• Ashlea Bartram, Nathan J Harrison, Christina A Norris, Susan Kim, Simone Pettigrew, Robin Room, Caroline Miller, Ian Olver, Rebecca Jenkinson, Marina Bowshall, and Jacqueline A Bowden.
• National Centre for Education and Training on Addiction, Flinders Health and Medical Research Institute, Flinders University, Bedford Park, South Australia, Australia. Electronic address: ashlea.bartram@flinders.edu.au.
• Prev Med. 2024 Feb 1; 179: 107840107840.

ObjectiveZero-alcohol beverages (<0.5% alcohol by volume) appear and taste similar to alcoholic beverages but are regulated similarly to soft drinks in many countries, blurring the distinction between alcoholic and non-alcoholic beverages. How parents view provision of zero-alcohol beverages to adolescents is likely a key determinant of adolescent consumption. We investigated factors associated with parents' provision of zero-alcohol beverages to adolescents, including attitudes toward zero-alcohol beverages and demographic, knowledge, and behavioural factors known to be associated with provision of alcoholic beverages.MethodsWe conducted an online cross-sectional survey of N = 1197 Australian parents of adolescents aged 12-17 years in April-May 2022. We examined associations with zero-alcohol beverage provision using binomial logistic regression, and with future provision intentions using multinomial logistic regression analyses.ResultsFactors significantly associated (p < .001) with parents' provision and future intentions to provide zero-alcohol beverages to their adolescent included beliefs that zero-alcohol beverages had benefits for adolescents (Adjusted Odds Ratio [AOR] 2.69 (provision); 3.72 (intentions)), provision of alcoholic beverages (AOR 2.67 (provision); 3.72 (intentions)), and an incorrect understanding of alcohol guidelines for adolescents (AOR 2.38 (provision); 1.95 (intentions)).ConclusionsParents' provision and intentions to provide zero-alcohol beverages were associated with beliefs about zero-alcohol beverages as well as some factors associated with provision of alcoholic beverages. Precautionary advice to parents that the provision of zero-alcohol beverages may serve to normalise alcohol consumption may be warranted.Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.

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