Early predictors of adult drinking: A birth cohort study

Longitudinal Study Unit, School of Population Health, University of Queensland, Queensland, Australia.
American Journal of Epidemiology (Impact Factor: 5.23). 01/2006; 162(11):1098-107. DOI: 10.1093/aje/kwi320
Source: PubMed


Few studies have explored early predictors of problem drinking in youth, and fewer still have simultaneously considered the role of biologic, familial, and intrapersonal factors. The present study explored early life course and later life course predictors of alcohol abuse and dependence in young adulthood. Data were taken from a cohort of 2,551 mothers and their children recruited as part of the longitudinal Mater University Study of Pregnancy and its outcomes (MUSP) carried out in Brisbane, Australia, from 1981 to 1984. Data were collected prenatally and then postnatally at 6 months and at 5, 14, and 21 years. A range of biologic, familial, and intrapersonal factors was considered. A series of logistic regression models with inverse probability weighting was used to explore pathways to problem drinking from adolescence to early adulthood. For males and females, no association was found between either birth factors or childhood factors and a lifetime diagnosis of alcohol disorders at age 21 years. Externalizing symptoms and maternal factors at age 14 years were significantly associated with alcohol problems. For youth aged 14 years, maternal moderate alcohol consumption accounted for the highest percentage of attributable risk among those exposed. Results show that exposure to maternal drinking in adolescence is a strong risk factor for the development of alcohol problems in early adulthood.

Download full-text


Available from: Stuart A Kinner
    • "Already in fairly young children (8 years and older) the link between parental alcohol use and child experimentation with alcohol use has been confirmed (Donovan & Molina, 2008; Johnson, Greenlund, Webber, & Berenson, 1997). Also, the link between parental alcohol use and alcohol use of their offspring has been shown throughout adolescence (Alati et al., 2005; Duncan, Duncan, & Strycker, 2006; Van Der Zwaluw et al., 2008; White, Johnson, & Buyske, 2000). The cause of this similarity has been attributed to several factors, such as genetic and environmental, and a combination of these two (Biederman, Faraone, Monuteaux, & Feighner, 2000; Irons, Iacono, Oetting, & McGue, 2012). "
    [Show abstract] [Hide abstract]
    ABSTRACT: According to the cognitive model of intergenerational transference, modeling of alcohol use is an indirect process in which parental drinking shapes alcohol expectancies of children, which in turn are associated with later alcohol use in adolescents. The present study examined whether parental alcohol use was related to alcohol expectancies and experimentation with alcohol use in young children. A community sample of 240 children aged 8.02 (SD = 1.13) participated. Alcohol expectancies were assessed by means of the Berkeley Puppet Interview. Children reported consistently and reliably on the positive and negative consequences of alcohol use among adults. Their positive and negative expectancies were equally strong. Compared to younger children, older children had more negative and less positive expectancies. For girls, more paternal alcohol use was associated with less negative alcohol expectancies. For older children, more alcohol use of the mother was related to less positive expectancies, while more alcohol use of the father was related to more positive expectancies. The present study showed that young children already have clear ideas about the positive and negative consequences alcohol can have among adults, which can be captured with the Berkeley Puppet Interview. These expectancies are partly associated with alcohol use of their parents.
    No preview · Article · Jun 2015 · Addictive Behaviors
  • Source
    • "More importantly, those with CAMHD were more likely to externalize their distress. Behaviour scores on the aggressive, intrusive and delinquent subscales were more elevated for the CAMHD group, consistent with extensive evidence associating externalizing , conduct and disruptive behaviour problems separately with alcohol (Fergusson et al., 1993; Alati et al., 2005; Boden et al., 2012; Heron et al., 2013) and mental health disorders (Alegria et al., 2010). Some links between behaviour problems and comorbidity have been reported in clinical samples (Fazel et al., 2009), but these focused on severe disorders such as schizophrenia and other psychoses. "
    [Show abstract] [Hide abstract]
    ABSTRACT: This article examines whether young individuals in the general population with comorbid alcohol use and mental health disorders experience worse internalising and externalising behaviour problems than those with single disorders. A large cohort of women at the Mater Misericordiae Hospital in Brisbane, Australia, was enrolled during pregnancy in a longitudinal study. Mother/offspring dyads were followed over twenty-one years. At age 21, offspring behaviour problems were examined using the Young Adult Self Report, alcohol and mental health disorders with the Composite International Diagnostic Interview. Associations between comorbidity and behaviour problems were assessed using multinomial logistic regression, accounting for life-course factors. Twelve percent of young adults had alcohol/mental health DSM-IV disorders with significant temporal overlap. A further 16% had alcohol disorders only and 23% mental health disorders only. The comorbid group scored significantly higher on total and externalizing behaviour problems but not internalizing behaviour problems. Stronger associations of aggression/delinquency with comorbidity were not fully accounted for by factors known to influence separate development of mental health and alcohol disorders. Young adults with comorbid alcohol/mental health disorders experience more, and more severe, behavioural problems than those with single disorder types, indicating an increased burden from comorbidity, with implications for treatment and public order.
    Full-text · Article · Oct 2014 · Psychiatry Research
  • Source
    • "Data regarding prenatal exposures and later problematic substance use (as opposed to early initiation of substance use) are sparse. Intrauterine alcohol exposure (IUAE) has been associated with an increased risk of alcohol problems at age 21 years in the United States (Baer et al., 2003), but not in an Australian cohort (Alati et al., 2005). Little is known about intrauterine exposures to illicit substances and later problematic substance use. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Background: Linkages between intrauterine exposures to cocaine and marijuana and adolescents' problematic substance use have not been fully delineated. Methods: Prospective longitudinal study with assessors unaware of intrauterine exposure history followed 157 urban participants from birth until late adolescence. Level of intrauterine exposures was identified by mother's report and infant's meconium. Problematic substance use, identified by the Voice Diagnostic Interview Schedule for Children (V-DISC) or the Audio Computer Assisted Self-Interview (ACASI) and urine assay, was a composite encompassing DSM-IV indication of tolerance, abuse, and dependence on alcohol, marijuana, and tobacco and any use of cocaine, glue, or opiates. Results: Twenty percent (32/157) of the sample experienced problematic substance use by age 18 years, of whom the majority (22/157) acknowledged abuse, tolerance or dependence on marijuana with or without other substances. Structural equation models examining direct and indirect pathways linking a Cox survival model for early substance initiation to a logistic regression models found effects of post-natal factors including childhood exposure to violence and household substance use, early youth substance initiation, and ongoing youth violence exposure contributing to adolescent problematic substance use. Conclusion: We did not identify direct relationships between intrauterine cocaine or marijuana exposure and problematic substance use, but did find potentially modifiable post-natal risk factors also noted to be associated with problematic substance use in the general population including earlier substance initiation, exposure to violence and to household substance use.
    Full-text · Article · Jun 2014 · Drug and Alcohol Dependence
Show more