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    Adverse adult consequences of different alcohol use patterns in adolescence: An integrative analysis of data to age 30 years from four Australasian cohorts

    266503.pdf (1.327Mb)
    Access Status
    Open access
    Authors
    Silins, E.
    Horwood, L.J.
    Najman, J.
    Patton, G.
    Toumbourou, J.
    Olsson, C.
    Hutchinson, D.
    Degenhardt, L.
    Fergusson, D.
    Becker, D.
    Boden, J.
    Borschmann, R.
    Plotnikova, M.
    Youssef, G.
    Tait, Robert
    Clare, P.
    Hall, W.
    Mattick, R.
    Cannabis Cohorts Research Consortium,
    Date
    2018
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Silins, E. and Horwood, L.J. and Najman, J. and Patton, G. and Toumbourou, J. and Olsson, C. and Hutchinson, D. et al. 2018. Adverse adult consequences of different alcohol use patterns in adolescence: An integrative analysis of data to age 30 years from four Australasian cohorts. Addiction.
    Source Title
    Addiction
    DOI
    10.1111/add.14263
    ISSN
    1360-0443
    School
    National Drug Research Institute (NDRI)
    URI
    http://hdl.handle.net/20.500.11937/68868
    Collection
    • Curtin Research Publications
    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; Victorian Adolescent Health Cohort Study. SETTING: Australia and New Zealand. PARTICIPANTS: Participants were assessed on multiple occasions between ages 13 and 30 years (from 1991-2012). 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 behavior, sexual risk-taking, accidents, socioeconomic functioning, mental health, and partner relationships. FINDINGS: After covariate adjustment, weekly drinking prior to age 17 was associated with a two to three-fold increase in the odds of binge drinking (OR: 2.14; 95%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.

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