Virtanen Pekka, Nummi Tapio, Lintonen Tomi, Westerlund Hugo, Hägglöf Bruno, Hammarström Anne
Institute for Advanced Social Research and School of Health Sciences, University of Tampere, Tampere, Finland,
Int J Public Health. 2015 Mar;60(3):335-42. doi: 10.1007/s00038-015-0651-5. Epub 2015 Jan 22.
The study aimed to analyze whether poor mental health in adolescence predicts heavy alcohol consumption over the long term.
Alcohol consumption in the population cohort (n = 1010) was surveyed at the ages of 16, 18, 21, 30 and 42. Utilizing latent class growth analysis, six consumption trajectories ranging from 'Late Onset Low' to 'Early Onset High' were defined and analyzed with respect to internalization (depressiveness and anxiousness) and externalization (truancy and vandalism) at age 16.
Poor mental health predicted the Early Onset High trajectory (risk ratios in relation to the compliant trajectory 3.59 for anxiousness, 2.85 for depressiveness, 5.69 for truancy and 7.75 for externalized vandalism). Moreover, significant associations were found for the Early Onset Moderate and Early Onset Low trajectories.
This is the first study to show an association between internalized mental health problems in adolescence and lifelong heavy drinking. The study also confirmed a strong association between externalized behavior and heavy drinking, indicating a need of preventive measures in this group. Nevertheless, the analyses demonstrated that most teenagers with mental health problems continue along a reasonable drinking trajectory.
本研究旨在分析青少年时期的心理健康状况不佳是否能长期预测大量饮酒行为。
对1010名队列人群在16岁、18岁、21岁、30岁和42岁时的饮酒情况进行了调查。利用潜在类别增长分析，定义了从“晚发低量”到“早发高量”的六种饮酒轨迹，并针对16岁时的内化问题（抑郁和焦虑）和外化问题（逃学和破坏行为）进行了分析。
心理健康状况不佳可预测早发高量饮酒轨迹（与依从轨迹相比，焦虑的风险比为3.59，抑郁为2.85，逃学为5.69，外化破坏行为为7.75）。此外，还发现早发中等量和早发低量饮酒轨迹存在显著关联。
这是第一项表明青少年内化心理健康问题与终生大量饮酒之间存在关联的研究。该研究还证实了外化行为与大量饮酒之间存在密切关联，表明有必要对该群体采取预防措施。然而，分析表明，大多数有心理健康问题的青少年仍沿着合理的饮酒轨迹发展。
