Prevalence of adolescents who perceive their parents to have alcohol problems: A Swedish national survey using a web panel

Abstract

Aims: The primary aim is to estimate the prevalence of Swedish adolescents who perceive their parent(s) to have alcohol problems. Additional research questions pertain to the prevalence of adolescents who think someone close to them drinks too much alcohol and if this has hurt them or caused them problems. Methods: A cross-sectional design was employed using a web-based survey targeted to 1000 Swedish 16–19-year-olds randomly selected from a web panel. The questionnaire included the CAST-6 scale, used to assess whether or not participants perceived their parents’ alcohol consumption as problematic, and questions relating to whether or not they think someone close to them drinks too much and if this has caused them problems. Data was weighted using a post-stratification procedure. Results: The proportion of adolescents classified as having parents with alcohol problems was 20.1%. Further, 44.0% reported that they think someone close to them drinks too much alcohol and 9.6% that this has hurt them or caused them problems. Conclusions: These results indicate that the problem is widespread. Our findings are similar to previous research where a more indirect methodology has been adopted, using either psychiatric interviews or self-reported alcohol consumption of adults, to estimate the magnitude of the problem.

Keywords

Adolescent alcohol-related disorders child of impaired parents children of Alcoholics Screening Test (CAST-6)cross-sectional studies prevalence web-panel

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References

Johnson

Leff

. Children of substance abusers: overview of research findings. Pediatrics 1999;103:1085–99.

Anda

Whitfield

Felitti

. Adverse, childhood experiences, alcoholic parents, an later risk of alcoholism and depression. Psychiatr Serv 2002;53:1001–9.

Lieberman

. Children of alcoholics: an update. Curr Opin Pediatr 2000;12:336–40.

McGrath

Watson

Chassin

. Academic achievement in adolescent children of alcoholics. J Stud Alcohol 1999;60:18–26.

Rothman

Edwards

Heeren

. Adverse childhood experiences predict earlier age of drinking onset: results from a representative US sample of current or former drinkers. Pediatrics 2008;122:E298–E304.

Sher

. Psychological characteristics of children of alcoholics. Alcohol Health Res World 1997;21:247–54.

Grant

. Estimates of US children exposed to alcohol abuse and dependence in the family. Am J Public Health 2000;90:112–5.

Manning

Best

Faulkner

. New estimates of the number of children living with substance misusing parents: results from UK national household surveys. BMC Public Health 2009;9:377.

Laslett

Ferris

Dietze

. Social demography of alcohol-related harm to children in Australia. Addiction 2012;107:1082–9.

10.

Cuijpers

. Prevention programmes for children of problem drinkers: a review. Drug-Educ Prev Policy 2005;12:465–75.

11.

Ljungdahl

. Barn i familjer med alkohol- och narkotikaproblem – Omfattning och analys [Children in families having alcohol and drug problems – prevalence and analysis]. Östersund, Sweden: The Swedish National Institute of Public Health, 2008.

12.

Socialdepartementet. Barn, föräldrar, alkohol. Delbetänkande av alkoholpolitiska kommissionen [Children, parents, alcohol. An interim report from the alcohol-political committee]. Stockholm, Sweden: Swedish Government Official Reports, SOU 1994:29, 1994.

13.

Hodgins

Maticka-Tyndale

el-Guebaly

. The cast-6: development of a short-form of the Children of Alcoholics Screening Test. Addict Behav 1993;18:337–45.

14.

Hodgins

Shimp

. Identifying adult children of alcoholics: methodological review and a comparison of the CAST-6 with other methods. Addiction 1995;90:255–67.

15.

Landis

Koch

. The measurement of observer agreement for categorical data. Biometrics 1977;33:159–74.

16.

Emshoff

Price

. Prevention and intervention strategies with children of alcoholics. Pediatrics 1999;103:1112–21.

17.

Elgán

Hansson

Zetterlind

. Design of a Web-based individual coping and alcohol-intervention program (web-ICAIP) for children of parents with alcohol problems: study protocol for a randomized controlled trial. BMC Public Health 2012;12:35.

18.

Woolderink

Smit

van der Zanden

. Design of an internet-based health economic evaluation of a preventive group-intervention for children of parents with mental illness or substance use disorders. BMC Public Health 2010;10:470.