Percepción del consumo de alcohol propio y de allegados en universitarios de primer curso como predictor del consumo a 10 años

Lucía Moure-Rodríguez, Carina Carbia, Montserrat Corral Varela, Ainara Díaz-Geada, Fernando Cadaveira, Francisco Caamaño-Isorna

Resumen


El consumo percibido por los jóvenes de sus allegados puede afectar a las expectativas respecto al consumo de alcohol y de este modo, a su propio consumo. El objetivo del estudio ha sido identificar la capacidad predictiva de la percepción de consumo de alcohol propio y de los allegados al inicio del periodo universitario, en los patrones de consumo observados a lo largo de 10 años de seguimiento. Se ha llevado a cabo un estudio de cohortes en universitarios en España (n=1.382). Consumo Intensivo de Alcohol (CIA) y Consumo de Riesgo de alcohol (CRA) se midieron con el Test de Identificación de los Trastornos debidos al Uso de Alcohol (AUDIT) a los 18, 20, 22, 24 y 27 años. Se calcularon las Odds Ratios (ORs) con regresión logística multinivel para medidas repetidas. Los universitarios percibían bajo o nulo consumo de alcohol de sus familiares y mayor de sus amigos. Percibir mayor consumo de sus hermanos y amigos aumentó el riesgo de CIA en ambos géneros y de CRA en mujeres. Vivir fuera del domicilio familiar aumentó el riesgo de ambos patrones. En conclusión, la percepción del consumo de alcohol de amigos a los 18-19 años resultó la variable más influyente para el CIA en ambos géneros y el CRA en mujeres a lo largo de 10 años de seguimiento. El consumo de alcohol de los padres al inicio del periodo universitario parece no afectar a los patrones de consumo practicados durante la juventud, una vez se ajusta por el consumo de amigos y hermanos. Vivir en el domicilio familiar actúa como factor protector. Las medidas preventivas en los jóvenes deben tener un enfoque contextual incluyendo a sus allegados.


Palabras clave


Consumo intensivo de alcohol; Amigos; Familia; Jóvenes adultos; Consumo de alcohol en universitarios.

Texto completo:

PDF PDF (English)

Referencias


Abar, C. C. y Turrisi, R. (2008). How important are parents during the college years? A longitudinal perspective of indirect influences parents yield on their college teens’ alcohol use. Addictive Behaviors, 33,1360-1368.doi:10.1016/j.addbeh.2008.06.010.

Anderson, K. G., Grunwald, I., Bekman, N., Brown, S.A. y Grant, A. (2011). To drink or not to drink: motives and expectancies for use and nonuse in adolescence. Addictive Behaviors, 36, 972-979. doi:10.1016/j.addbeh.2011.05.009.

Andersson, C., Johnsson, K.O., Berglund, M. y Ojehagen, A. (2007). Alcohol involvement in Swedish university fresh men related to gender, age, serious relations hip and family history of alcohol problems. Alcohol and Alcoholism, 42, 448-455. doi:10.1093/alcalc/agm008.

Aseltine, R. H. (1995). A reconsideration of parental and peer influences on adolescent deviance. Journal of Health and Social Behavior, 36, 103-121.

Bahr, S. J., Hoffmann, J. y Yang, X. (2005). Parental and peer influences on the risk of adolescent drug use. The Journal of Primary Prevention, 26, 529-551. doi:10.1007/s10935-005-0014-8.

Bava, S. y Tapert, S. F. (2010). Adolescent brain development and the risk for alcohol and other drug problems. Neuropsychology review, 20, 398-413. doi:10.1007/s11065-010-9146-

Benz, M. B., DiBello, A. M., Balestrieri, S. G., Miller, M. B., Merrill, J.E., Lowery, A.D., …Carey, K. B. (2017). Off-campus residence as a risk factor for heavy drinking among college students. Substance Use and Misuse, 52, 1133-1138. doi:10.1080/10826084.2017.1298620.

Bewick, B. M., Mulhern, B., Barkham, M., Trusler, K., Hill, A. J. y Stiles, W. B. (2008). Changes in undergraduate student alcohol consumption as they progress through university. BMC Public Health, 8,163. doi:10.1186/1471-2458-8-163.

Borsari, B. y Carey, K. B. (2001). Peer influences on college drinking: A review of the research. Journal of Substance Abuse, 13, 391-424.

Borsari, B., Murphy, J. G. y Barnett, N. P. (2007). Predictors of alcohol use during the first year of college: Implications for prevention. Addictive Behaviors, 32, 2062-2086. doi:10.1016/j.addbeh.2007.01.017.

Brown, B. B. y Larson, J. (2009). Peer relationships in adolescence. En R.M. Lerner y L. Steinberg (Eds.), Handbook of Adolescent Psychology (pp. 74-103). New York: Wiley y Sons.

Center for Behavioral Health Statistics and Quality. (2015). 2014 National Survey on Drug Use and Health Detailed Tables (NSDUH). Rockville, MD: Substance Abuse and Mental Health Services Administration (SAMHSA).

Chassin, L., Pitts, S. C. y Prost, J. (2002). Binge drinking trajectories from adolescence to emerging adulthood in a high-risk sample: predictors and substance abuse outcomes. Journal of Consulting and Clinical Psychology, 70, 67-78.

Cox, M. J., DiBello, A. M., Meisel, M. K., Ott, M. Q., Kenney, S. R., Clark, M. A. y Barnett, N. P. (2019). Do misperceptions of peer drinking influence personal drinking behavior? Results from a complete social network of first-year college students. Psychology of Addictive Behaviors, 33, 297-303. doi:10.1037/adb0000455.

Critchlow, B. (1986). The powers of John Barleycorn: beliefs about the effects of alcohol on social behavior. The American Psychologist, 41, 751-764.

Crundall, I. A. (1995). Perceptions of alcohol by student drinkers at university. Drug and Alcohol Review, 14, 363-368.

Cservenka, A. y Brumback, T. (2017). The burden of binge and heavy drinking on the brain: effects on adolescent and young adult neural structure and function. Frontiers in Psychology, 8,1111. doi:10.3389/fpsyg.

Defensor del Menor de la Comunidad de Madrid. (2003). Análisis del consumo de alcohol por los jóvenes en la Comunidad de Madrid. En El Defensor del Menor de la Comunidad de Madrid (Eds.), Defensor del Menor de la Comunidad de Madrid: Estudios e investigaciones 2002 (pp. 307-390). Madrid: Defensor del Menor en la Comunidad de Madrid.

Deutsch, A. R., Chernyavskiy, P., Steinley, D. y Slutske, W. S. (2015). Measuring peer socialization for adolescent substance use: A comparison of perceived and actual friends’ substance use effects. Journal of Studies on Alcohol and Drugs, 76, 267-277. doi:10.15288/jsad.2015.76.267.

Dumas, T. M., Davis, J. P., Maxwell-Smith, M. A. y Bell, A. (2018). From drinking group norms to individual drinking consequences: A moderated mediation model examining the role of members’ status, identification with the group and with emerging adulthood. Substance Use and Misuse, 53, 1311-1323. doi:10.1080/10826084.2017.1408651.

Dumas, T. M., Davis, J. P. y Neighbors, C. (2019). How much does your peer group really drink? Examining the relative impact of overestimation, actual group drinking and perceived campus norms on university students’ heavy alcohol use. Addictive Behaviors, 90, 409-414. doi:10.1016/j.addbeh.2018.11.041.

ESPAD Group. (2016). ESPAD Report 2015: Results from the European School Survey Project on Alcohol and Other Drugs. Luxembourg: Publications Office of the European Union.

Farke, W. y Anderson, P. (2007). Binge drinking in Europe. Adicciones, 19, 333-339.

Galán, I., González, M. J. y Valencia-Martín, J. L. (2014). Patrones de consumo de alcohol en España: un país en transición. Revista Española de Salud Publica, 88, 529-540. doi: 10.4321/S1135-57272014000400007.

Gaughan, M. (2006). The gender structure of adolescent peer influence on drinking. Journal of Health and Social Behavior, 47, 47-61. doi:10.1177/002214650604700104.

Gual, A., Ángel Arbesú, J., Zarco, J., Balcells-Oliveró, M.L.M., López-Pelayo, H., Miquel, L. y Bobes, J. (2017). Risky drinkers underestimate their own alcohol consumption. Alcohol and Alcoholism, 52, 516-517. doi:10.1093/alcalc/agx029.

Harburg, E., DiFranceisto, W., Webster, D.W., Gleiberman, L. y Schork, A. (1990). Familial transmission of alcohol use: II. Imitation of and aversion to parent drinking (1960) by adult offspring (1977)-Tecumseh, Michigan. Journal of Studies on Alcohol, 51, 245-256. doi:10.15288/jsa.1990.51.245.

Jefferis, B. J., Power, C. y Manor, O. (2005). Adolescent drinking level and adult binge drinking in a national birth cohort. Addiction, 100, 543-549. doi:10.1111/j.1360-0443.2005.01034.x.

Jessor, R., Costa, F. M., Krueger, P. M. y Turbin, M. S. (2006). A developmental study of heavy episodic drinking among college students: the role of psychosocial and behavioral protective and risk factors. Journal of Studies on Alcohol, 67, 86-94.

Kenney, S. R., Ott, M., Meisel, M. K. y Barnett, N. P. (2017). Alcohol perceptions and behavior in a residential peer social network. Addictive Behaviors, 64, 143-147. doi:10.1016/j.addbeh.2016.08.047.

Kuntsche, E., Rehm, J y Gmel, G. (2004). Characteristics of binge drinkers in Europe. Social Science & Medicine, 59, 113-127. doi:10.1016/j.socscimed.2003.10.009

Larimer, M. E., Kaysen, D. L., Lee, C. M., Kilmer, J. R., Lewis, M. A., Dillworth, T., ... Neighbors, C. (2009). Evaluating level of specificity of normative referents in relation to personal drinking behavior. Journal of Studies on Alcohol and Drugs, 16, 115-121. doi:10.15288/jsads.2009.s16.115.

Lewis, M. A. y Neighbors, C. (2006). Social norms approaches using descriptive drinking norms education: A review of the research on personalized normative feedback. Journal of American College Health, 54, 213-218.

Mallett, K. A., Bachrach, R. L. y Turrisi, R. (2009). Examining the unique influence of interpersonal and intrapersonal drinking perceptions on alcohol consumption among college students. Journal of Studies on Alcohol and Drugs, 70, 178-185. doi:10.15288/jsad.2009.70.178.

Martinotti, G., Lupi, M., Carlucci, L., Santacroce, R., Cinosi, E., Acciavatti, T., ... Di Giannantonio, M. (2017). Alcohol drinking patterns in young people: A survey-based study. Journal of Health Psychology, 22, 1889-1896. doi:10.1177/1359105316667795.

Meier, P. S. (2010). Polarized Drinking Patterns and Alcohol Deregulation: Trends in alcohol consumption, harms and policy: United Kingdom 1990-2010. Nordic Studies on Alcohol and Drugs, 27, 383-408. doi:10.1177/145507251002700501.

Merrill, J. E. y Carey, K. B. (2016). Drinking over the lifespan: Focus on college ages. Alcohol Research, 38, 103-114.

Miller, P. M., Smith, G. T. y Goldman, M.S. (1990). Emergence of alcohol expectancies in childhood: a possible critical period. Journal of Studies on Alcohol, 51, 343-349.

Ministerio de Sanidad, Política Social e Igualdad. Delegación del Gobierno para el Plan Nacional sobre Drogas. (2018a). Informe 2018. Alcohol, tabaco y drogas ilegales en España. Encuesta sobre Uso de Drogas en Enseñanzas Secundarias en España (ESTUDES) 1994-2016. Madrid: Ministerio de Sanidad, Política Social e Igualdad.

Ministerio de Sanidad, Política Social e Igualdad. Delegación del Gobierno para el Plan Nacional sobre Drogas. (2018b). Encuesta Sobre Alcohol y otras drogas en España (EDADES) 1995-2017. Madrid: Ministerio de Sanidad, Política Social e Igualdad.

Ministerio de Sanidad, Política Social e Igualdad. (s.f.). Situación actual del consumo de alcohol en España. Ministerio de Sanidad, Política Social e Igualdad. Recuperado de http://www.mscbs.gob.es/campannas/campanas10/embarazadasCeroAlcohol/situacion_actual_del_consumo_de_alcohol.html.

Ministerio de Sanidad y Consumo. (2008). Prevención de los problemas derivados del alcohol. 1ª Conferencia de prevención y promoción de la salud en la práctica clínica en España. Madrid 14 y 15 de junio de 2007. Madrid: Ministerio de Sanidad y Consumo. Recuperado de https://www.mscbs.gob.es/profesionales/saludPublica/prevPromocion/alcohol/docs/prevencionProblemasAlcohol.pdf.

Monk, R. L. y Heim, D. (2013). A critical systematic review of alcohol-related outcome expectancies. Substance Use and Misuse, 48, 539-557. doi:10.3109/10826084.2013.787097.

Moore, G.F., Rothwell, H. y Segrott, J. (2010). An exploratory study of the relationship between parental attitudes and behavior and young people’s consumption of alcohol. Substance Abuse Treatment, Prevention, and Policy, 22, 5-6. doi:10.1186/1747-597X-5-6.

Moure-Rodriguez, L., Carbia, C., Lopez-Caneda, E., Corral, M., Cadaveira, F. y Caamaño-Isorna, F. (2018). Trends in alcohol use among young people according to the pattern of consumption on starting university: A 9-year follow-up study. PLoS One, 13, e0193741. doi:10.1371/journal.pone.0193741.

Moure-Rodríguez, L., Piñeiro, M., Corral, M., Rodríguez-Holguín, S., Cadaveira, F. y Caamaño-Isorna, F. (2016). Identifying predictors and prevalence of alcohol consumption among university students: Nine years of follow-up. PLoS One, 11, e0165514. doi:10.1371/journal. pone.0165514.

National Institute on Alcohol Abuse and Alcoholism. (2004). NIAAA council approves definition of binge drinking. NIAAA Newsletter,3,3. Recuperado de http://pubs.niaaa.nih.gov/publications/Newsletter/winter2004/Newsletter_Number3.pdf.

Newbury-Birch, D., Walker, J., Avery, L., Beyer, F., Brown, N., Jackson, K., ... Stewart, S. (2009). Impact of Alcohol Consumption on Young People: A systematic review of published reviews. Newcastle: Institute of Health and Society at Newcastle university: Department for Children, Schools and Families.

Oei, T. P. y Morawska, A. (2004). A cognitive model of binge drinking: the influence of alcohol expectancies and drinking refusal self-efficacy. Addictive Behaviors, 29, 159-179.

Patrick, M. E. y Schulenberg, J. E. (2013). Prevalence and predictors of adolescent alcohol use and binge drinking in the United States. Alcohol Research: Current Reviews, 35, 193-200.

Patrick, M. E., Terry-McElrath, Y. M., Lanza, S. T., Jager, J., Schulenberg, J. E. y O’Malley, P. M. (2019). Shifting age of peak binge drinking prevalence: historical changes in normative trajectories among young adults aged 18 to 30. Alcoholism, Clinical and Experimental Research, 43, 287-298. doi:10.1111/acer.13933.

Quinn, P. D. y Fromme, K. (2011). Alcohol use and related problems among college students and their noncollege peers: the competing roles of personality and peer influence. Journal of Studies on Alcohol and Drugs, 72, 622-632. doi:10.15288/jsad.2011.72.622.

Robinson, E., Jones, A., Christiansen, P. y Field, M. (2015). Drinking like everyone else: trait self-control moderates the association between peer and personal heavy episodic drinking. Substance Use and Misuse, 50, 590-597. doi:10.3109/10826084.2014.991407.

Sargent, J.D.y Babor, T.F. (2020). The relationship between exposure to alcohol marketing and underage drinking is causal. Journal of Studies on Alcohol and Drugs, 19, 113-124.

Saunders, J. B., Aasland, O. G., Babor, T. F., De la Fuente, J. R. y Grant, M. (1993). Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption--II. Addiction, 88, 791-804. doi:10.1111/j.1360-0443.1993.tb02093.x.

Schulenberg, J., O’Malley, P. M., Bachman, J. G., Wadsworth, K. N. y Johnston, L. D. (1996). Getting drunk and growing up: trajectories of frequent binge drinking during the transition to young adulthood. Journal of Studies on Alcohol, 57, 289-304.

Schuler, M. S., Tucker, J. S., Pedersen, E. R. y D’Amico, E. J. (2019). Relative influence of perceived peer and family substance use on adolescent alcohol, cigarette, and marijuana use across middle and high school. Addictive Behaviors, 88, 99-105. doi:10.1016/j.addbeh.2018.08.025.

Scott-Sheldon, L. A., Terry, D. L., Carey, K. B., Garey, L. y Carey, M. P. (2012). Efficacy of expectancy challenge interventions to reduce college student drinking: a meta-analytic review. Psychology of Addictive Behaviors, 26, 393-405.

Sellers, C. M., McManama O’Brien, K. H., Hernandez, L. y Spirito, A. (2018). Adolescent alcohol use: The effects of parental knowledge, peer substance use, and peer tolerance of use. Journal of the Society for Social Work and Research, 9, 69-87. doi:10.1086/695809.

Serafini, K. A. y Stewart, D. G. (2015). Perceptions of family alcohol use in a young adult sample. The Yale Journal of Biology and Medicine, 88, 205-209.

Simons-Morton, B., Haynie, D. L., Crump, A. D., Saylor, K. E., Eitel, P. y Yu, K. (1999). Expectancies and other psychosocial factors associated with alcohol use among early adolescent boys and girls. Addictive Behaviors, 24, 229-238.

Simons-Morton, B., Haynie, D., Liu, D., Chaurasia, A., Li, K. y Hingson, R. (2016). The effect of residence, school status, work status, and social influence on the prevalence of alcohol use among emerging adults. Journal of Studies on Alcohol and Drugs, 77, 121-132. doi:10.15288/jsad.2016.77.121.

Steinberg, L. (2014). Adolescence, (10nd ed.). Boston, MA: McGraw-Hill.

Stormshak, E. A., Comeau, C. A. y Shepard, S. A. (2004). The relative contribution of sibling deviance and peer deviance in the prediction of substance use across middle childhood. Journal of Abnormal Child Psychology, 32, 635-649.

Tuunanen, M., Aalto, M. y Seppä, K. (2007). Binge drinking and its detection among middle-aged men using AUDIT, AUDIT-C and AUDIT-3. Drug and Alcohol Review, 26, 295-299.

Varela, J., Carrera, A., Rial, A., Braña, T. y Osorio, J. (2006). Identificación dos trastornos debidos ao consumo de alcohol. Unha adaptación do AUDIT á poboación galega. Santiago de Compostela: Xunta de Galicia-Consellería de Sanidade-Sergas.

Voogt, C., Beusink, M., Kleinjan, M., Otten, R., Engels, R., Smit, K. y Kuntsche, E. (2017). Alcohol-related cognitions in children (aged 2-10) and how they are shaped by parental alcohol use: A systematic review. Drug and Alcohol Dependence, 177, 277-290. doi:10.1016/j.drugalcdep.2017.04.006.

Weitzman, E.R., Nelson, T.F. y Wechsler, H. (2003). Taking up binge drinking in college: The influences of person, social group, and environment. The Journal of Adolescent Health, 32, 26-35. doi:10.1016/s1054-139x(02)00457-3.

White, H. R., Fleming, C. B., Kim, M. J., Catalano, R. F. y McMorris, B. J. (2008). Identifying two potential mechanisms for changes in alcohol use among college-attending and non-college-attending emerging adults. Developmental Psychology, 44, 1625-1639. doi:10.1037/a0013855.

Whiteman, S. D., Jensen, A. C. y Maggs, J. L. (2013). Similarities in adolescent siblings’ substance use: Testing competing pathways of influence. Journal of Studies on Alcohol and Drugs, 74,104-113. doi:10.15288/jsad.2013.74.104.

Whiteman, S. D., Jensen, A. C., Mustillo, S. A. y Maggs, J. L. (2016). Understanding sibling influence on adolescents’ alcohol use: Social and cognitive pathways. Addictive Behaviors, 53, 1-6. doi:10.1016/j.addbeh.2015.09.007.

Wicki, M., Kuntsche, E. y Gmel, G. (2010). Drinking at European universities? A review of students’ alcohol use. Addictive Behaviors, 35, 913-924. doi:10.1016/j.addbeh.2010.06.015.

Willett, W. C., Sacks, F., Trichopoulou, A., Drescher, G., Ferro-Luzzi, A., Helsing, E. y Trichopoulos, D. (1995). Mediterranean diet pyramid: a cultural model for healthy eating. The American Journal of Clinical Nutrition, 61, 1402-1406. doi:10.1093/ajcn/61.6.1402S.

Wilsnack, R. W., Wilsnack, S. C. y Obot, I. S. (2005). Why study gender, alcohol and culture?. En I. S. Obot y R. Room (Eds), Alcohol, gender and drinking problems: Perspectives from low- and middle income countries (pp. 1-23). Geneva: World Health Organization.

Windle, M., Haardörfer, R., Lloyd, S. A., Foster, B. y Berg, C. J. (2017). Social influences on college student use of tobacco products, alcohol, and marijuana. Substance Use and Misuse, 52, 1111-1119. doi:10.1080/10826084.2017.1290116.

Wood, M. D., Read, J. P., Mitchell, R. E. y Brand, N. H. (2004). Do parents still matter? Parent and peer influences on alcohol involvement among recent high school graduates. Psychology of Addictive Behaviors, 18, 19-30. doi:10.1037/0893-164X.18.1.19.

World Health Organization. (2018). Global status report on alcohol and health 2018. Geneva: WHO.




DOI: https://doi.org/10.20882/adicciones.1510

Enlaces refback

  • No hay ningún enlace refback.