Skip to main content
Top
Published in: BMC Public Health 1/2006

Open Access 01-12-2006 | Research article

Trends in drinking habits among adolescents in the Baltic countries over the period of transition: HBSC survey results, 1993–2002

Authors: Apolinaras Zaborskis, Linas Sumskas, Mai Maser, Iveta Pudule

Published in: BMC Public Health | Issue 1/2006

Login to get access

Abstract

Background

The Baltic countries – Estonia, Latvia, and Lithuania – are considered to be an example of regional homogeneity over the period of transition. The World Health Organization cross-national study on Health Behavior in School-aged Children (HBSC) allows a comparison and time trends analysis of behavioral patterns among adolescents in this region. The aim of this study was to estimate the prevalence and trends of alcohol consumption and drunkenness among adolescents of Estonia, Latvia, and Lithuania in 1993/94, 1997/98, and 2001/02.

Methods

Representative samples of 5286 boys and 6485 girls aged 15 from Estonia, Latvia, and Lithuania were surveyed in 1993/94, 1997/98, and 2001/02 school-year within the framework of HBSC study. The standardized survey methods were applied. The research focused on the following outcome variables: i) frequency of drinking beer, wine, and spirits; and ii) frequency of drunkenness. The same wording of questions on the consumption of alcohol was retained in each survey.

Results

Beer was the most frequently used alcoholic beverage across the Baltic countries among adolescents. The rate of weekly drinking of any alcoholic beverage increased considerably during the eight years of observation, especially among Estonian and Lithuanian students. In 2001/02, 25% of boys and 12.5% of girls have reported drinking alcohol at least weekly. The rate of regular alcohol drinking was two times higher in boys, while irregular drinking was more prevalent in girls. Two or more episodes of drunkenness in the lifespan were reported by 30% of boys and 15% of girls in 1993/94 and by 52% of boys and 36% of girls in 2001/02. The use of alcoholic beverages was related to the perceived family wealth: the students from the families perceived by them as wealthy were more likely to drink weekly as compared to the students from the families perceived by them as not wealthy.

Conclusion

Over the period between 1993 and 2002 the prevalence of alcohol consumption among adolescents increased considerably across the Baltic countries. The efforts of dealing with this problem should employ a combination of measures, including the strategies relevant for the period of transition.
Appendix
Available only for authorised users
Literature
1.
go back to reference Simpura J, Tigerstedt C, Hanhinen S, Lagerspetz M, Leifman H, Moskalewicz J, Torronen J: Alcohol misuse as a health and social issue in the Baltic Sea region. A summary of findings from the Baltica Study. Alcohol. 1999, 34: 805-823.CrossRef Simpura J, Tigerstedt C, Hanhinen S, Lagerspetz M, Leifman H, Moskalewicz J, Torronen J: Alcohol misuse as a health and social issue in the Baltic Sea region. A summary of findings from the Baltica Study. Alcohol. 1999, 34: 805-823.CrossRef
2.
go back to reference McKee M, Pomerleau J, Robertson A, Pudule I, Grinberga D, Kadziauskiene K, Abaravicius A, Vaask S: Alcohol consumption in the Baltic Republics. J Epidemiol Community Health. 2000, 54: 361-366. 10.1136/jech.54.5.361.CrossRefPubMedPubMedCentral McKee M, Pomerleau J, Robertson A, Pudule I, Grinberga D, Kadziauskiene K, Abaravicius A, Vaask S: Alcohol consumption in the Baltic Republics. J Epidemiol Community Health. 2000, 54: 361-366. 10.1136/jech.54.5.361.CrossRefPubMedPubMedCentral
3.
go back to reference Puska P, Helasoja V, Prattala R, Kasmel A, Klumbiene J: Health behaviour in Estonia, Finland and Lithuania 1994–1998. Standardized comparison. Eur J Public Health. 2003, 13: 11-17. 10.1093/eurpub/13.1.11.CrossRefPubMed Puska P, Helasoja V, Prattala R, Kasmel A, Klumbiene J: Health behaviour in Estonia, Finland and Lithuania 1994–1998. Standardized comparison. Eur J Public Health. 2003, 13: 11-17. 10.1093/eurpub/13.1.11.CrossRefPubMed
6.
go back to reference Nic Gabhainn S, François Y: Substance use. Health and health behaviour among young people. Edited by: Currie C et al. 2000, Copenhagen, World Health Organization Regional Office for Europe, 97-114. (Health Policy for Children and Adolescents, No 1), [http://www.who.dk/document/e67880.pdf/] Nic Gabhainn S, François Y: Substance use. Health and health behaviour among young people. Edited by: Currie C et al. 2000, Copenhagen, World Health Organization Regional Office for Europe, 97-114. (Health Policy for Children and Adolescents, No 1), [http://​www.​who.​dk/​document/​e67880.​pdf/​]
7.
go back to reference World Health Organization Regional Office for Europe: Drinking among young Europeans. 2001, Copenhagen World Health Organization Regional Office for Europe: Drinking among young Europeans. 2001, Copenhagen
8.
go back to reference Hibell B, Andersson B, Bjarnasson T, Ahlström S, Balakireva O, Kokkevi A, Morgan M, Eds: The ESPAD Report 2003. Alcohol and other drug use among students in 35 European countries. 2004, Stockholm: The Swedish Council for Information on Alcohol and Other Drugs, The Pompidou Group at the Council of Europe Hibell B, Andersson B, Bjarnasson T, Ahlström S, Balakireva O, Kokkevi A, Morgan M, Eds: The ESPAD Report 2003. Alcohol and other drug use among students in 35 European countries. 2004, Stockholm: The Swedish Council for Information on Alcohol and Other Drugs, The Pompidou Group at the Council of Europe
9.
go back to reference King A, Wold B, Tudor-Smith C, Harel Y, Eds: The health of youth: a cross-national survey. 1996, Copenhagen, World Health Organization Regional Office for Europe, (WHO Regional Publications, European Series No. 69). King A, Wold B, Tudor-Smith C, Harel Y, Eds: The health of youth: a cross-national survey. 1996, Copenhagen, World Health Organization Regional Office for Europe, (WHO Regional Publications, European Series No. 69).
10.
go back to reference Currie C, Hurrelmann K, Settertobulte W, Smith R, Todd J, Eds: Health and Health Behaviour among Young People. Health Behaviour in School-aged Children: a WHO Cross-National Study (HBSC) International Report. 2000, Copenhagen: World Health Organization Regional Office for Europe, (Health Policy for Children and Adolescents (HEPCA), Series No.1), [http://www.who.dk/document/e67880.pdf] Currie C, Hurrelmann K, Settertobulte W, Smith R, Todd J, Eds: Health and Health Behaviour among Young People. Health Behaviour in School-aged Children: a WHO Cross-National Study (HBSC) International Report. 2000, Copenhagen: World Health Organization Regional Office for Europe, (Health Policy for Children and Adolescents (HEPCA), Series No.1), [http://​www.​who.​dk/​document/​e67880.​pdf]
12.
go back to reference Zaborskis A, Makari J: Health behaviour of Lithuanian schoolchildren: trends in 1994–1998 and cross-national comparison (in Lithuanian, summary in English). 2001, Panevezys: Publisher E. Vaicekauskas Zaborskis A, Makari J: Health behaviour of Lithuanian schoolchildren: trends in 1994–1998 and cross-national comparison (in Lithuanian, summary in English). 2001, Panevezys: Publisher E. Vaicekauskas
13.
go back to reference Schmid H, Ter Bogt T, Godeau E, Hublet A, Dias SF, Fotiou A: Drunkenness among young people: a cross-national comparison. J Stud Alcohol. 2003, 64: 650-661.CrossRefPubMed Schmid H, Ter Bogt T, Godeau E, Hublet A, Dias SF, Fotiou A: Drunkenness among young people: a cross-national comparison. J Stud Alcohol. 2003, 64: 650-661.CrossRefPubMed
14.
go back to reference Pudule I, Grinberga D, Kadziauskiene K, Abaravicius A, Vaask S, Robertson A, McKee M: Patterns of smoking in the Baltic Republics. J Epidemiol Community Health. 1999, 53: 277-282.CrossRefPubMedPubMedCentral Pudule I, Grinberga D, Kadziauskiene K, Abaravicius A, Vaask S, Robertson A, McKee M: Patterns of smoking in the Baltic Republics. J Epidemiol Community Health. 1999, 53: 277-282.CrossRefPubMedPubMedCentral
15.
go back to reference Kasmel A, Helasoja V, Lipand A, Prattala R, Klumbiene J, Pudule I: Association between health behaviour and self-reported health in Estonia, Finland, Latvia and Lithuania. Eur J Public Health. 2004, 14: 32-36. 10.1093/eurpub/14.1.32.CrossRefPubMed Kasmel A, Helasoja V, Lipand A, Prattala R, Klumbiene J, Pudule I: Association between health behaviour and self-reported health in Estonia, Finland, Latvia and Lithuania. Eur J Public Health. 2004, 14: 32-36. 10.1093/eurpub/14.1.32.CrossRefPubMed
16.
go back to reference The MONEE Project CEE/CIS/Baltics: Young people in changing societies. Regional Monitoring Report No. 7. 2000, UNICEF, Florence, Italy The MONEE Project CEE/CIS/Baltics: Young people in changing societies. Regional Monitoring Report No. 7. 2000, UNICEF, Florence, Italy
17.
go back to reference The MONEE Project CEE/CIS/Baltics: A decade of transition. Regional Monitoring Report No. 8. 2001, UNICEF, Florence, Italy The MONEE Project CEE/CIS/Baltics: A decade of transition. Regional Monitoring Report No. 8. 2001, UNICEF, Florence, Italy
18.
go back to reference Kasmel A, Lipand A, Markina A: Health Behavior among Estonian Adult Population, Spring 2002. 2003, Tallinn: Estonian Centre for Health Education and Promotion Kasmel A, Lipand A, Markina A: Health Behavior among Estonian Adult Population, Spring 2002. 2003, Tallinn: Estonian Centre for Health Education and Promotion
19.
go back to reference Pudule I, Grinberga D, Villerusa A, Dzerve V, Zile S, Helasoja V: Health Behavior among Latvian Adult Population, 2002. 2003, Helsinki: National Public Health Institute Pudule I, Grinberga D, Villerusa A, Dzerve V, Zile S, Helasoja V: Health Behavior among Latvian Adult Population, 2002. 2003, Helsinki: National Public Health Institute
20.
go back to reference Grabauskas V, Klumbiene J, Petkeviciene J, Kinderyte G, Sackutë A, Helasoja V: Health behaviour among Lithuanian adult population. 2003, Helsinki: National Public Health Institute Grabauskas V, Klumbiene J, Petkeviciene J, Kinderyte G, Sackutë A, Helasoja V: Health behaviour among Lithuanian adult population. 2003, Helsinki: National Public Health Institute
21.
go back to reference Statistics Lithuania: Children of Lithuania 2004. 2005, Vilnius Statistics Lithuania: Children of Lithuania 2004. 2005, Vilnius
23.
go back to reference Kiivet R, Harro J: Health in Estonia 1991 – 2000. 2002, Tartu Kiivet R, Harro J: Health in Estonia 1991 – 2000. 2002, Tartu
24.
go back to reference Health Behaviour in School-aged Children. A World Health Organization Cross-National Survey (HBSC). Research protocol for the 1993–94 study. 1994, University of Bergen, Norwey. Hemil-Rapport, nr. 4 Health Behaviour in School-aged Children. A World Health Organization Cross-National Survey (HBSC). Research protocol for the 1993–94 study. 1994, University of Bergen, Norwey. Hemil-Rapport, nr. 4
25.
go back to reference Health Behaviour in School-aged Children: a World Health Organization Cross-National Study. Research protocol for the 1997–98 study. 1998, Edinburgh, Child and Adolescent Health Research Unit, University of Edinburgh, Scotland Health Behaviour in School-aged Children: a World Health Organization Cross-National Study. Research protocol for the 1997–98 study. 1998, Edinburgh, Child and Adolescent Health Research Unit, University of Edinburgh, Scotland
26.
27.
go back to reference Evans R, Rozelle R, Mittelmark M, Rozelle RM, Hansen WB, Bane AL, Hairs J: Deterring the onset of smoking in children: Knowledge of immediate physiological effects and coping with peer pressure, media pressure, and parent modelling. J Appl Social Psychol. 1978, 8: 126-135.CrossRef Evans R, Rozelle R, Mittelmark M, Rozelle RM, Hansen WB, Bane AL, Hairs J: Deterring the onset of smoking in children: Knowledge of immediate physiological effects and coping with peer pressure, media pressure, and parent modelling. J Appl Social Psychol. 1978, 8: 126-135.CrossRef
28.
go back to reference Sumskas L, Zaborskis A: Alcohol consumption in Lithuanian school-aged children during 1994–2002. Medicina (Kaunas). 2004, 40: 1117-1123. Sumskas L, Zaborskis A: Alcohol consumption in Lithuanian school-aged children during 1994–2002. Medicina (Kaunas). 2004, 40: 1117-1123.
29.
go back to reference Bielskute J, Zaborskis A: Alcohol addiction of adolescents and risk factors related to this habit. Medicina (Kaunas). 2005, 41: 409-417. Bielskute J, Zaborskis A: Alcohol addiction of adolescents and risk factors related to this habit. Medicina (Kaunas). 2005, 41: 409-417.
30.
go back to reference Ranka I, Kalnins I: Health and healthy lifestyles among school-aged children. Journal of the First Latvian Youth congress. 27-29. April 8, 1998 Ranka I, Kalnins I: Health and healthy lifestyles among school-aged children. Journal of the First Latvian Youth congress. 27-29. April 8, 1998
31.
go back to reference Kepler K, Maser M, Kasmel A, Tasa E: Estonian school-aged children's health: Health behaviour and social environment in a changing society 1991–1998. 1999, Estonia Kepler K, Maser M, Kasmel A, Tasa E: Estonian school-aged children's health: Health behaviour and social environment in a changing society 1991–1998. 1999, Estonia
32.
go back to reference Klingemann H: Alcohol and its social consequences – the forgotten dimension. 2001, Copenhagen: World Health Organization Regional Office for EuropeCrossRef Klingemann H: Alcohol and its social consequences – the forgotten dimension. 2001, Copenhagen: World Health Organization Regional Office for EuropeCrossRef
33.
go back to reference Lintonen T, Rimpelä M, Ahlström S, Rimpelä A, Vikat A: Trends in drinking habits among Finnish adolescents from 1977 to 1999. Addiction. 2000, 95: 1255-1263. 10.1046/j.1360-0443.2000.958125512.x.CrossRefPubMed Lintonen T, Rimpelä M, Ahlström S, Rimpelä A, Vikat A: Trends in drinking habits among Finnish adolescents from 1977 to 1999. Addiction. 2000, 95: 1255-1263. 10.1046/j.1360-0443.2000.958125512.x.CrossRefPubMed
36.
go back to reference World Health Organization Regional Office for Europe: Nutrition and lifestyle in the Baltic republics (document EUR/ICP/LVNG 02 03 04). 1999, Copenhagen World Health Organization Regional Office for Europe: Nutrition and lifestyle in the Baltic republics (document EUR/ICP/LVNG 02 03 04). 1999, Copenhagen
37.
go back to reference Harkin AM, Anderson P, Goos C: Smoking, drinking and drug taking in the European Region. 1997, Copenhagen: World Health Organization Regional Office for Europe Harkin AM, Anderson P, Goos C: Smoking, drinking and drug taking in the European Region. 1997, Copenhagen: World Health Organization Regional Office for Europe
39.
go back to reference World Health Organization Regional Office for Europe: Health 21 – the health for all policy framework for the WHO European Region. 1999, Copenhagen World Health Organization Regional Office for Europe: Health 21 – the health for all policy framework for the WHO European Region. 1999, Copenhagen
41.
go back to reference Tuinstra J, Groothoff JW, van den Heuvel WJA, Post D: Socioeconomic differences in health risk behaviour in adolescence: do they exist?. Soc Sci Med. 1998, 47: 67-74. 10.1016/S0277-9536(98)00034-3.CrossRefPubMed Tuinstra J, Groothoff JW, van den Heuvel WJA, Post D: Socioeconomic differences in health risk behaviour in adolescence: do they exist?. Soc Sci Med. 1998, 47: 67-74. 10.1016/S0277-9536(98)00034-3.CrossRefPubMed
43.
go back to reference Skara S, Sussman S: A review of 25 long-term adolescent tobacco and other drugs use prevention program evaluations. Prev Med. 2003, 37: 451-474. 10.1016/S0091-7435(03)00166-X.CrossRefPubMed Skara S, Sussman S: A review of 25 long-term adolescent tobacco and other drugs use prevention program evaluations. Prev Med. 2003, 37: 451-474. 10.1016/S0091-7435(03)00166-X.CrossRefPubMed
44.
go back to reference Hawkins JD, Catalano RF, Miller JY: Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: implications for substance abuse prevention. Psychological Bulletin. 1992, 112: 64-105. 10.1037/0033-2909.112.1.64.CrossRefPubMed Hawkins JD, Catalano RF, Miller JY: Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: implications for substance abuse prevention. Psychological Bulletin. 1992, 112: 64-105. 10.1037/0033-2909.112.1.64.CrossRefPubMed
45.
go back to reference World Health Organization Regional Office for Europe: European Alcohol Action plan 2000 – 2005. 2000, Copenhagen World Health Organization Regional Office for Europe: European Alcohol Action plan 2000 – 2005. 2000, Copenhagen
Metadata
Title
Trends in drinking habits among adolescents in the Baltic countries over the period of transition: HBSC survey results, 1993–2002
Authors
Apolinaras Zaborskis
Linas Sumskas
Mai Maser
Iveta Pudule
Publication date
01-12-2006
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2006
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-6-67

Other articles of this Issue 1/2006

BMC Public Health 1/2006 Go to the issue