{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T04:51:20Z","timestamp":1768279880373,"version":"3.49.0"},"reference-count":65,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,6,28]],"date-time":"2023-06-28T00:00:00Z","timestamp":1687910400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>There is insufficient evidence about the determinants of alcohol use amongst young people in India and other low\u2010and middle\u2010income countries, despite alcohol's high contribution to disease burden and increasing consumption in this population. We aimed to identify and estimate the determinants of alcohol use in a representative sample of 2716 young men from Bihar and Uttar Pradesh who participated in the \u2018Understanding the Lives of Adolescents and Young Adults\u2019 (UDAYA) study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>First, we developed an exploratory conceptual framework of potential alcohol use determinants in the study settings based on available literature. We then estimated the effects of 35 potential alcohol use determinants identified in the conceptual framework (including 14 latent factors identified through exploratory factor analysis) on any alcohol use in the past 3\u2009years and regular alcohol use amongst past three\u2010year drinkers, using mixed\u2010effects logistic models. The determinants explored were operationalised using longitudinal data from the UDAYA study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Our adjusted models identified 18 determinants for past 3\u2010year alcohol use and 12 determinants for regular use. Distal determinants (e.g., socioeconomic status), intermediate determinants (e.g., parental alcohol use, media use), and proximal determinants (e.g., emotional regulation, early tobacco use) were identified. Geographical variations in both outcomes indicate potential differences in unmeasured community\u2010level determinants (e.g., alcohol availability and acceptability).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our findings extend the generalizability of several known determinants across settings, yet highlight the importance of addressing alcohol use in young people as a complex and context\u2010dependent issue. Many identified determinants (e.g., education, media use, poor parental support, early tobacco use) are amenable to intervention through multi\u2010sectoral prevention programs\/policies. Such determinants should be the focus of ongoing policy\/intervention development efforts in the region, and our revised conceptual framework may inform further research in India or similar South Asian settings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.13907","type":"journal-article","created":{"date-parts":[[2023,6,29]],"date-time":"2023-06-29T01:34:55Z","timestamp":1688002495000},"page":"660-676","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Determinants of alcohol use among young males in two Indian states: A population\u2010based study"],"prefix":"10.1111","volume":"28","author":[{"given":"Jan M.","family":"Heijdra Suasnabar","sequence":"first","affiliation":[{"name":"Department of Biomedical Data Sciences Leiden University Medical Centre  The Netherlands"},{"name":"Faculty of Public Health and Policy London School of Hygiene and Tropical Medicine  UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhijit","family":"Nadkarni","sequence":"additional","affiliation":[{"name":"Department of Population Health, Faculty of Epidemiology and Population Health London School of Hygiene and Tropical Medicine  UK"},{"name":"Addictions Research Group  Goa India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Palafox","sequence":"additional","affiliation":[{"name":"Faculty of Public Health and Policy London School of Hygiene and Tropical Medicine  UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,6,28]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30752-2"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(16)00013-4"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)00579-1"},{"key":"e_1_2_7_5_1","volume-title":"Global status report on alcohol and health 2018 [Internet]","author":"Fleischmann A, Gehring E, Poznyak V, Rekve D","year":"2018"},{"key":"e_1_2_7_6_1","volume-title":"Working document for development of an action plan to strengthen implementation of the global strategy to reduce the harmful use of alcohol","author":"World Health Organization","year":"2020"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(19)30231-2"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13179"},{"key":"e_1_2_7_9_1","unstructured":"Institute for Health Metrics and Evaluation.GBD compare visualization hub [Internet]. 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