Age of onset or age at assessmentthat is the question: Estimating newly incident alcohol drinking and rapid transition to heavy drinking in the United States, 2002-2014
Age of onset or age at assessmentthat is the question: Estimating newly incident alcohol drinking and rapid transition to heavy drinking in the United States, 2002-2014
复制标题
DOI：
10.1002/mpr.1587
复制
发表时间：
2018-03-01
影响因子：
3.1
通讯作者：
Anthony, James C.
中科院分区：
文献类型：
--
作者：
Cheng, Hui G.;Lopez-Quintero, Catalina;Anthony, James C.
在精神病学中，特定年龄的发病率估计是重要而有用的事实，但发病率估计可能具有挑战性。方法工件是可能的。在最低法定饮酒年龄为21岁的美国，最近对12至25岁人群的横断面实地研究采用了传统的年龄评估方法（AAA），以12个月的回忆为基础进行发病率估计。估计揭示了在饮酒开始和从第一次饮酒过渡到大量饮酒的年龄特异性发病率估计中意想不到的非线性模式。在这里，我们的目的是引起人们对发病年龄（AOO）替代AAA方法的注意，并验证AOO方法是否也揭示了非线性。年度数据来自2002-2014年美国国家药物使用和健康调查中抽取的具有全国代表性的样本，并对其进行了评估，对饮酒结果进行了标准化的音频计算机辅助自我访谈评估。AAA和AOO方法都显示出非线性，在18岁之后和21岁之前的最低法定饮酒年龄饮酒发生率意外下降。AOO和AAA方法揭示了相似的年龄特异性模式。我们讨论了当可以预测非线性关联模式时，AOO方法的优点，但我们得出的结论是，AAA方法没有创建人工非线性模式。
Age-specific incidence estimates are important and useful facts in psychiatric epidemiology, but incidence estimation can be challenging. Methods artifacts are possible. In the United States, where the minimum legal drinking age is 21years, recent cross-sectional field research on 12- to 25-year-olds applied conventional age-at-assessment approaches (AAA) for incidence estimation based on 12-month recall. Estimates disclosed unexpected nonlinear patterns in age-specific incidence estimates for both drinking onset and for transitioning from first drink to heavy drinking. Here, our aim is to draw attention to an age of onset (AOO) alternative to AAA approaches and to verify whether the AOO approach also discloses nonlinearity. Yearly data are from U.S. nationally representative samples drawn and assessed for National Surveys on Drug Use and Health, 2002-2014, with standardized audio computer-assisted self-interview assessments for drinking outcomes. Both AAA and AOO approaches show nonlinearities, with an unexpected dip in drinking incidence rates after age 18 and before the age 21 minimum legal drinking age. The AOO and the AAA approaches disclosed similar age-specific patterns. We discuss advantages of the AOO approach when nonlinear incidence patterns can be anticipated, but we conclude that the AAA approach has not created an artifactual nonlinear pattern.