The Role of Parental Control and Support in Declining Adolescent Drinking: A Multi-Level Study Across 30 European Countries

• Published in: Alcohol and alcoholism (Oxford) 2022-07, Vol.57 (4), p.470-476
• Main Authors: Vashishtha, Rakhi, Pennay, Amy, Dietze, Paul M, Livingston, Michael
• Format: Article
• Language: English
• Subjects: Medicin och hälsovetenskap
• ISSN: 0735-0414; 1464-3502; 1464-3502
• DOI: 10.1093/alcalc/agab083

Abstract Background Adolescent drinking has declined in many high-income countries since the early 2000s. It has been suggested that changing parenting practices may have contributed to the decline. However, previous studies investigating parenting have focused on single countries and have provided conflicting evidence. This study tested the association between changes in individual- and population-level parental control and parental support and changes in past month adolescent drinking. Methods A total of 271,823 adolescents aged 15–16 years, from 30 European countries between 2003 and 2015 were included in this study. Our key independent variables were adolescent reports of parental control and parental support. Our outcome measure was a dichotomous measure of any alcohol use in the 30 days before the survey, referred as past month drinking. Aggregated measures of parenting variables were used to estimate between-country and within-country effects of parenting on adolescent drinking. Data were analysed using three-level hierarchical linear probability methods. Results At the individual-level, we found a negative association between the two parental measures, i.e. parental control (β = −0.003 and 95% CI = −0.021 to 0.017) and parental support (β = −0.008 and 95% CI = −0.010 to 0.006) and past month drinking. This suggests adolescents whose parents exert higher control and provide more support tend to drink less. At a population level, we did not find any evidence of association on between-country and within-country parenting changes and past month drinking. Conclusions It is unlikely that changes in parental control or support at the population-level have contributed to the decline in drinking among adolescents in 30 European countries. Short Summary: Across 30 European countries, parental control and parental support were associated with reduced adolescent drinking at the individual level, but not at the population level. It is unlikely that changes in parental control or support have contributed to the widespread cross-national declines in adolescent drinking observed in most high-income countries.