Ten-year prospective study of public health problems associated with early drinking
Ten-year prospective study of public health problems associated with early drinking
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DOI：
10.1542/peds.111.5.949
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发表时间：
2003-05-01
期刊：
影响因子：
8
通讯作者：
Klein, DJ
中科院分区：
文献类型：
--
作者：
Ellickson, PL;Tucker, JS;Klein, DJ
Objective.比较早期不饮酒者、实验者和饮酒者在7年级、12年级和23岁时问题行为的患病率（N = 6338、4265和3369）。结果是基于纵向自我报告的数据，这些数据来自最初从加州和俄勒冈州的30所学校招募的7年级（1985年）的个人，并在12年级（1990年）和23岁（1995年）时再次进行评估。使用逻辑回归来对7年级、12年级和/或23岁的3个饮酒状态组中的学习困难、就业问题、药物使用以及犯罪和暴力行为的患病率进行加权估计。Huber方差估计，调整加权和聚类观察，用于评估组间差异的统计学意义。早期饮酒者和实验者比不饮酒者更有可能报告初中和高中的学业问题，物质使用和犯罪行为。到了青年期，早期饮酒与就业问题、其他药物滥用、犯罪和暴力行为有关。早期饮酒者不一定会像年轻人一样成熟地摆脱有问题的生活方式。对这些高风险青年的干预措施应及早开始，并解决他们的其他公共卫生问题，特别是他们吸烟和使用其他非法药物的倾向。
Objective. To compare early nondrinkers, experimenters, and drinkers on the prevalence of problem behaviors at grades 7 and 12 and at age 23 (N = 6338, 4265, and 3369, respectively).Methods. Results are based on longitudinal self-report data from individuals who were originally recruited from 30 California and Oregon schools at grade 7 (1985) and assessed again at grade 12 (1990) and at age 23 (1995). Logistic regression was used to develop weighted estimates of the prevalence of academic difficulties, employment problems, substance use, and delinquent and violent behaviors within the 3 drinking status groups at grades 7, 12, and/or at age 23. Huber variance estimates, which adjust for weighting and clustering of observations, were used to assess the statistical significance of differences across groups.Results. Early drinkers and experimenters were more likely than nondrinkers to report academic problems, substance use, and delinquent behavior in both middle school and high school. By young adulthood, early alcohol use was associated with employment problems, other substance abuse, and criminal and violent behavior.Conclusions. Early drinkers do not necessarily mature out of a problematic lifestyle as young adults. Interventions for these high-risk youth should start early and address their other public health problems, particularly their tendency to smoke and use other illicit drugs.