Joel W. Grube

Alcohol: No ordinary commodity research and public policy

From a public health perspective, alcohol is a major contributor to morbidity and mortality. This book describes recent advances in alcohol research which have direct relevance for the development of effective alcohol policies at the local, national and international levels. The central purpose of the book is to empower those responsible for public health and social welfare.

Alcohol Advertising: What Makes It Attractive to Youth?

ABSTRACT This paper investigates the affective responses of youth toward specific elements featured in television alcohol advertisements (i.e., people character, animal character, music, story, and humor). It also examines the associations between advertising likeability and its potential influence. Respondents were 253 children and adolescents in California (47% male; aged 10–17). Data were collected using self-administered questionnaires in group settings. Respondents were shown a stimulus tape containing television advertisements for beer and soft drinks. The tape was stopped at the end of each advertisement to allow respondents to answer questions about that advertisement before viewing the next. Perceived likeability of beer advertisements is a function of the positive affective responses evoked by the specific elements featured in the advertisements. Liking of specific elements featured in beer advertisements significantly contributed to the overall likeability of these advertisements and subsequently to advertising effectiveness indicated by purchase intent of product and brand promoted by these advertisements. Advertisements that focus primarily on product qualities or send a message of legal drinking age were rated less favorably and evoked less desire to purchase the product. Implications for countering the effects of alcohol advertising on young people are discussed.

The Effect of Restricting Opening Hours on Alcohol-Related Violence

OBJECTIVE We investigated whether limiting the hours of alcoholic beverage sales in bars had an effect on homicides and violence against women in the Brazilian city of Diadema. The policy to restrict alcohol sales was introduced in July 2002 and prohibited on-premises alcohol sales after 11 pm. METHODS We analyzed data on homicides (1995 to 2005) and violence against women (2000 to 2005) from the Diadema (population 360,000) police archives using log-linear regression analyses. RESULTS The new restriction on drinking hours led to a decrease of almost 9 murders a month. Assaults against women also decreased, but this effect was not significant in models in which we controlled for underlying trends. CONCLUSIONS Introducing restrictions on opening hours resulted in a significant decrease in murders, which confirmed what we know from the literature: restricting access to alcohol can reduce alcohol-related problems. Our results give no support to the converse view, that increasing availability will somehow reduce problems.

Attitude-Social Support Interactions: Contingent Consistency Effects in the Prediction of Adolescent Smoking, Drinking, and Drug Use

This paper tested an interactive model of attitudes and perceived social support in a panel of substance use among Irish post-primary students. The paper hypothesises was that contingent consistency interactions would be more likely (1) for perceived social support form friends than from parents; (2) for perceived substance use by others than for verbal support; (3) in predicting change than in predicting current substance use; (4) for younger than older adolescents; and (5) for drug use than for drinking and smoking. Contrary to predictions, the authors found significant contingent consistency interactions for all three behaviours and regardless of the age of the students. These interactions were more likely when predicting current behaviour rather than behaviour change. The significant interactions primarily involved perceived substance use by friends. Increased accessibility, selective friendship choices, and rationalization processes are possible explanations for the findings.

Community alcohol outlet density and underage drinking.

AIM This study examined how community alcohol outlet density may be associated with drinking among youths. METHODS Longitudinal data were collected from 1091 adolescents (aged 14-16 at baseline) recruited from 50 zip codes in California with varying levels of alcohol outlet density and median household income. Hierarchical linear models were used to examine the associations between zip code alcohol outlet density and frequency rates of general alcohol use and excessive drinking, taking into account zip code median household income and individual-level variables (age, gender, race/ethnicity, personal income, mobility and perceived drinking by parents and peers). FINDINGS When all other factors were controlled, higher initial levels of drinking and excessive drinking were observed among youths residing in zip codes with higher alcohol outlet densities. Growth in drinking and excessive drinking was, on average, more rapid in zip codes with lower alcohol outlet densities. The relation of zip code alcohol outlet density with drinking appeared to be mitigated by having friends with access to a car. CONCLUSION Alcohol outlet density may play a significant role in initiation of underage drinking during early teenage, especially when youths have limited mobility. Youth who reside in areas with low alcohol outlet density may overcome geographic constraints through social networks that increase their mobility and the ability to seek alcohol and drinking opportunities beyond the local community.

Sex on American Television: An Analysis Across Program Genres and Network Types

As part of a larger study on television exposure, 7,276 shows from the 2001 -2002 television season were coded for sexual content. Compared to previous research, this study sampled more networks targeted to adolescents and examined differences across additional program genres. A unique feature is the assessment of sexual content across network types. Three genres were distinguished by high percentages of shows with sexual behavior and talk and greater explicitness. This pattern characterized premium cable movie channels compared to broadcast and other cable networks. Few genres consistently offer programming that is free of sexual content during peak times for teen viewing.

Alcohol Advertising and Youth: A Focus-Group Analysis of What Young People Find Appealing in Alcohol Advertising

In an effort to ascertain how youths interpret, understand and respond to the themes and images portrayed in television alcohol advertisements, focus-group discussions were conducted with students ages 9–15 in a Northern California community. These discussions revealed that students like lifestyle and image-oriented elements of television beer commercials that are delivered with humor and youth-oriented music and/or characters. Conversely, they dislike product-oriented elements of alcohol commercials. Students identified the main message of television beer commercials as an exhortation to purchase the product based on its quality and its relationship to sexual attractiveness. Participants indicated that beer commercials imply that attractive young adults drink beer to personally rewarding ends. These findings suggest that television beer commercials may need to focus less on youthful lifestyle images and more on the product itself in order to appeal less to young people.

Local tobacco policy and tobacco outlet density: associations with youth smoking

PURPOSE This study investigates the associations between local tobacco policy, tobacco outlet density, and youth smoking. A primary focus is on whether local tobacco policy moderates the relation between outlet density and youth smoking. METHODS In all, 1,491 youth (51.9% male, mean age = 14.7 years, standard deviation = 1.05) in 50 midsized California cities were surveyed through a computer-assisted telephone interview. Measures of local clean air policy and youth access policy were created based on a review of tobacco policies in these cities. Outlet density was calculated as the number of retail tobacco outlets per 10,000 persons, and city characteristics were obtained from 2000 U.S. Census data. RESULTS Using multilevel regression analyses and controlling for city characteristics, tobacco outlet density was positively associated with youth smoking. No significant main effects were found for the two tobacco policy types on any of the smoking outcomes after controlling for interactions and covariates. However, statistically significant interactions were found between local clean air policy and tobacco outlet density for ever smoked and past 12-month cigarette smoking. Comparisons of simple slopes indicated that the positive associations between tobacco outlet density and youth smoking behaviors were stronger at the lowest level of local clean air policy compared with the moderate and high levels. CONCLUSIONS Our results suggest that tobacco outlet density is related to youth smoking. In addition, local clean air policy may act as a moderator of relationship between tobacco outlet density and youth smoking, such that density is less important at moderate and high levels of this tobacco policy.

Televised Sexual Content and Parental Mediation: Influences on Adolescent Sexuality

Little research has been conducted to examine the influence of exposure to televised sexual content on adolescent sexuality or how parental intervention may reduce negative effects of viewing such content. This study uses self-report data from 1,012 adolescents to investigate the relations among exposure to sexually suggestive programming, parental mediation strategies, and three types of adolescent sexuality outcomes: participation in oral sex and sexual intercourse, future intentions to engage in these behaviors, and sex expectancies. As predicted, exposure to sexual content was associated with an increased likelihood of engaging in sexual behaviors, increased intentions to do so in the future, and more positive sex expectancies. Often, parental mediation strategies were a significant factor in moderating these potential media influences.

Gay, Lesbian, and Bisexual Content on Television: A Quantitative Analysis Across Two Seasons

Abstract Two annual content analyses of programming from the 2001–2002 and 2002–2003 television seasons (n = 1,276 and 1,439 programs, respectively) were conducted to assess the presence of behaviors and verbal messages related to the sexuality of gays, lesbians, and bisexuals. Sexual content associated with nonheterosexuals was found in about 15% of programs overall; however, rates of occurrence within episodes were low. Of 14 genres, only movies and variety/comedy shows had substantial percentages of programs that contained nonheterosexual content. Programs on commercial broadcast networks were less likely to have nonheterosexual content than those on cable networks, especially those on premium cable movie networks. Implications of the continued lack of attention to sexual minorities are discussed for both heterosexual and nonheterosexual viewers.