Predictors of initiation of alcohol use among US adolescents - Findings from a prospective cohort study
Predictors of initiation of alcohol use among US adolescents - Findings from a prospective cohort study
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美国青少年开始饮酒的预测因素--前瞻性队列研究的结果
DOI：
10.1001/archpedi.161.10.959
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发表时间：
2007-10-01
影响因子：
--
通讯作者：
Colditz, Graham A.
中科院分区：
文献类型：
--
作者：
Fisher, Laurie B.;Miles, Isa Williams;Colditz, Graham A.
目的：确定青少年饮酒和酗酒的前兆。设计：前瞻性队列研究。设置：自填式问卷调查。参与者：共5511名年龄在11~18岁的《今日》研究参与者。主要暴露因素：个人、家庭和社会因素。主要观察指标：首次饮酒和酗酒。结果：1998-1999年间，611名女孩(19%)和384名男孩(17%)开始饮酒。年龄较大、成熟较晚、吸烟、成年人在家饮酒、未成年兄弟姐妹饮酒、同伴饮酒、拥有或愿意使用酒精促销物品以及对酒精的积极态度与饮酒的可能性增加相关。每天在家里吃家庭晚餐的女孩比只在某些日子或从不吃家庭晚餐的女孩更不可能开始饮酒(优势比为0.66；95%可信区间为0.50-0.87)。社交自尊较高的女孩和运动自尊较高的男孩比自尊较低的女孩更有可能开始饮酒。在开始饮酒的青少年中，149名女孩(24%)和112名男孩(29%)进一步酗酒。在女孩中，对酒精的积极态度、未成年兄弟姐妹饮酒、拥有或愿意使用酒精促销品与酗酒有关；在男孩中，对酒精的积极态度和年龄较大与酗酒有关。结论：每天在家里吃家庭晚餐可能会延缓部分青少年的酒精摄取。酒精促销项目似乎鼓励未成年人饮酒和狂饮；这可能需要对酒类行业进行营销限制。
Objective: To identify precursors of adolescent alcohol initiation and binge drinking.Design: Prospective cohort study.Setting: Self-report questionnaires.Participants: A total of 5511 Growing Up Today Study participants aged 11 to 18 years in 1998.Main Exposures: Individual, family, and social factors.Main Outcome Measures: First whole drink of alcohol and binge drinking.Results: Between 1998 and 1999, 611 girls (19%) and 384 boys (17%) initiated alcohol use. Older age, later maturational stage, smoking, adults drinking in the home, underage sibling drinking, peer drinking, possession of or willingness to use alcohol promotional items, and positive attitudes toward alcohol were associated with an increased likelihood of alcohol initiation. Girls who ate family dinner at home every day were less likely to initiate alcohol use than girls who ate family dinner only on some days or never ( odds ratio, 0.66; 95% confidence interval, 0.50-0.87). Girls with higher social self-esteem and boys with higher athletic self-esteem were more likely to initiate alcohol use than those with lower self-esteem. Among teens who initiated alcohol use, 149 girls (24%) and 112 boys (29%) further engaged in binge drinking. Among girls, positive attitudes toward alcohol, underage sibling drinking, and possession of or willingness to use alcohol promotional items were associated with binge drinking; among boys, positive attitudes toward alcohol and older age were associated with binge drinking.Conclusions: Eating family dinner at home every day may delay alcohol uptake among some adolescents. Alcohol promotional items appear to encourage underage alcohol initiation and binge drinking; this may warrant marketing restrictions on the alcohol industry.