Teenage smoking and substance use as predictors of severe alcohol problems in late adolescence and in young adulthood
Teenage smoking and substance use as predictors of severe alcohol problems in late adolescence and in young adulthood
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DOI：
10.1016/j.jadohealth.2003.08.016
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发表时间：
2004-09-01
影响因子：
7.6
通讯作者：
Räsänen, P
中科院分区：
文献类型：
--
作者：
Riala, K;Hakko, H;Räsänen, P
目的：在芬兰北部的一个大型一般人群样本中研究青少年饮酒、吸烟、其他物质使用和后来的物质相关问题之间的关系。方法：来自芬兰北部1966年出生队列（n = 11017）的数据与国家犯罪登记和芬兰医院出院登记相关联。在1980年和1981年通过问卷收集了青少年饮酒、吸烟和其他物质使用的信息，当时受试者年龄为14岁。在调整父母社会阶层、家庭类型和学校表现后，进行Logistic回归分析以检验青少年酒精使用频率、重度醉酒、吸烟和其他物质使用倾向、15至32岁的酒驾犯罪和16至31岁的住院治疗物质使用障碍之间的关系。结果：酒驾最有力的预测因子是14岁时经常吸烟（男性AOR为6.8,95% CI为4.6-10.1；女性AOR为6.3,95% CI为1.9-20.6）。医院治疗的物质使用障碍与男性经常吸烟（AOR 9.4, 95% CI 4.6-19.2）和女性经常饮酒（AOR 7.5, 95% CI 2.6-21.5）以及14岁时经常重度饮酒（AOR 12.7, 95% CI 4.0-40.4）相关。结论：青少年经常和大量饮酒和吸烟是青春期后期和成年早期物质使用相关问题的重要预测因素。早期开始经常吸烟和以醉酒为目的饮酒的青少年在以后的生活中特别有使用有害物质的危险。(C)青少年医学协会，2004年。
Purpose: To study the association between adolescent alcohol use, smoking, other substance use, and later sub stance-us e-related problems in a large general population sample in Northern Finland.Methods: Data from the Northern Finland 1966 Birth Cohort (n = 11,017) were linked with National Crime Registers and the Finnish Hospital Discharge Register. Information on adolescent alcohol use, smoking, and other substance use was gathered via a questionnaire in 1980 and 1981, when subjects' age was 14 years. Logistic regression analyses were performed to examine the association between alcohol use frequency, tendency for heavy drunkenness, smoking and other substance use in adolescence, and drunk driving offenses between ages 15 and 32 years and hospital-treated substance use disorders between ages 16 and 31 years, adjusting for parental social class, family type, and school performance.Results: The most powerful predictor for drunk driving was regular smoking at the age of 14 years (AOR 6.8, 95% CI 4.6-10.1 for males and 6.3, 95% CI 1.9-20.6 for females). Hospital-treated substance use disorders were associated with male regular smoking (AOR 9.4, 95% CI 4.6-19.2) and female regular alcohol use (AOR 7.5, 95% CI 2.6-21.5), and having often been heavily drunk (AOR 12.7, 95% CI 4.0-40.4) at the age of 14 years.Conclusions: Teenage regular and heavy alcohol use and smoking are important predictors for substance-use-related problems later in adolescence and in young adulthood. Adolescents with early onset regular smoking and with drunkenness-oriented alcohol use are especially at risk for developing hazardous substance use later in life. (C) Society for Adolescent Medicine, 2004.