Age at First Drink, Experiences of Drunkenness, and Alcohol-Related Problems in Canadian Youth: Is Early Onset Bad If You Are a Moderate Drinker?
Age at First Drink, Experiences of Drunkenness, and Alcohol-Related Problems in Canadian Youth: Is Early Onset Bad If You Are a Moderate Drinker?
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DOI：
10.15288/jsad.2016.77.974
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发表时间：
2016-11-01
影响因子：
3.4
通讯作者：
Langille, Donald
中科院分区：
文献类型：
--
作者：
Asbridge, Mark;Cartwright, Jenny;Langille, Donald
目的：本文探讨了首次饮酒年龄过早 (AFD)（14 岁及以下）和酒精相关问题，重点关注醉酒经历。它通过调查通常适量饮酒的早期饮酒者是否遇到最小的问题或伤害，挑战了所有早期 AFD 都是有害的假设。方法：参与者来自 2012 年加拿大大西洋省份新不伦瑞克省、新斯科舍省以及纽芬兰和拉布拉多省的学生药物使用调查，这是一项针对高中生（15-19 岁）的匿名横断面调查。使用负二项回归技术来评估与早发性饮酒相关的酒精问题和危害（12 项量表）。结果：在曾经饮酒的高中生 (n= 4,752) 中，65% 的人在 15 岁之前第一次喝酒，73% 的人报告曾经喝醉过，55% 的人在过去 12 个月内至少出现过一次与酒精相关的问题，平均有 1.39 个问题。分析显示，与早期 AFD 相比，经历与酒精相关的问题与曾经喝醉的关系更为密切。一起建模后，报告早期 AFD 且从未喝醉的人报告的问题明显少于报告早期 AFD 和晚期 AFD 但喝醉过的人。结论：早期 AFD 通常与青少年的酒精相关问题有关，并且可以预测未来成年后与酒精相关的危害。然而，根据个人饮酒模式，遭受酒精相关问题的可能性存在相当大的异质性。鉴于早期 AFD 的患病率很高，通过指导青少年适量饮酒而不是仅仅关注戒酒，可以取得更大的成功。
Objective: This article examines early age at first drink (AFD) (14 years and younger) and alcohol-related problems, with a focus on experiences of drunkenness. It challenges the assumption that all early AFD is harmful by investigating whether early drinkers who typically consume alcohol in moderation experience minimal problems or harms. Method: Participants were drawn from the 2012 Student Drug Use Survey in Canada's Atlantic Provinces of New Brunswick, Nova Scotia, and Newfoundland and Labrador, an anonymous cross-sectional survey of high school students (ages 15-19 years). Negative binomial regression techniques were used to assess alcohol problems and harms (12-item scale) in association with early-onset drinking. Results: Among ever-drinking high school students (n= 4,752), 65% had their first drink before age 15, 73% reported having ever been drunk, and 55% indicated at least one alcohol-related problem in the past 12 months, with a mean of 1.39 problems. Analyses revealed that experiencing an alcohol-related problem was more strongly associated with ever being drunk than with early AFD. Modeled together, individuals who reported early AFD and who had never been drunk reported significantly fewer problems relative to individuals who reported early AFD and late AFD but had been drunk. Conclusions: Early AFD is commonly linked to alcohol-related problems in youth and is predictive of future alcohol-related harms in adulthood. However, considerable heterogeneity in the likelihood of suffering alcohol-related problems exists, contextualized by individual drinking patterns. Given the high prevalence of early AFD, harm minimization efforts could achieve greater success by directing youth to consume alcohol in moderation, rather than focusing solely on abstinence.