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ESPAD 2019: European Schools Project on Alcohol and Other Drugs in Ireland. Salome Sunday, Sheila Keogan, Joan Hanafin, Luke Clancy TobaccoFree Research Institute Ireland for the Department of Health The Department of Health Focas Research Institute Technological University Dublin The European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) To Cite Sunday, S. Keogan, S. Hanafin, J. and Clancy, L. (2020). ESPAD 2019 Ireland: Results from tHe European Schools Project on Alcohol and Other Drugs in Ireland. Dublin: TFRI ISBN: 978-0-9557528-4-1 Published by TFRI Dublin www.tri.ie Foreword The ESPAD Ireland 2019 Report is the seventh Irish data-collection wave of the European Schools Project for Alcohol and Other Drugs (ESPAD) carried out in Ireland. Data included in the sample reported here and submitted to ESPAD Europe consists of survey results from 1967 students born in 2003, who were 15-16 years old at the time of the survey which was performed in a sample of Irish schools from March to June 2019. These serial data sets enable us to monitor trends in alcohol, tobacco, gaming, internet usage as well as a number of other behaviors including illicit drug usage such as cannabis. So that now we can examine changes over the past 24 years in a wide number of behaviors. During that time more than a half a million second level European students have answered the ESPAD questionnaire. The first ESPAD report, with data from 1995, included information from 26 countries including Ireland, while the present seventh report scheduled for publication in November 2020 contains results from more than 35 countries. ESPAD is probably the most accessed source of reliable information on young people’s substance use in Europe with participation by countries within and outside the EU. The ESPAD project was initiated in 1993 by the Swedish Council for Information on Alcohol and Other Drugs (CAN) as a follow-up of a test of a European school-survey questionnaire funded by the Pompidou Group at the Council of Europe in a pilot study in 1986–1988. ESPAD also has an established contact with the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) in Lisbon. This co-operation has deepened in later years and has included support for data collection, analysis and reporting as well as the hosting of an ESPAD Project Meeting and is now a shared project. Students’ participation is voluntary and anonymous and no results are presented for individuals or single classes. Apart from using a common questionnaire on a commonly defined target population and data collection period, field work practices as well as capture, cleaning, delivery and analyses of the data are carried out in standardized fashion. The data collections in individual countries are funded through national sources. In our case work on this report would not have been possible without financial support from the Dept. of Health tender for Research Services for the European Schools Service Project on Alcohol and Other Drugs (ESPAD) 2019. We acknowledge institutional support from Focas Institute TU Dublin, the support of our colleagues, Dr Zubair Kabir, UCC Dr Mark Ward, TCD, Dr Helen McAvoy IPH, Seefin Data Management Limited and Prof Mark Morgan DCU whose pioneering work and approach to this project we try to follow. We would particularly like to express our gratitude to all those who made this project possible, especially school principals, teachers, research assistants and others who facilitated us with the data collection and especially the Irish school students throughout the country without whom there would be no survey. Luke Clancy D.G. Tobacco Free Research Institute Ireland, Dublin June 2020 Table of Contents Introduction ........................................................................................................................................................... 1 Background ....................................................................................................................................................... 1 Executive Summary ............................................................................................................................................. 2 1. METHODOLOGY ........................................................................................................................................... 6 Aims of the Study ................................................................................................................................................ 6 Sample and Recruitment .................................................................................................................................. 6 ESPAD 2019 Questionnaire ............................................................................................................................. 7 Ethical Issues .................................................................................................................................................... 8 Data Collection Entry and Analysis ................................................................................................................ 8 2. SUBSTANCE USE IN IRELAND 1995-2015 .................................................................................................... 9 Alcohol Use ....................................................................................................................................................... 9 Heavy episodic drinking ................................................................................................................................. 10 30-day cigarette use ....................................................................................................................................... 11 Lifetime cannabis use .................................................................................................................................... 12 Lifetime inhalant use ...................................................................................................................................... 13 Lifetime use of tranquilizers without prescription ....................................................................................... 14 Lifetime use of other substances .................................................................................................................. 15 Summary .......................................................................................................................................................... 16 3. DRINKING AND ALCOHOL CONSUMPTION ........................................................................................... 20 Alcohol Consumption ..................................................................................................................................... 20 Reports of being drunk .................................................................................................................................. 21 Consequences of alcohol use ....................................................................................................................... 27 Drinking Motivation ........................................................................................................................................ 29 Summary .......................................................................................................................................................... 30 Factors Related to Alcohol Consumption .................................................................................................... 31 4. SMOKING AND TOBACCO PRODUCTS CONSUMPTION ........................................................................ 41 Smoking ........................................................................................................................................................... 41 Factors related to smoking ............................................................................................................................ 47 Summary .......................................................................................................................................................... 71 E-CIGARETTES AND WATER PIPES ............................................................................................................. 72 Factors related to e-cigarette use ................................................................................................................. 79 5. CANNABIS USE ............................................................................................................................................ 86 Cannabis Use .................................................................................................................................................. 86 Factors related to cannabis use .................................................................................................................... 93 6. USE OF OTHER SUBSTANCES ................................................................................................................. 106 Substance use ............................................................................................................................................... 106 Energy Drinks ................................................................................................................................................ 113 Factors related to substance use ...............................................................................................................