescents should both be targeted in interventions to reduce alcohol use among adolescents. In particular, communication between parents and children should be improved, in order to avoid misconceptions about acceptable alcohol use. Further, adolescents should be supported to handle difficult social situations with peers where they feel obliged to drink. Additionally, revisions of policies towards a less permissive standpoint are advised to support parents and to impede availability of alcoholic beverages for adolescents/children younger than 18 years.
与其他欧洲国家相比,荷兰16至18岁青少年的狂饮率位居前列。荷兰16岁的青少年在法律上被允许购买和饮用低强度酒精饮料。本研究从青少年及其父母的角度,聚焦于在这样一个宽松环境下狂饮的决定因素。
对16至18岁的青少年(N = 83)以及该年龄组青少年的父母(N = 24)进行了焦点小组访谈。使用主题分析方法对数据进行了分析。
青少年提到的饮酒的大多数原因是放松、改善心情和社交。他们周围的同龄人也影响并增加了青少年的饮酒量。比较青少年和父母关于父母如何处理和接受饮酒的观点陈述,我们发现总体而言,这些观点是一致的。父母和青少年都表示父母接受饮酒。然而,在查看一些关键细节时,比如孩子可饮用的可接受量,观点却有很大差异。青少年认为只要他们不喝醉,父母就接受他们饮酒的任何量,而父母报告的可接受限度是每两周1或2杯。父母还表示,他们感到荷兰的酒精使用政策和法规没有为他们提供支持。他们中的大多数人赞成将合法购买年龄提高到18岁。
在减少青少年饮酒的干预措施中,应同时针对父母和青少年。特别是,应改善父母与孩子之间的沟通,以避免对可接受饮酒量的误解。此外,应支持青少年应对与同龄人在一起时感到不得不饮酒的困难社交场合。此外,建议将政策修订为不那么宽松的立场,以支持父母并阻止向18岁以下的青少年/儿童提供酒精饮料。