A Systematic Review of Household and Family Alcohol Use and Adolescent Behavioural Outcomes in Low- and Middle-Income Countries.

A Systematic Review of Household and Family Alcohol Use and Adolescent Behavioural Outcomes in Low- and Middle-Income Countries.
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DOI:
10.1007/s10578-020-01038-w
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发表时间:
2021-08
影响因子:
2.9
通讯作者:
Davidson LL
Davidson LL
中科院分区:
医学4区
文献类型:
--
作者:
Jokinen T;Alexander EC;Manikam L;Huq T;Patil P;Benjumea D;Das I;Davidson LL

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暴露于酒精滥用被认为是一种不良的童年经历,影响青少年的神经发育和行为结果,包括物质使用,精神疾病,问题行为,自杀和少女怀孕。关于这个问题的大多数研究都集中在高收入国家,而酒精使用模式和相关因素在低收入和中等收入国家可能有所不同。因此,本系统性综述旨在整理1990-2020年关于中低收入国家主题的所有已发表研究。纳入了43项研究,共有来自18个中低收入国家的70,609名参与者。评估的结局包括:物质使用;抑郁/焦虑;自杀意念;问题行为;情绪障碍;少女怀孕;和自残尽管研究中发现了异质性,但本综述记录了LMIC中家庭酒精滥用暴露与不良青少年结局之间的一些关联,包括心理健康问题,问题行为和自杀倾向。导致这些结果的机制可能各不相同,需要在不同的社会经济和文化背景下进行进一步研究,特别是以纵向研究的形式进行研究。本文的在线版本(10.1007/s10578-020-01038-w)包含补充材料,可供授权用户使用。
Exposure to alcohol misuse is considered an adverse childhood experience impacting on neurodevelopmental and behavioural outcomes in adolescents including substance use, mental illness, problem behaviours, suicidality, and teenage pregnancy. Most research on this issue has focussed on higher income countries, whereas patterns of alcohol use and related factors may be different in low- and middle-income countries (LMICs). This systematic review therefore seeks to collate all published studies from 1990–2020 on the topic set in LMICs. 43 studies were included, totalling 70,609 participants from 18 LMICs. Outcomes assessed included: substance use; depression/anxiety; suicidal ideation; problem behaviour; emotional dysfunction; teenage pregnancy; and self-harm. Despite heterogeneity in the studies identified, this review documented some association between exposure to household alcohol misuse and adverse adolescent outcomes in LMICs, including mental health problems, problem behaviours, and suicidality. The mechanisms leading to these outcomes are likely varied, and further research in different socio-economic and cultural contexts, particularly in the form of longitudinal studies, is called for. The online version of this article (10.1007/s10578-020-01038-w) contains supplementary material, which is available to authorized users.
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