Department of Behavioral and Community Health, University of Maryland School of Public Health, College Park, Maryland 20742, USA.
J Stud Alcohol Drugs. 2011 Sep;72(5):701-10. doi: 10.15288/jsad.2011.72.701.
This study examined the relationship between adolescent alcohol use and adult violence from a developmental perspective, specifically whether frequent adolescent drinking predicts adult violence once shared risk factors are taken into account through propensity score matching. The research considered multiple types of violence, including assault, robbery, and suicidal behavior, as well as other types of offending. It tested whether educational attainment and adult alcohol use and problems contribute to the adolescent drinking-adult violence relationship.
Data came from a longitudinal epidemiological study of a community cohort of urban African Americans followed from age 6 to 42 (N = 702; 51% female). Frequent adolescent drinking was operationalized as 20 times or more by age 16. Data on violent arrests and offenses were collected throughout adulthood from self-reports and official criminal records. Matching variables came from childhood and adolescence and included such shared risk factors as childhood externalizing behaviors, school achievement, and family functioning.
Adjusted logistic regression analyses on the sample matched on childhood and adolescent risk factors showed that frequent adolescent drinking was associated with an increased risk of violence in young adulthood (in particular assault) but not with other types of crime, self-directed violence, or violence in midlife. Findings varied by gender. Heavy episodic drinking in adulthood seemed to account for some of the association between frequent adolescent drinking and adult assault.
The results of this study suggest that preventing frequent adolescent drinking could potentially decrease adult assault. This study adds to the growing body of literature suggesting long-term negative consequences of adolescent alcohol use.
本研究从发展的角度考察了青少年饮酒与成年暴力之间的关系,特别是在通过倾向评分匹配考虑到共同风险因素后,青少年频繁饮酒是否会预测成年暴力。该研究考虑了多种类型的暴力,包括攻击、抢劫和自杀行为以及其他类型的犯罪。它测试了教育程度以及成年期的饮酒和问题是否会影响青少年饮酒与成年暴力之间的关系。
数据来自一项对城市非裔美国人社区队列进行的纵向流行病学研究,该队列从 6 岁一直随访到 42 岁(N=702;51%为女性)。青少年频繁饮酒被定义为 16 岁前饮酒 20 次或以上。成年期的暴力逮捕和犯罪数据通过自我报告和官方犯罪记录收集。匹配变量来自童年和青少年时期,包括共有的风险因素,如儿童期外化行为、学业成绩和家庭功能。
在对童年和青少年风险因素进行匹配的样本上进行的调整后的逻辑回归分析表明,青少年期频繁饮酒与成年早期暴力风险增加(特别是攻击行为)有关,但与其他类型的犯罪、自我导向的暴力或中年期暴力无关。研究结果因性别而异。成年期的重度间歇性饮酒似乎解释了青少年频繁饮酒与成年期攻击之间的部分关联。
这项研究的结果表明,预防青少年频繁饮酒可能会降低成年期攻击行为的发生。本研究增加了越来越多的青少年饮酒会产生长期负面影响的文献。