Patterns of Alcohol Use in Early Adolescence Predict Problem Use at Age 16
Patterns of Alcohol Use in Early Adolescence Predict Problem Use at Age 16
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DOI：
10.1093/alcalc/agr156
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发表时间：
2012-03-01
影响因子：
2.8
通讯作者：
Hickman, Matthew
中科院分区：
文献类型：
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作者：
Heron, Jon;Macleod, John;Hickman, Matthew
目标：英国青少年的饮酒率是欧洲最高的。我们确定了青春期早期的饮酒模式，并将这些模式与 16 岁时危险和有害的饮酒联系起来。 方法：在英国出生队列中，我们分析了 7100 名青少年样本中 13 至 15 岁期间饮酒情况的重复测量结果。使用一对潜在类别模型分别对饮酒频率和饮酒时的典型消耗量数据进行建模。将饮酒行为的类别与一系列风险因素进行对比，然后与 16 岁时使用酒精使用障碍识别测试量表评估的危险和有害的饮酒行为进行对比。结果：饮酒频率和饮酒量的异质性可以分别用对应于低、中和高水平的三个类别来捕获。总共有 14.2% 的人被归类为高频饮酒者，8.9% 的人被归类为高度饮酒者。社会人口因素、孕产妇药物使用以及年轻人使用烟草和大麻与阶级成员身份有关。 16 岁时，29% 的人存在危险饮酒行为，另有 5.6% 的人被评估为有害饮酒者。饮酒频率或消费水平较高的年轻人在 16 岁时报告有害饮酒的风险增加了 9 倍。结论：到 16 岁时，样本中很大一部分青少年的饮酒水平可能被认为对成年人有害或有害。青春期早期的酒精暴露模式与后来的饮酒密切相关。改变青春期中期的饮酒模式有可能减少青春期后期的有害饮酒。
Aims: Teenagers in the UK report some of the highest rates of alcohol use in Europe. We identify patterns of alcohol use in early adolescence and relate these to hazardous and harmful alcohol use at age 16. Methods: In a UK birth cohort, we analysed repeated measures of alcohol use from age 13 to 15 in a sample of 7100 adolescents. Data on drinking frequency and typical consumption when drinking were modelled separately using a pair of latent class models. Classes of alcohol-use behaviour were contrasted across a range of risk factors and then to hazardous and harmful alcohol use as assessed using the Alcohol Use Disorders Identification Test scale at age 16. Results: Heterogeneity in drinking frequency and consumption could each be captured with three classes corresponding to low, medium and high levels. In total, 14.2% were classified as high-frequency and 8.9% as high consumption alcohol users. Socio-demographic factors, maternal substance use and the young persons' use of tobacco and cannabis were associated with class membership. At age 16, 29% were drinking hazardously and a further 5.6% were assessed as harmful drinkers. Young people in the high drinking frequency or consumption class had a 9-fold increased risk of reporting harmful drinking at age 16. Conclusions: By the age of 16, a substantial proportion of teenagers in this sample were drinking at levels that could be considered hazardous or harmful for an adult. Patterns of alcohol exposure in early adolescence were strongly associated with later alcohol use. Altering drinking patterns in middle adolescence has the potential to reduce harmful use in later adolescence.