Alcohol Use at the Cusp of Adolescence: A Prospective National Birth Cohort Study of Prevalence and Risk Factors
Alcohol Use at the Cusp of Adolescence: A Prospective National Birth Cohort Study of Prevalence and Risk Factors
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DOI：
10.1016/j.jadohealth.2015.02.010
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发表时间：
2015-06-01
影响因子：
7.6
通讯作者：
Schulenberg, John E.
中科院分区：
文献类型：
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作者：
Maggs, Jennifer L.;Staff, Jeremy;Schulenberg, John E.
目的：估计 10-11 岁人群的饮酒流行率，并记录早期社会人口统计学和同时发生的酒精特定危险因素的变化。方法：千年队列研究是一项针对英国 12 个月内活产的前瞻性、全国代表性研究。对选区的随机样本进行分层，以充分代表英国国家、经济贫困地区以及亚裔和英国黑人家庭高度集中的地区。共有 12,305 对母婴提供了 9 个月时的自我报告数据（母亲的婚姻状况、年龄、教育程度、职业水平；儿童性别、种族、国家）和 10-11 岁（青少年饮酒情况和态度）。结果：在调整自然减员和抽样设计后，13.4% 的 10-11 岁儿童曾饮酒（超过少数）喝），1.2％的人感到醉了，6％的人一次喝了五杯或更多酒。男孩曾经饮酒的几率较高（1.47，95% 置信区间为 1.29-1.68），而亚裔英国人（相对于白人；.09,.05-.17）或英国黑人（0.42，.29-.62）的早期青少年则较低。除了社会人口统计差异之外，对酒精的更积极态度与饮酒（1.70, 1.51-1.91）、感觉醉酒（2.96, 2.07-4.24）以及喝五杯或更多酒（4.20, 2.66-6.61）的几率更大相关。结论：小学最后一年的饮酒情况已被确定，但并不常见。它的使用因社会人口群体而异；具有更积极饮酒态度的青少年早期开始饮酒的风险特别高。结果支持呼吁加强对过早饮酒的监测和筛查。 (C) 2015 年青少年健康与医学协会。版权所有。
Purpose: To estimate the prevalence of alcohol use at the age of 10-11 years and document variation by early sociodemographic and concurrent alcohol-specific risk factors.Methods: The Millennium Cohort Study is a prospective, nationally representative study of live births in the United Kingdom across 12 months. A random sample of electoral wards was stratified to adequately represent U.K. countries, economically deprived areas, and areas with high concentrations of Asian and Black British families. A total of 12,305 child-mother pairs provided self-report data at 9 months (mother's marital status, age, education, occupational level; child gender, ethnicity, country) and age 10-11 years (adolescent alcohol use and attitudes).Results: After adjusting for attrition and sampling design, 13.4% of 10- to 11-year-olds had had an alcoholic drink (more than few sips), 1.2% had felt drunk, and.6% had five or more drinks at a time. Odds of ever drinking were higher among boys (1.47, 95% confidence interval, 1.29-1.68) and lower among early adolescents who were Asian British (vs. white;.09,.05-.17) or Black British (.42, .29-.62). Beyond sociodemographic differences, more positive attitudes about alcohol were associated with greater odds of drinking (1.70, 1.51-1.91), feeling drunk (2.96, 2.07-4.24), and having five or more drinks (4.20, 2.66-6.61).Conclusions: Alcohol use in the last year of primary school was identified but not common. Its use varied by sociodemographic groups; early adolescents with more positive alcohol attitudes had especially high risks of early alcohol initiation. Results support calls for increased surveillance and screening for very early drinking. (C) 2015 Society for Adolescent Health and Medicine. All rights reserved.