Age at first use of alcohol predicts the risk of heavy alcohol use in early adulthood: A longitudinal study in the United States
MetadataShow full item record
Background: Two ecological cross-sectional studies which relied on national survey data (U.S. and Australia) have shown that starting drinking at a younger age increases the frequency of heavy drinking in the general population, including those with good mental and physical health status. This study further investigates the hypothesis that age at first use of alcohol increases the risk of heavy alcohol use by applying data from a longitudinal study. Method: This study used public-use data collected from Wave I, Wave III and Wave IV of the National Longitudinal Study of Adolescent Health in the United States. The association between age at first use of alcohol and heavy alcohol use (5+ drinks per occasion) was examined with two different multivariate analysis approaches with data from 2316 participants: ordered logistic regression models and Poisson regression models with longitudinal data settings. In addition, the newly developed proxy outcome approach was further used to estimate and adjust for unmeasured/unobserved confounding factors. Results: Age at first use of alcohol before 18 years was associated significantly higher risk of heavy alcohol use at follow-up. Conclusion: After adjusting for known and residual confounders, younger age at first use of alcohol was associated with significantly higher risk of heavy alcohol use, moreover, we posit that the association observed from this longitudinal study is probably causal. Abstinence from alcohol until the age of 18 years will likely reduce individual risk of alcohol-related problems in adulthood. In the longer term, delayed onset of exposure with widespread abstinence among this age group is also likely to reduce the overall prevalence of alcohol-related problems in the general population.
Showing items related by title, author, creator and subject.
Modelling the co-occurence of Streptococcus pneumoniae with other bacterial and viral pathogens in the upper respiratory tractJacoby, P.; Watson, K.; Bowman, J.; Taylor, A.; Riley, T.; Smith, D.; Lehmann, Deborah (2007)Go to ScienceDirect® Home Skip Main Navigation Links Brought to you by: The University of Western Australia Library Login: + Register Athens/Institution Login Not Registered? - User Name: Password: ...
Adverse adult consequences of different alcohol use patterns in adolescence: An integrative analysis of data to age 30 years from four Australasian cohortsSilins, 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, (2018)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 ...
Age of Alcohol Initiation and Progression to Binge Drinking in Adolescence: A Prospective Cohort StudyAiken, A.; Clare, P.; Wadolowski, M.; Hutchinson, D.; Najman, J.; Slade, T.; Bruno, R.; McBride, Nyanda; Kypri, K.; Mattick, R. (2018)Copyright © 2017 by the Research Society on Alcoholism Background: Early alcohol initiation is common and has been associated with the development of alcohol problems. Yet, past research on the association of age of ...