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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Available from: Brent Taylor, Oct 01, 2015
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    • "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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    • "Personal health risks associated with AAI for adolescents have been widely documented, including aggressive [5,6] and risky sexual behavior [7] and elevated mortality rates through injury [8] and traffic accidents [9]. Moreover, heavy episodic drinking in adolescence is associated with a number of social and developmental problems, such as deleterious effects on neurocognitive and hormonal development [10-12] and cognitive and emotional abilities [13-15]. "
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    ABSTRACT: Background Alcohol misuse among youth is a major public health concern and numbers of adolescents admitted to the emergency department for acute alcoholic intoxication in Germany are recently growing. The emergency setting offers an opportunity to reach at-risk alcohol consuming adolescents and provide brief interventions in a potential “teachable moment”. However, studies on brief interventions targeting adolescents in emergency care are scarce and little is known about their effectiveness when delivered immediately following hospitalization for acute alcohol intoxication. In this protocol we present the HaLT-Hamburg trial evaluating a brief motivational intervention for adolescents treated in the emergency department after an episode of acute alcoholic intoxication. Methods The trial design is a parallel two-arm cluster randomized-controlled trial with follow-up assessment after 3 and 6 months. N = 312 participants aged 17 years and younger will be recruited Fridays to Sundays in 6 pediatric clinics over a period of 30 months. Intervention condition is a manual-based brief motivational intervention with a telephone booster after 6 weeks and a manual-guided intervention for caregivers which will be compared to treatment as usual. Primary outcomes are reduction in binge drinking episodes, quantity of alcohol use on a typical drinking day and alcohol-related problems. Secondary outcome is further treatment seeking. Linear mixed models adjusted for baseline differences will be conducted according to intention-to-treat (ITT) and completers (per-protocol) principles to examine intervention effects. We also examine quantitative and qualitative process data on feasibility, intervention delivery, implementation and receipt from intervention providers, receivers and regular emergency department staff. Discussion The study has a number of strengths. First, a rigorous evaluation of HaLT-Hamburg is timely because variations of the HaLT project are widely used in Germany. Second, prior research has not targeted adolescents in the presumed teachable moment following acute alcohol intoxication. Third, we included a comprehensive process evaluation to raise external validity. Fourth, the study involved important stakeholders from the start to set up organizational structures for implementation and maintaining project impact. Trial registration Current Controlled Trials ISRCTN31234060 (April 30th 2012).
    BMC Emergency Medicine 06/2014; 14(1):13. DOI:10.1186/1471-227X-14-13
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