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dc.contributor.authorHanewinkel, Reineren_UK
dc.contributor.authorSargent, James Den_UK
dc.contributor.authorHunt, Kateen_UK
dc.contributor.authorSweeting, Helenen_UK
dc.contributor.authorEngels, Rutgeren_UK
dc.contributor.authorScholte, Ronen_UK
dc.contributor.authorMathis, Federicaen_UK
dc.contributor.authorFlorek, Ewaen_UK
dc.contributor.authorMorgenstern, Matthisen_UK
dc.description.abstractObjectives: To investigate the hypothesis that exposure to alcohol consumption in movies affects the likelihood that low-risk adolescents will start to drink alcohol.  Methods: Longitudinal study of 2346 adolescent never drinkers who also reported at baseline intent to not to do so in the next 12 months (mean age 12.9 years, SD = 1.08). Recruitment was carried out in 2009 and 2010 in 112 state-funded schools in Germany, Iceland, Italy, Netherlands, Poland, and Scotland. Exposure to movie alcohol consumption was estimated from 250 top-grossing movies in each country in the years 2004 to 2009. Multilevel mixed-effects Poisson regressions assessed the relationship between baseline exposure to movie alcohol consumption and initiation of trying alcohol, and binge drinking (≥ 5 consecutive drinks) at follow-up.  Results: Overall, 40% of the sample initiated alcohol use and 6% initiated binge drinking by follow-up. Estimated mean exposure to movie alcohol consumption was 3653 (SD = 2448) occurrences. After age, gender, family affluence, school performance, TV screen time, personality characteristics, and drinking behavior of peers, parents, and siblings were controlled for, exposure to each additional 1000 movie alcohol occurrences was significantly associated with increased relative risk for trying alcohol, incidence rate ratio = 1.05 (95% confidence interval, 1.02-1.08; P = .003), and for binge drinking, incidence rate ratio = 1.13 (95% confidence interval, 1.06-1.20; P < .001).  Cconclusions: Seeing alcohol depictions in movies is an independent predictor of drinking initiation, particularly for more risky patterns of drinking. This result was shown in a heterogeneous sample of European youths who had a low affinity for drinking alcohol at the time of exposure.en_UK
dc.publisherAmerican Academy of Pediatricsen_UK
dc.relationHanewinkel R, Sargent JD, Hunt K, Sweeting H, Engels R, Scholte R, Mathis F, Florek E & Morgenstern M (2014) Portrayal of alcohol consumption in movies and drinking initiation in low-risk adolescents, Pediatrics, 133 (6), pp. 973-982.
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.subjectAlcohol imageryen_UK
dc.subjectbinge drinkingen_UK
dc.subjectyoung peopleen_UK
dc.titlePortrayal of alcohol consumption in movies and drinking initiation in low-risk adolescentsen_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[Hanewinkel et al.pdf] : The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationInstitute for Therapy and Health Research (IFT-Nord)en_UK
dc.contributor.affiliationDartmouth Collegeen_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationRadboud University Nijmegenen_UK
dc.contributor.affiliationRadboud University Nijmegenen_UK
dc.contributor.affiliationPiedmont Centre for Drug Addiction Epidemiologyen_UK
dc.contributor.affiliationPoznan University of Medical Sciencesen_UK
dc.contributor.affiliationUniversity Medical Center Schleswig-Holsteinen_UK
dc.description.refREF Compliant by Deposit in Stirling's Repositoryen_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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