期刊
ADDICTION
卷 113, 期 11, 页码 2041-2050出版社
WILEY
DOI: 10.1111/add.14280
关键词
Alcohol; ALSPAC; parental monitoring; parental transmission; peer deviance; prospective; teenagers
资金
- UK Medical Research Council
- Wellcome Trust [102215/2/13/2]
- University of Bristol
- Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), a UKCRC Public Health Research Centre of Excellence
- British Heart Foundation [MR/KO232331/1]
- Cancer Research UK [MR/KO232331/1]
- Economic and Social Research Council (ESRC) [MR/KO232331/1]
- Medical Research Council (MRC) [MR/KO232331/1]
- Welsh Government [MR/KO232331/1]
- Wellcome Trust of UK Clinical Research Collaboration [MR/KO232331/1]
- National Institute of Health Research (NIHR) School of Public Health Research
- National Institutes of Health [K01AA021399, R01AA018333]
- MRC
- Alcohol Research UK [MR/L022206/1]
- ESRC [ES/L015471/1]
- NIHR [PDF-2013-06-026]
- National Institute for Health Research [PDF-2013-06-026]
- MRC [MR/K023233/1, G0802736, G0800612, MR/L022206/1] Funding Source: UKRI
- NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM [K01AA021399, R01AA018333] Funding Source: NIH RePORTER
Background and Aims Evidence demonstrating an association between parental alcohol use and offspring alcohol use from robust prospective studies is lacking. We tested the direct and indirect associations between parental and young adult alcohol use via early alcohol initiation, parental monitoring and associating with deviant peers. Design Prospective birth cohort study. Path analysis was used to assess the possible association between parental alcohol use (assessed at 12 years) and alcohol use in young adults (assessed at 18 years) via potential mediators (assessed at 14 and 15.5 years, respectively). Setting South West England. Participants Data were available on 3785 adolescents and their parents from the Avon Longitudinal Study of Parents and Children. Measurements The continuous Alcohol Use Disorders Identification Test (AUDIT) score was used as the primary outcome measure. Maternal alcohol use was defined as light (l<4units on any day), moderate (>= 4units on 1-3days) and high-risk (>= 4 units on 4 days in 1 week). Partner alcohol use was also defined as light, moderate and high risk. Socio-economic variables were included as covariates. Findings There was strong evidence of a total effect from maternal alcohol use to young adult alcohol use [moderate: b = 1.07, 95% confidence interval (CI) = 0.64, 1.49, P < 0.001; high risk: b = 1.71, 95% CI = 1.07, 2.35, P < 0.001]. The majority of this association was explained through early alcohol initiation (moderate: b = 0.14, 95% CI = 0.04, 0.25, P = 0.01; high risk: b = 0.24, 95% CI = 0.07, 0.40, P < 0.01) and early alcohol initiation/associating with deviant peers (moderate: b = 0.06, 95% CI = 0.02, 0.10, P < 0.01; high risk: b = 0.10, 95% CI = 0.03, 0.16, P < 0.01). There was strong evidence of a remaining direct effect (moderate: b = 0.81, 95% CI = 0.39, 1.22, P < 0.001; high risk: b = 1.28, 95% CI = 0.65, 1.91, P < 0.001). A similar pattern of results was evident for partner alcohol use. Conclusions Young adults whose parents have moderate or high-risk alcohol consumption are more likely to consume alcohol than those with parents with lower alcohol consumption. This association appears to be partly accounted for by earlier alcohol use initiation and higher prevalence of association with deviant peers.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据