FACTORS ASSOCIATED WITH BINGE DRINKING IN ADOLESCENCE INTEGRATIVE

FACTORS ASSOCIATED WITH BINGE DRINKING IN ADOLESCENCE: INTEGRATIVE LITERATURE REVIEW Teresa Barroso Dominik Mendes Bruno Coutinho Nuno Marques Nursing School of Coimbra Portugal Lisbon 2017

We have no conflict of interest to declare TBarroso 2017

BACKGROUND � There are multiple factors that explain alcohol consumption and drinking patterns, namely changes in cognitive processes or expectations of alcohol effects � Potentially modifiable risk factors are a priority in preventive care TBarroso 2017

� “The use of alcoholic drinks is quite evident amongst the Portuguese young, more commonly and frequently as age increases, especially from the age of 16, but with very relevant prevalence between the 10 -15 years old”, under the legal drinking age (Calado, Lavado, & Dias, 2015: 13) (the legal drinking age was updated to 18 years in 2015) TBarroso 2017

� Drinking onset tends to occur at an early age: between 13 and 15 years � “Alcohol consumption at such early ages is regarded as a natural and, therefore, expected experience” (Calado, Lavado, & Dias, 2015: 13) TBarroso 2017

� Binge drinking is defined as a pattern of alcohol consumption of 4 drinks or more for women and 5 drinks or more for men on a single occasion � Binge drinking causes long-lasting effects on the adolescents’ brain Crews, Vetreno, Qin, and Zou (2013); Naassila, Alaux-Cantin, Warnault, Legastelois, Bota, Pierrefiche, and Vilpoux (2013) TBarroso 2017

Study on alcohol, tobacco, and drugs use and other addictive behaviours and dependencies (2015) adapted from: STATISTICAL BULLETIN 2015 – Alcohol (SICAD, 2017: 5) TBarroso 2017

STUDY OBJECTIVE This integrative literature review aims at identifying and analyzing the factors associated with binge drinking in adolescence TBarroso 2017

RESEARCH QUESTION What are the factors associated with binge drinking in adolescence? TBarroso 2017

METHODS � Search conducted in three online databases: MEDLINE with Full Text®, CINAHL Plus with Full Text®, and Psychology & Behavioral Sciences Collection TBarroso 2017

METHODS Inclusion criteria were defined according to the study population, outcomes, type of study, and language and date of publication TBarroso 2017

Study selection process TBarroso 2017

RESULTS �Eight �Two studies were included major dimensions emerged: Risk factors and Protective factors TBarroso 2017

• Family violence • Adolescents’ positive expectations of alcohol effects • Influence of peers/best friends (alcohol, tabaco or other drugs) • low commitment to school • Attend nighttime environments Protective Factors Risk Factors RESULTS • Family well-being • Parental supervision and positive parents’ role • Religious beliefs • Difficult access to alcoholic beverages • Adolescents’ perception of risk TBarroso 2017

CONCLUSIONS BRIEF INTERVENTION • The identification of the factors associated with binge drinking contributes to the development of nursing interventions (both educational and behavioral) aimed at promoting healthy lifestyles and preventing risk behaviors TBarroso 2017