{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T12:18:16Z","timestamp":1774009096298,"version":"3.50.1"},"reference-count":33,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T00:00:00Z","timestamp":1773964800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100016658","name":"Plan Nacional sobre Drogas","doi-asserted-by":"publisher","award":["2023|049"],"award-info":[{"award-number":["2023|049"]}],"id":[{"id":"10.13039\/100016658","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background\/Objectives: To identify and prioritize adolescents\u2019 motivations for alcohol consumption using a participatory qualitative approach. Methods: We conducted a concept mapping study with 39 adolescents aged 15\u201316 years from a public secondary school in Santiago de Compostela, Spain. Participants generated statements in response to a focal question about reasons for drinking, grouped them into categories, and then rated each statement according to perceived frequency and importance using a five-point Likert scale. Results: A total of 41 statements were generated and organized into eight clusters: peer approval, influence, enjoyment, experimentation, fun, disinhibition, social pressure, and coping. Motivations related to fun, peer dynamics, and disinhibition received the highest ratings for both frequency and importance. In contrast, motivations linked to advertising, social media, and influencers were rated lowest. A strong positive association was observed between perceived importance and reported frequency across statements. Conclusions: Adolescents identified enjoyment and peer dynamics as the primary motivations for alcohol use, emphasising the significance of social influences in adolescent drinking behaviours. Despite the necessity for cautious interpretation of findings due to the context-specific nature of the sample, the results suggest that prevention efforts may benefit from the promotion of alcohol-free social environments, the strengthening of social-emotional skills, and the involvement of adolescents in preventive initiatives.<\/jats:p>","DOI":"10.3390\/children13030426","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T09:44:41Z","timestamp":1773999881000},"page":"426","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Social and Experiential Drivers of Adolescent Alcohol Use: Evidence from an Exploratory Concept Mapping Study"],"prefix":"10.3390","volume":"13","author":[{"given":"Sheila","family":"Ares-Maneiro","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Radiology, Public Health, Nursing and Medicine, University of Santiago de Compostela, 15705 Santiago de Compostela, Spain"},{"name":"Epi4health Research Group, Faculty of Health Sciences, Universitat Oberta de Catalunya, 08018 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8625-4356","authenticated-orcid":false,"given":"Albert","family":"Espelt","sequence":"additional","affiliation":[{"name":"Epi4health Research Group, Facultat de Psicobiologia i de Metodologia en Ci\u00e8ncies de la Salut, Universitat Aut\u00f2noma de Barcelona (UAB), 08193 Barcelona, Spain"},{"name":"CIBER de Epidemiologia y Salud P\u00fablica, 28029 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6277-2693","authenticated-orcid":false,"given":"Luc\u00eda","family":"Antelo-Iglesias","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Radiology, Public Health, Nursing and Medicine, University of Santiago de Compostela, 15705 Santiago de Compostela, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0565-7023","authenticated-orcid":false,"given":"Ester","family":"Teixid\u00f3-Compa\u00f1\u00f3","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Methodology of Social and Health Sciences, Faculty of Health Sciences at Manresa, Universitat de Vic\u2013Universitat Central de Catalunya (UVic-UCC), 08241 Manresa, Spain"},{"name":"Epi4health Research Group, Institute for Research and Innovation in Life and Health Sciences in Central Catalonia (IRIS-CC), Universitat de Vic\u2013Universitat Central de Catalunya (UVic-UCC), 08500 Vic, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8830-8880","authenticated-orcid":false,"given":"Marina","family":"Bosque-Prous","sequence":"additional","affiliation":[{"name":"Epi4health Research Group, Facultat de Psicobiologia i de Metodologia en Ci\u00e8ncies de la Salut, Universitat Aut\u00f2noma de Barcelona (UAB), 08193 Barcelona, Spain"},{"name":"CIBER de Epidemiologia y Salud P\u00fablica, 28029 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c8lia","family":"Colomeda-Cortada","sequence":"additional","affiliation":[{"name":"Epi4health Research Group, Faculty of Health Sciences, Universitat Oberta de Catalunya, 08018 Barcelona, Spain"},{"name":"Epi4health Research Group, Facultat de Psicobiologia i de Metodologia en Ci\u00e8ncies de la Salut, Universitat Aut\u00f2noma de Barcelona (UAB), 08193 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9084-6047","authenticated-orcid":false,"given":"Luc\u00eda","family":"Moure-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Radiology, Public Health, Nursing and Medicine, University of Santiago de Compostela, 15705 Santiago de Compostela, Spain"},{"name":"CIBER de Epidemiologia y Salud P\u00fablica, 28029 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4117-4157","authenticated-orcid":false,"given":"Ainara","family":"D\u00edaz-Geada","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Radiology, Public Health, Nursing and Medicine, University of Santiago de Compostela, 15705 Santiago de Compostela, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,3,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1196\/annals.1308.001","article-title":"Adolescent Brain Development: A Period of Vulnerabilities and Opportunities. Keynote Address","volume":"1021","author":"Dahl","year":"2004","journal-title":"Ann. N. Y. Acad. Sci."},{"key":"ref_2","unstructured":"World Health Organization (2014). Health for the World\u2019s Adolescents: A Second Chance in the Second Decade, World Health Organization."},{"key":"ref_3","first-page":"1","article-title":"Novelty Seeking as a Phenotypic Marker of Adolescent Substance Use","volume":"9","author":"Bidwell","year":"2015","journal-title":"Subst. Abus. Res. Treat."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1630","DOI":"10.1016\/S0140-6736(12)60072-5","article-title":"Adolescence: A Foundation for Future Health","volume":"379","author":"Sawyer","year":"2012","journal-title":"Lancet"},{"key":"ref_5","unstructured":"(2025). Plan Nacional Sobre Drogas. Encuesta Sobre Uso de Drogas en Ense\u00f1anzas Secundarias en Espa\u00f1a (ESTUDES), 1994\u20132025, Delegaci\u00f3n del Gobierno Para el Plan Nacional Sobre Drogas, Ministerio de Sanidad."},{"key":"ref_6","unstructured":"ESPAD Group (2025). ESPAD Report 2024. Results from the European School Survey Project on Alcohol and Other Drugs, EUDA."},{"key":"ref_7","first-page":"41","article-title":"Individual and contextual factors related to binge drinking among adolescents in Spain: A multilevel approach","volume":"31","author":"Sordo","year":"2019","journal-title":"Adicciones"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1016\/j.addbeh.2009.03.019","article-title":"The Impact of Parental Modeling and Permissibility on Alcohol Use and Experienced Negative Drinking Consequences in College","volume":"34","author":"Abar","year":"2009","journal-title":"Addict. Behav."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.drugalcdep.2014.02.705","article-title":"Which Parenting Style Is More Protective against Adolescent Substance Use? Evidence within the European Context","volume":"138","author":"Calafat","year":"2014","journal-title":"Drug Alcohol Depend."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1093\/eurpub\/ckw033","article-title":"Alcohol Drinking Cultures of European Adolescents","volume":"26","author":"Soellner","year":"2016","journal-title":"Eur. J. Public Health"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1007\/s11121-012-0353-7","article-title":"Peer Attitudes Effects on Adolescent Substance Use: The Moderating Role of Race and Gender","volume":"15","author":"Mason","year":"2014","journal-title":"Prev. Sci."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e00062919","DOI":"10.1590\/0102-311x00062919","article-title":"Alcohol Outlets Availability in School Neighborhoods and Alcohol Use among Adolescents","volume":"36","author":"Cardoza","year":"2020","journal-title":"Cad. Sa\u00fade P\u00fablica"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1016\/j.aprim.2010.08.003","article-title":"Estudio cualitativo sobre el consumo de t\u00f3xicos en adolescentes","volume":"43","year":"2011","journal-title":"Aten. Primaria"},{"key":"ref_14","first-page":"525","article-title":"Changes in Hazardous Drinking in Spanish Adolescent Population in the Last Decade (2004\u20132013) Using a Quantitative and Qualitative Design","volume":"49","year":"2017","journal-title":"Aten. Primaria"},{"key":"ref_15","first-page":"857","article-title":"An\u00e1lisis psicosocial del consumo de alcohol en adolescentes mexicanos","volume":"12","year":"2013","journal-title":"Univ. Psychol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1093\/alcalc\/agr080","article-title":"Exposure to Alcohol Advertising and Alcohol Consumption among Australian Adolescents","volume":"46","author":"Jones","year":"2011","journal-title":"Alcohol Alcohol."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Gupta, H., Lam, T., Pettigrew, S., and Tait, R.J. (2018). The Association between Exposure to Social Media Alcohol Marketing and Youth Alcohol Use Behaviors in India and Australia. BMC Public Health, 18.","DOI":"10.1186\/s12889-018-5645-9"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1111\/1753-6405.12572","article-title":"Who \u2018Likes\u2019 Alcohol? Young Australians\u2019 Engagement with Alcohol Marketing via Social Media and Related Alcohol Consumption Patterns","volume":"40","author":"Carrotte","year":"2016","journal-title":"Aust. N. Zealand J. Public Health"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"256","DOI":"10.20882\/adicciones.932","article-title":"Binge Drinking among Adolescents: Prevalence, Risk Practices and Related Variables","volume":"29","author":"Golpe","year":"2017","journal-title":"Adicciones"},{"key":"ref_20","first-page":"469","article-title":"Understanding How Alcohol Environment Influences Youth Drinking: A Concept Mapping Study among University Students","volume":"35","author":"Sureda","year":"2023","journal-title":"Adicciones"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Bosque-Prous, M., Kuipers, M.A.G., Espelt, A., Richter, M., Rimpel\u00e4, A., Perelman, J., Federico, B., Brugal, M.T., Lorant, V., and Kunst, A.E. (2017). Adolescent Alcohol Use and Parental and Adolescent Socioeconomic Position in Six European Cities. BMC Public Health, 17.","DOI":"10.1186\/s12889-017-4635-7"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Mart\u00ednez-Manrique, L., Berasaluce, M., Sureda, X., and Sand\u00edn V\u00e1zquez, M. (2022). Gender Matters: Identity, Risk Perception and Preventive Interventions for Alcohol Consumption among Adolescents Using a Qualitative Approach. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph192416435"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1016\/j.aprim.2009.12.009","article-title":"Motivaciones para el consumo de alcohol entre adolescentes de un instituto urbano","volume":"42","year":"2010","journal-title":"Aten. Primaria"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/0149-7189(89)90016-5","article-title":"An Introduction to Concept Mapping for Planning and Evaluation","volume":"12","author":"Trochim","year":"1989","journal-title":"Eval. Program Plan."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1177\/1558689813479175","article-title":"Using Concept Mapping in Community-Based Participatory Research: A Mixed Methods Approach","volume":"7","author":"Windsor","year":"2013","journal-title":"J. Mix. Methods Res."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1016\/j.evalprogplan.2016.08.018","article-title":"R-CMap\u2014An Open-Source Software for Concept Mapping","volume":"60","author":"Bar","year":"2017","journal-title":"Eval. Program Plann."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"29","DOI":"10.48102\/pi.v20i1.217","article-title":"Exploraci\u00f3n de los motivos para consumir alcohol en adolescentes","volume":"20","year":"2012","journal-title":"Psicol. Iberoam."},{"key":"ref_28","first-page":"1","article-title":"Comportamiento ante el alcohol de los estudiantes en las etapas de la adolescencia","volume":"21","author":"Reyes","year":"2005","journal-title":"Rev. Cuba. Med. Gen. Integral"},{"key":"ref_29","unstructured":"(2018). World Health Organization Global Status Report on Alcohol and Health 2018, World Health Organization."},{"key":"ref_30","unstructured":"Organizaci\u00f3n Mundial de la Salud (OMS) (2024). Plan de Acci\u00f3n Mundial Sobre El Alcohol 2022\u20132030, Organizaci\u00f3n Mundial de la Salud."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1093\/alcalc\/agt174","article-title":"Exposure of Children and Adolescents to Alcohol Marketing on Social Media Websites","volume":"49","author":"Winpenny","year":"2014","journal-title":"Alcohol Alcohol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"2055207616647305","DOI":"10.1177\/2055207616647305","article-title":"An Investigation of Strategies Used in Alcohol Brand Marketing and Alcohol-Related Health Promotion on Facebook","volume":"2","author":"Lim","year":"2016","journal-title":"Digit. Health"},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Gupta, H., Lam, T., Pettigrew, S., and Tait, R.J. (2018). Alcohol Marketing on YouTube: Exploratory Analysis of Content Adaptation to Enhance User Engagement in Different National Contexts. BMC Public Health, 18.","DOI":"10.1186\/s12889-018-5035-3"}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/13\/3\/426\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T10:18:30Z","timestamp":1774001910000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/13\/3\/426"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,20]]},"references-count":33,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,3]]}},"alternative-id":["children13030426"],"URL":"https:\/\/doi.org\/10.3390\/children13030426","relation":{},"ISSN":["2227-9067"],"issn-type":[{"value":"2227-9067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,20]]}}}