Prices, alcohol use initiation and heavy episodic drinking among Chilean youth.

Aims: To examine the association between alcohol prices and age of initiation of alcohol use and the association between age of alcohol use initiation and heavy episodic drinking (HED) among adolescents in Chile. Design We estimated discrete‐time hazard models using retrospective data and generalize...

Full description

Bibliographic Details
Published in:Addiction Vol. 116; no. 3; pp. 485 - 495
Main Authors: Paraje, Guillermo R., Guindon, G. Emmanuel, Chaloupka, Frank J.
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Mar2021
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=148631450&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 148631450
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        09652140
        AIO
      jtl: Addiction
      issn: 09652140
      maglogo: Y
    pubinfo:
      dt: Mar2021
      vid: 116
      iid: 3
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
    artinfo:
      ui:
        148631450
        145813393
        148631450
        148631450
        10.1111/add.15167
        148631450
      ppf: 485
      ppct: 10
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: C
          – @attributes:
              type: P
      tig:
        atl: Prices, alcohol use initiation and heavy episodic drinking among Chilean youth.
      aug:
        au:
          Paraje, Guillermo R.
          Guindon, G. Emmanuel
          Chaloupka, Frank J.
        affil: Escuela de Negocios, Universidad Adolfo Ibáñez, Santiago de Chile, Chile
      sug:
        subj:
          Alcoholic Beverages Economics
          Alcohol Drinking In Adolescence
          Age of Onset
          Alcohol Abuse Risk Factors
          Drinking Behavior
          Adolescent Health
          Human
          Chile
          Retrospective Design
          Cross Sectional Studies
          Adolescence
          Self Report
          Adolescent Behavior
          Confidence Intervals
          Adolescent: 13-18 years
      ab: Aims: To examine the association between alcohol prices and age of initiation of alcohol use and the association between age of alcohol use initiation and heavy episodic drinking (HED) among adolescents in Chile. Design We estimated discrete‐time hazard models using retrospective data and generalized ordered probit models with repeated cross‐sectional data. Setting: Chile. Participants: A total of 248 336 urban youth who attended secondary school between 2003 and 2015 and self‐reported ever having tried alcohol. Measurements We created drinking histories from self‐reported responses of age, age of alcohol use initiation and year/month of survey. From two self‐reported responses, we created a four‐category ordinal variable of heavy episodic drinking: none, one to two, three to nine and more than 10 HED episodes in the past 30 days. We constructed a monthly measure of real alcohol prices using the all‐items and alcohol component of the Consumer Price Index compiled by Chile's statistical agency, the Instituto Nacional de Estadísticas. Findings First, we found negative, statistically significant and policy‐meaningful associations between alcohol prices and the age of alcohol use initiation. The estimated price elasticity of delay was −0.99 [95% confidence interval (CI) = –1.30, −0.69]. A 10% increase in real alcohol prices was associated with delayed alcohol use initiation of approximately 6.6 months. Secondly, we found that youth who had started drinking alcohol at a later age had statistically significant and substantially lower probabilities of having reported HED during the previous month. For example, youth who started drinking at 16 were 4.9 (95% CI = 4.2–5.6) percentage points more likely to have reported no HED in the previous month relative to youth who started drinking alcohol when aged 12 years or younger. Conclusions: Increasing the price of alcohol products may delay alcohol initiation among young people in Chile. Chilean youth who start drinking alcohol later may engage in less harmful drinking practices.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N