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Open AccessArticle

Do Drinking Motives Mediate the Relationship between Neighborhood Characteristics and Alcohol Use among Adolescents?

by Gina Martin 1,2,3,*, Joanna Inchley 1,4 and Candace Currie 1
1
Child and Adolescent Health Research Unit, School of Medicine, University of St Andrews, St Andrews KY16 9TF, UK
2
Human Environments Analysis Laboratory, Western University, London, ON N6A 3K7, Canada
3
Department of Geography, Western University, London, ON N6A 3K7, Canada
4
MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow G2 3AX, UK
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(5), 853; https://doi.org/10.3390/ijerph16050853
Received: 3 February 2019 / Revised: 3 March 2019 / Accepted: 4 March 2019 / Published: 8 March 2019
(This article belongs to the Special Issue Advanced Inequalities in Child and Adolescent Health and Well-being)
Adolescents not only vary in their alcohol use behavior but also in their motivations for drinking. Young people living in different neighborhoods may drink for different reasons. The aims of this study were to determine if neighborhood characteristics were associated with adolescent drinking motives, and whether drinking motives mediate the relationship between neighborhood context and regular alcohol use. Data from the Scottish Health Behaviours in School-aged Children 2010 survey of students in their 4th year of secondary school were used. The study included 1119 participants who had data on neighborhood characteristics and had used alcohol in the past year. Students were asked questions about the local area where they lived, their alcohol use, and their motives for drinking alcohol, based on the Drinking Motives Questionnaire Revised Short Form (DMQR-SF). Multilevel multivariable models and structural equation models were used in this study. Coping motives showed significant variation across neighborhoods. Structural equation models showed coping motives mediated the relationships between neighborhood deprivation, living in an accessible small-town, and neighborhood-level disorder with regular alcohol use. Public health policies that improve neighborhood conditions and develop adaptive strategies, aimed at improving alcohol-free methods for young people to cope better with life’s stresses, may be particularly effective in reducing inequalities in adolescent alcohol use if targeted at small towns and areas of increased deprivation. View Full-Text
Keywords: neighborhood; deprivation; drinking motives; adolescence; mediation, multilevel; urban; rural; social cohesion; disorder neighborhood; deprivation; drinking motives; adolescence; mediation, multilevel; urban; rural; social cohesion; disorder
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Martin, G.; Inchley, J.; Currie, C. Do Drinking Motives Mediate the Relationship between Neighborhood Characteristics and Alcohol Use among Adolescents? Int. J. Environ. Res. Public Health 2019, 16, 853.

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