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A community action programme for reducing harmful drinking behaviour among adolescents: the Trelleborg Project
Author(s) -
Stafström Martin,
Östergren PerOlof,
Larsson Stig,
Lindgren Björn,
Lundborg Petter
Publication year - 2006
Publication title -
addiction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.424
H-Index - 193
eISSN - 1360-0443
pISSN - 0965-2140
DOI - 10.1111/j.1360-0443.2006.01422.x
Subject(s) - logistic regression , environmental health , psychological intervention , intervention (counseling) , stepwise regression , population , medicine , alcohol consumption , consumption (sociology) , demography , psychology , alcohol , psychiatry , social science , biochemistry , chemistry , sociology
Aims To evaluate a 3‐year community intervention programme by measuring changes in drinking patterns in a 15–16‐year‐old population. Design, setting, participants and measurements The action programme included five demand‐reducing and one supply‐reducing interventions. Cross‐sectional, non‐repeated data were collected from a questionnaire distributed in classrooms from 1999 to 2001 and 2003 ( n = 1376, 724 boys and 652 girls; response rate = 92.3%). Stepwise logistic regression analyses were used to determine the relationship between different risk factors and excessive drinking, heavy episodic drinking, purchaser of alcohol and alcohol provided by parents. The results from the intervention community were also compared with similar Swedish cross‐sectional data sets. Findings The results of our analyses indicated a decrease in harmful drinking behaviour in Trelleborg when comparing baseline with postintervention measurements. The comparison with other studies showed that the changes in these indicators were more rapid and consistent in Trelleborg. Finally, the multivariable logistic regression analyses showed that the outcomes were not likely to be attributed to changes in environmental factors. Conclusions We concluded that a community action programme based on the systems approach reduced hazardous alcohol consumption effectively among adolescents in Trelleborg.