Adolescents' exposure to paid alcohol advertising on television and their alcohol use: Exploring associations during a 13-year period
© 2017 Society for the Study of Addiction. Aims: To determine (i) whether Australian adolescents' exposure to television alcohol advertisements changed between 1999 and 2011 and (ii) examine the association between television alcohol advertising and adolescent drinking behaviours. Design: Cross...
| Main Authors: | , , , , , , , , |
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| Format: | Journal Article |
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Wiley-Blackwell Publishing Ltd.
2017
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| Online Access: | http://hdl.handle.net/20.500.11937/54575 |
| _version_ | 1848759406713372672 |
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| author | White, V. Azar, D. Faulkner, A. Coomber, K. Durkin, S. Livingston, M. Chikritzhs, Tanya Room, R. Wakefield, M. |
| author_facet | White, V. Azar, D. Faulkner, A. Coomber, K. Durkin, S. Livingston, M. Chikritzhs, Tanya Room, R. Wakefield, M. |
| author_sort | White, V. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | © 2017 Society for the Study of Addiction. Aims: To determine (i) whether Australian adolescents' exposure to television alcohol advertisements changed between 1999 and 2011 and (ii) examine the association between television alcohol advertising and adolescent drinking behaviours. Design: Cross-sectional surveys conducted every 3 years between 1999 and 2011. Analyses examined associations between advertising exposures and reported drinking. Setting: Five Australian major cities. Participants: Students aged 12-17 years participating in a triennial nationally representative school-based survey residing in the television advertising markets associated with the major cities (sample size range per survey: 12644-16004). Measurements: Outcome measures were: drinking in the past month, past week and past-week risky drinking (5+ drinks on a day). The key predictor variable was past-month adolescent-directed alcohol advertising Targeted Rating Points (TRPs, a measure of television advertising exposure). Control measures included student-level characteristics, government alcohol-control advertising TRPs, road safety (drink-driving) TRPs and time of survey. Findings: Average monthly adolescent alcohol TRPs increased between 1999 (mean = 2371) to 2005 (mean = 2679) (P < 0.01) then decreased between 2005 and 2011: (mean = 880) (P < 0.01). Multi-level logistic regression analyses that adjusted for survey timing, student level factors and alcohol-control advertising variables showed a significant association between past-month alcohol TRPs and past-month drinking [odds ratio (OR) = 1.11, 95% confidence interval (CI) = 1.07-1.15), past-week drinking (OR = 1.10, 95% CI = 1.06-1.14) and past- week risky drinking (OR = 1.15, 95% CI = 1.09-1.22). Past-week risky drinking was associated inversely with road safety TRPs (OR = 0.69, 95% CI = 0.49-0.98). Conclusions: While Australian adolescents' exposure to alcohol advertising on television reduced between 1999 and 2011, higher levels of past-month television alcohol advertising were associated with an increased likelihood of adolescents' drinking. The reduction in television alcohol advertising in Australia in the late 2000s may have played a part in reducing adolescents' drinking prevalence. |
| first_indexed | 2025-11-14T09:59:23Z |
| format | Journal Article |
| id | curtin-20.500.11937-54575 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:59:23Z |
| publishDate | 2017 |
| publisher | Wiley-Blackwell Publishing Ltd. |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-545752017-09-13T15:50:26Z Adolescents' exposure to paid alcohol advertising on television and their alcohol use: Exploring associations during a 13-year period White, V. Azar, D. Faulkner, A. Coomber, K. Durkin, S. Livingston, M. Chikritzhs, Tanya Room, R. Wakefield, M. © 2017 Society for the Study of Addiction. Aims: To determine (i) whether Australian adolescents' exposure to television alcohol advertisements changed between 1999 and 2011 and (ii) examine the association between television alcohol advertising and adolescent drinking behaviours. Design: Cross-sectional surveys conducted every 3 years between 1999 and 2011. Analyses examined associations between advertising exposures and reported drinking. Setting: Five Australian major cities. Participants: Students aged 12-17 years participating in a triennial nationally representative school-based survey residing in the television advertising markets associated with the major cities (sample size range per survey: 12644-16004). Measurements: Outcome measures were: drinking in the past month, past week and past-week risky drinking (5+ drinks on a day). The key predictor variable was past-month adolescent-directed alcohol advertising Targeted Rating Points (TRPs, a measure of television advertising exposure). Control measures included student-level characteristics, government alcohol-control advertising TRPs, road safety (drink-driving) TRPs and time of survey. Findings: Average monthly adolescent alcohol TRPs increased between 1999 (mean = 2371) to 2005 (mean = 2679) (P < 0.01) then decreased between 2005 and 2011: (mean = 880) (P < 0.01). Multi-level logistic regression analyses that adjusted for survey timing, student level factors and alcohol-control advertising variables showed a significant association between past-month alcohol TRPs and past-month drinking [odds ratio (OR) = 1.11, 95% confidence interval (CI) = 1.07-1.15), past-week drinking (OR = 1.10, 95% CI = 1.06-1.14) and past- week risky drinking (OR = 1.15, 95% CI = 1.09-1.22). Past-week risky drinking was associated inversely with road safety TRPs (OR = 0.69, 95% CI = 0.49-0.98). Conclusions: While Australian adolescents' exposure to alcohol advertising on television reduced between 1999 and 2011, higher levels of past-month television alcohol advertising were associated with an increased likelihood of adolescents' drinking. The reduction in television alcohol advertising in Australia in the late 2000s may have played a part in reducing adolescents' drinking prevalence. 2017 Journal Article http://hdl.handle.net/20.500.11937/54575 10.1111/add.13873 Wiley-Blackwell Publishing Ltd. restricted |
| spellingShingle | White, V. Azar, D. Faulkner, A. Coomber, K. Durkin, S. Livingston, M. Chikritzhs, Tanya Room, R. Wakefield, M. Adolescents' exposure to paid alcohol advertising on television and their alcohol use: Exploring associations during a 13-year period |
| title | Adolescents' exposure to paid alcohol advertising on television and their alcohol use: Exploring associations during a 13-year period |
| title_full | Adolescents' exposure to paid alcohol advertising on television and their alcohol use: Exploring associations during a 13-year period |
| title_fullStr | Adolescents' exposure to paid alcohol advertising on television and their alcohol use: Exploring associations during a 13-year period |
| title_full_unstemmed | Adolescents' exposure to paid alcohol advertising on television and their alcohol use: Exploring associations during a 13-year period |
| title_short | Adolescents' exposure to paid alcohol advertising on television and their alcohol use: Exploring associations during a 13-year period |
| title_sort | adolescents' exposure to paid alcohol advertising on television and their alcohol use: exploring associations during a 13-year period |
| url | http://hdl.handle.net/20.500.11937/54575 |