Do alcohol expectancies and peer delinquency/substance use mediate the relationship between impulsivity and drinking behaviour in adolescence?

AIMS: To investigate (1). whether aggressive and delinquent behaviour problems predict subsequent adolescent drinking behaviour; and (2). to what extent this association is mediated by alcohol expectancies and/or peer delinquency/substance use. METHODS: 147 adolescents (approximately 15 years old) were interviewed with regard to their drinking behaviour. In addition, several self-rating questionnaires were given to gather information regarding the peers of these children. RESULTS: As proposed by the Acquired Preparedness Model (APM), we found that behavioural problems were related to quantity and frequency of alcohol consumed, and that this relationship was mediated by alcohol expectancies. Regarding peer relations, we found positive correlations between drinking behaviour and peer delinquency/substance use, aggression/delinquency and alcohol expectancies. Furthermore, the association between behavioural problems and drinking decreased dramatically if peer delinquency/substance use was accounted for. A hierarchical regression analysis revealed that both alcohol expectancies and peer delinquency/substance use predicted alcohol consumption of adolescents at the 1-year follow-up above and beyond the effects of age, sex, family history of alcoholism and aggression/delinquency of respondents. CONCLUSIONS: Alcohol expectancies and peer delinquency/substance use are both crucial to the amount and frequency of adolescent alcohol use. They should be considered in designing prevention and intervention strategies in this age group.     

Alcohol Expectancies and Risky Drinking Behaviors Among High School Athletes: “I’d Rather Keep My Head in the Game”

Research suggests that high school students who participate in sports may be at elevated risk for alcohol use compared to their non-athlete peers; however, reasons for this association are unclear. Alcohol expectancy theory posits that individuals who expect favorable outcomes to occur because of alcohol use are more likely to drink than those who do not endorse such beliefs. As such, the present study was designed to examine the associations of alcohol expectancy outcomes and valuations (i.e., beliefs about whether an outcome is good or bad), as well as alcohol expectancies related to sports functioning (e.g., alcohol’s effects on one’s ability to learn new plays and recover physically from sporting activities), with risky drinking among high school athletes. Participants were 219 in-season high school athletes (mean age = 15.6, range = 13–18) who completed anonymous self-report surveys. A structural equation model indicated that endorsement of positive alcohol expectancy outcomes and favorable evaluations of negative expectancy outcomes were associated with higher levels of risky drinking. Conversely, greater endorsement of negative athletic-functioning drinking expectancies was associated with lower levels of risky drinking. Future research considerations and implications for intervention efforts targeting high school athletes are discussed.     

Predicting the potential for risky behavior among those "too young" to drink as the result of appealing advertising

A survey of 273 children in Washington state used a predrinking behavior index as a behavioral outcome to assess media effects on precursors to drinking among children for whom alcohol consumption is not yet occurring. It also examined age trends in relevant beliefs and behaviors. Perceptions of advertising desirability, the extent to which it seemed appealing, increased steadily from third to ninth grade, whereas identification with portrayals, the degree to which individuals wanted to emulate portrayals, leveled off after sixth grade. Expectancies, positive social benefits perceived to be associated with drinking alcohol, also increased with age, particularly between sixth and ninth grade. When demographics and grade level were controlled, desirability predicted identification, and both predicted expectancies, which is consistent with media decision-making theory. Expectancies correlated with alcohol predrinking behavior, and expectancies predicted risky behavior, with demographics and grade level controlled. Predrinking behavior and reported risky behavior were correlated. The results provide cross-sectional support for the view that beliefs and desires developing by third grade prime children for future decisions regarding substance use.     

An Exploration of the Associations of Alcohol-Related Social Media Use and Message Interpretation Outcomes to Problem Drinking Among College Students

College students’ use of digital communication technology has led to a rapid expansion of digital alcohol marketing efforts. Two surveys (total usable n = 637) were conducted to explore college students’ experiences with alcohol-related social media, their decision making related to alcohol use, and their problematic drinking behaviors. Study results indicated that students’ use of alcohol-related social media predicted their problem drinking behaviors. In addition, students’ wishful identification, perceived desirability, perceived similarity, and normative beliefs predicted their expectancies for drinking alcohol. Finally, students’ expectancies for drinking alcohol predicted their problematic drinking behaviors.     

The role of alcohol expectancy and drinking refusal self-efficacy beliefs in university student drinking

AIMS: University student alcohol misuse is a considerable problem. Alcohol expectancy research has contributed significantly to our understanding of problem drinking in young adults. Most of this research has investigated positive expectancy alone. The current study utilized two measures of alcohol expectancy, the alcohol expectancy questionnaire (AEQ) and the drinking expectancy profile [consisting of the drinking expectancy questionnaire (DEQ) and the drinking refusal self-efficacy questionnaire] to predict severity of alcohol dependence, frequency of drinking, and the quantity of alcohol consumed per occasion. METHODS: Measures of drinking behaviour and alcohol expectancy were completed by 174 undergraduate university students. RESULTS: Positive alcohol expectancy factors accounted for significant variance in all three drinking indices, with the DEQ adding additional variance to AEQ scores on frequency and severity of alcohol dependence indices. Negative expectancy did not add incremental variance to the prediction of drinking behaviour in this sample. Drinking refusal self-efficacy and dependence beliefs added additional variance over positive and negative expectancies in the prediction of all three drinking parameters. CONCLUSIONS: Positive expectancy and drinking refusal self-efficacy were strongly related to university student drinking. The incorporation of expectancy as a means of informing prevention approaches in tertiary education shows promise.     

The Association between Scholastic Measures,Alcohol Outcome Expectancies and Alcohol Use: A Cross-sectional Study in Northern Ireland

Alcohol use among adolescents is associated with both short-term (truancy, illness, trouble with police) and long-term (dependence, unemployment) negative consequences. Moreover, because of its developmental nature, adolescent drinking behaviour is difficult to accurately assess. Individual-level scholastic variables and alcohol outcome expectancies have been found to be associated with drinking behaviours. This study used a cross-sectional design to investigate: the relationship between alcohol use and individual-level scholastic variables, namely academic motivation and academic self-efficacy; and the relationship between alcohol use and alcohol outcome expectancies, while controlling for a wide range of other variables. Participants were post-primary (high) school pupils in the greater Belfast area of Northern Ireland. They completed a range of questionnaires including measures assessing academic self-efficacy, academic motivation, alcohol outcome expectancies, and a composite measure of alcohol use. Results showed that, controlling for the hierarchical nature of the data, socio-demographic variables and other possible confounders, lower reported scores on the individual-level scholastic measures, higher reported scores on positive alcohol outcome expectancies, and lower reported scores on negative alcohol outcome expectancies remained significantly associated with more problematic drinking. Results are discussed in the context of contemporaneous school-related research.     

河南省两城市高中生文化定位、饮酒期望、自我效能与饮酒行为的研究

目的 探讨河南省两城市高中生文化定位、饮酒期望、自我效能和饮酒行为之间的关系,为有针对性地设计预防控制青少年饮酒教育项目提供理论依据.方法 采用分层整群随机抽样方法,于2005年11月对河南省郑州、信阳两市6所高中2756名高一、二学生进行匿名问卷调查,利用SPSS 13.0和SAS 8.10软件完成数据分析.结果 调查学生饮酒率为56.5%.文化定位总均分为3.25(3.09,3.42);饮酒期望总均分为3.02(2.81,3.23);饮酒自我效能总均分为79.64(60.36,93.21).传统文化定位、西方文化定位、饮酒积极期望、饮酒消极期望、饮酒自我效能、饮酒行为各因素之间均存在直接或间接关联.过去30 d内较少的饮酒天数与较高的饮酒自我效能和饮酒消极期望、较低的饮酒积极期望和西方文化定位直接相关(相关系数分别是-0.346、-0.282、0.234和0.162),与中国传统文化定位无直接相关.结论 调查学生饮酒情况比较严重,不同饮酒信念和文化定位影响饮酒行为的发生,预防控制青少年饮酒教育活动可以此作为切入点进行.     

Are drinkers implicitly positive about drinking alcohol? Personalizing the alcohol-IAT to reduce negative extrapersonal contamination

AIMS: The advent of indirect measures, such as the Implicit Association test (IAT), has stimulated interest in implicit cognitions that may automatically steer addictive behaviours such as alcohol abuse. Counter-intuitively, recent IAT research has demonstrated that alcohol is implicitly associated with negative valence, regardless of the level of alcohol consumption. However, because the IAT is susceptible to extrapersonal contamination, this study examined whether previous findings reflect contamination of IAT effects by negative extrapersonal knowledge rather than personal associations with alcohol. METHODS: Implicit alcohol associations were measured with a personalized alcohol-IAT, designed to reduce extrapersonal contamination. Whether alcohol associations measured with the personalized IAT would predict drinking behaviour above the variance explained by self-reported alcohol-related expectancies and attitude was examined. RESULTS: In contrast to previous findings with the IAT, the personalized IAT yielded positive associations. Moreover, positive alcohol associations predicted drinking behaviour above self-reported alcohol expectancies and attitudes, demonstrating the incremental validity of the personalized IAT. CONCLUSIONS: The present findings support the hypothesis that previous findings with the alcohol-IAT at least partly reflect negative extrapersonal alcohol-related knowledge, and that implicit alcohol associations are positive rather than negative.     

The alcohol warning and adolescents: 5-year effects

OBJECTIVES: This study, a follow-up to the authors earlier report, examined the effects of the alcohol warning label on adolescents during the first 5 years that the warning was required. METHODS: Surveys were administered to 10th-grade (n = 16,661) and 12th-grade (n = 15,856) students from the 1989-1990 school year through the 1994-1995 school year. The measures were awareness of, exposure to, and recognition memory of the alcohol warning label; beliefs about the risks listed on the warning; and open-ended statements about consequences of alcohol use, alcohol consumption, and self-reported driving after drinking. RESULTS: There were increases in warning awareness, exposure, and recognition memory. These effects leveled off approximately 3.5 years after the inclusion of the warning on alcohol beverage containers. There was no beneficial change attributable to the warning in beliefs, alcohol consumption, or driving after drinking. CONCLUSIONS: The initial positive effects of the alcohol warning label on adolescents have leveled off, consistent with theories of repeated exposure to persuasive information. The alcohol warning has not affected adolescents' beliefs about alcohol or alcohol-related behaviors.     

Alcohol advertising exposure and perceptions: links with alcohol expectancies and intentions to drink or drinking in underaged youth and young adults

This study tests whether the impact of alcohol advertising exposure on intentions to drink and actual consumption is mediated by cognitive responses to advertising messages and positive expectancies about alcohol use. The model was tested using survey data of two important age cohorts, 15 to 20 years (n=608) and 21 to 29 years (n=612). The findings show that alcohol advertising was influential in shaping young people's attitudes and perceptions about alcohol advertising messages. The attitudes and perceptions predicted both positive expectancies and intentions to drink of those under the legal drinking age, but did not affect the young adults' expectancies and consumption. Positive expectancies were powerful predictors of intentions to drink and consumption for both groups. The effects of alcohol advertising on intentions to drink of those aged 15 to 20 years were mediated by cognitive responses to advertising messages and positive expectancies. The mediation effect was not evident among those between 21 and 29 years.     

Metaphor Use and Health Literacy: A Pilot Study of Strategies to Explain Randomization in Cancer Clinical Trials

This study tests whether the impact of alcohol advertising exposure on intentions to drink and actual consumption is mediated by cognitive responses to advertising messages and positive expectancies about alcohol use. The model was tested using survey data of two important age cohorts, 15 to 20 years (n = 608) and 21 to 29 years (n = 612). The findings show that alcohol advertising was influential in shaping young people's attitudes and perceptions about alcohol advertising messages. The attitudes and perceptions predicted both positive expectancies and intentions to drink of those under the legal drinking age, but did not affect the young adults' expectancies and consumption. Positive expectancies were powerful predictors of intentions to drink and consumption for both groups. The effects of alcohol advertising on intentions to drink of those aged 15 to 20 years were mediated by cognitive responses to advertising messages and positive expectancies. The mediation effect was not evident among those between 21 and 29 years.     

Alcohol warning labels: unlikely to affect alcohol‐related beliefs and behaviours in adolescents

Objective: In Australia, many health researchers and policy makers are advocating for mandated warning labels on alcoholic beverages. Alcohol‐related harms are of particular concern among adolescents. The aim of this article was to review the available literature and evaluate the impact of alcohol warning labels on adolescent drinking, knowledge and behaviour. Approach: A systematic review of the literature was conducted. Scholarly databases were searched for relevant research articles. Broad inclusion criteria were applied due to the relative paucity of literature. Conclusion: The introduction of alcohol warning labels was shown to be associated with initial increased awareness of alcohol warning label law, exposure to the labels, and increased recognition of the warning label messages. Conversely, little change was observed in terms of beliefs about the risks of alcohol use or participation in risky alcohol‐related behaviours. These findings are similar to those reported among adult samples. However, the vast majority of the literature originated from the same group of authors, with samples drawn from a single geographical region. This may greatly limit the generalisablity of these findings. Implications: The introduction of alcohol warning labels in Australia may increase awareness about the risks of alcohol consumption among adolescents; however, these labels appear unlikely to change adolescent drinking behaviours or beliefs about alcohol‐related risks. Further research in multiple cultural contexts is required to confirm these findings. Alcohol warning labels should be considered as only one aspect of a range of other proven strategies to change knowledge, attitudes and behaviour.     

The relationship of parental reinforcement of media messages to college students' alcohol-related behaviors

Although alcohol consumption is a problem on the college campus, beliefs and behaviors predictive of alcohol use are in development in children as young as third grade. Because they develop partially in response to interpretations of media messages, for which parents can have an influence, this study examined how college students' (N=300) recollections of parental reinforcement of media messages associated with alcohol-related beliefs and behaviors. Structural equation modeling showed that recalled positive mediation negatively predicted skepticism, and positively predicted desirability and expectancies. Desirability of media messages predicted more positive norms perceptions, and a lack of skepticism predicted more positive expectancies. With age of first experimentation controlled, expectancies predicted heavier current drinking behavior. Norms did not predict behavior, and positive mediation did not predict norms. The study concludes that to the extent parental communication leads adolescents to interpret media messages less skeptically, they encourage adolescents to find alcohol portrayals appealing. This in turn appears to lead toward more risky behaviors. The results suggest that college-based anti-alcohol campaigns can benefit by acknowledging the appeal of competing messages and by including parents as a campaign target.     

Community Norms,Enforcement of Minimum Legal Drinking Age Laws,Personal Beliefs and Underage Drinking: An Explanatory Model

Strategies to enforce underage drinking laws are aimed at reducing youth access to alcohol from commercial and social sources and deterring its possession and use. However, little is known about the processes through which enforcement strategies may affect underage drinking. The purpose of the current study is to present and test a conceptual model that specifies possible direct and indirect relationships among adolescents’ perception of community alcohol norms, enforcement of underage drinking laws, personal beliefs (perceived parental disapproval of alcohol use, perceived alcohol availability, perceived drinking by peers, perceived harm and personal disapproval of alcohol use), and their past-30-day alcohol use. This study used data from 17,830 middle and high school students who participated in the 2007 Oregon Health Teens Survey. Structural equations modeling indicated that perceived community disapproval of adolescents’ alcohol use was directly and positively related to perceived local police enforcement of underage drinking laws. In addition, adolescents’ personal beliefs appeared to mediate the relationship between perceived enforcement of underage drinking laws and past-30-day alcohol use. Enforcement of underage drinking laws appeared to partially mediate the relationship between perceived community disapproval and personal beliefs related to alcohol use. Results of this study suggests that environmental prevention efforts to reduce underage drinking should target adults’ attitudes and community norms about underage drinking as well as the beliefs of youth themselves.     

The Enduring Impact of Parents’ Monitoring,Warmth, Expectancies,and Alcohol Use on Their Children’s Future Binge Drinking and Arrests: a Longitudinal Analysis

Binge drinking is associated with many health and financial costs and is linked to risks of legal consequences. As alcohol use typically is initiated during adolescence, the current study assessed the relationship between parental behaviors and strategies in forecasting adolescents’ likelihood of binge drinking and later arrest. Restricted data from waves I–IV of the National Longitudinal Study of Adolescent Health were used to assess hypotheses. A weighted path analytic model (N?=?9421) provided a multifaceted picture of variables linked to later antisocial behavior. Low parental monitoring, low parental warmth, parent alcohol use, and parent expectancies regarding their children’s alcohol use were associated with higher incidence of adolescent binge drinking. In turn, low monitoring, low warmth, parent alcohol use, parent expectancies, and underage consumption were associated with binge drinking in early adulthood. Binge drinking during both adolescence and young adulthood were predictive of respondents’ likelihood of arrest 8–14 years later. Findings demonstrated the substantial, enduring effects of parental behaviors on child alcohol-related actions and have implications for parent-targeted interventions designed to reduce excessive alcohol consumption. They suggest campaigns focus on parenting strategies that involve setting effective and strict alcohol-related rules and guidelines, while maintaining a warm and supportive family environment.     

Typologies of alcohol consumption in adolescence: predictors and adult outcomes

AIMS: Data from the 1970 British Cohort Study were used to examine the effects of alcohol expectancies, norms, and openness of communication with parents on typologies of adolescent alcohol use and the subsequent risk of adult alcohol misuse from adolescent use. METHODS: Of a population originally defined as all children born in the UK in 1 week of April 1970, 69.4% were interviewed at age 16 and 70.1% at age 30. Missing information was imputed using the multivariate imputation by chained equation (MICE) method, yielding a sample size of 7023 for men and 6896 for women. Four adolescent drinking typologies were defined by frequency and quantity of alcohol consumption at age 16. RESULTS: Positive alcohol expectancies predicted all types of adolescent alcohol use in young men and women. Norms affected frequency of alcohol use over quantity, while openness of communication with parents affected quantity of alcohol use. All men who drank alcohol in adolescence were at risk of alcohol misuse (defined by the CAGE questionnaire) in adulthood, whereas the risk for women was limited to frequent drinkers. CONCLUSIONS: Drinking typologies were useful for understanding the mechanisms of adolescent alcohol use. Early prevention may be required to reduce alcohol related problems in later life.     

Alcohol expectancies and male sexuality: review and implications for sex therapy

Psychological expectancies regarding the use of alcohol may often be more powerful than pharmacological effects. Studies focusing on alcohol expectancies and the male sexual response are reviewed. Males who believe they consumed alcohol show increased arousal to deviant stimuli (rape, violent erotica) compared to males who are told to expect no alcohol. Sex guilt may mediate these effects. This research, and widely held cultural beliefs that portray alcohol as an aphrodisiac, may lead many males to employ alcohol as a "cure" for sexual dysfunctions. Suggestions are included to enable sex therapists to uncover and dispel these myths in their male clients.     

Drinking perceptions and drinking behaviors among urban black adolescents.

PURPOSE: To improve understanding of black (African American and Haitian Blacks) adolescents' drinking behaviors and sexual patterns that put them at risk for human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) to determine whether specific cultural differences affect beliefs and behaviors about alcohol use. METHODS: The study used ethnographic interviewing to provide information about the alcohol norms, beliefs, context, and behavior of African-American and Haitian adolescents. Ethnographic open-ended interviews were conducted with 314 students: 116 African American adolescents (50 boys and 66 girls) and 198 Haitian adolescents (93 boys and 105 girls) in inner-city public high schools. RESULTS: The majority of adolescents had drunk alcohol, and African-American boys and Haitian boys and girls were most likely to report general drinking experience. Both ethnic groups distinguished between negative and positive nonnormative behaviors resulting from drinking beyond and within the boundary of one's limits. African-American boys in particular described not drinking beyond the boundary, to maintain control of their actions. Drinking within the boundary and feeling "relaxed" was endorsed by African American youths, as it was by Haitian youths who felt "normal" and/or viewed drinking certain alcoholic beverages as normative and culturally sanctioned. CONCLUSION: The study suggests there are cultural differences in the constructs of the meaning of drink and drinking that may influence alcohol use. Understanding these differences will improve efforts to impact the drinking behaviors of adolescents by recognizing the drinking socialization, normative drinking patterns, and culturally sanctioned drinking behaviors that may influence alcohol use in different ethnic groups.     

Understanding binge drinking among young people: an application of the Theory of Planned Behaviour

Binge drinking (i.e. consuming half the recommended weekly consumption of alcohol in a single session) is a common activity among young people. Using the Theory of Planned Behaviour as its theoretical framework, this paper reports a study exploring the motivational and attitudinal factors underlying binge drinking in a sample of undergraduate students. Questionnaires were completed by 136 undergraduates which focused on their drinking behaviour and their beliefs about binge drinking. Binge drinking was found to be more prevalent among male respondents, and a number of significant differences in the beliefs of male and female respondents were found which supported this difference in drinking behaviour. A regression analysis identified two key predictors of the frequency of binge drinking; these being positive control beliefs and perceived behavioural control. Frequent binge drinkers were more likely to recognize the influence of a range of factors which may serve to encourage binge drinking (e.g. celebrating an event) and less likely to believe that the decision to engage in binge drinking is under their control. The results are discussed in relation to measures which may help to reduce the incidence of binge drinking through changes in the social environment.     

Television beer advertising and drinking knowledge, beliefs, and intentions among schoolchildren.

OBJECTIVES. The relationships between television beer advertising and drinking knowledge, beliefs, and intentions were investigated in a survey of schoolchildren. The research was guided by a theoretical model specifying that awareness of advertising, and not mere exposure, is necessary for it to have an effect on beliefs or behaviors. METHODS. Participants were a random sample of 468 fifth- and sixth-grade schoolchildren from a northern California community. Data were collected in the home with a combination of self-administered questionnaires and structured interviews. RESULTS. Nonrecursive statistical modeling indicated that awareness of television beer advertising was related to more favorable beliefs about drinking, to greater knowledge of beer brands and slogans, and to increased intentions to drink as an adult. The effects of advertising awareness on knowledge, beliefs, and intentions were maintained when the reciprocal effects of beliefs, knowledge, and intentions on awareness were controlled. CONCLUSIONS. The findings suggest that alcohol advertising may predispose young people to drinking. As a result, efforts to prevent drinking and drinking problems among young people should give attention to countering the potential effects of alcohol advertising.