Young Sylvia Y N, Hansen Christian J, Gibson Roger L, Ryan Margaret A K
Department of Defense Center for Deployment Health Research, Naval Health Research Center, San Diego, CA 92186-5122, USA.
Arch Pediatr Adolesc Med. 2006 Dec;160(12):1207-14. doi: 10.1001/archpedi.160.12.1207.
To examine how childhood experiences relate to risky underage drinking.
A survey study of men starting military training between June 11, 2002, and April 5, 2006. Multivariate logistic regression models compared risky drinkers with "all others" or with nonrisky drinkers; excluding nondrinkers.
Marine Corps Recruit Depot, San Diego, Calif.
Forty-one thousand four hundred eighty-two men aged 18 to 20 years. Main Exposures Age at drinking onset; childhood emotional, physical, and sexual abuse; childhood emotional and physical neglect; and household alcohol abuse, mental illness, domestic violence, or divorce.
Risky drinking identified by scoring responses to 3 questions about alcohol consumption.
Of 41,482 young men, 6128 (14.8%) were identified as risky drinkers, 18,693 (45.1%) as nonrisky drinkers, and 16 661 (40.2%) as nondrinkers. Among drinkers, early initiation of alcohol use was strongly associated with risky drinking, with a 5.5-fold risk if age at onset of drinking was 13 years or younger. Other associated factors included tobacco use, rural or small hometown, higher education, motivation to join the military for travel or adventure or to leave problems at home, numerous close friends and relatives, household alcohol abuse or mental illness, and childhood sexual or emotional abuse. When the comparison group included nondrinkers, additional associated factors included childhood physical abuse and domestic violence.
These analyses confirm previous findings on risks for alcohol misuse in young adults and quantify these risks in new, large, multivariable models, adding unique perspective from a population of young Marines. Public health efforts to decrease alcohol misuse may be effectively targeted by prevention of underage alcohol use, tobacco use, and childhood abuse.
研究童年经历与未成年高危饮酒之间的关系。
对2002年6月11日至2006年4月5日开始接受军事训练的男性进行的一项调查研究。多变量逻辑回归模型将高危饮酒者与“所有其他人”或非高危饮酒者进行比较；不包括不饮酒者。
加利福尼亚州圣地亚哥海军陆战队新兵训练营。
41482名年龄在18至20岁之间的男性。主要暴露因素饮酒开始年龄；童年期情感、身体和性虐待；童年期情感和身体忽视；以及家庭酒精滥用、精神疾病、家庭暴力或离婚。
通过对3个关于饮酒情况问题的回答得分来确定高危饮酒。
在41482名年轻男性中，6128名（14.8%）被确定为高危饮酒者，18693名（45.1%）为非高危饮酒者，16661名（40.2%）为不饮酒者。在饮酒者中，饮酒开始时间早与高危饮酒密切相关，如果饮酒开始年龄为13岁或更小，风险则高出5.5倍。其他相关因素包括吸烟、来自农村或小镇、接受高等教育、因旅行、冒险或为摆脱家庭问题而参军的动机、有众多亲密朋友和亲戚、家庭酒精滥用或精神疾病，以及童年期性或情感虐待。当比较组包括不饮酒者时，其他相关因素包括童年期身体虐待和家庭暴力。
这些分析证实了先前关于年轻人酒精滥用风险的研究结果，并在新的大型多变量模型中对这些风险进行了量化，从年轻海军陆战队人群中增加了独特的视角。预防未成年饮酒、吸烟和童年期虐待可能有效地针对减少酒精滥用的公共卫生努力。
