Parental supply of sips and whole drinks of alcohol to adolescents and associations with binge drinking and alcohol-related harms: A prospective cohort study
Parental supply of sips and whole drinks of alcohol to adolescents and associations with binge drinking and alcohol-related harms: A prospective cohort study
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DOI：
10.1016/j.drugalcdep.2020.108204
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发表时间：
2020-10-01
影响因子：
4.2
通讯作者：
Peacock, Amy
中科院分区：
文献类型：
--
作者：
Aiken, Alexandra;Clare, Philip J.;Peacock, Amy
背景：父母经常给他们的孩子提供酒精，通常只是一小口。我们调查了来自父母和其他来源的小口和整杯饮料的供应是否与随后的饮酒结果有不同的关联。方法：从2010年至2011年，每年对1910名青少年（平均年龄12.9岁）进行调查。我们研究了前12个月来自父母和非父母来源的供给量与随后一年的五种结果之间的前瞻性、调整后的关联，连续几年：酗酒；与酒精有关的危害;酒精滥用、依赖和酒精使用障碍（AUD）的症状。结果：在早期的浪潮中，大多数父母的供应包括小口，而在后来的浪潮中，整个饮料的供应增加了。在没有从其他来源获得酒精的儿童中，父母提供小口酒精与酗酒的几率增加（OR: 1.85; 99.5% CI: 1.17-2.91）和酒精相关危害（OR: 1.70; 99.5% CI: 1.20-2.42）有关，但与不提供酒精的儿童相比，与报告的酒精滥用、依赖或AUD症状无关。相对于没有供应，其他来源的供应只与酗酒的几率增加有关（OR: 2.04; 99.5% CI: 1.14-3.67）。与小口供应相比，由父母或其他人供应整杯饮料的酗酒、酒精相关危害、依赖症状和澳元的几率更高。二次分析表明，大量供应与所有结果的风险增加有关。结论：父母提供的小瓶与风险增加有关，大量的供应与不良后果的风险增加有关。
Background: Parents frequently supply alcohol to their children, often only sips. We investigated whether supply of sips and whole drinks, from parents and other sources, are differentially associated with subsequent drinking outcomes.Methods: A cohort of 1910 adolescents (mean age 12.9yrs) were surveyed annually over seven years from 2010 - 11. We examined prospective, adjusted associations between the quantity of supply from parental and non-parental sources in the preceding 12 months and five outcomes in the subsequent year, over several consecutive years: binge drinking; alcohol-related harms; symptoms of alcohol abuse, dependence and alcohol use disorder (AUD).Results: In early waves, most parental supply comprised sips, while supply of whole drinks increased in later waves. Among those not receiving alcohol from other sources, parental supply of sips was associated with increased odds of binge drinking (OR: 1.85; 99.5 % CI: 1.17-2.91) and alcohol-related harms (OR: 1.70; 99.5 % CI: 1.20-2.42), but not with reporting symptoms of alcohol abuse, dependence or AUD, compared with no supply. Relative to no supply, supply of sips from other sources was associated with increased odds of binge drinking (OR: 2.04; 99.5 % CI: 1.14-3.67) only. Compared with supply of sips, supply of whole drinks by parents or others had higher odds of binge drinking, alcohol-related harms, symptoms of dependence and of AUD. Secondary analysis demonstrated that supply of larger quantities was associated with an increased risk of all outcomes.Conclusion: Parental provision of sips is associated with increased risks and the supply of greater quantities was associated with an increasing risk of adverse outcomes.