Fischer Jane A, Najman Jackob M, Plotnikova Maria, Clavarino Alexandra M
Pharmacy Australia Centre for Excellence, The University of Queensland, Brisbane, Australia.
School of Population Health, The University of Queensland, Brisbane, Australia.
Drug Alcohol Rev. 2015 Jul;34(4):388-96. doi: 10.1111/dar.12227. Epub 2014 Dec 29.
Alcohol consumption among adolescents and young adults is a persistent community concern. Little is known about the short-term effects on the young adult drinker's quality of life (QOL), particularly prior to the first use of alcohol and the effect of alcohol consumption on subsequent QOL assessments. There is a need to know more about the QOL of those who decide to use alcohol in adolescence and the effect of alcohol consumption on young adult QOL.
This is a prospective longitudinal study of a birth cohort. Data were taken from the 14- and 21-year follow ups. At both time points, QOL was indicated by a measure of happiness and satisfaction. Alcohol use was also measured at 14- and 21-year follow ups. At the 21-year follow up, alcohol use disorder (AUD) was assessed using the Composite International Diagnostic Interview.
At the 14-year follow up, there was a strong association between QOL and quantity of alcohol consumed. QOL at 14 years also predicted more frequent alcohol use at 21 years of age. Poor QOL at 14 years was a strong predictor of earlier age of onset of an AUD. However, when age of onset of AUD was used to predict subsequent QOL, the associations were weak and inconsistent.
Poor QOL was associated with the early age of onset of alcohol use and AUDs. Addressing adolescent and young adult QOL may reduce the early onset of alcohol use and its potential for harm.
青少年和青年饮酒是一个长期存在的社会问题。关于饮酒对青年饮酒者生活质量（QOL）的短期影响，尤其是在首次饮酒之前以及饮酒对后续生活质量评估的影响，我们知之甚少。有必要更多地了解那些在青少年时期决定饮酒的人的生活质量，以及饮酒对青年生活质量的影响。
这是一项对出生队列的前瞻性纵向研究。数据来自14年和21年的随访。在两个时间点，生活质量通过幸福感和满意度来衡量。在14年和21年的随访中也对饮酒情况进行了测量。在21年的随访中，使用综合国际诊断访谈评估酒精使用障碍（AUD）。
在14年的随访中，生活质量与饮酒量之间存在很强的关联。14岁时的生活质量也预测了21岁时更频繁的饮酒情况。14岁时生活质量差是酒精使用障碍发病年龄较早的一个强有力预测因素。然而，当用酒精使用障碍的发病年龄来预测随后的生活质量时，这种关联微弱且不一致。
生活质量差与饮酒和酒精使用障碍的早发有关。解决青少年和青年的生活质量问题可能会减少饮酒的早发及其潜在危害。
