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. 2015 Apr;105(4):810-5.
doi: 10.2105/AJPH.2014.302349. Epub 2015 Feb 25.

Flavored Alcoholic Beverage Use, Risky Drinking Behaviors, and Adverse Outcomes Among Underage Drinkers: Results From the ABRAND Study

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Flavored Alcoholic Beverage Use, Risky Drinking Behaviors, and Adverse Outcomes Among Underage Drinkers: Results From the ABRAND Study

Alison Burke Albers et al. Am J Public Health. .
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Abstract

Objectives: We examined associations between consumption of different types of flavored alcoholic beverages (FABs) and risky drinking and drinking-related harms among underage drinkers.

Methods: For the Alcohol Brand Research among Underage Youth study, we applied multivariable logistic regression analyses to data from underage drinkers (n = 1031, aged 13-20 years), recruited from a national Internet panel in 2011 to 2012, to estimate associations between consumption of malt-based drinks; spirits-based, premixed- or ready-to-drink cocktails; and supersized alcopops, alone or in combination, and alcohol-related outcomes.

Results: After adjustment for confounding variables, the exclusive consumption of alcopops was associated with episodic heavy drinking (odds ratio [OR] = 4.35; 95% confidence interval [CI] = 1.24, 15.31; P < .05) and alcohol-related injuries (OR = 6.25; 95% CI = 1.34, 29.10; P < .05). Exclusive consumption of cocktails was associated with episodic heavy drinking (odds ratio [OR] = 2.61; 95% CI = 1.26, 5.41; P < .05) and injuries requiring medical attention (OR = 6.50; 95% CI = 2.09, 20.17; P < .001. Exclusive consumption of 2 or more FABs was associated with episodic heavy drinking (OR = 2.78; 95% CI = 1.25, 6.16; P < .05), fighting (OR = 3.30; 95% CI = 1.46, 7.47; P < .001), and alcohol-related injuries (OR = 2.83; 95% CI = 1.43, 5.58; P < .001).

Conclusions: FABs present an emerging public health problem among youths.

Figures

FIGURE 1—
FIGURE 1—
Venn diagram of flavored alcoholic beverage (FAB) brand use among underage drinkers. Note. This Venn diagram demonstrates the interaction of the use of flavored malt; spirits-based, premixed- or ready-to-drink cocktails; and supersized alcopops. FABs are defined as brands belonging to 1 of these 3 categories of alcoholic beverages. Supersized alcopops are sold in 16-ounce-or-greater containers and contain at least 10% alcohol by volume. The sample size of any combination of 2 or more FAB categories is n = 198.

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