National Institute for Health and Welfare, Helsinki, Finland.
Social Psychology, University of Eastern Finland, Joensuu, Finland.
Eur Child Adolesc Psychiatry. 2019 Jul;28(7):913-922. doi: 10.1007/s00787-018-1253-6. Epub 2018 Nov 14.
Many studies have shown that children of alcohol abusing parents have a higher risk for mental and behavioural disorders compared to other children. Using a retrospective population-based cohort study, based on health care and social welfare registers that include children born in Finland in 1997 and their biological parents, we evaluated whether the severity of parental alcohol abuse is related to these disorders in children. We examined (1) differences in the incidence of mental and behavioural disorders over time among the children of parents with no alcohol problems, parents with less severe alcohol problems and parents with severe alcohol problems, and (2) associations between mother's and father's alcohol abuse and children's risk of disorders. Children were followed up until the age of 15. A diagnosis of mental or behavioural disorders during the follow-up was received by 15.4% of the boys and 9.0% of the girls. Both less severe alcohol abuse (HR = 1.36, 95% CI 1.14-1.61) and severe alcohol abuse (HR = 1.29, 95% CI 1.11-1.49) in mothers increased the risk of these disorders in their offspring. The corresponding figures among fathers were HR = 1.19, 95% CI 0.92-1.54 and HR = 1.16, 95% CI 1.02-1.32. Our results indicate that both maternal alcohol abuse and paternal alcohol abuse, regardless of severity, are associated with an increased risk of mental and behavioural disorders in children. It is crucial for professionals working with children to pay attention to all children whose parents have any alcohol abuse problems.
许多研究表明，与其他儿童相比，酗酒父母的孩子患精神和行为障碍的风险更高。本研究采用回顾性基于人群的队列研究，基于包括芬兰 1997 年出生的儿童及其亲生父母的医疗保健和社会福利登记处，评估父母酗酒严重程度是否与儿童的这些障碍有关。我们检查了：1）父母无酒精问题、父母酒精问题较轻和父母酒精问题严重的儿童的精神和行为障碍发生率随时间的差异；2）母亲和父亲酗酒与儿童患障碍风险之间的关联。对儿童进行了随访，直到他们 15 岁。在随访期间，15.4%的男孩和 9.0%的女孩被诊断患有精神或行为障碍。母亲酗酒较轻（HR=1.36，95%CI 1.14-1.61）和严重（HR=1.29，95%CI 1.11-1.49）均增加了子女患这些障碍的风险。父亲的相应数字为 HR=1.19，95%CI 0.92-1.54 和 HR=1.16，95%CI 1.02-1.32。我们的结果表明，母亲酗酒和父亲酗酒，无论严重程度如何，都与儿童患精神和行为障碍的风险增加有关。为儿童服务的专业人员必须关注所有父母有任何酗酒问题的儿童。
