Prevention for children of alcoholics and other high risk groups.
Prevention for children of alcoholics and other high risk groups.
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酗酒者和其他高危人群的儿童的预防。
DOI：
10.1007/0-306-48626-1_14
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Wong,MariaM
中科院分区：
文献类型：
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作者：
Zucker,RobertA;Wong,MariaM
全国范围内开始饮酒的年龄中位数为14岁，首次醉酒的中位数年龄为17岁(Johnston等人，2003年)。因此，公众对年轻人饮酒的最大担忧始于对青春期的关注也就不足为奇了。这并不一定意味着酗酒儿童和其他最终发展成酒精使用障碍的高危儿童的风险问题就是青春期的问题。事实上，现在大量的证据表明，青少年和年轻成年COA的饮酒问题和其他困难可以通过更早的标记进行预测。因此，这一人群的预防问题变成了处理何时最合适的时间开始干预(即，以什么年龄为目标)以及如何最好地降低或消除风险的问题。同样，考虑到这一代是育儿的一代，人们对成人障碍的了解也可以为预防什么以及一些预防问题提供信息。本章从发展的角度探讨了在这些非常危险的人群中预防风险的问题。
Median age of onset of alcohol use nationally is age 14 and median age of first drunkenness is 17 (Johnston et al., 2003). Thus, it is not surprising that the greatest public concern about drinking among young people begins with a focus on adolescence. It does not necessarily follow that the problems of risk for children of alcoholics1 (COAs) and other children at high risk for the eventual development of alcohol use disorder (AUD) are the problems of adolescence. In fact, a now substantial body of evidence indicates that the drinking problems and other difficulties of adolescent and young adult COAs are predicted by much earlier markers. Thus the prevention question for this population becomes one of dealing with when the most appropriate time is to begin the intervention (ie, what age to target) as well as how best to dampen or eliminate risk. Similarly, what is known about the adult disorder can also be informative about what to prevent, and what some of the prevention issues may be, given that this is the parenting generation. This chapter applies a developmental lens to the problem of prevention of risk among these very high risk populations.