Expert Reaction

EXPERT REACTION: Kids given alcohol by their parents more likely to drink, but less likely to binge, a year later

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Does the French approach of introducing alcohol to kids at the dinner table from a young age help stop them developing drinking problems later in life? It's a question which Australian scientists investigated by studying nearly 2,000 children and their parents over four years from Year 7 onwards, and they found mixed results from the practice. Kids who were given alcohol by their parents were much more likely to be drinking full serves of alcohol by age 15 or 16, but were actually less likely to binge drink, they say.

Media release

From: National Drug and Alcohol Research Centre (NDARC)

Giving children alcohol doubles their chances of still drinking a year later, a UNSW study of teens and parents finds

Children and teens who are given alcohol by their parents are much more likely to be drinking full serves of alcohol by age 15 or 16, but less likely to binge drink, according to a UNSW study which followed nearly 2,000 children and their parents over four years from Year 7 onwards.

Lead author of the study published today in the British Journal Psychological Medicine, UNSW Professor Richard Mattick, a Principal NHMRC Research Fellow at the National Drug and Alcohol Research Centre, said the study was prompted by widespread interest in the ‘European model’ of introducing children to alcohol, whereby children are offered sips of alcohol by their parents from a young age, a practise some people believe to be protective of later harmful drinking.

“There is a body of research indicating that the adolescent brain is still developing well into the early 20s and alcohol may interfere with optimum development,” he said. “But also we know that parents want to do the right thing by their children and there has been anecdotal evidence that children introduced to alcohol by their parents, as is common in some European cultures, may be less likely to develop problems with alcohol.

“Unfortunately there are very few well designed studies out there that can offer definitive advice to parents; our study was designed to address this gap,” he said.

Mattick and colleagues from universities in Perth and Tasmania recruited 1,927 adolescents from schools in Sydney, Perth and Tasmania and followed them over a four-year period measuring their consumption of whole drinks, their binge drinking (more than four drinks on any occasion) and the source of supply of alcohol – parent, peers or other adults. One parent for each child was also surveyed annually as part of the study, with the questionnaires being sent separately to avoid bias.

A number of other factors that earlier studies have found are associated with adolescent drinking (e.g. family alcohol use, family structure, family conflict, and individual personality traits, such as anxiety, negative thinking and aggressive behaviours) were taken into account in the results analysis.

Adjusting for these factors, parental supply at any point in the study was associated with a doubling of the likelihood that the teens would be drinking full serves of alcohol when followed up a year later. Getting alcohol from other sources, such as peers or other adults, also doubled the chance of the adolescents drinking full serves a year later.

But the major and surprising difference between those who received alcohol from their parents and those who got it themselves from other sources was the quantity of alcohol consumed and the frequency of harmful binge drinking, defined as consuming more than four drinks on a single occasion. Those children who got alcohol from sources other than their parents were three times more likely to binge drink. As well as being less likely to binge, the adolescents given alcohol by their parents also typically drank less on any drinking occasion than those supplied by their peers or others.

The personality traits of the child also impacted on how influential parental supply was to future drinking patterns. Those children who show personality traits such as aggression and truanting were likely to obtain alcohol whether their parents supplied it or not. As well and independent of parental supply, the study found that certain family and peer factors reduced the odds of drinking, such as parental monitoring, consistent parenting, being religious and peer disapproval of drinking and smoking. Children were more likely to drink and to binge drink when their peers drank and when they displayed behaviours such as aggression.

Professor Mattick said the results painted a nuanced and complex picture for parents. “On the one hand parents who supply alcohol to their children may be relieved that they are significantly less likely to engage in harmful behaviour, such as binge drinking, compared with those who obtain alcohol from other sources, probably as they are drinking more in front of their parents, so drink less on a given occasion” he said. “However, given that children supplied alcohol by their parents were twice as likely to be drinking full serves a year later as their peers who were not given alcohol by their parents, the results suggest that parents who supply alcohol, even with the best intentions, are likely to accelerate their child’s drinking and be laying down the potential for future harms.”

“There may be later harms that are not yet obvious, and we are aware that early initiation of drinking is strongly associated with later alcohol use problems in adulthood – delay is the best strategy.”

Professor Mattick cautioned that follow-up work on patterns of use into later adolescence and early adulthood still needed to be completed as to date the published research on these children had only been up to Year 10.

Professor Mattick also cautioned parents against assuming that because parental supply is likely to reduce binge drinking that they are protecting their children by supplying alcohol.

“Because of the effects of early alcohol consumption on the developing adolescent, and the risk of other unwanted outcomes (trauma, accident, fights, unwanted sexual activity) the message to parents should be to delay drinking as long as possible. They may also be giving a permissive message to children which may be setting them on a path to early drinking that might otherwise be avoided.”

However, he added that the possible protective effects on binge drinking were important and needed to be explored further. “There is certainly the possibility that if you are certain your children’s peers are drinking, that they have sources of supply and that they have personality traits such as aggression, then by supplying alcohol you may be protecting them from harmful heavy drinking.

“However, if your children’s peers do not drink yet they have personality traits such as anxiety, worrying and negative thinking then you are likely to be setting them on a path to drinking and potential future harms.“

Expert Reaction

These comments have been collated by the Science Media Centre to provide a variety of expert perspectives on this issue. Feel free to use these quotes in your stories. Views expressed are the personal opinions of the experts named. They do not represent the views of the SMC or any other organisation unless specifically stated.

Julia Stafford is the Alcohol Program Manager at Cancer Council WA.

This paper confirms the NHMRC advice that for children and young people under 18, not drinking alcohol is the safest option.

The study shows that giving children alcohol increases their risk of drinking later, whether the alcohol is from parents or others.

The children in the study are still quite young, there is little binge drinking, so it is not possible to draw any conclusions about impacts on binge drinking at older ages.

While there has been discussion about the “European model” of drinking, Australia is very different from Europe, and the drinking patterns in Europe are also changing.

The best advice is that no one should supply alcohol to children. Delaying drinking in young people is the safest approach.

The paper is very clear that no conclusions can be drawn about possible protective effects of parental alcohol supply.

Any drinking is likely to be harmful at young ages, particularly given the impacts of alcohol on the developing brain, and this study provides further reasons not to supply alcohol to children.

Last updated:  05 Jan 2017 2:53pm
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Professor Sandra Jones is an ARC Future Fellow and Director of the Centre for Health and Social Research (CHaSR) at the Australian Catholic University

This study answers a question that many parents ask: does the ‘European model’ of providing alcohol to children work? The answer is no (and it doesn’t work in Europe either).

In our research we have found that many parents give their adolescent children alcohol because they believe that this removes the temptation to try it and reduces the risk of them becoming drinkers. This gives a confusing message to children, who may interpret this as their parents saying it is ok for them to drink.

We also found parents believe that messages about not giving alcohol to children are directed at ‘bad parents’ who permit binge drinking;  ‘good parents’ give their children smaller quantities of alcohol as a way of ‘teaching’ them to drink safely. 

This study clarifies the effects of providing children with alcohol and provides an important message for parents (and other adults). Giving children alcohol increases the risk of them becoming drinkers. The safest option is to delay drinking as long as possible by not providing alcohol to children and ensuring that they understand that alcohol is harmful for developing bodies and brains.

Last updated:  05 Jan 2017 2:36pm
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Declared conflicts of interest None declared.

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Research National Drug and Alcohol Research Centre (NDARC), Web page The URL will go live after the embargo ends.
Journal/
conference:
Psychological Medicine
Organisation/s: National Drug and Alcohol Research Centre (NDARC), The University of New South Wales, The University of Queensland
Funder: Australian Research Council, Australian Rotary, National Health and Medical Research Council, The Australian Foundation for Alcohol Research and Education, the National Drug and Alcohol Research Centre, UNSW.
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