Sauvola A, Miettunen J, Järvelin M R, Räsänen P
Department of Psychiatry, University of Oulu, Finland.
Alcohol Clin Exp Res. 2001 Feb;25(2):206-9.
It has been suggested earlier that parental loss could be an important risk factor for alcoholism in adulthood. We explored the association between different types of childhood families with later alcohol-related problems of the offspring, in particular drunk driving.
We used a large, prospectively collected general population birth cohort database (n = 10,934), the Northern Finland 1966 Birth Cohort. Linked with the National crime register, it provided information on drunk driving offenses known to the police that involved persons 15 to 32 years of age (n = 432). Type of family was categorized into five subgroups: two-parent family and four types of single-parent families (single-parent all the time, single-parent at birth, parental death, parental divorce). The information about family type was obtained from questionnaires given to the mothers during mid-pregnancy and at the time of the 14-year follow-up.
Single-parent family during childhood significantly increased the risk of drunk driving in adulthood among both males and females. Males who were born in single-mother families were at the highest risk of drunk driving offenses in adulthood (adjusted OR 2.4; 95% CI 1.4-4.2). The association between single-parent family and drunk driving among males was seen in all types of single-parent families except for parental death.
Results suggest that growing up in a single-parent family is a potentially powerful predictor of adult alcohol-related problems, i.e., early-onset, late-onset, and recidivistic drunk driving.
此前有人提出,父母离世可能是成年后酗酒的一个重要风险因素。我们探讨了不同类型的童年家庭与后代日后与酒精相关问题,尤其是酒后驾车之间的关联。
我们使用了一个大规模的、前瞻性收集的普通人群出生队列数据库(n = 10934),即1966年芬兰北部出生队列。该数据库与国家犯罪登记处相连,提供了警方已知的涉及15至32岁人群的酒后驾车犯罪信息(n = 432)。家庭类型分为五个亚组:双亲家庭和四种单亲家庭类型(一直单亲、出生时单亲、父母死亡、父母离异)。家庭类型信息来自孕期中期和14年随访时向母亲发放的问卷。
童年时期处于单亲家庭显著增加了成年后男性和女性酒后驾车的风险。出生在单亲母亲家庭的男性成年后酒后驾车犯罪的风险最高(调整后的比值比为2.4;95%置信区间为1.4 - 4.2)。除了父母死亡类型的单亲家庭外,在所有类型的单亲家庭中都观察到了单亲家庭与男性酒后驾车之间的关联。
结果表明,在单亲家庭中成长是成年后与酒精相关问题的一个潜在有力预测因素,即早发性、迟发性和复发性酒后驾车。