Parents Allowing Drinking Is Associated With Adolescents' Heavy Alcohol Use
Parents Allowing Drinking Is Associated With Adolescents' Heavy Alcohol Use
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DOI：
10.1111/acer.14224
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发表时间：
2019-11-21
影响因子：
3.2
通讯作者：
Maggs, Jennifer L.
中科院分区：
文献类型：
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作者：
Staff, Jeremy;Maggs, Jennifer L.
背景利用千禧年队列研究（MCS）的代际前瞻性数据，我们研究了父母允许14岁的孩子喝酒是否与青少年早期重度间歇性饮酒的可能性更大有关（即，一生中，从第一次饮酒开始迅速升级，过去一年频繁饮酒），超出了父母饮酒放纵和青少年饮酒的共同风险因素。MCS是一项独特的、当代的、具有全国代表性的研究，其母亲、父亲和儿童数据从婴儿期到14岁（n = 11，485名儿童及其父母）。在一系列多变量logistic回归中，我们估计父母允许他们喝酒的青少年（16%的父母说“是”）是否在14岁时面临大量酒精使用的可能性增加，控制了大量可能的儿童和父母混淆因素，当儿童11岁时测量。为了进一步评估父母饮酒放纵和后代重度饮酒的合理代际关联，使用粗化精确匹配（CEM）将父母允许他们饮酒的14岁儿童与父母不允许他们饮酒的青少年在这些童年前因变量上进行匹配。结果父母允许饮酒的青少年酗酒的几率更高（比值比[OR] = 2.40; 95%置信区间[CI] = 1.96 - 2.94），从开始到大量饮酒迅速上升（OR = 1.94; CI = 1.52 - 2.49）和频繁大量饮酒（OR = 2.32; 1.73 - 3.09），超出儿童和父母混杂因素和使用CEM方法。在过去的一年中，被允许饮酒的青少年更有可能从第一次饮酒迅速过渡到一次饮酒5杯或更多，并大量饮酒3次或更多。鉴于青少年大量饮酒的危害已被充分证明，这些结果并不支持父母允许孩子饮酒会使他们预防酒精滥用的观点。
Background Using intergenerational prospective data from the Millennium Cohort Study (MCS), we examine whether parents allowing 14-year-olds to drink alcohol is associated with greater likelihood of early adolescents' heavy episodic drinking (i.e., lifetime, rapid escalation from first drink, and frequent past year), beyond shared risk factors for parental alcohol permissiveness and adolescent alcohol use. Methods The MCS is a unique, contemporary, nationally representative study with mother, father, and child data from infancy through age 14 years (n = 11,485 children and their parents). In a series of multivariate logistic regressions, we estimated whether teenagers whose parents allowed them to drink alcohol (16% of parents said "yes") faced an elevated likelihood of heavy alcohol use at age 14, controlling for a large host of likely child and parent confounders measured when children were age 11. To further assess plausible intergenerational associations of parental alcohol permissiveness and offspring heavy alcohol use, coarsened exact matching (CEM) was used to match 14-year-olds whose parents allowed them to drink alcohol with teens whose parents did not allow them to drink on these childhood antecedent variables. Results Adolescents whose parents allowed them to drink had higher odds of heavy drinking (odds ratio [OR] = 2.40; 95% confidence interval [CI] = 1.96 to 2.94), rapidly escalating from initiation to heavy drinking (OR = 1.94; CI = 1.52 to 2.49), and frequent heavy drinking (OR = 2.32; 1.73 to 3.09), beyond child and parent confounders and using CEM methods. Conclusions Adolescents who were allowed to drink were more likely to have transitioned quickly from their first drink to consuming 5 or more drinks at 1 time and to drinking heavily 3 or more times in the past year. Given well-documented harms of adolescent heavy drinking, these results do not support the idea that parents allowing children to drink alcohol inoculates them against alcohol misuse.