Continuity of binge and harmful drinking from late adolescence to early adulthood
Continuity of binge and harmful drinking from late adolescence to early adulthood
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DOI：
10.1542/peds.2003-0864-l
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发表时间：
2004-09-01
期刊：
影响因子：
8
通讯作者：
Rivara, FP
中科院分区：
文献类型：
--
作者：
McCarty, CA;Ebel, BE;Rivara, FP
Objective.为了验证青少年晚期饮酒行为（17-20岁）与成年早期（30-31岁）有害和酗酒相关的假设。我们使用了全国青年纵向调查（NLSY），这是一个具有全国代表性的纵向数据集。我们使用17至20岁的有害和酗酒来预测30至31岁的有害和酗酒，按性别分层并控制混淆因素。有3790人在青少年和成年早期的有害饮酒数据和2387人的酗酒数据。仅对男性而言，青春期有害饮酒与30至31岁有害饮酒显著相关。在男性青少年中，14%的有害饮酒者在30至31岁时继续有害饮酒，而4%的无害饮酒者成为有害饮酒者。在泊松回归模型中，青春期酗酒与男性和女性30至31岁的酗酒相关，相对风险分别为2.3（95%置信区间：1.8-3.0）和3.0（95%置信区间：2.4-4.8）。一半的酗酒男性青少年和三分之一的酗酒女性青少年在成年早期就开始酗酒，而非酗酒男性青少年为19%，非酗酒女性青少年为8%。青少年时期的问题饮酒与成年早期的问题饮酒有关。预防和治疗青少年饮酒问题的努力可能会对酒精相关疾病的进展产生影响。
Objective. To test the hypothesis that late adolescent drinking behavior (ages 17-20) is associated with harmful and binge drinking in early adulthood (ages 30-31).Methods. We used the National Longitudinal Survey of Youth (NLSY), a nationally representative longitudinal data set. We used harmful and binge drinking at ages 17 to 20 to predict harmful and binge drinking at ages 30 to 31, stratifying for gender and controlling for confounders.Results. Data were available on harmful drinking at both the adolescent and the early adult age period for 3790 individuals and on binge drinking for 2387 individuals. Harmful drinking during adolescence was significantly associated with harmful drinking at ages 30 to 31 for men only. Among male adolescents, 14% of harmful drinkers continued harmful drinking at ages 30 to 31, compared with 4% of nonharmful drinkers who became harmful drinkers. In Poisson regression models, binge drinking during adolescence was associated with binge drinking at ages 30 to 31 for both men and women, generating relative risks of 2.3 (95% confidence interval: 1.8-3.0) and 3.0 (95% confidence interval: 2.4-4.8), respectively. Half of binge-drinking male adolescents and one third of binge-drinking female adolescents engaged in binge drinking into early adulthood, compared with 19% for non-binge-drinking male adolescents and 8% of non-binge-drinking female adolescents.Conclusions. Problem drinking during adolescence is associated with problem drinking in early adulthood. Efforts to prevent and treat adolescent problem drinking could have an impact on the progression of alcohol-related disease.