Youth Problem Drinking: The Role of Parental and Familial Relationships.

BACKGROUND: Alcohol use continues to be an important global public health problem and adolescence seems to be a decisive period of time in the development of drinking patterns into adulthood. While most studies concentrate on frequency and amount of alcohol, fewer studies address "problem drinking." Gathering information on youth's alcohol-related behavioral consequences is especially important.

OBJECTIVES: Current research focuses on gathering information on the background of problem drinking behavior with special attention to parental/familial relationships.

METHODS: The survey was conducted within the youth health behavior - Makó research project in 2012 (n = 1,981, aged 13-18 years, 50.9% males). Anonymous, self-administered questionnaires contained items on sociodemographics, substance use, and parental/familial relationships (such as parental control and awareness or variables of family environment).

RESULTS: Problem drinking (identified in 17.2% of the sample) was more common among males and high school students and those from lower socioeconomic status groups compared to their counterparts. Among the familial/parental variables, negative family interactions, discussion of problems with parents, physical and sexual abuse were positively related to adolescent problem drinking, whereas parental control and awareness, and the positive identification with parents proved to be protective factors. Conclusions/Importance: We conclude that parents and the family were important correlates of adolescents' problem drinking. Our findings suggest that on-going school interventions to prevent the development of problem drinking among youth should include parents and the family.