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Socio-Ecological Influences on Adolescent (Aged 10–17) Alcohol Use and Unhealthy Eating Behaviours: A Systematic Review and Synthesis of Qualitative Studies

Scott, Stephanie; Elamin, Wafa; Giles, Emma L.; Hillier-Brown, Frances; Brynes, Kate; Connot, Natalie; Newbury-Birch, Dorothy; Ells, Louisa

Socio-Ecological Influences on Adolescent (Aged 10–17) Alcohol Use and Unhealthy Eating Behaviours: A Systematic Review and Synthesis of Qualitative Studies Thumbnail


Authors

Stephanie Scott

Wafa Elamin

Emma L. Giles

Frances Hillier-Brown

Kate Brynes

Natalie Connot

Dorothy Newbury-Birch

Louisa Ells



Abstract

Excess body weight and risky alcohol consumption are two of the greatest contributors to global disease. Alcohol use contributes directly and indirectly to weight gain. Health behaviours cluster in adolescence and track to adulthood. This review identified and synthesised qualitative research to provide insight into common underlying factors influencing alcohol use and unhealthy eating behaviours amongst young people aged 10–17. Sixty two studies met inclusion criteria. Twenty eight studies focused on alcohol; 34 focused on eating behaviours. Informed by principles of thematic analysis and meta-ethnography, analysis yielded five themes: (1) use of alcohol and unhealthy food to overcome personal problems; (2) unhealthy eating and alcohol use as fun experiences; (3) food, but not alcohol, choices are based on taste; (4) control and restraint; and (5) demonstrating identity through alcohol and food choices. Young people faced pressure, reinforced by industry, to eat and drink in very specific ways, with clear social consequences if their attitudes or behaviour were deemed unacceptable. No qualitative studies were identified with an explicit and concurrent focus on adolescent eating behaviours and alcohol consumption. Further exploratory work is needed to examine the links between food and alcohol in young people’s emotional, social and cultural lives.

Citation

Scott, S., Elamin, W., Giles, E. L., Hillier-Brown, F., Brynes, K., Connot, N., Newbury-Birch, D., & Ells, L. (2019). Socio-Ecological Influences on Adolescent (Aged 10–17) Alcohol Use and Unhealthy Eating Behaviours: A Systematic Review and Synthesis of Qualitative Studies. Nutrients, 11(8), Article 1914. https://doi.org/10.3390/nu11081914

Journal Article Type Article
Acceptance Date Aug 12, 2019
Online Publication Date Aug 15, 2019
Publication Date Aug 15, 2019
Deposit Date Aug 15, 2019
Publicly Available Date Aug 15, 2019
Journal Nutrients
Publisher MDPI
Peer Reviewed Peer Reviewed
Volume 11
Issue 8
Article Number 1914
DOI https://doi.org/10.3390/nu11081914
Public URL https://durham-repository.worktribe.com/output/1295220

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Publisher Licence URL
http://creativecommons.org/licenses/by/4.0/

Copyright Statement
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).





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