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The study aimed to explore the relationship between alcohol use, alcohol refusal skills, accessibility of alcohol, and expected consequences of alcohol use. The research sample consisted of 572 adolescents from 12 primary schools in Slovakia (50.1% boys, mean age = 12.49; SD = 0.59) based on stratified random sampling. Binary logistic regressions and mediation analyses were used for the analysis and were carried out separately for boys and girls. The models for boys and girls were found to be significant (chi square 35.57, p < .001; R2 = 12.9 - 17.4, chi square, 81.54, p < .001; R2 = 27, 8 - 37.1). For boys, alcohol use was significantly negatively associated with alcohol refusal skills and positively with the availability of alcohol. For girls, alcohol use was significantly negatively associated with alcohol refusal skills and negative expectations were found. Positive relationships with positive expectations and alcohol availability were also confirmed. In the sample of girls, both negative and positive expectations in the relationship between alcohol use and the availability of alcohol were confirmed as mediators of these relationships.
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