Social epidemiology of early adolescent alcohol expectancies

• Published in: BMC public health 2023-12, Vol.23 (1), p.2502-8, Article 2502
• Main Authors: Nagata, Jason M, Zamora, Gabriel, Smith, Natalia, Sajjad, Omar M, Shim, Joan, Ganson, Kyle T, Testa, Alexander, Jackson, Dylan B
• Format: Article
• Language: English
• Subjects: Adolescent; Adolescents; Age; Alcohol; Alcohol Drinking - epidemiology; Alcohol expectancies; Alcohol sipping; Alcohol use; Alcohols; Behavior; Black or African American; Brain research; Child; Child development; Children & youth; Cognitive ability; Cognitive development; Cross-Sectional Studies; Drinking of alcoholic beverages; Education; Epidemiology; Ethnicity; Family income; Female; Health attitudes; Hispanic Americans; Hispanic or Latino - psychology; Households; Humans; Income; Longitudinal studies; Male; Males; Marital status; Minority & ethnic groups; Missing data; Parents; Parents & parenting; Psychological aspects; Public health; Questionnaires; Race; Regression analysis; Religion; Sex; Sexual behavior; Sexual orientation; Sociodemographics; Socioeconomic factors; Substance use; Surveys; Teenagers; White; Youth
• ISSN: 1471-2458; 1471-2458
• DOI: 10.1186/s12889-023-17434-5

To determine the sociodemographic correlates of alcohol expectancies (i.e., beliefs regarding positive or negative effects of alcohol) in a national (U.S.) cohort of early adolescents 10-14 years old. A second aim was to determine associations between alcohol sipping and alcohol expectancies. We analyzed cross-sectional data from the Adolescent Brain Cognitive Development (ABCD) Study (N = 11,868; Year 2). Linear regression analyses were conducted to estimate associations between sociodemographic factors (sex, race/ethnicity, sexual orientation, household income, parental education, parent marital status, religiosity) and positive (e.g., stress reduction) and negative (e.g., loss of motor coordination) alcohol expectancies. Additional linear regression analyses determined associations between alcohol sipping and alcohol expectancies, adjusting for sociodemographic factors. Overall, 48.8% of the participants were female and 47.6% racial/ethnic minorities, with a mean age of 12.02 (SD 0.67) years. Older age among the early adolescent sample, male sex, and sexual minority identification were associated with more positive and negative alcohol expectancies. Black and Latino/Hispanic adolescents reported less positive and negative alcohol expectancies compared to White non-Latino/Hispanic adolescents. Having parents with a college education or greater and a household income of $200,000 and greater were associated with higher positive and negative alcohol expectancies. Alcohol sipping was associated with higher positive alcohol expectancies. Older age, White non-Latino/Hispanic race, male sex, sexual minority status, higher parental education, and higher household income were associated with higher positive and negative alcohol expectancies. Future research should examine the mechanisms linking these specific sociodemographic factors to alcohol expectancies to inform future prevention and intervention efforts.