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The influence of family and friends on young people's drinking

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<str<strong>on</strong>g>The</str<strong>on</strong>g> <str<strong>on</strong>g>influence</str<strong>on</strong>g> <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

<str<strong>on</strong>g>family</str<strong>on</strong>g> <str<strong>on</strong>g>and</str<strong>on</strong>g> <str<strong>on</strong>g>friends</str<strong>on</strong>g><br />

<strong>on</strong> <strong>young</strong> people’s<br />

<strong>drinking</strong><br />

January 2011<br />

Round-up<br />

Reviewing the evidence<br />

This Round-up examines<br />

<str<strong>on</strong>g>family</str<strong>on</strong>g> <str<strong>on</strong>g>and</str<strong>on</strong>g> <str<strong>on</strong>g>friends</str<strong>on</strong>g>hip<br />

<str<strong>on</strong>g>influence</str<strong>on</strong>g>s <strong>on</strong> <strong>young</strong><br />

people’s <strong>drinking</strong> habits,<br />

in order to shed light <strong>on</strong><br />

how the negative aspects<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> <strong>young</strong> people’s <strong>drinking</strong><br />

culture in the UK might be<br />

changed.<br />

Author<br />

Arun S<strong>on</strong>dhi <str<strong>on</strong>g>and</str<strong>on</strong>g> Claire Turner<br />

This paper:<br />

• draws <strong>on</strong> five research projects aimed at underst<str<strong>on</strong>g>and</str<strong>on</strong>g>ing how <str<strong>on</strong>g>family</str<strong>on</strong>g> <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

<str<strong>on</strong>g>friends</str<strong>on</strong>g>hip groups <str<strong>on</strong>g>influence</str<strong>on</strong>g> <strong>young</strong> people’s <strong>drinking</strong> cultures;<br />

• examines the implicati<strong>on</strong>s for policy <str<strong>on</strong>g>and</str<strong>on</strong>g> practice interventi<strong>on</strong>s which aim<br />

to reduce alcohol-related harm am<strong>on</strong>g <strong>young</strong> people.<br />

Key points<br />

• Family is a key <str<strong>on</strong>g>influence</str<strong>on</strong>g> <strong>on</strong> children’s <str<strong>on</strong>g>and</str<strong>on</strong>g> <strong>young</strong> people’s behaviour.<br />

Both parents <str<strong>on</strong>g>and</str<strong>on</strong>g> children see the home as a ‘safe’ place to drink.<br />

• Parents develop ways <str<strong>on</strong>g>of</str<strong>on</strong>g> giving their children messages about <strong>drinking</strong>;<br />

these include the ‘c<strong>on</strong>tinental’ style introducti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> small samples<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> alcohol to children. Parents tend to rely <strong>on</strong> their own childhood<br />

experiences with alcohol <str<strong>on</strong>g>and</str<strong>on</strong>g> pers<strong>on</strong>al beliefs rather than government<br />

public health messages.<br />

• Parents feel that they are best placed to <str<strong>on</strong>g>influence</str<strong>on</strong>g> their children’s<br />

alcohol intake. Parental supervisi<strong>on</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g> parental <strong>drinking</strong> in fr<strong>on</strong>t<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> children are key factors that <str<strong>on</strong>g>influence</str<strong>on</strong>g> a child or <strong>young</strong> pers<strong>on</strong>’s<br />

knowledge, attitude <str<strong>on</strong>g>and</str<strong>on</strong>g> behaviour in relati<strong>on</strong> to alcohol.<br />

• Most <strong>young</strong> people do not seek to get out <str<strong>on</strong>g>of</str<strong>on</strong>g> c<strong>on</strong>trol from excessive<br />

<strong>drinking</strong>. Indeed, many viewed this negatively. Although many do drink<br />

to get drunk, <str<strong>on</strong>g>friends</str<strong>on</strong>g>hip groups <str<strong>on</strong>g>of</str<strong>on</strong>g>ten find their own ways to manage<br />

alcohol c<strong>on</strong>sumpti<strong>on</strong> in order to get ‘drunk enough’. Price is more likely<br />

to limit c<strong>on</strong>sumpti<strong>on</strong> than c<strong>on</strong>cerns about health or pers<strong>on</strong>al risk.<br />

• Policy <str<strong>on</strong>g>and</str<strong>on</strong>g> practice implicati<strong>on</strong>s include:<br />

- Preventi<strong>on</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g> harm reducti<strong>on</strong> approaches need to take into<br />

account how parent-child dynamics, social c<strong>on</strong>texts <str<strong>on</strong>g>and</str<strong>on</strong>g> socioec<strong>on</strong>omic<br />

factors all vary.<br />

- Public health messages need to c<strong>on</strong>nect more with the realities <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

parents’ attitudes <str<strong>on</strong>g>and</str<strong>on</strong>g> practices. Parents require informati<strong>on</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

advice which they can apply flexibly <str<strong>on</strong>g>and</str<strong>on</strong>g> adapt to their individual<br />

approaches as their children grow up.<br />

- Interventi<strong>on</strong>s to enable <strong>young</strong> people to manage their <strong>drinking</strong> need<br />

to c<strong>on</strong>sider group <strong>drinking</strong> situati<strong>on</strong>s <str<strong>on</strong>g>and</str<strong>on</strong>g> decisi<strong>on</strong>-making not just<br />

individuals’ behaviour.<br />

- Further c<strong>on</strong>siderati<strong>on</strong> is needed <str<strong>on</strong>g>of</str<strong>on</strong>g> the potential for using price<br />

as a harm reducti<strong>on</strong> measure <str<strong>on</strong>g>and</str<strong>on</strong>g> the need for more appealing,<br />

alternative spaces for <strong>young</strong> people to socialise with <str<strong>on</strong>g>friends</str<strong>on</strong>g>.<br />

www.jrf.org.uk


Introducti<strong>on</strong><br />

<str<strong>on</strong>g>The</str<strong>on</strong>g> Joseph Rowntree Foundati<strong>on</strong>’s (JRF) Alcohol<br />

Programme aims to c<strong>on</strong>tribute to halting or reversing<br />

negative <strong>drinking</strong> cultures <str<strong>on</strong>g>and</str<strong>on</strong>g> patterns am<strong>on</strong>gst <strong>young</strong><br />

people in the UK. <str<strong>on</strong>g>The</str<strong>on</strong>g> focus <str<strong>on</strong>g>of</str<strong>on</strong>g> the programme is <strong>on</strong><br />

examining the transmissi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> <strong>drinking</strong> cultures. To this<br />

end, JRF has commissi<strong>on</strong>ed a number <str<strong>on</strong>g>of</str<strong>on</strong>g> research<br />

projects which explore the ways in which <strong>drinking</strong> culture<br />

is transmitted through <str<strong>on</strong>g>influence</str<strong>on</strong>g>s such as <str<strong>on</strong>g>family</str<strong>on</strong>g>, peers,<br />

media <str<strong>on</strong>g>and</str<strong>on</strong>g> locati<strong>on</strong> so as to shed light <strong>on</strong> how <strong>young</strong><br />

people’s negative <strong>drinking</strong> cultures might be changed.<br />

Family <str<strong>on</strong>g>and</str<strong>on</strong>g> <str<strong>on</strong>g>friends</str<strong>on</strong>g>hip <str<strong>on</strong>g>influence</str<strong>on</strong>g>s are key factors in shaping<br />

<strong>young</strong> people’s <strong>drinking</strong> culture. Whilst there are some<br />

points in childhood where <str<strong>on</strong>g>family</str<strong>on</strong>g> or <str<strong>on</strong>g>friends</str<strong>on</strong>g> are more<br />

or less influential, the findings <str<strong>on</strong>g>of</str<strong>on</strong>g> JRF research suggest<br />

that these <str<strong>on</strong>g>influence</str<strong>on</strong>g>s are interc<strong>on</strong>nected <str<strong>on</strong>g>and</str<strong>on</strong>g> that <str<strong>on</strong>g>family</str<strong>on</strong>g><br />

<str<strong>on</strong>g>influence</str<strong>on</strong>g> c<strong>on</strong>tinues as children grow up. Moreover, the<br />

research highlights that <strong>young</strong> people do not have a<br />

<strong>drinking</strong> culture entirely separate from their parents or<br />

other adult relatives.<br />

This Round-up is based <strong>on</strong> the findings <str<strong>on</strong>g>of</str<strong>on</strong>g> five research<br />

projects with a focus <strong>on</strong> <str<strong>on</strong>g>family</str<strong>on</strong>g> <str<strong>on</strong>g>and</str<strong>on</strong>g> peer <str<strong>on</strong>g>influence</str<strong>on</strong>g>s.<br />

Two research projects examined the role <str<strong>on</strong>g>of</str<strong>on</strong>g> the <str<strong>on</strong>g>family</str<strong>on</strong>g><br />

in shaping primary-school-aged children’s knowledge,<br />

attitudes <str<strong>on</strong>g>and</str<strong>on</strong>g> expectati<strong>on</strong>s around alcohol. A third<br />

explored <strong>young</strong> people’s social networks <str<strong>on</strong>g>and</str<strong>on</strong>g> <strong>drinking</strong><br />

behaviour during their teenage years. A fourth project<br />

investigated the <str<strong>on</strong>g>influence</str<strong>on</strong>g>s, motivati<strong>on</strong>s <str<strong>on</strong>g>and</str<strong>on</strong>g> decisi<strong>on</strong>making<br />

which underpins the <strong>drinking</strong> habits <str<strong>on</strong>g>of</str<strong>on</strong>g> <strong>young</strong><br />

adults aged between 18 <str<strong>on</strong>g>and</str<strong>on</strong>g> 25 years. <str<strong>on</strong>g>The</str<strong>on</strong>g> final project<br />

surveyed over 5,700 <strong>young</strong> people at Year 9 (13-14 years)<br />

<str<strong>on</strong>g>and</str<strong>on</strong>g> Year 11 (15-16 years) focusing <strong>on</strong> levels <str<strong>on</strong>g>and</str<strong>on</strong>g> patterns<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> <strong>drinking</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g> the multiple <str<strong>on</strong>g>influence</str<strong>on</strong>g>s <strong>on</strong> their alcohol<br />

c<strong>on</strong>sumpti<strong>on</strong>.<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g> Round-up also draws <strong>on</strong> supporting evidence from an<br />

earlier JRF research review (Velleman, 2009).<br />

2


<str<strong>on</strong>g>The</str<strong>on</strong>g> role <str<strong>on</strong>g>of</str<strong>on</strong>g> the <str<strong>on</strong>g>family</str<strong>on</strong>g> <str<strong>on</strong>g>and</str<strong>on</strong>g> home<br />

Velleman’s review <str<strong>on</strong>g>of</str<strong>on</strong>g> the literature examining the<br />

factors that prevented excessive alcohol c<strong>on</strong>sumpti<strong>on</strong><br />

am<strong>on</strong>g <strong>young</strong> people suggests that parental <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

<str<strong>on</strong>g>family</str<strong>on</strong>g> <str<strong>on</strong>g>influence</str<strong>on</strong>g>s are at their str<strong>on</strong>gest at an early age.<br />

As a <strong>young</strong> pers<strong>on</strong> gets older this parental <str<strong>on</strong>g>influence</str<strong>on</strong>g><br />

is lessened by messages from the media <str<strong>on</strong>g>and</str<strong>on</strong>g> by the<br />

<str<strong>on</strong>g>influence</str<strong>on</strong>g> <str<strong>on</strong>g>of</str<strong>on</strong>g> their <str<strong>on</strong>g>friends</str<strong>on</strong>g>hip <str<strong>on</strong>g>and</str<strong>on</strong>g> peer groups. <str<strong>on</strong>g>The</str<strong>on</strong>g><br />

JRF research projects c<strong>on</strong>firm the role <str<strong>on</strong>g>of</str<strong>on</strong>g> the <str<strong>on</strong>g>family</str<strong>on</strong>g><br />

<str<strong>on</strong>g>and</str<strong>on</strong>g> parents as the most important <str<strong>on</strong>g>influence</str<strong>on</strong>g> <strong>on</strong><br />

children’s expectati<strong>on</strong>s, attitudes <str<strong>on</strong>g>and</str<strong>on</strong>g> – up to a certain<br />

age – behaviours relating to alcohol use. For <strong>young</strong>er<br />

children (for example, those aged under 13) the home<br />

emerges as a ‘safe’ place to drink alcohol (Eadie,<br />

2010; Valentine, 2010). <str<strong>on</strong>g>The</str<strong>on</strong>g> findings from the Ipsos<br />

MORI survey (forthcoming) suggest that the home<br />

envir<strong>on</strong>ment c<strong>on</strong>tinues to be a potential protective<br />

factor. Here supervised alcohol c<strong>on</strong>sumpti<strong>on</strong> at home<br />

was shown to reduce the likelihood <str<strong>on</strong>g>of</str<strong>on</strong>g> teenagers<br />

<strong>drinking</strong> to excess.<br />

Even at an early age, <strong>young</strong> children have a fairly<br />

sophisticated underst<str<strong>on</strong>g>and</str<strong>on</strong>g>ing <str<strong>on</strong>g>of</str<strong>on</strong>g> alcohol <str<strong>on</strong>g>and</str<strong>on</strong>g> its effects<br />

which mostly comes from observing their parents or<br />

other adult relatives (Eadie, 2010). Many children were<br />

aware <str<strong>on</strong>g>of</str<strong>on</strong>g> their parents’ <str<strong>on</strong>g>and</str<strong>on</strong>g> adult relatives’ <strong>drinking</strong><br />

habits, including their drink preferences. Children were<br />

shown to underst<str<strong>on</strong>g>and</str<strong>on</strong>g> different levels <str<strong>on</strong>g>of</str<strong>on</strong>g> intoxicati<strong>on</strong>.<br />

Girls in particular were seen to have a nuanced<br />

underst<str<strong>on</strong>g>and</str<strong>on</strong>g>ing <str<strong>on</strong>g>of</str<strong>on</strong>g> the links between alcohol use <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

different social situati<strong>on</strong>s (Eadie, 2010).<br />

For most families, alcohol was viewed not as something<br />

bad or hidden, but as a normal, unremarkable feature<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> everyday life. Many parents felt happy to drink (but<br />

not to get drunk) in fr<strong>on</strong>t <str<strong>on</strong>g>of</str<strong>on</strong>g> their children <str<strong>on</strong>g>and</str<strong>on</strong>g> wanted<br />

to teach them to drink moderately by example (Eadie,<br />

2010; Valentine, 2010).<br />

Parental <str<strong>on</strong>g>influence</str<strong>on</strong>g>s <strong>on</strong> <strong>young</strong>er children<br />

Introducing children to alcohol<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g> parents in Valentine’s study introduced their<br />

children to alcohol with an implicit belief that the home,<br />

rather than school, is a better place to learn about<br />

alcohol. This corresp<strong>on</strong>ds with Velleman’s c<strong>on</strong>cept <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

‘resp<strong>on</strong>sive parenting’ which aims to engage children in<br />

a dialogue about the nature <str<strong>on</strong>g>and</str<strong>on</strong>g> effects <str<strong>on</strong>g>of</str<strong>on</strong>g> alcohol rather<br />

than enforcing more traditi<strong>on</strong>al <str<strong>on</strong>g>family</str<strong>on</strong>g> boundaries that<br />

deny access to alcohol.<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g> survey data in Valentine’s research suggests that<br />

the dominant attitude am<strong>on</strong>g parents is that children<br />

should not be introduced to alcohol at home until their<br />

mid-teens. However, the qualitative element <str<strong>on</strong>g>of</str<strong>on</strong>g> the study<br />

suggests parents actually introduce their children to<br />

alcohol at an earlier age. Alcohol was most comm<strong>on</strong>ly<br />

introduced to children at home or at <str<strong>on</strong>g>family</str<strong>on</strong>g> celebrati<strong>on</strong>s<br />

(Valentine, 2010). This was shown to be similar to a<br />

‘c<strong>on</strong>tinental’ style whereby parents would introduce<br />

alcohol by <str<strong>on</strong>g>of</str<strong>on</strong>g>fering a sip or providing small samples <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

alcohol mixed with water or juice under c<strong>on</strong>trolled or<br />

supervised c<strong>on</strong>diti<strong>on</strong>s. <str<strong>on</strong>g>The</str<strong>on</strong>g> intenti<strong>on</strong> was to encourage<br />

children to drink resp<strong>on</strong>sibly in the future. <str<strong>on</strong>g>The</str<strong>on</strong>g>se<br />

decisi<strong>on</strong>s were taken not <strong>on</strong> the basis <str<strong>on</strong>g>of</str<strong>on</strong>g> public health<br />

messages, but parents’ own childhood experiences or<br />

pers<strong>on</strong>al beliefs (Valentine, 2010).<br />

Teaching children about alcohol<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g> research suggests that at this stage, parents mostly<br />

do a good job <str<strong>on</strong>g>of</str<strong>on</strong>g> c<strong>on</strong>veying the social pleasures <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

risks <str<strong>on</strong>g>of</str<strong>on</strong>g> <strong>drinking</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g> the message that alcohol should<br />

be c<strong>on</strong>sumed in moderati<strong>on</strong> (Eadie, 2010; Valentine,<br />

2010). <str<strong>on</strong>g>The</str<strong>on</strong>g> research indicates that parents <str<strong>on</strong>g>of</str<strong>on</strong>g> <strong>young</strong><br />

children were likely to moderate their own behaviour so<br />

as to set an example; this was particularly noticeable<br />

for mothers (Eadie, 2010). Indeed, <strong>young</strong> children<br />

anticipated modelling their future behaviour <strong>on</strong> their<br />

parents’ <strong>drinking</strong> styles, rather than <strong>on</strong> teenage <strong>drinking</strong><br />

habits (Eadie, 2010; Valentine, 2010).<br />

But, <str<strong>on</strong>g>of</str<strong>on</strong>g> course, parents are not perfect. <str<strong>on</strong>g>The</str<strong>on</strong>g>re were<br />

occasi<strong>on</strong>s where some parents drank to excess in fr<strong>on</strong>t<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> their children (for example, <strong>on</strong> holiday or at <str<strong>on</strong>g>family</str<strong>on</strong>g><br />

celebrati<strong>on</strong>s) <str<strong>on</strong>g>and</str<strong>on</strong>g> there were gaps in what children<br />

learnt from home. <str<strong>on</strong>g>The</str<strong>on</strong>g> research highlights that children<br />

are not taught to recognise the potential future health<br />

c<strong>on</strong>sequences <str<strong>on</strong>g>of</str<strong>on</strong>g> excessive <strong>drinking</strong>, with parents<br />

tending to focus <strong>on</strong> short-term c<strong>on</strong>sequences such<br />

as hangovers (Valentine, 2010). This may in part be<br />

explained by the fact that health risks do not res<strong>on</strong>ate<br />

with parents’ own experiences. Also, parents’ emphasis<br />

<strong>on</strong> learning to drink safely in the home missed the<br />

opportunity to teach children about <strong>drinking</strong> outside<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> the home <str<strong>on</strong>g>and</str<strong>on</strong>g> the impact <str<strong>on</strong>g>of</str<strong>on</strong>g> <strong>drinking</strong> behaviours <strong>on</strong><br />

others (Valentine, 2010).<br />

3


Parents did not have specific rules <strong>on</strong> <strong>drinking</strong> as other<br />

issues, such as a child’s use <str<strong>on</strong>g>of</str<strong>on</strong>g> computer games,<br />

were c<strong>on</strong>sidered more pressing, (Valentine, 2010).<br />

Parents preferred to highlight what they saw as more<br />

problematic substances, such as tobacco or illicit<br />

drugs, <str<strong>on</strong>g>and</str<strong>on</strong>g> discussi<strong>on</strong> between parents <str<strong>on</strong>g>and</str<strong>on</strong>g> children<br />

about alcohol was limited (Eadie, 2010). This absence<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> informati<strong>on</strong> was reflected in a gap in knowledge<br />

am<strong>on</strong>g children about the effects <str<strong>on</strong>g>of</str<strong>on</strong>g> excessive alcohol<br />

c<strong>on</strong>sumpti<strong>on</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g> through children c<strong>on</strong>fusing health<br />

promoti<strong>on</strong> messages about the impact <str<strong>on</strong>g>of</str<strong>on</strong>g> smoking <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

<strong>drinking</strong>.<br />

For some children, witnessing their parents’ excessive<br />

alcohol c<strong>on</strong>sumpti<strong>on</strong> actually had the potential to act<br />

as a moderator for future alcohol use (Valentine, 2010).<br />

Here, seeing a parent in a state <str<strong>on</strong>g>of</str<strong>on</strong>g> inebriati<strong>on</strong> was <str<strong>on</strong>g>of</str<strong>on</strong>g>fputting<br />

to some children <str<strong>on</strong>g>and</str<strong>on</strong>g> actually raised greater<br />

awareness <str<strong>on</strong>g>of</str<strong>on</strong>g> alcohol misuse. In additi<strong>on</strong>, there were<br />

instances when a child expressed disapproval <str<strong>on</strong>g>of</str<strong>on</strong>g> their<br />

parent’s alcohol c<strong>on</strong>sumpti<strong>on</strong> which in turn acted as a<br />

moderator for their parent’s behaviour (Eadie, 2010).<br />

What emerges from this research is a dynamic, complex<br />

series <str<strong>on</strong>g>of</str<strong>on</strong>g> interacti<strong>on</strong>s relating to alcohol, not always from<br />

parent to child but rather between parents <str<strong>on</strong>g>and</str<strong>on</strong>g> their<br />

children.<br />

Parental <str<strong>on</strong>g>influence</str<strong>on</strong>g>s as children grow up<br />

Influences outside the <str<strong>on</strong>g>family</str<strong>on</strong>g><br />

As children get older <str<strong>on</strong>g>and</str<strong>on</strong>g> socialise more with <str<strong>on</strong>g>friends</str<strong>on</strong>g>,<br />

Velleman argues that the pull <str<strong>on</strong>g>of</str<strong>on</strong>g> parental <str<strong>on</strong>g>influence</str<strong>on</strong>g><br />

becomes weaker in favour <str<strong>on</strong>g>of</str<strong>on</strong>g> other external pressures<br />

(Velleman, 2009). Although the research projects<br />

suggest that parents have a vital role in shaping their<br />

children’s alcohol c<strong>on</strong>sumpti<strong>on</strong>, there was a sense<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> pragmatism am<strong>on</strong>g parents that they would have<br />

a diminishing <str<strong>on</strong>g>influence</str<strong>on</strong>g> as their children grew up at<br />

the expense <str<strong>on</strong>g>of</str<strong>on</strong>g> other external factors such as their<br />

children’s <str<strong>on</strong>g>friends</str<strong>on</strong>g>hip networks (Eadie, 2010; Valentine,<br />

2010).<br />

Percy describes an ‘implicit c<strong>on</strong>tract’ between<br />

<strong>young</strong> people <str<strong>on</strong>g>and</str<strong>on</strong>g> parents <strong>on</strong>ce alcohol begins to<br />

be c<strong>on</strong>sumed outside the <str<strong>on</strong>g>family</str<strong>on</strong>g> home. In return for<br />

parents’ tacit acceptance <str<strong>on</strong>g>of</str<strong>on</strong>g> alcohol c<strong>on</strong>sumpti<strong>on</strong>,<br />

<strong>young</strong> people would deploy strategies aimed at<br />

ensuring that their parents did not see them drunk.<br />

One strategy was for <strong>young</strong> people to drink earlier to<br />

achieve the desired level <str<strong>on</strong>g>of</str<strong>on</strong>g> intoxicati<strong>on</strong> but also to allow<br />

time at the end <str<strong>on</strong>g>of</str<strong>on</strong>g> the evening to sober up so as not to<br />

come home drunk (Percy, forthcoming).<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g>re are mixed findings about the effectiveness <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

parenting strategies in this c<strong>on</strong>text. Research by Ipsos<br />

MORI (forthcoming) suggests that <strong>young</strong> people who<br />

have more supervisi<strong>on</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g> m<strong>on</strong>itoring by a parent (for<br />

example, parents know where their children are <strong>on</strong><br />

a Saturday night) <str<strong>on</strong>g>and</str<strong>on</strong>g> have a parent (or older sibling)<br />

who drinks moderately in fr<strong>on</strong>t <str<strong>on</strong>g>of</str<strong>on</strong>g> them (rather than to<br />

excess) are at a reduced risk <str<strong>on</strong>g>of</str<strong>on</strong>g> <strong>drinking</strong> to excess.<br />

However, Percy’s research found that parental attempts<br />

to restrict their teenager’s c<strong>on</strong>tact with alcohol are <str<strong>on</strong>g>of</str<strong>on</strong>g>ten<br />

circumvented <str<strong>on</strong>g>and</str<strong>on</strong>g> rarely lead to a reducti<strong>on</strong> in <strong>drinking</strong><br />

(Percy, forthcoming). In some situati<strong>on</strong>s parental acti<strong>on</strong>s<br />

actually increase the risk <str<strong>on</strong>g>of</str<strong>on</strong>g> <strong>young</strong> people getting too<br />

drunk. When parents provided <strong>young</strong> people with<br />

limited alcohol within the home, this <str<strong>on</strong>g>of</str<strong>on</strong>g>ten occurred<br />

without them being aware that the <strong>young</strong> pers<strong>on</strong> was<br />

already <strong>drinking</strong> outside the home. Here, parents are<br />

facilitating an increase in c<strong>on</strong>sumpti<strong>on</strong> through providing<br />

additi<strong>on</strong>al alcohol.<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g>re is evidence <str<strong>on</strong>g>of</str<strong>on</strong>g> the <strong>on</strong>going <str<strong>on</strong>g>influence</str<strong>on</strong>g> <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>family</str<strong>on</strong>g> as<br />

<strong>young</strong> people get older. Seaman’s research with <strong>young</strong><br />

adults indicated that when <strong>drinking</strong> with their parents<br />

or in a <str<strong>on</strong>g>family</str<strong>on</strong>g> c<strong>on</strong>text, <strong>young</strong> people tended to drink<br />

more moderately than with their peers (Seaman, 2010).<br />

Here, parents are helping to establish ideas around the<br />

c<strong>on</strong>textual appropriateness for different <strong>drinking</strong> styles.<br />

Indeed, it appeared it was witnessing examples <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

moderati<strong>on</strong> that <str<strong>on</strong>g>influence</str<strong>on</strong>g>d <strong>young</strong> people, rather than<br />

whether or not parents had introduced them to alcohol<br />

in the home.<br />

Drawing <strong>on</strong> their own experiences, parents accepted<br />

the future erosi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> natural authority with their children.<br />

Underpinning this was a sense that parents felt<br />

overwhelmed by the volume <str<strong>on</strong>g>of</str<strong>on</strong>g> external pressures that<br />

they felt were being placed <strong>on</strong> their children through, for<br />

example, pervasive alcohol advertising (Eadie, 2010).<br />

Parenting strategies<br />

Parents were increasingly shown to develop an<br />

‘individualised strategy’ (Valentine, 2010) to equip their<br />

children to manage their own alcohol c<strong>on</strong>sumpti<strong>on</strong>.<br />

Broad public health messages aimed at reducing<br />

c<strong>on</strong>sumpti<strong>on</strong> levels did not seem to res<strong>on</strong>ate with<br />

parents who were required to adapt their strategies in<br />

resp<strong>on</strong>se to a range <str<strong>on</strong>g>of</str<strong>on</strong>g> increasingly complex factors.<br />

4


Drinking with <str<strong>on</strong>g>friends</str<strong>on</strong>g><br />

A ‘culture <str<strong>on</strong>g>of</str<strong>on</strong>g> intoxicati<strong>on</strong>’<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g> research projects found that both teenagers <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

<strong>young</strong> adults navigate a ‘culture <str<strong>on</strong>g>of</str<strong>on</strong>g> intoxicati<strong>on</strong>’ (Percy,<br />

forthcoming; Seaman, 2010). When <strong>drinking</strong> with<br />

<str<strong>on</strong>g>friends</str<strong>on</strong>g>, <strong>young</strong> people are <strong>drinking</strong> to get drunk. Many<br />

(although not all) <str<strong>on</strong>g>friends</str<strong>on</strong>g>hip groups actively pursue<br />

drunkenness. Here <strong>young</strong> people described excessive<br />

<strong>drinking</strong> as <strong>on</strong>e <str<strong>on</strong>g>of</str<strong>on</strong>g> the few occasi<strong>on</strong>s in their lives<br />

for relaxing, having fun <str<strong>on</strong>g>and</str<strong>on</strong>g> making <str<strong>on</strong>g>and</str<strong>on</strong>g> maintaining<br />

<str<strong>on</strong>g>friends</str<strong>on</strong>g>hips. Young people found it hard to imagine ways<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> spending time with their <str<strong>on</strong>g>friends</str<strong>on</strong>g> without <strong>drinking</strong><br />

(Seaman, 2010). Research into <str<strong>on</strong>g>friends</str<strong>on</strong>g>hip networks<br />

am<strong>on</strong>g <strong>young</strong> people under the legal <strong>drinking</strong> age<br />

showed that increased alcohol c<strong>on</strong>sumpti<strong>on</strong> was<br />

shown to c<strong>on</strong>fer a degree <str<strong>on</strong>g>of</str<strong>on</strong>g> social st<str<strong>on</strong>g>and</str<strong>on</strong>g>ing am<strong>on</strong>g<br />

some groups <str<strong>on</strong>g>of</str<strong>on</strong>g> <strong>young</strong> people (Percy, forthcoming).<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g> survey findings from Ipsos Mori indicate that the<br />

perceived <strong>drinking</strong> behaviour <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>friends</str<strong>on</strong>g> was a key factor<br />

in <strong>young</strong> people’s <strong>drinking</strong> habits. For example, <strong>young</strong><br />

people were much more likely to admit <strong>drinking</strong> in the<br />

last week if most (as opposed to some or a few) <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

their <str<strong>on</strong>g>friends</str<strong>on</strong>g> did too. <str<strong>on</strong>g>The</str<strong>on</strong>g> amount c<strong>on</strong>sumed (in terms<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> volume per <strong>drinking</strong> sessi<strong>on</strong>) was also shown to be<br />

associated; the more their <str<strong>on</strong>g>friends</str<strong>on</strong>g> drank, the more a<br />

<strong>young</strong> pers<strong>on</strong> admitted <strong>drinking</strong>.<br />

Although <strong>young</strong> people were <strong>drinking</strong> to get drunk,<br />

simplistic portrayals <str<strong>on</strong>g>of</str<strong>on</strong>g> this as ‘out <str<strong>on</strong>g>of</str<strong>on</strong>g> c<strong>on</strong>trol binge<br />

<strong>drinking</strong>’ do not appear to reflect the reality <str<strong>on</strong>g>of</str<strong>on</strong>g> <strong>young</strong><br />

people’s <strong>drinking</strong> behaviour. <str<strong>on</strong>g>The</str<strong>on</strong>g>y rarely set out to drink<br />

so much that they are sick, lose c<strong>on</strong>trol or pass out.<br />

In fact, there is c<strong>on</strong>siderable stigma associated with<br />

getting too drunk, with <strong>young</strong> drinkers in particular<br />

placing c<strong>on</strong>siderable emphasis <strong>on</strong> being able to c<strong>on</strong>trol<br />

their <strong>drinking</strong> (Percy, forthcoming).<br />

Most <strong>young</strong> people were not c<strong>on</strong>cerned about their<br />

levels <str<strong>on</strong>g>of</str<strong>on</strong>g> c<strong>on</strong>sumpti<strong>on</strong>. <str<strong>on</strong>g>The</str<strong>on</strong>g>y saw <strong>young</strong> adulthood as<br />

a safe period for regular heaving <strong>drinking</strong> – a time <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

independence without resp<strong>on</strong>sibilities. Young people<br />

perceived their current style <str<strong>on</strong>g>of</str<strong>on</strong>g> <strong>drinking</strong> as temporary,<br />

believing that they would drink more moderately when<br />

they reached full adulthood <str<strong>on</strong>g>and</str<strong>on</strong>g> took <strong>on</strong> resp<strong>on</strong>sibilities<br />

such as getting a job or starting a <str<strong>on</strong>g>family</str<strong>on</strong>g>. (Seaman,<br />

2010; Percy, forthcoming).<br />

Managing c<strong>on</strong>sumpti<strong>on</strong><br />

Drinking culture is not static; it evolves over time as<br />

<strong>young</strong> people become more experienced c<strong>on</strong>sumers<br />

(Percy, forthcoming). Friendship groups develop their<br />

own <strong>drinking</strong> cultures, habits <str<strong>on</strong>g>and</str<strong>on</strong>g> customs. <str<strong>on</strong>g>The</str<strong>on</strong>g>se<br />

customs cover what they drink, how much they drink,<br />

where they drink <str<strong>on</strong>g>and</str<strong>on</strong>g> their intended level <str<strong>on</strong>g>of</str<strong>on</strong>g> intoxicati<strong>on</strong>.<br />

Whilst most <strong>young</strong> people would pursue drunkenness,<br />

the level <str<strong>on</strong>g>of</str<strong>on</strong>g> intoxicati<strong>on</strong> that was acceptable within<br />

the group did vary across <str<strong>on</strong>g>friends</str<strong>on</strong>g>hip groups (Percy,<br />

forthcoming). Groups also develop strategies to regulate<br />

their <strong>drinking</strong> upwards (if they are not drunk enough) or<br />

downwards (if they are getting too drunk).<br />

Teenagers strive to develop <strong>drinking</strong> expertise, the<br />

ability to c<strong>on</strong>trol their level <str<strong>on</strong>g>of</str<strong>on</strong>g> intoxicati<strong>on</strong>. When<br />

attempting to manage their c<strong>on</strong>sumpti<strong>on</strong>, <strong>young</strong><br />

drinkers walk what Percy describes as an ‘intoxicati<strong>on</strong><br />

tightrope’ – trying to balance the desire to get<br />

sufficiently drunk <str<strong>on</strong>g>and</str<strong>on</strong>g> have a good time, with their ability<br />

to sober up before going home to their parents.<br />

Over time, most teenagers appear to develop a<br />

degree <str<strong>on</strong>g>of</str<strong>on</strong>g> self-c<strong>on</strong>trol over their alcohol c<strong>on</strong>sumpti<strong>on</strong>.<br />

However, this is gained through trial <str<strong>on</strong>g>and</str<strong>on</strong>g> error, with<br />

mistakes occurring al<strong>on</strong>g the way. Teenage drinkers<br />

are particularly vulnerable when they change the social<br />

c<strong>on</strong>text in which they drink alcohol, for example when<br />

they move from <strong>drinking</strong> <strong>on</strong> the street to <strong>drinking</strong> in<br />

pubs <str<strong>on</strong>g>and</str<strong>on</strong>g> clubs, or when they go <strong>on</strong> holiday without<br />

their parents for the first time. Here their established<br />

<strong>drinking</strong> culture fails to protect them in the new social<br />

situati<strong>on</strong> (Percy, forthcoming).<br />

‘Pre-loading’ was <strong>on</strong>e way in which <strong>young</strong> adults<br />

managed their alcohol intake. Here, alcohol would<br />

be c<strong>on</strong>sumed at home prior to going out (Seaman,<br />

2010). This might include a friend’s home where alcohol<br />

would be cheaply c<strong>on</strong>sumed to the requisite level <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

intoxicati<strong>on</strong> before going out for the evening. Pubs <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

clubs were <str<strong>on</strong>g>of</str<strong>on</strong>g>ten seen as an expensive night out <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

staying in for a period <str<strong>on</strong>g>of</str<strong>on</strong>g> time prior to going out was<br />

seen to <str<strong>on</strong>g>of</str<strong>on</strong>g>fer a more cost-efficient opti<strong>on</strong> (Seaman,<br />

2010). Yet as Seaman <str<strong>on</strong>g>and</str<strong>on</strong>g> colleagues persuasively<br />

argue, ‘seeing domestic <strong>drinking</strong> as exclusively<br />

ec<strong>on</strong>omically motivated misses the point <str<strong>on</strong>g>of</str<strong>on</strong>g> why <strong>young</strong><br />

people choose to socialise in the first place’. In this<br />

c<strong>on</strong>text, ‘pre-loading’ provides a social functi<strong>on</strong>, namely<br />

socialising with <str<strong>on</strong>g>friends</str<strong>on</strong>g> <str<strong>on</strong>g>and</str<strong>on</strong>g> peers in a more c<strong>on</strong>vivial<br />

envir<strong>on</strong>ment than can be achieved within a bar or club.<br />

5


Price <str<strong>on</strong>g>and</str<strong>on</strong>g> the <strong>drinking</strong> envir<strong>on</strong>ment<br />

In deciding how much to drink, the m<strong>on</strong>ey <strong>young</strong><br />

people were able to spend was more likely than other<br />

factors to curtail how much they drank; they did not<br />

set limits based <strong>on</strong> alcohol units or health or pers<strong>on</strong>al<br />

risks (Percy, forthcoming; Seaman, 2010). One way <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

trying to limit c<strong>on</strong>sumpti<strong>on</strong> was to <strong>on</strong>ly take a restricted<br />

amount <str<strong>on</strong>g>of</str<strong>on</strong>g> m<strong>on</strong>ey <strong>on</strong> a night out – although the cheap<br />

alcohol <str<strong>on</strong>g>of</str<strong>on</strong>g>fers in bars <str<strong>on</strong>g>and</str<strong>on</strong>g> clubs could undermine that<br />

strategy.<br />

On this basis, price could be seen as a more effective<br />

indicator (that ‘makes sense’ to <strong>young</strong> people – quoted<br />

from Seaman, 2010) <str<strong>on</strong>g>of</str<strong>on</strong>g> c<strong>on</strong>sumpti<strong>on</strong> levels than units<br />

<str<strong>on</strong>g>and</str<strong>on</strong>g> therefore could act as a potential moderator <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

alcohol use. <str<strong>on</strong>g>The</str<strong>on</strong>g>re were some (usually those that were<br />

already doing so) who said that if they were priced out<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> alcohol c<strong>on</strong>sumpti<strong>on</strong>, they might seek intoxicati<strong>on</strong><br />

through black market alcohol or other illegal drugs.<br />

Others said that they would find ways to c<strong>on</strong>sume<br />

alcohol whatever the price, for example by changing to<br />

cheaper br<str<strong>on</strong>g>and</str<strong>on</strong>g>s (Percy, forthcoming; Seaman, 2010).<br />

Seaman’s research found that <strong>young</strong> people matched<br />

their <strong>drinking</strong> to the norms <str<strong>on</strong>g>of</str<strong>on</strong>g> a given situati<strong>on</strong>. Bars<br />

<str<strong>on</strong>g>and</str<strong>on</strong>g> clubs aimed at <strong>young</strong> adults <str<strong>on</strong>g>of</str<strong>on</strong>g>ten encouraged or<br />

exaggerated an excessive <strong>drinking</strong> culture, especially<br />

when drinks were cheap <str<strong>on</strong>g>and</str<strong>on</strong>g> it was st<str<strong>on</strong>g>and</str<strong>on</strong>g>ing room<br />

<strong>on</strong>ly. When <strong>drinking</strong> with their <str<strong>on</strong>g>family</str<strong>on</strong>g> or with mixed age<br />

groups, <strong>young</strong> people tended to moderate their alcohol<br />

c<strong>on</strong>sumpti<strong>on</strong> (Percy, forthcoming; Seaman, 2010).<br />

However, the social worlds <str<strong>on</strong>g>of</str<strong>on</strong>g> <strong>young</strong> people <str<strong>on</strong>g>and</str<strong>on</strong>g> adults<br />

were largely separate, limiting <strong>young</strong> people’s exposure<br />

to a variety <str<strong>on</strong>g>of</str<strong>on</strong>g> attitudes to alcohol <str<strong>on</strong>g>and</str<strong>on</strong>g> different, more<br />

moderate, <strong>drinking</strong> styles.<br />

Socio-ec<strong>on</strong>omic factors<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g>re were many comm<strong>on</strong>alities across socioec<strong>on</strong>omic<br />

groups; including parents’ belief that home<br />

was the best place to introduce children to alcohol,<br />

parental acceptance <str<strong>on</strong>g>of</str<strong>on</strong>g> the perceived inevitability <str<strong>on</strong>g>of</str<strong>on</strong>g> their<br />

children’s future experimentati<strong>on</strong> with excessive alcohol<br />

use, <str<strong>on</strong>g>and</str<strong>on</strong>g> <strong>young</strong> people claiming relatively easy access<br />

to alcohol. Although the samples used in the research<br />

were relatively small, it was possible to dem<strong>on</strong>strate a<br />

complex interacti<strong>on</strong> between alcohol c<strong>on</strong>sumpti<strong>on</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

wider social-ec<strong>on</strong>omic factors.<br />

One difference was the way children were socialised<br />

to alcohol both at home <str<strong>on</strong>g>and</str<strong>on</strong>g> in the wider community.<br />

Children from affluent areas were more likely to be<br />

exposed to alcohol at mealtimes <str<strong>on</strong>g>and</str<strong>on</strong>g> less likely than<br />

children from deprived areas to be involved in <str<strong>on</strong>g>family</str<strong>on</strong>g><br />

celebrati<strong>on</strong>s where alcohol was c<strong>on</strong>sumed <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

to witness drunkenness in the home or the wider<br />

community (Eadie, 2010). Parents from less affluent<br />

areas were aware <str<strong>on</strong>g>of</str<strong>on</strong>g> this dilemma; some felt acutely the<br />

danger <str<strong>on</strong>g>of</str<strong>on</strong>g> being stigmatised as a ‘bad parent’. However,<br />

the research does not provide evidence that there was<br />

less alcohol c<strong>on</strong>sumpti<strong>on</strong> in affluent areas, but rather<br />

suggests that it was more hidden.<br />

When looking at <strong>young</strong> adults, Seaman’s research<br />

c<strong>on</strong>cludes that the potential for alcohol-related harm<br />

is not the same across all groups. For those <strong>young</strong><br />

people with fewer socio-ec<strong>on</strong>omic resources excessive<br />

c<strong>on</strong>sumpti<strong>on</strong> was more likely to be in private houses<br />

or public spaces (streets or parks) where they were at<br />

greater risk <str<strong>on</strong>g>of</str<strong>on</strong>g> alcohol-related violence. Those who find<br />

it difficult to attain aspects <str<strong>on</strong>g>of</str<strong>on</strong>g> full adulthood, such as a<br />

steady job or independent housing, had more difficulty<br />

imagining their excessive <strong>drinking</strong> style changing in the<br />

future.<br />

6


Implicati<strong>on</strong>s for policy <str<strong>on</strong>g>and</str<strong>on</strong>g> practice<br />

This research indicates that parents <str<strong>on</strong>g>and</str<strong>on</strong>g> <strong>young</strong> people<br />

are sophisticated c<strong>on</strong>sumers <str<strong>on</strong>g>of</str<strong>on</strong>g> alcohol <str<strong>on</strong>g>and</str<strong>on</strong>g> that any<br />

public health messages need to reflect the complexities<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> alcohol c<strong>on</strong>sumpti<strong>on</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g> the dynamic transmissi<strong>on</strong><br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> informati<strong>on</strong> between parents <str<strong>on</strong>g>and</str<strong>on</strong>g> their children.<br />

Simple, didactic public health messages did not have<br />

much res<strong>on</strong>ance with the parents <str<strong>on</strong>g>and</str<strong>on</strong>g> <strong>young</strong> people in<br />

these studies because such messages did not appear<br />

to be grounded in the reality <str<strong>on</strong>g>of</str<strong>on</strong>g> their alcohol use.<br />

Parental advice <str<strong>on</strong>g>and</str<strong>on</strong>g> guidance<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g> research presents parents as important brokers <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

informati<strong>on</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g> <str<strong>on</strong>g>family</str<strong>on</strong>g> life as complex set <str<strong>on</strong>g>of</str<strong>on</strong>g> interacti<strong>on</strong>s<br />

between parents <str<strong>on</strong>g>and</str<strong>on</strong>g> children. Furthermore, for most,<br />

<strong>drinking</strong> was seen as a normal, unremarkable feature<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> everyday life. As a result, simple health messages<br />

did not have much meaning for parents. This suggests<br />

that any advice or guidance for parents needs to be<br />

grounded in the reality <str<strong>on</strong>g>of</str<strong>on</strong>g> alcohol use <str<strong>on</strong>g>and</str<strong>on</strong>g> the different<br />

approaches <str<strong>on</strong>g>of</str<strong>on</strong>g> individual parents. Clearly, public health<br />

messages which advocate an alcohol-free childhood<br />

do not reflect the variety <str<strong>on</strong>g>of</str<strong>on</strong>g> strategies <str<strong>on</strong>g>and</str<strong>on</strong>g> approaches<br />

used by parents who attempt to guide their children<br />

towards acceptable alcohol c<strong>on</strong>sumpti<strong>on</strong> in a safe,<br />

c<strong>on</strong>trolled envir<strong>on</strong>ment. Advice to parents which ignores<br />

their current practices may lack credibility <str<strong>on</strong>g>and</str<strong>on</strong>g> be more<br />

likely to be rejected or ignored.<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g> research highlights that <strong>drinking</strong> is a dynamic<br />

phenomen<strong>on</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g> that parents need advice which is<br />

age-appropriate. <str<strong>on</strong>g>The</str<strong>on</strong>g> fairly sophisticated underst<str<strong>on</strong>g>and</str<strong>on</strong>g>ing<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> alcohol <str<strong>on</strong>g>and</str<strong>on</strong>g> its effects am<strong>on</strong>gst <strong>young</strong> children in the<br />

studies suggests the importance <str<strong>on</strong>g>of</str<strong>on</strong>g> parenting strategies<br />

relating to alcohol from a <strong>young</strong> age. Also at this age<br />

children appear to be receptive to parental advice<br />

<str<strong>on</strong>g>and</str<strong>on</strong>g> guidance, which diminishes in teenage years. For<br />

older children, parents may need to c<strong>on</strong>sider that their<br />

children are c<strong>on</strong>suming alcohol outside <str<strong>on</strong>g>of</str<strong>on</strong>g> the home<br />

much earlier than they anticipated.<br />

Harm reducti<strong>on</strong> approaches for <strong>young</strong> people<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g> findings <str<strong>on</strong>g>of</str<strong>on</strong>g> the JRF research projects indicate<br />

that any interventi<strong>on</strong>s which aim to reduce alcoholrelated<br />

harm am<strong>on</strong>g <strong>young</strong> people need to c<strong>on</strong>sider<br />

how <strong>young</strong> people make decisi<strong>on</strong>s around alcohol<br />

c<strong>on</strong>sumpti<strong>on</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g> the strategies that <strong>young</strong><br />

people themselves already use to try <str<strong>on</strong>g>and</str<strong>on</strong>g> manage<br />

c<strong>on</strong>sumpti<strong>on</strong>.<br />

Underst<str<strong>on</strong>g>and</str<strong>on</strong>g>ing <strong>young</strong> people’s decisi<strong>on</strong>-making around<br />

alcohol<br />

Young people’s decisi<strong>on</strong>-making around alcohol is<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g>ten based <strong>on</strong> c<strong>on</strong>textual criteria (who they were with,<br />

where they were <strong>drinking</strong>). Furthermore, <strong>drinking</strong> is<br />

almost entirely a social activity – <strong>young</strong> people did not<br />

drink al<strong>on</strong>e. <str<strong>on</strong>g>The</str<strong>on</strong>g>refore harm reducti<strong>on</strong> approaches that<br />

focus <strong>on</strong> individual decisi<strong>on</strong>-making (say in relati<strong>on</strong> to<br />

health or pers<strong>on</strong>al risks) do not appear robust enough<br />

to limit c<strong>on</strong>sumpti<strong>on</strong> in <str<strong>on</strong>g>friends</str<strong>on</strong>g>hip group settings <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

<strong>on</strong>ce intoxicati<strong>on</strong> has been reached. Advice <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

interventi<strong>on</strong>s which aim to enable <strong>young</strong> people to<br />

manage group <strong>drinking</strong> situati<strong>on</strong>s as well as their own<br />

c<strong>on</strong>sumpti<strong>on</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g> alcohol-related behaviours may be<br />

more appropriate.<br />

Developing strategies for <strong>young</strong> drinkers<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g> research findings suggest that alcohol interventi<strong>on</strong>s<br />

targeted at <strong>young</strong> teenagers which aim to prevent<br />

or delay initiati<strong>on</strong> into alcohol use, do not take into<br />

c<strong>on</strong>siderati<strong>on</strong> that <strong>young</strong> people may start <strong>drinking</strong> at a<br />

much earlier age than anticipated.<br />

Teenagers do engage in risky behaviours when drunk<br />

<str<strong>on</strong>g>and</str<strong>on</strong>g> although many do learn to moderate their alcohol<br />

c<strong>on</strong>sumpti<strong>on</strong> as they get older this learning is gained<br />

through trial <str<strong>on</strong>g>and</str<strong>on</strong>g> error, in the company <str<strong>on</strong>g>of</str<strong>on</strong>g> other <strong>young</strong><br />

people trying to get drunk but not caught, <str<strong>on</strong>g>and</str<strong>on</strong>g> without<br />

any real adult input. Also, the strategies used by<br />

teenagers to c<strong>on</strong>trol their <strong>drinking</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g> intoxicati<strong>on</strong><br />

are relatively simplistic, pr<strong>on</strong>e to failure <str<strong>on</strong>g>and</str<strong>on</strong>g> <str<strong>on</strong>g>of</str<strong>on</strong>g> little<br />

use if the c<strong>on</strong>text changes. This suggests a need for<br />

the development <str<strong>on</strong>g>of</str<strong>on</strong>g> more pragmatic interventi<strong>on</strong>s<br />

for underage drinkers that are focused <strong>on</strong> reducing<br />

the acute risks associated with their <strong>drinking</strong>. <str<strong>on</strong>g>The</str<strong>on</strong>g>se<br />

interventi<strong>on</strong>s could attempt to teach <strong>young</strong> drinkers<br />

better strategies <str<strong>on</strong>g>and</str<strong>on</strong>g> techniques to c<strong>on</strong>trol <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

regulate their c<strong>on</strong>sumpti<strong>on</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g> to reduce instances <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

excessive.<br />

Price as a moderator <str<strong>on</strong>g>of</str<strong>on</strong>g> c<strong>on</strong>sumpti<strong>on</strong><br />

Price is already <strong>on</strong>e measure by which <strong>young</strong> people<br />

m<strong>on</strong>itor their alcohol c<strong>on</strong>sumpti<strong>on</strong>. This suggests that<br />

increasing the minimum price <str<strong>on</strong>g>of</str<strong>on</strong>g> alcohol, or at least<br />

banning low-cost alcohol <str<strong>on</strong>g>and</str<strong>on</strong>g> discounted alcohol<br />

promoti<strong>on</strong>s, is more likely to curtail <strong>drinking</strong> than<br />

approaches focused <strong>on</strong> the health c<strong>on</strong>sequences <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

<strong>drinking</strong> or <strong>on</strong> counting units. However, it is important<br />

to note that manipulating price may not be sufficient<br />

to remove <strong>young</strong> people’s motivati<strong>on</strong> for excessive<br />

<strong>drinking</strong> with <str<strong>on</strong>g>friends</str<strong>on</strong>g>. Furthermore, if priced out <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

alcohol c<strong>on</strong>sumpti<strong>on</strong>, some <strong>young</strong> people may choose<br />

to substitute alcohol with black market alcohol or other<br />

drugs.<br />

7


Alternative social spaces<br />

C<strong>on</strong>trolling the price <str<strong>on</strong>g>and</str<strong>on</strong>g> availability <str<strong>on</strong>g>of</str<strong>on</strong>g> alcohol should<br />

limit the amount drunk <strong>on</strong> <strong>on</strong>e night out, but it fails to<br />

tackle the cultural issue, namely that socialising has<br />

become syn<strong>on</strong>ymous with <strong>drinking</strong> for <strong>young</strong> adults in<br />

the UK. If <strong>young</strong> people are <strong>drinking</strong> to excess in order<br />

to participate <str<strong>on</strong>g>and</str<strong>on</strong>g> bel<strong>on</strong>g, then there is an impetus<br />

to create more appealing, alternative social spaces<br />

for them to relax, have fun <str<strong>on</strong>g>and</str<strong>on</strong>g> socialise with <str<strong>on</strong>g>friends</str<strong>on</strong>g>.<br />

Based <strong>on</strong> the findings <str<strong>on</strong>g>of</str<strong>on</strong>g> this research, this would need<br />

to move away from the idea <str<strong>on</strong>g>of</str<strong>on</strong>g> trying to ‘divert’ <strong>young</strong><br />

people from <strong>drinking</strong> but to try <str<strong>on</strong>g>and</str<strong>on</strong>g> address what is<br />

seen by <strong>young</strong> people as ‘missing’ <str<strong>on</strong>g>and</str<strong>on</strong>g> which can <strong>on</strong>ly<br />

been found through excessive c<strong>on</strong>sumpti<strong>on</strong>. Given the<br />

success <str<strong>on</strong>g>of</str<strong>on</strong>g> youth-orientated clubs <str<strong>on</strong>g>and</str<strong>on</strong>g> bars, this trend<br />

may be hard to reverse.<br />

About this paper<br />

This paper was written by Arun S<strong>on</strong>dhi, independent<br />

c<strong>on</strong>sultant, <str<strong>on</strong>g>and</str<strong>on</strong>g> Claire Turner, manager <str<strong>on</strong>g>of</str<strong>on</strong>g> the JRF<br />

Alcohol Programme, with support from Betsy Thom,<br />

Middlesex University.<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g> research<br />

All the reports are published by JRF <str<strong>on</strong>g>and</str<strong>on</strong>g> are available<br />

for free download <strong>on</strong> publicati<strong>on</strong> from www.jrf.org.uk.<br />

Eadie D., MacAskill S., Brooks O., Heim D., Forsyth A.,<br />

<str<strong>on</strong>g>and</str<strong>on</strong>g> Punch S. (2010) Pre-teens learning about alcohol:<br />

Drinking <str<strong>on</strong>g>and</str<strong>on</strong>g> <str<strong>on</strong>g>family</str<strong>on</strong>g> c<strong>on</strong>texts<br />

Ipsos Mori (forthcoming 2011), Multiple domains<br />

research <strong>on</strong> <strong>drinking</strong> cultures: predicting a <strong>young</strong><br />

pers<strong>on</strong>’s behaviour with alcohol<br />

Percy A., Wils<strong>on</strong> J., McCartan C. <str<strong>on</strong>g>and</str<strong>on</strong>g> McCrystal P.<br />

(forthcoming, February 2011) Teenage <strong>drinking</strong> cultures<br />

Seaman P. <str<strong>on</strong>g>and</str<strong>on</strong>g> Ikegwu<strong>on</strong>u T. (2010) Drinking to bel<strong>on</strong>g:<br />

Underst<str<strong>on</strong>g>and</str<strong>on</strong>g>ing <strong>young</strong> adults’ alcohol use within social<br />

networks<br />

Valentine G., Jayne M., Gould M. <str<strong>on</strong>g>and</str<strong>on</strong>g> Keenan J. (2010)<br />

Family life <str<strong>on</strong>g>and</str<strong>on</strong>g> alcohol c<strong>on</strong>sumpti<strong>on</strong>: A study <str<strong>on</strong>g>of</str<strong>on</strong>g> the<br />

transmissi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> <strong>drinking</strong> practices<br />

Velleman, R. (2009) Children, <strong>young</strong> people <str<strong>on</strong>g>and</str<strong>on</strong>g> alcohol:<br />

How they learn <str<strong>on</strong>g>and</str<strong>on</strong>g> how to prevent excessive use<br />

Published by the Joseph Rowntree Foundati<strong>on</strong>, <str<strong>on</strong>g>The</str<strong>on</strong>g> Homestead,<br />

40 Water End, York YO30 6WP. This project is part <str<strong>on</strong>g>of</str<strong>on</strong>g> the JRF’s research<br />

<str<strong>on</strong>g>and</str<strong>on</strong>g> development programme. <str<strong>on</strong>g>The</str<strong>on</strong>g>se findings, however, are those <str<strong>on</strong>g>of</str<strong>on</strong>g> the<br />

authors <str<strong>on</strong>g>and</str<strong>on</strong>g> not necessarily those <str<strong>on</strong>g>of</str<strong>on</strong>g> the Foundati<strong>on</strong>.<br />

ISSN 0958-3084 ISBN 978 1 85935 820 7<br />

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