Donoghue Kim, Rose Hannah, Boniface Sadie, Deluca Paolo, Coulton Simon, Alam Mohammed Fasihul, Gilvarry Eilish, Kaner Eileen, Lynch Ellen, Maconochie Ian, McArdle Paul, McGovern Ruth, Newbury-Birch Dorothy, Patton Robert, Phillips Ceri J, Phillips Thomas, Russell Ian, Strang John, Drummond Colin
National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
J Adolesc Health. 2017 Apr;60(4):438-446. doi: 10.1016/j.jadohealth.2016.11.017. Epub 2017 Jan 16.
Globally, alcohol use is the leading cause of ill health and life years lost in adolescents, although its clinical impact is often overlooked, particularly in England where most research is based in schools. This study aims to examine the prevalence of alcohol consumption and the association between alcohol consumption and age of onset with health and social consequences among adolescents presenting to emergency departments (EDs).
Consecutive attenders (n = 5,576) aged 10-17 years at 10 EDs were included. Information was collected on general health and functioning, quality of life, alcohol use, and alcohol-related health and social consequences.
Nearly 40% of adolescents reported the consumption of alcohol that was more than a sip in their lifetime. Age of the first alcohol consumption before the age of 15 years was associated with tobacco use (p < .001), lower quality of life (p = .003), and evidence of an alcohol use disorder (p = .002). It was also associated with general social functioning (problems with conduct p = .001 and hyperactivity p = .001) and alcohol-related health and social consequences (accident p = .046, problems with a parent p = .017, school p = .0117, or police p = .012).
Rates of alcohol consumption in adolescents presenting to the ED were similar to those reported in schools in England and globally. Associations of alcohol consumption and earlier onset of drinking with poorer health and social functioning were observed. The ED can offer an opportunity for the identification of hazardous alcohol use in adolescents.
在全球范围内，饮酒是青少年健康不良和寿命损失的主要原因，尽管其临床影响常常被忽视，尤其是在英国，那里的大多数研究都以学校为基础。本研究旨在调查前往急诊科（ED）就诊的青少年中饮酒的患病率，以及饮酒与发病年龄之间的关联及其对健康和社会的影响。
纳入了10家急诊科连续就诊的10至17岁患者（n = 5576）。收集了有关总体健康状况与功能、生活质量、饮酒情况以及与酒精相关的健康和社会影响的信息。
近40%的青少年报告其一生中饮酒量超过抿一口。15岁之前首次饮酒的年龄与吸烟（p <.001）、较低的生活质量（p =.003）以及酒精使用障碍的证据（p =.002）相关。它还与一般社会功能（行为问题p =.001和多动p =.001）以及与酒精相关的健康和社会影响（事故p =.046、与父母的问题p =.017、学校问题p =.0117或警方问题p =.012）相关。
前往急诊科就诊的青少年的饮酒率与英国和全球学校报告的饮酒率相似。观察到饮酒及较早开始饮酒与较差的健康和社会功能之间存在关联。急诊科可为识别青少年危险饮酒行为提供机会。
