Age of onset of first alcohol intoxication and subsequent alcohol use among urban American Indian adolescents.

Age of onset of first alcohol intoxication and subsequent alcohol use among urban American Indian adolescents.
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在城市印第安人青少年中,首次酒精中毒和随后的酒精使用年龄。

DOI:
10.1037/a0021710
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发表时间:
2011-03
期刊:
Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
影响因子:
--
通讯作者:
Beauvais F
Beauvais F
中科院分区:
其他
文献类型:
--
作者:
Henry KL;McDonald JN;Oetting ER;Walker PS;Walker RD;Beauvais F

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目的是评估早发性中毒对随后的酒精参与城市美国印第安青年的影响。这些数据来自美国印第安人研究(AIR)项目,这是一项针对居住在华盛顿金县的城市印第安青年的小组研究。从1988-89学年到1996-97学年,每年从青少年和他/她的主要照顾者那里收集数据,共提供了九波数据。早期中毒(14岁以前)与犯罪、酗酒或依赖的家族史、贫穷、家庭结构破裂、家庭凝聚力降低和家庭冲突增加有关。因此,这些特征的影响在早期醉酒对后期酒精参与的影响的测试中被部分排除。两部分的酒精使用和酒精问题的潜在增长模型被指定。研究了早发性中毒对这些轨迹的影响,以及过渡到青年期的终生酒精滥用或依赖。研究结果表明,青少年谁经历了他们的第一次中毒早期(14岁),使用酒精更严重的16至18岁,经历了更多的问题,从16岁到18岁的酒精的使用,更有可能有一个诊断酒精障碍的最后一波数据收集。与在一般人群中进行的类似研究一致,早期中毒似乎与美国城市印第安青年在青春期和向成年过渡期间参与酒精的有害过程有关。预防的影响进行了讨论。
The objective was to assess the effect of early onset intoxication on subsequent alcohol involvement among urban American Indian youth. The data come from the American Indian Research (AIR) project, a panel study of urban Indian youth residing in King County, Washington. Data were collected annually from the adolescent and his/her primary caregiver from the 1988–89 school year to the 1996–97 school year, providing a total of nine waves of data. Early intoxication (by age 14) was related to delinquency, family history of alcohol abuse or dependence, poverty, broken family structure, less family cohesiveness, and more family conflict. The effects of these characteristics were, therefore, partialed out in testing effects of early intoxication on later alcohol involvement. Two-part latent growth models of alcohol use and alcohol problems were specified. Effects of early onset intoxication on these trajectories, as well as lifetime alcohol abuse or dependence by the transition to young adulthood, were examined. Findings indicate that adolescents who experienced their first intoxication early (by age 14), used alcohol more heavily from the ages of 16 to 18, experienced more problems related to the alcohol’s use from the ages of 16 to 18, and were more likely to have a diagnosed alcohol disorder by the final wave of data collection. Congruent with similar studies in the general population, early intoxication appears to be associated with a deleterious course of alcohol involvement during adolescence and into the transition to young adulthood among urban American Indian youth. Implications for prevention are discussed.
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