Berg Lisa, Bäck Karin, Vinnerljung Bo, Hjern Anders
Centre for Health Equity Studies, Stockholm University/Karolinska Institutet, Stockholm, Sweden.
Department of Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
Addiction. 2016 Oct;111(10):1795-803. doi: 10.1111/add.13454. Epub 2016 Jun 14.
To study the links between parental alcohol-related disorders and offspring school performance and, specifically, whether associations vary by gender of parent or child and whether associations are mediated by other adverse psychosocial circumstances commonly appearing together with parental alcohol problems, such as parental mental health problems or criminal behaviour.
Register study in a national cohort.
Sweden.
A total of 740 618 individuals born in Sweden in 1990-96.
Parental hospital admissions for alcohol-related disorders and school performance in their offspring, in the final year of compulsory school at age 15-16 years was analysed in relation to socio-demographic confounders and psychosocial covariates, using linear and logistic regressions.
Both mothers' and fathers' alcohol-related hospital admissions were associated with lower Z-scores of grades and national mathematics tests scores. After adjustment for parental education and socio-demographic confounders, beta-coefficients of Z-scores of grades were -0.42 [95% confidence interval (CI) = -0.45, -0.39] and -0.42 (95% CI = -0.43, -0.40), and beta-coefficients of mathematics tests scores were -0.36 (95% CI = -0.39, -0.33) and -0.31 (95% CI = -0.33, -0.29), for mothers' and fathers' alcohol-related disorders, respectively. Adjusted odds ratios (ORs) for not being eligible for secondary school were 1.99 (95% CI = 1.84-2.15) and 2.04 (95% CI = 1.95-2.15) for mothers' and fathers' alcohol-related disorders, respectively. Adjusting the analyses for psychosocial factors in the family almost eradicated the statistical effects of parental alcohol-related disorders on offspring school performance to beta-coefficients of 0.03 to -0.10 and ORs of 0.89-1.15. The effect of a mother's alcohol-related hospital admission on school performance was stronger in girls than in boys, whereas no gender differences were seen for a father's alcohol-related hospital admission.
In Sweden, alcohol-related disorders in both mothers and fathers are associated with lower school performance in their children at age 15-16 years, with most of the statistical effects being attributed to psychosocial circumstances of the family, such as parental psychiatric disorders, drug use and criminality and receipt of social or child welfare interventions.
研究父母酒精相关障碍与子女学业成绩之间的联系，具体而言，这种关联是否因父母或子女的性别而异，以及这种关联是否由通常与父母酒精问题同时出现的其他不良社会心理状况介导，如父母心理健康问题或犯罪行为。
对全国队列进行登记研究。
瑞典。
共有740618名1990 - 1996年在瑞典出生的个体。
使用线性和逻辑回归分析了父母因酒精相关障碍的住院情况以及子女在15 - 16岁义务教育最后一年的学业成绩，并考虑了社会人口学混杂因素和社会心理协变量。
母亲和父亲因酒精相关障碍的住院情况均与较低的成绩Z分数和全国数学测试分数相关。在调整了父母教育程度和社会人口学混杂因素后，母亲和父亲酒精相关障碍导致的成绩Z分数的β系数分别为 -0.42 [95%置信区间（CI）= -0.45，-0.39] 和 -0.42（95% CI = -0.43，-0.40），数学测试分数的β系数分别为 -0.36（95% CI = -0.39，-0.33）和 -0.31（95% CI = -0.33，-0.29）。母亲和父亲酒精相关障碍导致子女不符合进入中学条件的调整后比值比（OR）分别为1.99（95% CI = 1.84 - 2.15）和2.04（95% CI = 1.95 - 2.15）。在对家庭社会心理因素进行分析调整后，父母酒精相关障碍对子女学业成绩的统计影响几乎消除，成绩Z分数的β系数变为0.03至 -0.10，OR变为0.89 - 1.15。母亲因酒精相关障碍住院对学业成绩的影响在女孩中比在男孩中更强，而父亲因酒精相关障碍住院则未观察到性别差异。
在瑞典，母亲和父亲的酒精相关障碍均与子女在15 - 16岁时较低的学业成绩相关，大多数统计影响归因于家庭的社会心理状况，如父母精神障碍、药物使用和犯罪行为以及接受社会或儿童福利干预。
