TY - JOUR T1 - ALcohol-branded merchandise and its association with drinking attitudes and outcomes in us adolescents AU - McClure AC, Stoolmiller M, Tanski SE, Worth KA, Sargent JD Y1 - 2009/03/02 N1 - 10.1001/archpediatrics.2008.554 JO - Archives of Pediatrics & Adolescent Medicine SP - 211 EP - 217 VL - 163 IS - 3 N2 - Objective  To describe ownership of alcohol-branded merchandise (ABM) and its association with attitudinal susceptibility, initiation of alcohol use, and binge drinking.Design  Three-wave longitudinal study.Setting  Confidential telephone survey.Participants  Representative US sample of 6522 adolescents aged 10 to 14 years at baseline survey (4309 of whom were never-drinkers at 8 months); subjects were resurveyed at 16 and/or 24 months.Main Exposures  Ownership of ABM (first assessed at the 8-month survey) and attitudinal susceptibility to alcohol use.Outcome Measures  Initiation of alcohol use that parents did not know about and binge drinking (≥5 drinks in a row).Results  Prevalence of ABM ownership ranged from 11% of adolescents (at 8 months) to 20% (at 24 months), which extrapolates to 2.1 to 3.1 million US adolescents, respectively. Clothing and headwear comprised 88% of ABM. Beer brands accounted for 75% of items; 45% of items bore the Budweiser label. Merchandise was obtained primarily from friends and/or family (71%) but was also purchased by the adolescents themselves (24%) at stores. Among never-drinkers, ABM ownership and susceptibility were reciprocally related, each significantly predicting the other during an 8-month period. In turn, we found that ABM ownership and susceptibility predicted both initiation of alcohol use and binge drinking, while controlling for a broad range of covariates.Conclusions  Alcohol-branded merchandise is widely distributed among US adolescents, who obtain the items one-quarter of the time through direct purchase at retail outlets. Among never-drinkers, ABM ownership is independently associated with susceptibility to as well as with initiation of drinking and binge drinking. SN - 1072-4710 M3 - doi: 10.1001/archpediatrics.2008.554 UR - http://dx.doi.org/10.1001/archpediatrics.2008.554 ER -