Alcohol Consumption in Individual Sports and Team Sports Andri Ragnars Guðjohnsen 2015 BSc in Psychology Author: Andri Ragnars Guðjohnsen ID number: 020989-2039 Department of Psychology School of Business ALCOHOL CONSUMPTION IN INDIVIDUAL AND TEAM SPORTS Foreword Submitted in partial fulfilment of the requirements of the BSc Psychology degree, Reykjavik University, this thesis is presented in the style of an article for submission to a peer-reviewed journal. 2 ALCOHOL CONSUMPTION IN INDIVIDUAL AND TEAM SPORTS Abstract The purpose of this study was to examine whether participants who regularly practiced individual or team sports were more likely to drink moderately than people who rarely practiced individual sports or team sports. It was also examined whether those who engaged in either individual or team sports and had good family support were more likely to drink alcohol in moderation than those who had little family support. Data from The Icelandic Centre for Social Research and Analysis (ICRA) was used in this study. There were 1,859 participants, 883 boys and 966 girls, all born in the years 1994 to 1997. The results showed that those who practiced team sports rarely did consume alcohol more often than people who practiced team sports often. However, there was no significant difference in alcohol consumption between those who practiced individual sports often or rarely. The results also showed that those who often participated in team sports and had good family support consumed alcohol less than those who had less support from their families. Family support had no significant impact on the alcohol consumption of those who practiced individual sports. Keywords: Individual sports, team sports, alcohol consumption and family support. Útdráttur Tilgangur þessarar rannsóknar var að skoða hvort einstaklingar sem æfðu einstaklingsíþróttir eða hópíþróttir reglulega væru líklegri til að neyta áfengis í hófi heldur en þeir sem æfðu einstaklings eða hópíþóttir sjaldan. Þá var einnig skoðað hvort einstaklingar sem voru í hópog einstaklingsíþróttum og fengu góðan stuðning frá fjölskyldu sinni drykkju áfengi af meiri hófsemi heldur en þeir sem fengu lítinn stuðning frá fjölskyldu sinni. Við úrvinnslu þessarar rannsóknar voru notuð gögn frá Rannsóknum og Greiningu. Þátttakendur vorun1.859, 883 strákar og 966 stelpur, fædd á árunum 1994-1997. Niðurstöður rannsóknarinnar sýndu að þeir sem æfðu hópíþróttir sjaldan drukku áfengi oftar heldur en þeir sem æfðu hópíþróttir oft. Það var enginn munur á áfengisneyslu þeirra sem æfðu einstaklingsíþróttir sjaldan eða reglulega á áfengisneyslu. Niðurstöðurnar sýndu einnig að það þeir sem voru í hópíþróttum og fengu góðan stuðning frá fjölskyldu sinni voru líklegri til að drekka áfengi sjaldnar en þeir sem fengu lítinn stuðning frá fjölskyldu sinni. Lykilhugtök: Einstaklingsíþróttir, hópíþróttir, áfengisneysla og stuðningur fjölskyldu. 3 ALCOHOL CONSUMPTION IN INDIVIDUAL AND TEAM SPORTS Alcohol consumption in individual and team sports Most athletes seek success in the sport they practice and more importantly, the enjoyment of the sport (Duda, Fox, Biddle, & Armstrong, 1992). But what is the main difference between athletes who succeed in sports and those who do not? People who succeed are goal orientated (Mouratidou, Barkoukis, & Rizos, 2012). For individual or team sports players to achieve their goals, many factors have to be in order (Kleingeld, van Mierlo, & Arends, 2011). However, there are also factors which can prevent people from achieving their goals and one of these also has a negative effect on sports performance and that is alcohol (Hull & Young, 1983; O’Brien & Lyons, 2000; Suter & Schutz, 2008). Alcohol is the most consumed drug amongst adolescents (Bruner & Fishman, 1998) and athletes (O’Brien & Lyons, 2000) and that is a big concern. Alcohol reduces stamina, strength, speed and coordination, four things vital to those who seek success. It takes the liver 2-3 days to recover from alcohol consumption so a large amount of alcohol is never good for you in any way (Vella & Cameron-Smith, 2010). Many studies have been made on alcohol consumption and sports and it is interesting to see whether results differ depending on nationality, race, the frequency of practice and the kind of sport people practice. In the year 1953, Strauss and Bacon indicated that students who practiced sports were at lower risk of alcohol consumption than their peers (Williams Jr. et al., 2006). But is that the case in recent studies? A study by Terry-McElrath and O’Malley (2011) showed that participants who practiced sports were at more risk of consuming alcohol at the age of 18 than those who did not. A longitudinal study by Eitle, Turner and Eitle (2003) examined whether sport participation would reduce the risk of alcohol use amongst high school students in South Florida. Results showed that people who played sports in high school consumed less alcohol than those who did not participate in any sports. A few years later the results were the opposite: those who played sports in high school, especially football, were 4 ALCOHOL CONSUMPTION IN INDIVIDUAL AND TEAM SPORTS more likely to drink alcohol than those who did not participate in sports. However, black participants who took part in sports were less likely to drink alcohol (Eitle et al., 2003). A similar study by Wichstrøm and Wichstrøm (2009) examined whether sports participation during adolescence prevents alcohol consumption in the future. The study started in 1992 and finished in 2006 and the interesting thing about this study was that it controlled for potential confounders like family structure, pubertal timing, peer substance use, academic achievement, social acceptance and socio-economic status. This was really important because it allows the researchers to measure which other things also affect alcohol consumption. Results showed that participants who practiced team sports were more likely to use alcohol in their late adolescents. However, participants who practiced individual sports reported reduced growth in alcohol use in their late adolescence. Other studies have also shown that sport participation amongst college students can sometimes lower the risk of alcohol consumption (see in Vest & Simpkins, 2013; Thorlindsson & Bernburg, 2006; Ward & Gryczynski, 2007). But what solutions are there to decrease alcohol consumption amongst adolescence? In Australia there is a program called the Good Sports Program which was founded to prevent and lower the risk of alcohol consumption. A study by Rowland, Allen and Toumbourou (2012) examined whether members of clubs which were involved in the Good Sports Program were more or less likely to consume alcohol than members of clubs which were not involved in the program. The results showed that members of clubs which were involved in the Good Sports Program and had more discipline and more advanced implementation of the program consumed less alcohol than members of other clubs. This study tells us that there should be more programs like the Good Sport Program to lower alcohol consumption amongst athletes. In Icelandic colleges there is a program called “Afreksbrautin”, similar to the one in Australia, which aims to support athletes to become better at their sports and to reduce alcohol and other substance abuse. Students have to attend almost all of their classes, they have to show 5 ALCOHOL CONSUMPTION IN INDIVIDUAL AND TEAM SPORTS academic achievement and they are forbidden to consume alcohol, tobacco or other illegal substances (Óskar Þór Ármannson, Sigurður Sigursveinsson, Magnús Þorkelsson, Friðrik Einarsson, & Bjarni Jóhannson, 2009). However, studies should be made to observe whether the program is working, whether students are fulfilling the demands made and whether these demands are enforced. As mentioned before most athletes seek success in the sports that they practice and most importantly, the enjoyment of the sport but is there a difference between individual sports and team sports as relates to alcohol consumption? A study by Martens, Watson and Beck (2006) found that swimmers and divers consumed more alcohol than people in team sports such as baseball, basketball, soccer and volleyball. A study by Ford (2007), however, showed the opposite: that people who practice team sports were at more risk of binge drinking than those who practice individual sports. The results showed that participants who were involved in female soccer and male hockey were more likely to binge drink than participants who ran track. A French study by Lorente, Souville, Griffet and Grélot (2004) examined the relationship between sport participation and alcohol use amongst French high school students. Results showed a significant difference between people who practiced team sports and those who practiced individual sports. People in team sports tended to drink more than people in individual sports. Results also showed that people who trained more than six times per week, at individual or team sports, were at less risk of consuming alcohol than those who did not. There was also a difference between males and females. Females were more likely to have never used alcohol and practiced all kinds of sports both regionally and internationally. A similar study by Peretti-Watel, Beck and Legleye (2002) showed that people that practiced team sports regularly consumed alcohol more often than people who practiced individual sports. 6 ALCOHOL CONSUMPTION IN INDIVIDUAL AND TEAM SPORTS Studies on whether there is an association between alcohol consumption and a particular form of sport have to look at confounders which can also have an effect. A study by Vest and Simpkins (2013) asked whether sport participation was a protective or a risk factor for alcohol use and how peers influenced drinking. Results showed that sport participation was protective for alcohol use if participants’ friends and teammates showed low alcohol use. However, if friends and teammates showed high alcohol use, sport participation was a risk factor for alcohol use. The results also showed that for participants who practiced more than one sport, the behaviour of teammates and friends had no effect on alcohol use. A Norwegian study by Bu, Watten, Foxcroft, Ingebrigtsen and Relling (2002) examined how sport participation, family support and living areas affect alcohol consumption amongst teenagers. Results showed that organized sport participation was a preventive factor for alcohol use. However, poor family support, a single-parent household and peer drinking were associated with low prevention of alcohol use. A similar study by Hoffmann (2006) showed that male athletes who had high socioeconomic status and female athletes who had low socioeconomic status were at more risk of alcohol consumption than non-athletes who were involved in extracurricular activities such as student government and honour societies. Hoffman mentions that there were distinct environmental differences to consider. However, the study did not look into which environmental factor could most affect alcohol consumption. This could be because males who have high socioeconomic status are self-confident and popular, and females who have low socioeconomic status are insecure and vulnerable and turn to alcohol to decrease their stress and discomfort. This shows that people who have support from their families and friends and who practice sports are likely to use alcohol moderately. Based on previous studies on sports and alcohol consumption, results indicate that those who practice sports tend to drink more often than those who practice sports rarely or not at all. In this study there will be two hypotheses. Hypothesis 1: Those who practice individual 7 ALCOHOL CONSUMPTION IN INDIVIDUAL AND TEAM SPORTS or team sports regularly are more likely to drink moderately than those who practice individual sports or team sports rarely. Hypothesis 2: Those who engage in either individual or team sports and have good family support are more likely to drink alcohol in moderation than those who have little family support. Method Participants The primary study surveyed 75.5% of all Icelandic high-school students who were enrolled in the fall of 2013, a total of 11,116 boys and girls (Hrefna Pálsdóttir et al., 2014). The present sample consisted of 1,859 participants, 883 boys and 966 girls, who were selected randomly out of the total number of participants from the primary study and the assumption for a randomized sample was met. Ten participants did not specify their gender. Participants were born between the years of 1994 and 1997; all other age groups were excluded because the author did not want to see what older people all other age groups were excluded as to normalize the sample. Figure 1 shows how many boys and girls in the sample were born in each year. Participants did not receive any payments or school credits for 350 312 288 300 252 250 Frequencies 202 200 150 263 220 171 141 Boys Girls 100 50 0 1994 1995 1996 Year of birth Figure 1. Participants’ year of birth. 1997 8 ALCOHOL CONSUMPTION IN INDIVIDUAL AND TEAM SPORTS Research design and measures This study was cross-sectional and the data used in this study came from a questionnaire by The Icelandic Centre for Social Research and Analysis (ICSRA) (Hrefna Pálsdóttir et al., 2014). The questionnaire contained 95 questions on 35 pages. In addition to demographic variables the present study only used the following subset of the questions that was relevant to the current research questions. Dependent variable: The dependent variable was alcohol consumption and it was on an ordinal scale but it was continuous so the assumption was met. However the assumption for normality was not met. Two questions with 7 items were used to measure alcohol consumption (Appendix). The first was as follows: “How often have you been drunk in the last 30 days”: 1 = “Never”, 2 = “1-2 times”, 3 = “3-5 times”, 4 = “6-9 times” and 5 = “10-19 times”. Value 6 = “20-39 times” and value 7 = “40 or more” were excluded. The second question was as follows: “How often have you drunk one of the following drinks in the last 30 days”: 1 (beer), 2 (wine), 3 (strong alcohol), 4 (homemade alcohol), 5 (shot) and 6 (alcoholic soda, such as Breezer or Somersby). The options were as follows: 1 = “Never”, 2 = “1-2 times”, 3 = “3-5 times”, 4 = “6-9 times” and 5 = “10-19 times”. Value 6 = “20-39 times” and value 7 = “40 or more” were excluded. These two questions were computed into a new variable called “alcohol consumption” and the new variable was given a scale of 7-41. The higher the score, the more alcohol the participants drank. Those who scored from 7-14 drank rarely or never, those who scored 15-21 drank from time to time and finally those who scored from 22-41 drank often. Independent variables: There were two independent variables, team sports and individual sports. One question with 41 items was used to measure both individual and team sport activity. Only 5 items were used in the present study to measure team sport activity (Appendix). The question was as follows: “Do you participate any of the following”: 1 9 ALCOHOL CONSUMPTION IN INDIVIDUAL AND TEAM SPORTS (football), 2 (handball), 3 (basketball), 4 (volleyball) and 5 (hockey). The options were as follows: 1 = “almost never”, 2 = “a couple of times a year”, 3 = “a couple of times a month”, 4 = “1-3 times per week” and 5 = “4 times per week or more”. Options 1 = “almost never”, 2 = “a couple of times a year” and 3 = “a couple of times a month” were given a new value, 1 (rarely or never). Options 4 = “1-3 times per week” and 5 = “4 times per week or more” were given a new value, 2 (often). These five items were computed into a new variable called “team sports”. The same question was used to measure individual sport activity. There were 12 items used in the present study to measure individual sport activity (Appendix). The question was as follows: “Do you participate any of the following”: 1 (track and field), 2 (golf), 3 (swimming), 4 (skiing) and 5 (tennis), 6 (gymnastics), 7 (cycling), 8 (horse riding), 9 (wrestling), 10 (ice skating), 11 (weightlifting), 12 (power lifting). The options were as follows: 1 = “almost never”, 2 = “a couple of times a year”, 3 = “a couple of times a month”, 4 = “1-3 times per week” and 5 = “4 times per week or more”. Options 1 = “almost never”, 2 = “a couple of times a year” and 3 = “a couple of times a month” were given a new value, 1 (rarely or never). Options 4 = “1-3 times per week” and 5 = “4 times per week or more” were given a new value, 2 (often). These eleven items were computed into a new variable called “individual sports”. Covariate: The covariate was family support. Two questions with a total of nine items were used to measure family support (Appendix). The first question was as follows: “How easy or difficult would it be to get the following from your parents”: 1 (care and warmth), 2 (conversations concerning personal topics), 3 (advice concerning education), 4 (advice concerning other stuff) and 5 (help with various problems). The options were as follows: 1 = “very difficult”, 2 = “rather difficult”, 3 = “rather easy” and 4 = “very easy”. The second question was as follows: “How well does the following apply to you”: 1 (My parents are aware who I am with at night), 2 (My parents are aware where I am at night), 3 (My parents 10 ALCOHOL CONSUMPTION IN INDIVIDUAL AND TEAM SPORTS know my friends), 4 (My parents know my friends’ parents). The options were as follows: 1 = “Fits me very poorly”, 2 = “Fits me rather poorly”, 3 = “Fits me rather well” and 4 = “Fits me well”. Option 5 = “This question does not apply” was excluded. These two questions were computed into a new variable called “family support” and the new variable was given a scale of 9-36. The higher the score, the more family support the participants got. Those who scored a 9-23 had little family support and those who scored a 2436 had good family support. Procedure The research was conducted via a questionnaire sent to all high schools in the country, where teachers administered them to their students following special instructions. Students who attended school on that particular day were asked to participate. However, students were not forced to participate and they could also withdraw at any time from the study. Students were repeatedly instructed not to write their names nor their identification number on the questionnaires to exclude the possibility of tracing a questionnaire to a participant. Students were also asked to answer honestly and ask for help if needed. After completing the questionnaires, students were told to put the questionnaire in an unmarked envelope and hand them over to their teachers (Hrefna Pálsdóttir et al., 2014). Results Figure 2 shows descriptive statistic for the dependent variable. Majority of the participants or 81% consumed alcohol rarely or never. Only 14% had consumed alcohol occasionally (sometimes) and 5% of the participants had consumed alcohol often. 11 ALCOHOL CONSUMPTION IN INDIVIDUAL AND TEAM SPORTS 1600 12 1411 1400 Frequencies 1200 1000 800 600 400 246 200 88 0 Rarely or never Sometimes Often Alcohol consumption Figure 2. Participants’ alcohol consumption. Table 1 shows the total number of participants who practiced team sports. Out of the 1,745 participants there were 1,205 (70%) who practiced team sports rarely and 540 (30%) who practiced team sports often. Those participants who practiced team sports rarely consumed alcohol more often on average than participants who practiced team sports often. Table 1. Frequencies, mean scores and standard deviation for team sports on alcohol consumption. Team sports N M (SD) Rarely 1205 11.27 (5.43) Often 540 10.41 (5.22) Total 1745 11.01 (5.38) Table 2 shows the total number of participants who practiced individual sports. Out of the 1,745 participants there were 946 (55%) who practiced individual sports rarely and 799 (45%) who practiced individual sports often. Those participants who practiced individual sports rarely did not consume any more alcohol on average than participants that practiced individual sports often. ALCOHOL CONSUMPTION IN INDIVIDUAL AND TEAM SPORTS 13 Table 2. Frequencies, mean scores and standard deviation for individual sports on alcohol consumption. Individual sports N M (SD) Rarely 799 11.09 (5.27) Often 946 10.93 (5.47) Total 1745 11.00 (5.38) Table 3 shows the total number of participants who received family support. Out of the 1,595 participants there were 152 (10%) who had very little family support and 1,443 (90%) who had good family support. Those participants who had little family support drank more often on average than participants who had good family support. Table 3. Frequencies, mean scores and standard deviation for family support on alcohol consumption. Family support N M (SD) Little 152 13.02 (7.37) Good 1443 10.76 (4.89) Total 1595 10.98 (5.20) A two-way factorial analysis of covariance was conducted (FANOVA) to see whether the frequency of participants’ sports practice affected their alcohol consumption (Table 4). The assumption of homogeneity of variance was tested with Levene's test. The Levene's test was significant (p=.007) which shows that the group variances were different and the assumption was not met. Table 4 shows that the main effect of team sports activity on alcohol consumption was significant F (1, 1741) = 11.224, p < 0.001. The main effect of individual sports activity on alcohol consumption was not significant F (1, 1741) = 0.832, p > 0.001. There was no interaction between individual sports activity and team sports activity on ALCOHOL CONSUMPTION IN INDIVIDUAL AND TEAM SPORTS alcohol consumption F (1, 1741) = 2.158, p > 0.001. There was also no significant difference between genders. Figure 3 shows the interaction effects of team sports activity and individual sports activity on alcohol consumption. People who rarely practiced team sports tended to drink alcohol more often than people who often practiced team sports. However, there was no significant difference between those who often or rarely practiced individual sports on alcohol Alcohol consumption consumption. 12 10 11.4 10.32 10.6 10.74 8 Team sports 6 Rarely 4 Often 2 0 Rarely Often Individual sports Figure 3. Interaction of team sports and individual sports on alcohol consumption. A two-way analysis of covariance was also conducted (ANCOVA) to see whether family support had any effect on how often people consumed alcohol, whether they practiced team or individual sports. The assumption of homogeneity of variance was tested with 14 ALCOHOL CONSUMPTION IN INDIVIDUAL AND TEAM SPORTS 15 Levene's test. The Levene's test was significant (p=.007) and that shows the group variances were different and the assumption was not met. Table 5 shows that the main effect of family support on alcohol consumption was significant F (1, 1590) = 37.834, p < 0.001. The main effect of individual sports activity on alcohol consumption was not significant F (1, 1590) = 1.221, p > 0.001. However, the main effect of team sports activity on alcohol consumption was significant F (1, 1590) = 8.680, p < 0.001. There was no interaction between individual sports activity and team sports activity on alcohol consumption F (1, 1590) = 0.658 p > 0.001. Table 5 Main effects and interaction for family support, team- and individual sports on alcohol consumption. Effect Team sports Sum of squares 228.574 Individual sports 1 Mean square 228.574 8.680 0.003 32.162 1 32.162 1.221 0.269 996.320 1 37.834 0.000 17.332 1 17.332 0.658 0.517 1590 26.334 Family support Team sports*Individual Df 996.320 F P (Sig.) sport Error 41870.985 Discussion The purpose of the study was to examine whether people who often practice individual sport and team sports were more likely to drink moderately than those who rarely practice it. Also examined was whether those who engage in either individual- or team sports and have good family support are more likely to drink alcohol in moderation than those who do not have a good family support. The findings partially supported the first hypothesis. A two-way factorial analysis of covariance was conducted (FANOVA) to see whether how often people practiced either ALCOHOL CONSUMPTION IN INDIVIDUAL AND TEAM SPORTS individual or team sports made a difference in alcohol consumption. The findings indicated that those who rarely practiced team sports did consume alcohol more often than those who often practiced team sports. However, there was no significant difference in alcohol consumption between those who often or rarely practiced individual sports. Prior studies on this topic have shown similar findings: that sport participation reduces alcohol consumption (see in Vest & Simpkins, 2013; Thorlindsson & Bernburg, 2006; Ward & Gryczynski, 2007). However, other studies have also shown that those who practice sports, especially team sports, seem to consume alcohol more frequently (Eitle et al., 2003; Whichstrøm & Whichstrøm, 2009; Lorente et al., 2004; Peretti-Watel et al., 2002) which is not in accordance with this study. The Australian study by Rowland et al. (2012) was an important and interesting study because it showed how effective programs like the Good Sports Program are in decreasing alcohol consumption among athletes, and there should be more programs like the Good Sports Program to prevent alcohol consumption amongst adolescents. Icelandic colleges have a similar program called “Afreksbraut” which makes demands upon its participants but studies should be made to observe whether the program is working, whether students are fulfilling the demands made and whether these demands are enforced. This study also examined whether there was a gender difference. The result showed that there was no significant difference between genders, which was in accordance to the present study (Lorente et al., 2004). The findings also partially supported the second hypothesis. A two-way analysis of covariance was conducted (ANCOVA) to see whether those who engaged in either individual or team sports and had good family support were more likely to drink alcohol in moderation than those who did not. There was a significant difference between family support and alcohol consumption. Those who had good family support consumed less alcohol than those who did not. The findings also showed that those who often practiced team sports and had good family 16 ALCOHOL CONSUMPTION IN INDIVIDUAL AND TEAM SPORTS support consumed less alcohol than the other groups. There was no significant difference between family support and individual sports. This shows that whether family support was good or bad made no difference on how often participants practiced individual sports. Prior studies are in accordance with these findings. The study by Bu, Watten, Foxcroft, Ingebrigtsen and Relling (2002) similarly showed that those who have bad family support seem to drink alcohol more often. Another study by Hoffmann (2006) also showed that it is important to have good family support to reduce alcohol consumption. The present study had some limitations. The study was self reported so the participants could have been answering the questions dishonestly. The assumption of homogeneity of variance was violated and that means that the group variances were different and the assumption was not met. The assumption for normality was also not met, which is not good but the assumption of homogeneity of variance not being met was still worse. There was also one limitation which concerns the independent variables. Those who rarely practiced individual sports could have been often practicing team sports and vice versa so that could have skewed the findings a bit. It is also important to mention that alcohol consumption can differ depending on an on or off season so that could also have had something to say. The strengths of the present study were that the sample was randomized and also there were many people who participated, which was really good. Overall sports are most of the time a risk factor for alcohol consumption amongst athletes and it is vital to educate people about the damaging long-term effects of alcohol, especially for athletes. Future studies should always try to control for confounders when examining sports and alcohol consumption, especially the influence of peers, and these future studies should control for ethnic groups and gender. It would also be interesting for future studies to compare many countries together and examine where alcohol consumption is in moderation. 17 ALCOHOL CONSUMPTION IN INDIVIDUAL AND TEAM SPORTS References Bruner, A. B., & Fishman, M. (1998). Adolescents and illicit drug use. 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