Peer pressure and alcohol use in young men: a mediation analysis of drinking motives.

BACKGROUND Peer pressure (PP) has been shown to play a major role in the development and continuation of alcohol use and misuse. To date, almost all the studies investigating the association of PP with alcohol use only considered the PP for misconduct but largely ignored other aspects of PP, such as pressure for peer involvement and peer conformity. Moreover, it is not clear whether the association of PP with alcohol use is direct or mediated by other factors. The aim of the present study was to investigate the association of different aspects of peer pressure (PP) with drinking volume (DV) and risky single-occasion drinking (RSOD), and to explore whether these associations were mediated by drinking motives (DM). METHODS A representative sample of 5521 young Swiss men, aged around 20 years old, completed a questionnaire assessing their usual weekly DV, the frequency of RSOD, DM (i.e. enhancement, social, coping, and conformity motives), and 3 aspects of PP (i.e. misconduct, peer involvement, and peer conformity). Associations between PP and alcohol outcomes (DV and RSOD) as well as the mediation of DM were tested using structural equation models. RESULTS Peer pressure to misconduct was associated with more alcohol use, whereas peer involvement and peer conformity were associated with less alcohol use. Associations of drinking outcomes with PP to misconduct and peer involvement were partially mediated by enhancement and coping motives, while the association with peer conformity was partially mediated by enhancement and conformity motives. CONCLUSIONS Results suggest that PP to misconduct constitutes a risk factor, while peer conformity and peer involvement reflect protective factors with regard to alcohol use. Moreover, results from the mediation analyses suggest that part of the association of PP with alcohol use came indirectly through DM: PP was associated with DM, which in turn were associated with alcohol use.

[1]  Jennifer L Maggs,et al.  A developmental perspective on alcohol use and heavy drinking during adolescence and the transition to young adulthood. , 2002, Journal of studies on alcohol. Supplement.

[2]  M. L. Cooper,et al.  Motivations for alcohol use among adolescents: development and validation of a four-factor model , 1994 .

[3]  R. Wiers,et al.  Same wording, distinct concepts? Testing differences between expectancies and motives in a mediation model of alcohol outcomes. , 2010, Experimental and clinical psychopharmacology.

[4]  Emmanuel Kuntsche,et al.  Why do young people drink? A review of drinking motives. , 2005, Clinical psychology review.

[5]  K. Carey,et al.  Peer influences on college drinking: a review of the research. , 2001, Journal of substance abuse.

[6]  L. Myers,et al.  Peer-group and price influence students drinking along with planned behaviour. , 2008, Alcohol and alcoholism.

[7]  G. Botvin.  Preventing drug abuse in schools: social and competence enhancement approaches targeting individual-level etiologic factors. , 2000, Addictive behaviors.

[8]  Sherry H. Stewart,et al.  Negative-reinforcement drinking motives mediate the relation between anxiety sensitivity and increased drinking behavior , 2001 .

[9]  J. Daeppen,et al.  [Adaptation of a peer pressure scale in French and German: the Peer Pressure Inventory]. , 2013, Revue d'epidemiologie et de sante publique.

[10]  A. Bakker,et al.  Suppressor Variables in Path Models , 2001 .

[11]  Erik H. Erikson,et al.  Identity youth and crisis, New York (W W Norton) 1968. , 1968 .

[12]  B. Lancaster.  Defining and Interpreting Suppressor Effects: Advantages and Limitations. , 1999 .

[13]  Z. Berge,et al.  Social learning theory in Second Life , 2009 .

[14]  A. Bandura.  Social learning theory , 1977 .

[15]  B. B. Brown,et al.  Perceptions of peer pressure, peer conformity dispositions, and self-reported behavior among adolescents. , 1986 .

[16]  S. Baggio,et al.  Examining non-response bias in substance use research--are late respondents proxies for non-respondents? , 2013, Drug and alcohol dependence.

[17]  T. E. Dielman,et al.  Susceptibility to Peer Pressure, Self-Esteem, and Health Locus of Control as Correlates of Adolescent Substance Abuse , 1987, Health education quarterly.

[18]  John P. Hoffmann,et al.  Parental and Peer Influences on the Risk of Adolescent Drug Use , 2005, Journal of Primary Prevention.

[19]  J. Kupersmidt,et al.  Adolescents’ Media-related Cognitions and Substance Use in the Context of Parental and Peer Influences , 2010, Journal of youth and adolescence.

[20]  M. Svensson.  Alcohol use and social interactions among adolescents in Sweden: do peer effects exist within and/or between the majority population and immigrants? , 2010, Social science & medicine.

[21]  E. Erikson.  Identity, youth, and crisis , 1968 .

[22]  P. Conrod,et al.  Efficacy of Cognitive–Behavioral Interventions Targeting Personality Risk Factors for Youth Alcohol Misuse , 2006, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[23]  E. Robertson,et al.  Preventing Drug Use among Children and Adolescents: A Research-Based Guide for Parents, Educators, and Community Leaders. Second Edition. , 1997 .

[24]  P. Hasking,et al.  The role of social drinking motives in the relationship between social norms and alcohol consumption. , 2012, Addictive behaviors.

[25]  G. Gmel,et al.  Personality factors and alcohol use: A mediator analysis of drinking motives , 2008 .

[26]  Tara M. Dumas,et al.  Identity development as a buffer of adolescent risk behaviors in the context of peer group pressure and control. , 2012, Journal of adolescence.

[27]  Bruce Simons-Morton,et al.  Peer and Parent Influences on Smoking and Drinking among Early Adolescents , 2001, Health education & behavior : the official publication of the Society for Public Health Education.

[28]  S. Değirmencioğlu,et al.  Close friend and group influence on adolescent cigarette smoking and alcohol use. , 1997 .

[29]  Matthew S. Fritz,et al.  Mediation analysis. , 2019, Annual review of psychology.

[30]  L. Steinberg,et al.  Age differences in resistance to peer influence. , 2007, Developmental psychology.

[31]  P. Bentler,et al.  Cutoff criteria for fit indexes in covariance structure analysis : Conventional criteria versus new alternatives , 1999 .

[32]  Kenneth E. Leonard,et al.  Psychological Theories of Drinking and Alcoholism , 1986 .

[33]  B. B. Brown,et al.  The multidimensionality of peer pressure in adolescence , 1985, Journal of youth and adolescence.

[34]  S. Değirmencioğlu,et al.  Close friend and group influence on adolescent cigarette smoking and alcohol use. , 1997, Developmental psychology.

[35]  Emmanuel Kuntsche,et al.  Replication and Validation of the Drinking Motive Questionnaire Revised (DMQ-R, Cooper, 1994) among Adolescents in Switzerland , 2006, European Addiction Research.

[36]  E. Kuntschea,et al.  Characteristics of binge drinkers in Europe , 2016 .

[37]  R. Engels,et al.  Drinking motives as mediators of the link between alcohol expectancies and alcohol use among adolescents. , 2007, Journal of studies on alcohol and drugs.

[38]  E. Klinger,et al.  A Motivational Model of Alcohol Use: Determinants of Use and Change , 2011 .

[39]  H de Vries,et al.  Social influences on young adults' alcohol consumption: norms, modeling, pressure, socializing, and conformity. , 1996, Addictive behaviors.

[40]  M. L. Cooper,et al.  Drinking to regulate positive and negative emotions: a motivational model of alcohol use. , 1995, Journal of personality and social psychology.

[41]  J. Graham,et al.  Resistance-skills training and onset of alcohol use: evidence for beneficial and potentially harmful effects in public schools and in private Catholic schools. , 1995, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[42]  T. Palfai,et al.  Social influence processes and college student drinking: the mediational role of alcohol outcome expectancies. , 2001, Journal of studies on alcohol.

[43]  Henry Wechsler,et al.  Magnitude of alcohol-related mortality and morbidity among U.S. college students ages 18-24. , 2002, Journal of studies on alcohol.

[44]  E. Kuntsche,et al.  Binge-Trinken in Europa: Definitionen, Epidemiologie und Folgen , 2003 .

[45]  W. M. Cox,et al.  A motivational model of alcohol use. , 1988, Journal of abnormal psychology.

[46]  G. Gmel,et al.  Measuring Alcohol Consumption , 2004 .

[47]  J. Graham,et al.  Resistance-skills training and onset of alcohol use: evidence for beneficial and potentially harmful effects in public schools and in private Catholic schools. , 1995, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[48]  Scott T. Walters,et al.  A Controlled Trial of Web-Based Feedback for Heavy Drinking College Students , 2007, Prevention Science.

[49]  Kenneth E. Leonard,et al.  Psychological theories of drinking and alcoholism, 2nd ed. , 1999 .

[50]  K. Keefe,et al.  Perceptions of normative social pressure and attitudes toward alcohol use: changes during adolescence. , 1994, Journal of studies on alcohol.

[51]  Brian R. Flay,et al.  Moderators of Peer Social Influence in Adolescent Smoking , 1992 .

[52]  S. Baggio,et al.  More is not always better-comparison of three instruments measuring volume of drinking in a sample of young men and their association with consequences. , 2014, Journal of studies on alcohol and drugs.

[53]  E. Kuntsche,et al.  Do the drinking motives of adolescents mediate the link between their parents' drinking habits and their own alcohol use? , 2011, Journal of studies on alcohol and drugs.

[54]  T. Simpson,et al.  Validation of a nine-dimensional measure of drinking motives for use in clinical applications: the desired effects of drinking scale. , 2011, Addictive behaviors.

[55]  William Elliott,et al.  Suppressor Variables in Social Work Research: Ways to Identify in Multiple Regression Models , 2010, Journal of the Society for Social Work and Research.

[56]  J. Graham,et al.  Preventing alcohol, marijuana, and cigarette use among adolescents: peer pressure resistance training versus establishing conservative norms. , 1991, Preventive medicine.

[57]  R. Aseltine,et al.  A reconsideration of parental and peer influences on adolescent deviance. , 1995, Journal of health and social behavior.

[58]  L. Claes,et al.  Temperament and Problematic Alcohol Use in Adolescence: an Examination of Drinking Motives as Mediators , 2012 .

[59]  D A Dawson,et al.  Towards agreement on ways to measure and report drinking patterns and alcohol-related problems in adult general population surveys: the Skarpö conference overview. , 2000, Journal of substance abuse.

[60]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.

[61]  W. Miles Cox,et al.  A Motivational Model of Alcohol Use , 1988 .

[62]  G. Barnes,et al.  Alcohol misuse among college students and other young adults: findings from a general population study in New York State. , 1992, The International journal of the addictions.

[63]  Avishai Henik,et al.  SUPPRESSION SITUATIONS IN PSYCHOLOGICAL RESEARCH : DEFINITIONS, IMPLICATIONS, AND APPLICATIONS , 1991 .

[64]  R. Jessor,et al.  A developmental study of heavy episodic drinking among college students: the role of psychosocial and behavioral protective and risk factors. , 2006, Journal of studies on alcohol.

[65]  L. Crockett,et al.  Linking Self-Regulation and Risk Proneness to Risky Sexual Behavior: Pathways through Peer Pressure and Early Substance Use , 2006 .

[66]  Lawrence M. Scheier,et al.  Expectancies as mediators of the effects of social influences and alcohol knowledge on adolescent alcohol use: A prospective analysis. , 1997 .

[67]  T. Trull,et al.  Personality disorder symptoms, drinking motives, and alcohol use and consequences: cross-sectional and prospective mediation. , 2007, Experimental and clinical psychopharmacology.

[68]  P. Conrod,et al.  New developments in prevention and early intervention for alcohol abuse in youths. , 2005, Alcoholism, clinical and experimental research.

[69]  G. Gmel,et al.  Need for informed consent in substance use studies--harm of bias? , 2013, Journal of studies on alcohol and drugs.

[70]  Social Learning Theory , 2015 .

[71]  J. Tedeschi.  The Social Influence Processes , 1972 .

[72]  Joseph P. Allen,et al.  Adolescent peer influences: Beyond the dark side. , 2008 .

[73]  Emmanuel Kuntsche,et al.  Development and Validation of the Drinking Motive Questionnaire Revised Short Form (DMQ–R SF) , 2009, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[74]  tim boone,et al.  SOCIAL LEARNING THEORY Albert Bandura Englewood Cliffs, N.J.: Prentice-Hall, 1977. 247 pp., paperbound , 1977 .

[75]  Megan E. Patrick,et al.  Drinking motives, protective behavioral strategies, and experienced consequences: Identifying students at risk. , 2011, Addictive behaviors.

[76]  J. Torquati,et al.  Ethnic and gender differences in risk for early adolescent substance use , 1994 .