A 26-Year Follow-Up Study of Heavy Drinking Trajectories from Adolescence to Mid-Adulthood and Adult Disadvantage
A 26-Year Follow-Up Study of Heavy Drinking Trajectories from Adolescence to Mid-Adulthood and Adult Disadvantage
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DOI：
10.1093/alcalc/agt026
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发表时间：
2013-07-01
影响因子：
2.8
通讯作者：
Huurre, Taina
中科院分区：
文献类型：
--
作者：
Berg, Noora;Kiviruusu, Olli;Huurre, Taina
目的：该研究的目的是确定16至42岁的酗酒轨迹，并研究其与成年中期健康，社会，就业和经济劣势的关系。方法：1983年16岁的芬兰队列研究参与者在22岁、32岁和42岁时随访（n = 1334）。在每个研究阶段对大量饮酒进行评估，并根据这些测量结果确定大量饮酒的轨迹。然后，轨迹组被视为42岁时不利的预测因素。结果如下：五个不同的重度饮酒轨迹：中度（35%），稳定低（22%），减少（9%），增加（11%）和稳定高（23%）。轨迹组的频率因性别而异。使用中等轨迹作为参考类别，处于稳定高轨迹的女性在42岁时经历几乎所有不利因素的风险增加。在男性中，不断增加和稳定的高群体有更大的风险经历健康和经济劣势。结论：女性饮酒者和男性饮酒者在成年中期处于不利地位的风险最高。通过确定从青少年到中年的大量饮酒轨迹，我们可以更好地预测大量饮酒的长期后果，并规划预防和干预方案。
Aims: The aim of the study was to identify heavy drinking trajectories from age 16 to 42 years and to examine their associations with health, social, employment and economic disadvantage in mid-adulthood. Methods: Finnish cohort study's participants who were 16 years old in 1983 were followed up at age 22, 32 and 42 (n = 1334). Heavy drinking was assessed at every study phase and based on these measurements trajectories of heavy drinking were identified. The trajectory groups were then examined as predictors of disadvantage at age 42. Results: Five distinct heavy drinking trajectories were identified: moderate (35%), steady low (22%), decreasing (9%), increasing (11%) and steady high (23%). Frequencies of the trajectory groups differed by gender. Using the moderate trajectory as a reference category, women in the steady high trajectory had an increased risk of experiencing almost all disadvantages at age 42. In men, increasing and steady high groups had an increased risk for experiencing health and economic disadvantage. Conclusion: Steady high female drinkers and steady high and increasing male drinkers had the highest risk for disadvantage in mid-adulthood. By identifying heavy drinking trajectories from adolescence to mid-adulthood we can better predict long-term consequences of heavy alcohol use and plan prevention and intervention programmes.