Longitudinal differences in alcohol use in early adulthood.
ABSTRACT Research with college populations suggests that elevated levels of heavy drinking do not generally persist into later adulthood for most individuals. The aims of this study were to determine whether this pattern applies to the population as a whole and to identify those for whom heavy drinking in early adulthood does lead to continued high levels of consumption throughout the life course.
Patterns of heavy drinking were assessed, and a mixture model was used to evaluate relationships between psychological profiles and trajectories of heavy drinking in early to middle adulthood for race-gender groups. Subjects (N = 5,115; 55% women) were drawn from the longitudinal study of Coronary Artery Risk Development in Young Adults (CARDIA) conducted in four major U.S. cities from 1985 to 1995.
Patterns of heavy drinking differed by race and gender, with higher rates observed among whites and men. Heavy drinking was generally most common in the early 20s and dropped sharply thereafter. For a subset with psychological profiles characterized by elevated levels of hostility, anxiety, and depressive symptoms, high rates of heavy drinking persisted into later adulthood; 20% of whites and 50% of blacks in the overall sample were in this subset. Rates of heavy drinking in this group were similar for blacks and whites.
At a population level, heavy drinking in early adulthood tends not to continue into later life. For a subset of psychologically vulnerable individuals, however, early adult heavy drinking persists into the middle adulthood years.
Article: Alcohol use trajectories among adults in an urban area after a disaster: evidence from a population-based cohort study.[show abstract] [hide abstract]
ABSTRACT: Alcohol use increased in the New York City (NYC) metropolitan area in the first months after the 11 September 2001 terrorist attacks. To investigate alcohol use trajectories in the NYC metropolitan area in the 3 years after 11 September and examine the relative contributions of acute exposure to the attacks and ongoing stressors to these trajectories. We used a population-based cohort of adults recruited through a random-digit-dial telephone survey in 2002; participants completed three follow-up interviews over 30 months. The NYC metropolitan area. A total of 2752 non-institutionalized adult residents of NYC. We used growth mixture models to assess trajectories in levels of total alcohol consumption and bingeing in the past 30 days, and predictors of these trajectories. We identified five trajectories of alcohol consumption levels and three bingeing trajectories. Predictors of higher levels of use over time included ongoing stressors, traumatic events and lower income. Ongoing exposure to stressors and low income also play a central role in bingeing trajectories. While point-in-time mass traumatic events may matter in the short term, their contribution subsides over time. Accumulated stressors and traumatic events, in contrast, lead to higher levels of consumption among respondents already vulnerable to high alcohol use. Interventions to mitigate post-disaster stressors may have substantial benefit in reducing alcohol abuse in the medium- to long term.Addiction 09/2008; 103(8):1296-307. · 4.31 Impact Factor