Extreme Binge Drinking During Adolescence: Associations With Subsequent Substance Use Disorders in American Indian and Mexican American Young Adults.

Extreme Binge Drinking During Adolescence: Associations With Subsequent Substance Use Disorders in American Indian and Mexican American Young Adults.
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DOI:
10.1097/adm.0000000000000815
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发表时间:
2022-01-01
影响因子:
5.5
通讯作者:
Gilder DA
Gilder DA
中科院分区:
医学3区
文献类型:
--
作者:
Ehlers CL;Wills D;Karriker-Jaffe KJ;Gilder DA

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这项研究收集了关于青少年酗酒(ABD)(男孩5杯,女孩4杯,每月至少一次)和/或极端青少年酗酒(EABD)(每月至少一次,每次10杯或更多)的回顾性数据,并测试了与人口统计学和诊断变量(包括酒精和其他物质使用障碍)的相关性。使用半结构化诊断工具从年轻成年人(年龄18-30岁)美洲印第安人(AI)(n=534)和墨西哥裔美国人(MA)(n=704)中收集横断面数据。30%的样本报告了ABD,21%报告了EABD。那些每月有ABD的人更有可能是AI,教育程度更低;与没有青少年酗酒的参与者相比,那些有EABD的人更有可能是AI,男性,年轻,教育程度更低,经济地位更低。ABD/EABD与较高的冲动性、AUD家族史(FH)、对酒精的反应水平较低(OR =1.0-2.0)、成人AUD(OR=3.7-48)、其他物质使用障碍(OR =3.5-9)和行为障碍/反社会人格障碍(OR =2.0-2.6)相关,但与焦虑/抑郁无关。每月EABD进一步增加了AUD/SUD的几率。虽然酗酒在AI中比MA更常见,但在个体风险因素分析中种族的影响很小。每月ABD和EABD在这些AI/MA青少年中很常见,并且与其他种族群体一样,这些饮酒模式导致年轻成年时发生酒精和其他物质使用障碍的几率显著增加。
This study collected retrospective data on adolescent binge drinking (ABD) (5 drinks for boys, 4 for girls per occasion at least once per month) and/or extreme adolescent binge drinking (EABD) (10 or more drinks per occasion at least once per month) and tested for associations with demographic and diagnostics variables including alcohol and other substance use disorders (AUD/SUD). Cross-sectional data were collected from young adult (age 18–30 yrs) American Indians (AI) (n=534) and Mexican Americans (MA) (n=704) using a semi-structured diagnostic instrument. Thirty percent (30%) of the sample reported ABD and 21% reported EABD. Those having had monthly ABD were more likely to be AI and have less education; those having had EABD were more likely to be AI, male, younger, have less education and lower economic status compared to participants without adolescent binge drinking. ABD/EABD was associated with higher impulsivity, a family history (FH) of AUD, and lower level of response to alcohol (ORs=1.0–2.0), as well as with adult AUD (OR=3.7–48), other substance use disorders (ORs=3.5–9), and conduct disorder/ antisocial personality disorder (ORs=2.0–2.6), but not with anxiety/depression. Monthly EABD further increased the odds of AUD/SUD. Although binge drinking was more common in AI compared to MA, there were little effects of race in individual risk factor analyses. Monthly ABD and EABD were common among these AI/MA as adolescents, and, as with other ethnic groups, these drinking patterns resulted in highly significant increases in the odds of developing alcohol and other substance use disorders in young adulthood.
DOI: 10.1111/acer.13407
发表时间: 2017-07
期刊: Alcoholism, clinical and experimental research
影响因子: --
作者:
Schuckit MA;Smith TL;Danko G;Anthenelli R;Schoen L;Kawamura M;Kramer J;Dick DM;Neale Z;Kuperman S;McCutcheon V;Anokhin AP;Hesselbrock V;Hesselbrock M;Bucholz K
通讯作者: Bucholz K