Trajectories of early alcohol use milestones: Interrelations among initiation and progression.
Trajectories of early alcohol use milestones: Interrelations among initiation and progression.
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DOI：
10.1111/acer.14723
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发表时间：
2021-11
期刊：
影响因子：
--
通讯作者：
Hayes KL
中科院分区：
文献类型：
--
作者：
Jackson KM;Marceau K;Colby SM;Barnett NP;Rogers ML;Hayes KL
酒精使用显示出年龄分级模式，规范使用通过升级使用或严重程度的特征里程碑进行。尽管对里程碑实现的时间和里程碑之间的顺序有一些了解，但我们对使用的最早阶段的理解存在差距。本研究描述了从第一口开始的时间、顺序和进展速度。六至八年级学生（N= 1 023; 52%为女性; 76%为白色; M=12.23岁）完成了网络调查，直至高中结束。参与者报告了酒精经历，包括第一口，全饮，消费3+饮料/场合（大量饮酒），醉酒和急性后果，从中计算里程碑年龄和进展速度（持续时间）。里程碑的患病率，顺序和时间的特点和实现的年龄和进展速度之间的关联进行了检查。我们还检查了里程碑时间和进展是否因性别和种族/民族而异。总的来说，里程碑遵循预期的顺序，除了大量饮酒（3+饮料/场合）和醉酒，这似乎表明类似的经历。较早的达到年龄与实现每个里程碑的可能性增加有关。相比之下，一旦达到一个里程碑，对于那些早期第一次啜饮和充分饮酒的人来说，开始后续相邻里程碑的风险降低，并且早期开始与后续里程碑的持续时间更长相关。女孩比男孩更有可能达到所有里程碑，但在达到年龄方面没有性别差异。与此相反，西班牙裔青年报告的起始年龄比白色非西班牙裔青年更早，但实现的可能性并不因种族/民族而异。在女性中观察到快速进展，但不因人种/种族而异。与早期饮酒相关的风险是复杂的，除了第一口之外，几乎没有支持规范的里程碑顺序。虽然早期饮酒与随后饮酒的风险增加有关，但它似乎并没有使饮酒者加速大量饮酒。对与里程碑时间相关的风险的细致入微的理解可能会为干预工作提供信息。
Alcohol use shows age-graded patterning, with normative use progressing through characteristic milestones of escalating use or severity. Despite some knowledge about timing of milestone attainment and sequencing across milestones, there is a gap in our understanding of the earliest stages of use. This study characterizes the timing, sequencing, and speed of progression through milestones beginning with first sip. 6th-8th graders (N=1,023; 52% female; 76% White; M=12.23 years old) completed web-surveys through high school end. Participants reported on alcohol experiences including first sip, full drink, consumption of 3+ drinks/occasion (heavy drinking), drunk, and acute consequences, from which milestone age and speed of progression (duration) were calculated. Milestone prevalence, sequencing, and timing were characterized and associations between age of attainment and speed of progression were examined. We also examined whether milestone timing and progression varied by sex and racial/ethnic group. Overall, milestones followed expected ordering with the exception of heavy drinking (3+ drinks/occasion) and drunk, which appear to index similar experiences. Earlier age of attainment was associated with increased likelihood of attaining each of the milestones. In contrast, once a milestone was achieved, there was reduced risk of initiation of subsequent adjacent milestones for those with earlier first sip and full drink, and earlier initiation was associated with longer duration to subsequent milestones. Girls were more likely to attain all milestones than boys but there was no sex difference in age of attainment. In contrast, Hispanic youth reported earlier ages of initiation compared to White non-Hispanic youth but likelihood of attainment did not vary by race/ethnicity. Rapid progression was observed in females but did not vary by race/ethnicity. Risks associated with early drinking are complex, with little support for normative ordering of milestones beyond first sip. Although early drinking is associated with increased risk of subsequent drinking, it does not appear to place the drinker on an accelerated course to heavier use. A nuanced understanding of risks associated with milestone timing may inform intervention efforts.
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DOI：
10.1111/j.1749-6632.2009.05419.x
发表时间：
2010-01-01
期刊：
ADDICTION REVIEWS 2
影响因子：
--
作者：
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通讯作者：
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影响因子：
3.4
作者：
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影响因子：
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作者：
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影响因子：
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作者：
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DOI：
10.1111/j.1530-0277.2008.00881.x
发表时间：
2009-04-01
影响因子：
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作者：
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通讯作者：
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