Dott.ssa Sabrina Vici

YOUTH AND ALCOHOL Dott.ssa Sabrina Vici WHAT PREVENTION?

Framework for alcohol Policy in the WHO European Region The European Region has the highest alcohol consumption in the world with a consumption that is the double of the world average rate per person. The alcohol is the third most important risk factor of death and disability in Europe, and the main risk among the young people. The alcohol diseases in the European Region are the double of the world average rate.

The subject of this experience is particularly important, because it emphasizes society’s deadly complacency about drinking. Why is public opinion so quick to react 8 sometimes rightly, sometimes in an exaggerate way) against any threat to health, yet it is hardly worried al all when, week after week, ten thousands of children and adolescents die as a result of drinking( more than 57 000 each year in the European Region)? Why is alcohol treated almost everywhere as a normal consumer product, widely advertised and available in major retail outlets, yet its consumption by young people increasingly mirrors patterns of drug use? Why is it that few studies into the positive health effects of alcohol are widely reported , yet the many others pointing up its dangers are often ignored? Who is aware, for instance, of the fact that one in four death among young men aged 15-29 years is due to alcohol? Why do we continuing pretending that there are two totally different and opposing types of drinking: the good way, which gives pleasure and eases social revolution, and a bad, which leads to alcohol abuse? We now realize that the boundary between moderate and excessive drinking in a fluid one, and that people often move from one to the other without acknowledging the fact. Marc Danzon: Direttore Generale per l’Europa dell’OMS Stoccolma 19 febbraio 2001

we can not speak about youth and alcohol without inserting this problem on a more general context of the community culture. “Alcohol policies directed at young people should be part of a broader societal response, since drinking among young people to a large extent reflects the attitudes and practices of the wider adult society. “ WHO Young People and Alcohol Stockholm 21 Feb 2001

WHO and EU documents on Young people and Alcohol • European Charter on Alcohol Paris 2005 • All children and adolescents have the right to grow up in an environment protected from negative consequences of alcohol consumption and, to the extent possible, from the promotion of alcoholic beverages • European Commission “Drinking of children and adolescents” Luxembourg 2001 • Raise awareness of the effects of alcohol, in particular among young people • Minimize the risk connected to the alcohol consumption among young people and his social an health impact. Press the manufacturers for paying attention on packaging and distribution of alcoholic beverages, not targeting alcohol products at young people • Alcohol and Young People conference February 2001 Stockholm • Set the following targets that should be achieved by the year 2006: • reduce substantially the number of young people who star consuming alcohol; • delay the age of onset of drinking by young people; • increase education for young people on alcohol; • minimize the pressures on young people to drink, especially in relation to alcohol promotions, free distribution, advertising, sponsorship and availability, with particular emphasis on special events; • increase young people’s involvement in youth health-related policies, especially alcohol –related issues.

NATIONAL FRAMEWORK OF CONSUMPTION • More and more adolescents, above all girls, consume alcohol • About 900,000 (ISTAT data) young people under 16 usually drink alcoholic beverages; young drinkers have risen from 781,000 in 1998 to 870,000 in 2002 • In Italy young people between 11 and 12 years of age start drinking; it is the lowest average age in Europe where the first approach to drinking is around 14 years • Rise in the practice of highly risk consumptions such as “binge drinking”( 5 alcoholic beverages in a row to get drunk) and the assumption of psychoactive substances together • There are obvious connections between alcohol, tobacco and illegal drugs

San Benedetto del tronto City Alcohol Health Call Service Social Service 800-239220

Città di San Benedetto del TrontoSERVIZIO RISPOSTE ALCOLOGICHE Settore attività sociali The research was developed during the school year 2005-06, between January and February, among 459 students (217 females and 242 males) of 12 and 16 years old, all attending the last year of middle school in San Benedetto del Tronto The students answered to 23 questions on their acknowledge on the alcohol properties to draw a final evaluation of their and their family attitude on the consumption of alcoholic beverages

Città di San Benedetto del Tronto SERVIZIO RISPOSTE ALCOLOGICHE Settore attività sociali

Città di San Benedetto del TrontoSERVIZIO RISPOSTE ALCOLOGICHE Settore attività sociali

The initiation

Città di San Benedetto del TrontoSERVIZIO RISPOSTE ALCOLOGICHE Settore attività sociali

Summing up….. • Young interviewees’ lifestyle is really worrying • Almost the half of the sample frequent pub or pizzeria with regularity, they seldom got drunk and occasionally have “drinks” at the weekend • Both female and male young people of our area do not respect the WHO advices (Health 21, Target 12) according that the consumption should be equal zero for people under 16.

The family is the main context in which they start drinking • The average age for the first drink is 10.4 years old • The consumption happens above all among family • The occasions that promote drinking are family parties • Bacardi breezer and beer are the most favourite beverages

Family main resource

Shocking pink This survey was carried out during the school year 2005/06, between January and February, among 594 female students between 14 and 22 years of age, all attending high school in the city of San Benedetto del Tronto Fonte: ServizioRisposte Alcologiche-Città di San Benedetto del Tronto-

Fonte: ServizioRisposte Alcologiche-Città di San Benedetto del Tronto-

In your opinion: how much do your closer friendsdrink? In your opinion: how much do your closer female friends drink? How do you judge the alcoholic beverages consumption (0= low, 100= high) In your opinion: drinking is…… (0=disagreeable , 100= agreeable) How dangerous do you think alcohol is? Fonte: ServizioRisposte Alcologiche-Città di San Benedetto del Tronto-

Fonte: ServizioRisposte Alcologiche-Città di San Benedetto del Tronto-

The style of consumption of the female adolescents do not differ from the male adolescents one • Alcoholic consumption is characterised by the reach of the pleasure and amusement • Drinking is seen as a positive attitude • The low perception of risks and the poor information on the proprieties of the substance supports the reach of an easy gratification on drinking • We must arise the awareness on the risks, in particular on alcohol and sexuality, with sensitisation interventions to this stated target

Summing up • The family has a key role on their children’s future behaviour • A National Health Service survey, based on ISTAT data 1998-203, says the proportion of teetotal children varies in relation with the type of consumption adopted by the head of the family • The children who live with a drinker head of the family have a higher risk (26%) to become drinkers, with the respect of teetotal head of the family

All scientific evidences first of all underline the role of the family with respect to precocious alcohol consumption and to future children drinking attitudes • Consequently, it is fundamental to considerate those facts and to involve the family to start a health promotion intervention • The knowledge of the drinking risks in the youth should favour the family’s knowledge on the main role the have in supporting healthy lifestyles

To realize the Health Promotion Activities among youth some considerations should be done:

HEALTH PROMOTIONFOCUS ON HEALTH AND INDIVIDUAL “The health promotion is a process that lets people increase the control on their health and improve it” “The health is a positive concept that gives value to personal and social resources, together with physic capacities” OTTAWA CHARTER – W.H.O. 1986

….Young people, adolescents are not conformist of their own; facilitating such inclination and encouraging a healthy anti –conformism….sometimes young people need to be provoked on the boasted youthful capacity to take life and choices in their own hands. If everybody drinks, where the originality is …..

Dott.ssa Sabrina Vici

Dott.ssa Sabrina Vici

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