• Sujith Jayarathna National Child Protection Authority, Sri Lanka
  • Manoj Fernando Rajarata University of Sri Lanka, Sri Lanka
  • Thilini Herath Eastern University, Sri Lanka
  • Duminda Guruge Rajarata University of Sri Lanka, Sri Lanka




Attractive image on alcohol, peer norms, students, Sri Lanka


In Sri Lanka, the main occupation of the alcohol users was students according to the International Standard Classification of Occupation. Attractiveness of the image of alcohol is one of the key determinants and this image develops through peer norms. Aim of the study was to assess the effectiveness of a health promotion intervention in changing the attractive image of alcohol among students. A quasi experimental study was conducted among students from grade 8 to 11 from two schools in Anuradhapura and Polonnaruwa districts in Sri Lanka as the intervention and control group respectively. Intervention was delivered through a group of voluntary students from grade 11 with training to challenge peer norms. Data were collected using self-administered questionnaires and the chi square test was performed by SPSS. Acceptance on 7 out of 10 norms towards alcohol were significantly reduced in the intervention group with a p value < 0.05 (95 CI level) by comparing post evaluation results in the intervention group with the post evaluation results in the control group according to the chi square test. A health promotion intervention consists of a trained student group is effective in challenging peer norms for reducing the attractive image of alcohol among students.


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Alcohol and Drug Information Centre, 2010, Trends in alcohol use Date of access 25/12/2017 http://adicsrilanka.org/wp-content/uploads/2017/06/Spopt-Survey_Alcohol-Report-July-2010.pdf

Borsari, B. and Carey, K.B., 2001, Peer influences on college drinking: A review of the research. Journal of substance abuse, 13(4), 391-424.

Carey, K.B., Scott-Sheldon, L.A., Carey, M.P. and DeMartini, K.S., 2007, Individual-level interventions to reduce college student drinking: A meta-analytic review. Addictive behaviors, 32(11), 2469-2494.

Conway, D.I., 2005, Alcohol consumption and the risk for disease. Evidence-based dentistry, 6(3), 76.

De Silva, V., Samarasinghe, D. and Gunawardena, N., 2009, Alcohol and tobacco use among males in two districts in Sri Lanka. Ceylon medical journal, 54(4).

Derges, J., Kidger, J., Fox, F., Campbell, R., Kaner, E. and Hickman, M., 2017, Alcohol screening and brief interventions for adults and young people in health and community-based settings: a qualitative systematic literature review. BMC public health, 17(1), 562.

Grant, B.F. and Dawson, D.A., 1997, Age at onset of alcohol use and its association with DSM-IV alcohol abuse and dependence: results from the National Longitudinal Alcohol Epidemiologic Survey. Journal of substance abuse, 9, 103-110.

Harachi, T.W., Ayers, C.D., Hawkins, J.D., Catalano, R.F. and Cushing, J., 1996, Empowering communities to prevent adolescent substance abuse: Process evaluation results from a risk-and protection-focused community mobilization effort. Journal of Primary Prevention, 16(3), 233-254.

Hawkins, J.D., Catalano, R.F. and Miller, J.Y., 1992, Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: implications for substance abuse prevention. Psychological bulletin, 112(1), 64.

Jackson, M.C., Hastings, G., Wheeler, C., Eadie, D. and MacKintosh, A.M., 2000, Marketing alcohol to young people: implications for industry regulation and research policy. Addiction, 95(12s4), 597-608.

Jernigan, D.H. and World Health Organization, 2001. Global status report: alcohol and young people.

Kuntsche, E., Knibbe, R., Gmel, G. and Engels, R., 2005. Why do young people drink? A review of drinking motives. Clinical psychology review, 25(7), pp.841-861.

Mokdad, A.H., Forouzanfar, M.H., Daoud, F., Mokdad, A.A., El Bcheraoui, C., Moradi-Lakeh, M., Kyu, H.H., Barber, R.M., Wagner, J., Cercy, K. and Kravitz, H., 2016, Global burden of diseases, injuries, and risk factors for young people's health during 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet, 387(10036), 2383-2401.

Perera, B. and Torabi, M., 2009, Motivations for alcohol use among men aged 16-30 years in Sri Lanka. International journal of environmental research and public health, 6(9), 2408-2416.

Peris, K, Guruge, D, Perera, M, Senarathne, L. 2013, Children’s Health Country Programme: First Phase Programme Review 2010-2012. HaPAN/PLAN/Rajarata University of Sri Lanka.

Perry, C.L., Williams, C.L., Veblen-Mortenson, S., Toomey, T.L., Komro, K.A., Anstine, P.S., McGovern, P.G., Finnegan, J.R., Forster, J.L., Wagenaar, A.C. and Wolfson, M., 1996. Project Northland: outcomes of a communitywide alcohol use prevention program during early adolescence. American Journal of Public Health, 86(7), pp.956-965.

Rehm, J., Mathers, C., Popova, S., Thavorncharoensap, M., Teerawattananon, Y. and Patra, J., 2009, Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. The Lancet, 373(9682), 2223-2233.

Samarasinghe D, 2006a, Reducing harm from use of alcohol: Community Responses. Date of access 12/11/201 www.searo.who.int/entity/mental_health/documents/929022276x.pdf?ua=1

Samarasinghe, D, Guruge, D, Ranasinghe, R, Amunigama, S, Fernando, F, Indawansa, S. 2011, Health Promotion Process. (Colombo: Sri Lanka: Ministry of Health)

Samarasinghe, D., 2006, Sri Lanka: alcohol now and then. Addiction, 101(5), .626-628.

Samarasinghe, D.S., Dissanayake, S.A.W. and Wijesinghe, C.P., 1987, Alcoholism in Sri Lanka: an epidemiological survey. Addiction, 82(10), 1149-1153.

Somatunga, L.C., Ratnayake, L.V.R., Wijesinghe, W.M.D.N.K., Yapa, Y.M.M.M. and Cooray, M.P.N.S., 2014, National alcohol use prevalence survey in Sri Lanka. Journal of the Postgraduate Institute of Medicine, 1.

Spoth, R.L., Redmond, C., Trudeau, L. and Shin, C., 2002, Longitudinal substance initiation outcomes for a universal preventive intervention combining family and school programs. Psychology of Addictive Behaviors, 16(2), 129.

Valente, T.W., Ritt‐Olson, A., Stacy, A., Unger, J.B., Okamoto, J. and Sussman, S., 2007, Peer acceleration: effects of a social network tailored substance abuse prevention program among high‐risk adolescents. Addiction, 102(11), 1804-1815.

Velleman, R., 2009, How do children and young people learn about alcohol: A major review of the literature for the Joseph Rowntree Foundation.

Whiteford, H.A., Degenhardt, L., Rehm, J., Baxter, A.J., Ferrari, A.J., Erskine, H.E., Charlson, F.J., Norman, R.E., Flaxman, A.D., Johns, N. and Burstein, R., 2013, Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. The Lancet, 382(9904), 575-1586.

World Health Organization, 2004. Global status report on alcohol Date of access 21/10/2017 www.who.int/substance_abuse/publications/global_status_report_2004_overview.pdf

World Health Organization. 2009, Milestones in Health Promotion- Statements from Global Conferences Date of access 12/02/2017 www.who.int/healthpromotion/Milestones_Health_Promotion_05022010.pdf.

Yan, F.A., Beck, K.H., Howard, D., Shattuck, T.D. and Kerr, M.H., 2008, A structural model of alcohol use pathways among Latino youth. American Journal of Health Behavior, 32(2), 209-219




How to Cite

Jayarathna, S., Fernando, M., Herath, T., & Guruge, D. (2018). A COMMUNITY BASED HEALTH PROMOTION INTERVENTION IN CHANGING THE ATTRACTIVE IMAGE ON ALCOHOL AMONG STUDENTS IN A GOVERNMENT SCHOOL IN NORTH CENTRAL PROVINCE, SRI LANKA. Proceedings of the Global Public Health Conference, 1(1), 37–50. https://doi.org/10.17501/globeheal.2018.1105