Adult outcomes of binge drinking in adolescence: Findings from a UK national birth cohort

Department of Paediatrics, University College Hospital, London, UK.
Journal of Epidemiology &amp Community Health (Impact Factor: 3.5). 11/2007; 61(10):902-7. DOI: 10.1136/jech.2005.038117
Source: PubMed


The aim of the study was to determine outcomes in adult life of binge drinking in adolescence in a national birth cohort.
Longitudinal birth cohort: 1970 British Birth Cohort Study surveys at 16 years (1986) and 30 years (2000).
A total of 11 622 subjects participated at age 16 years and 11 261 subjects participated at age 30 years.
At the age of 16 years, data on binge drinking (defined as two or more episodes of drinking four or more drinks in a row in the previous 2 weeks) and frequency of habitual drinking in the previous year were collected. Thirty-year outcomes recorded were alcohol dependence/abuse (CAGE questionnaire), regular weekly alcohol consumption (number of units), illicit drug use, psychological morbidity (Malaise Inventory) and educational, vocational and social history.
17.7% of participants reported binge drinking in the previous 2 weeks at the age of 16 years. Adolescent binge drinking predicted an increased risk of adult alcohol dependence (OR 1.6, 95% CI 1.3 to 2.0), excessive regular consumption (OR 1.7, 95% CI 1.4 to 2.1), illicit drug use (OR 1.4, 95% CI 1.1 to 1.8), psychiatric morbidity (OR 1.4, 95% CI 1.1 to 1.9), homelessness (OR 1.6, 95% CI 1.1 to 2.4), convictions (1.9, 95% CI 1.4 to 2.5), school exclusion (OR 3.9, 95% CI 1.9 to 8.2), lack of qualifications (OR 1.3, 95% CI 1.1 to 1.6), accidents (OR 1.4, 95% CI 1.1 to 1.6) and lower adult social class, after adjustment for adolescent socioeconomic status and adolescent baseline status of the outcome under study. These findings were largely unchanged in models including both adolescent binge drinking and habitual frequent drinking as main effects.
Adolescent binge drinking is a risk behaviour associated with significant later adversity and social exclusion. These associations appear to be distinct from those associated with habitual frequent alcohol use. Binge drinking may contribute to the development of health and social inequalities during the transition from adolescence to adulthood.

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    • "Most of longitudinal research in Europe on substance use and mental health was done on adolescents, used small sample sizes or convenience samples, involved only a particular region in a single country, used clinical samples with preselected, often disabled populations (e. g., patients of specialist mental healthcare and addiction services). Large-scale, representative studies mainly come from Britain, such as the British National Child Development Study (Takizawa, Maughan, & Arseneault, 2014) or the British Birth Cohort study (Viner & Taylor, 2007), which used samples of all births during one week. Some large-scale cohort studies following adolescents up into early adulthood have also emerged from Norway (Rossow & Kuntsche, 2013), France (Bowes, Chollet, Fombonne, GalØra, & Melchior, 2013), Germany (Behrendt, Wittchen, Hçfler, Lieb, & Beesdo, 2009), The Netherlands (Prince van Leeuwen et al., 2014), and Switzerland (Rçssler, Hengartner, Angst, & Ajdacic- Gross, 2012), but they used samples from a narrower area, e. g., such as the city of Munich or Zurich. "
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    ABSTRACT: Aim: To summarize published findings in peer-reviewed journals of the first two waves of the Swiss Cohort Study on Substance Use Risk Factors (C-SURF), a longitudinal study assessing risk and protective factors of 5,987 young men during the phase of emerging adulthood (20 years at baseline, followed-up 15 months later). Methods: Included were 33 studies published until November 2014 focusing on substance use. Results: Substance use in early adulthood is a prevalent and stable behavior. The 12-month prevalence of nonmedical use of prescription drugs (10.6%) lies between that of cannabis (36.4%) and other illicit drugs such as ecstasy (3.7%) and cocaine (3.2%). Although peer pressure in the form of misconduct is associated with increased substance use, other aspects such as peer involvement in social activities may have beneficial effects. Regular sport activities are associated with reduced substance use, with the exception of alcohol use. Young men are susceptible to structural conditions such as the price of alcohol beverages or the density of on-premise alcohol outlets. Particularly alcohol use in public settings such as bars, discos or in parks (compared with private settings such as the home) is associated with alcohol-related harm, including injuries or violence. Being a single parent versus nuclear family has no effect on alcohol use, but active parenting does. Besides parenting, religiousness is an important protective factor for both legal and illegal substance use. Merely informing young men about the risks of substance use may not be an effective preventive measure. At-risk users of licit and illicit substances are more health literate, e.g., for example, they seek out more information on the internet than non-at-risk-users or abstainers. Discussion: There are a number of risk and protective substance use factors, but their associations with substance use do not necessarily agree with those found outside Europe. In the United States, for example, heavy alcohol use in this age group commonly takes place in private settings, whereas in Switzerland it more often takes place in public settings. Other behaviors, such as the nonmedical use of prescription drugs, appear to be similar to those found overseas, which may show the need for targeted preventive actions. C-SURF findings point to the necessity of establishing European studies to identify factors for designing specific preventive actions.
    Sucht 08/2015; 61(4):251-262. DOI:10.1024/0939-5911.a000380
    • "In general, measures commonly used to identify adult alcohol misuse such as one-dimensional quantity and frequency measures were found not to be applicable for adolescent populations, because adolescent problem drinking is better captured by drinking patterns (Ellickson et al., 1996; Townshend & Duka, 2002). One characteristic pattern is infrequent but heavy alcohol consumption, a pattern often observed among adolescents and identified as causing most alcohol-related harm (Sindelar et al., 2004; Viner & Taylor, 2007). A study by Kraus et al. (2012) found infrequent heavy drinking to be even more prevalent in adolescent AAI patients compared to adolescents in the general population. "
    Deutscher Suchtkongress 2014, Berlin, Germany; 10/2014
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    • "Pleasure, habit, increasing confidence, anxiety or stress, and social pressures have been reported as the most common reasons for alcohol drinking during adolescence and early adulthood [9]. Furthermore, the impact of binge drinking among young people has been associated with an increased risk of social and clinical consequences in the adulthood, such as illicit drug use, psychiatric morbidity, homelessness, convictions, school exclusion, lack of qualifications , and accidents [10] [11] [12]. Indeed, alcohol dependence in young adults is often preceded by higher persisting rates of frequent, intense, or binge drinking [13]. "
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    ABSTRACT: Background. Although binge drinking prevalence and correlates among young people have been extensively studied in the USA and Northern Europe, less is known for Southern Europe countries with relatively healthier drinking cultures. Objective.We aimed at analyzing prevalence and correlates of binge drinking in a representative sample of young adults in Italy. Methods.We conducted a cross-sectional survey among alcohol-consuming young adults. We carried out univariate and multivariate analyses to assess associations between recent binge drinking and candidate variables. Results. We selected 654 subjects, with 590 (mean age: 20.65 ± 1.90) meeting inclusion criteria. Prevalence for recent binge drinking was 38.0%, significantly higher for females than males. Multivariate analysis showed that high alcohol expectancies, large amount of money available during the weekend, interest for parties and discos, female gender, cannabis use, influence by peers, and electronic cigarettes smoking allwere significantly associated with recent binge drinking, whereas living with parents appeared a significant protective factor. Conclusions. More than a third of young adults using alcohol are binge drinkers, and, in contrast with findings from Anglo-Saxon countries, females show higher risk as compared with males. These data suggest the increasing importance of primary and secondary prevention programmes for binge drinking.
    BioMed Research International 06/2014; 2014(930795). DOI:10.1155/2014/930795 · 3.17 Impact Factor
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