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- Title
Adverse adult consequences of different alcohol use patterns in adolescence: an integrative analysis of data to age 30 years from four Australasian cohorts.
- Authors
Silins, Edmund; Horwood, L. John; Najman, Jake M.; Patton, George C.; Toumbourou, John W.; Olsson, Craig A.; Hutchinson, Delyse M.; Degenhardt, Louisa; Fergusson, David; Becker, Denise; Boden, Joseph M.; Borschmann, Rohan; Plotnikova, Maria; Youssef, George J.; Tait, Robert J.; Clare, Philip; Hall, Wayne D.; Mattick, Richard P.; for the Cannabis Cohorts Research Consortium
- Abstract
Abstract: Background and Aims: Studies have linked adolescent alcohol use with adverse consequences in adulthood, yet it is unclear how strong the associations are and to what extent they may be due to confounding. Our aim was to estimate the strength of association between different patterns of adolescent drinking and longer‐term psychosocial harms taking into account individual, family and peer factors. Design: Participant‐level data were integrated from four long‐running longitudinal studies: Australian Temperament Project, Christchurch Health and Development Study, Mater Hospital and University of Queensland Study of Pregnancy and Victorian Adolescent Health Cohort Study. Setting: Australia and New Zealand. Participants: Participants were assessed on multiple occasions between ages 13 and 30 years (from 1991 to 2012). Number of participants varied (up to n = 9453) by analysis. Measurements: Three patterns of alcohol use (frequent, heavy episodic and problem drinking) were assessed prior to age 17. Thirty outcomes were assessed to age 30 spanning substance use and related problems, antisocial behaviour, sexual risk‐taking, accidents, socio‐economic functioning, mental health and partner relationships. Findings: After covariate adjustment, weekly drinking prior to age 17 was associated with a two‐ to threefold increase in the odds of binge drinking [odds ratio (OR) = 2.14; 95% confidence interval (CI) = 1.57–2.90], drink driving (OR = 2.78; 95% CI = 1.84–4.19), alcohol‐related problems (OR = 3.04; 95% CI = 1.90–4.84) and alcohol dependence (OR = 3.30; 95% CI = 1.69–6.47) in adulthood. Frequency of drinking accounted for a greater proportion of the rate of most adverse outcomes than the other measures of alcohol use. Associations between frequent, heavy episodic and problem drinking in adolescence and most non‐alcohol outcomes were largely explained by shared risk factors for adolescent alcohol use and poor psychosocial functioning. Conclusions: Frequency of adolescent drinking predicts substance use problems in adulthood as much as, and possibly more than, heavy episodic and problem drinking independent of individual, family and peer predictors of those outcomes.
- Subjects
AUSTRALIA; NEW Zealand; ADULTS; UNDERAGE drinking; COHORT analysis; PSYCHOSOCIAL factors; ALCOHOL drinking &; society; PEERS; DELINQUENT behavior; PSYCHOLOGY; SUBSTANCE abuse; RISK-taking behavior; SOCIOECONOMIC factors; ACCIDENTS; AGE distribution; ALCOHOLISM; CONFIDENCE intervals; DRINKING behavior; DRUNK driving; INTERPERSONAL relations; LONGITUDINAL method; MENTAL health; HUMAN sexuality; SOCIAL skills; DRUGGED driving; AFFINITY groups; WELL-being; BINGE drinking; HARM reduction; PSYCHOLOGY of drug abusers; ADVERSE health care events; FAMILY attitudes; ODDS ratio
- Publication
Addiction, 2018, Vol 113, Issue 10, p1811
- ISSN
0965-2140
- Publication type
Article
- DOI
10.1111/add.14263