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November 4, 1998


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Study links TV, music videos to alcohol use by teens

BY MITCH LESLIE

By bombarding viewers with enticing scenes of alcohol use, music videos and other television programming may lure teens to take their first drink, three Stanford researchers have concluded. Their survey of more than 1,500 ninth-graders at six San Jose high schools suggests that the more TV and music videos teens watch, the greater the odds they will start drinking during the next 18 months.

Specifically, every extra hour of music videos per week brought a 31 percent increase in the average risk of starting to drink during the next 18 months. Every extra hour of general TV-watching increased the average risk by 9 percent, said Tom Robinson, MD, assistant professor of pediatrics and of medicine.

Robinson is the lead author of a research report published Nov. 2 on the electronic pages of the journal Pediatrics (http://www.pediatrics.org/cgi/content/full/102/5/e54). His colleagues were Joel Killen, PhD, associate professor of medicine, and Helen Chen, a former doctoral student in the university's Department of Communication.

To collect data on teen behavior, the researchers had students fill out a "health questionnaire" inquiring about past and present drinking and a variety of possible risk factors, including TV viewing. Students completed a similar, follow-up questionnaire 18 months later.

The questionnaires asked students how much time they spent watching each of four types of media: music videos, TV in general, videotapes, and computer and video games. These media differ dramatically in how frequently they depict alcohol use, noted Robinson.

Other studies have established that television and music videos are loaded with positive portrayals of drinking. According to one study, alcohol ads can run almost twice per hour during televised sporting events. But rosy depictions of alcohol use show up not only during commercials, where blatant sales pitches are expected, but also during the programs themselves. Researchers have found that the characters who drink on television are usually attractive, successful and influential. Moreover, alcohol use on TV is often associated with three things that fascinate teens: sex, cars and recreation. Negative consequences of alcohol are rarely shown.

By contrast, alcohol references are rare or nonexistent on videos and on computer and video games, Robinson said.

During the 18 months between surveys, 36 percent of the students who had been nondrinkers tried alcohol, while 51 percent of students who had already tried alcohol continued to drink.

Robinson and his co-workers applied a statistical model to factor out possible confounding variables such as age, sex and ethnicity and to quantify each medium's effect on the risk of drinking. Unlike music videos and television in general, increased viewing of videotapes actually reduced the likelihood that teens would take up alcohol: Each extra hour of watching videos lowered the risk by 11 percent. Playing computer or video games did not affect students' risk of subsequently starting to drink.

The analysis found no association between the exposure to media and the likelihood that teens would continue drinking once they had started. For students who have already tried alcohol, "their own experiences with alcohol are more important to whether they will continue drinking," Robinson said.

More study is needed to show what kinds of measures would best counter the influence of TV and music videos among teens, Robinson said. But "a ban is not a panacea," he added, noting that it's unclear whether the ban against cigarette advertising on TV Ð a measure in effect for more than 20 years now Ð has had any influence on teen smoking rates. Even so, the hard-liquor industry's recent decision to abandon its voluntary ban on TV and radio advertising is definitely a step in the wrong direction, he said.

Who should sponsor any "counter-advertising" to make alcohol less appealing to teenagers? "I would rather have this in the hands of the public-health community, which is interested in reducing drinking, than in the hands of the alcohol industry, which is interested in encouraging drinking," Robinson said.

He added that advertisers and programmers need to be more responsible in portraying drinking on TV.

As examples of doomed efforts, he pointed to ads asking teens to wait until adulthood before they start drinking. Those appeals fly in the face of what we know of teen behavior, he said, and as a result they "are really advertisements for drinking."

The study was funded through the Stanford Center for Research in Disease Prevention by the National Heart, Lung and Blood Institute, the National Institute of Nursing Research and the California Wellness Foundation.