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Underage drinking in the UK: changing trends, impact and interventions. A
rapid evidence synthesis.
Int J Drug Policy. 2014 Jan;25(1):124-32
Authors: Healey C, Rahman A, Faizal M, Kinderman P
Abstract
The UK is a high prevalence country for underage alcohol use. We conducted
an evidence synthesis to examine (1) the changing trends in underage
drinking in the UK compared to Europe and the USA, (2) the impact of
underage drinking in terms of hospital admissions, (3) the association
between underage drinking and violent youth offending, and (4) the evidence
base for the effectiveness of alcohol harm reduction interventions aimed at
children and adolescents under the age of 18 years. The following databases
were searched from November 2002 until November 2012: Cochrane Database of
Systematic Reviews, National Institute for Health and Clinical Excellence,
The Evidence for Policy and Practice Information, DARE, Medline, The
Campbell Collaboration, CINAHL, Criminal Justice Abstracts, Psych INFO and
Social Care Online. Our findings revealed changes in the way children drink
in the UK and how much they drink. Alcohol related harms are increasing in
the UK despite overall population levels of consumption reducing in this
age group. Girls aged 15-16 years report binge drinking and drunkenness
more than boys. Girls are also more likely than boys to be admitted to
hospital for alcohol related harm. The evidence suggests a strong
association between heavy episodic binge drinking and violent youth
offending. Only 7 out of 45 randomised controlled trials (RCTs) identified
for this review included children and adolescents under the age of 18
years. Most were delivered in the emergency department (ED) and involved a
brief intervention. All were characterised by a wide age range of
participants, heterogeneous samples and high rates of refusal and
attrition. The authors conclude that whilst the ED might be the best place
to identify children and adolescents at risk of harm related to alcohol use
it might not be the best place to deliver an intervention. Issues related
to a lack of engagement with alcohol harm reduction interventions have been
previously overlooked and warrant further investigation.
PMID: 24095678 [PubMed - indexed for MEDLINE]
Dette abstract er hentet via PubMed fra National Library of Medicine, USA (
www.ncbi.nlm.nih.gov/home/about/policies).
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