Article

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 & Community Health (Impact Factor: 3.5). 11/2007; 61(10):902-7. DOI: 10.1136/jech.2005.038117
Source: PubMed

ABSTRACT

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.
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    • "Additionally, very few studies have tackled the interaction between DV and RSOD, and thus assessed their combined effect. Viner and Taylor (2007) investigated the interaction between these http://dx.doi.org/10.1016/j.drugalcdep.2015.07.008 0376-8716/© 2015 Elsevier Ireland Ltd. All rights reserved. "
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    ABSTRACT: Risky single-occasion drinking (RSOD) is a prevalent and potentially harmful alcohol use pattern associated with increased alcohol use disorder (AUD). However, RSOD is commonly associated with a higher level of alcohol intake, and most studies have not controlled for drinking volume (DV). Thus, it is unclear whether the findings provide information about RSOD or DV. This study sought to investigate the independent and combined effects of RSOD and DV on AUD. Data were collected in the longitudinal Cohort Study on Substance Use Risk Factors (C-SURF) among 5598 young Swiss male alcohol users in their early twenties. Assessment included DV, RSOD, and AUD at two time points. Generalized linear models for binomial distributions provided evidence regarding associations of DV, RSOD, and their interaction. DV, RSOD, and their interaction were significantly related to the number of AUD criteria. The slope of the interaction was steeper for non/rare RSOD than for frequent RSOD. RSOD appears to be a harmful pattern of drinking, associated with increased AUD and it moderated the relationship between DV and AUD. This study highlighted the importance of taking drinking patterns into account, for both research and public health planning, since RSO drinkers constitute a vulnerable subgroup for AUD. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
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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. "

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