Institute for Translational Research in Children's Mental Health & Institute of Child Development, University of Minnesota, 1100 Washington Ave S., Suite 101, Minneapolis, MN 55415, USA.
Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 426 N. Ingalls St., Ann Arbor, MI 48109, USA.
Addict Behav. 2019 May;92:199-202. doi: 10.1016/j.addbeh.2019.01.003. Epub 2019 Jan 4.
Age of first drink is a key risk factor for adolescent high-risk alcohol use. The current study examined whether speed of escalation from first drink to first intoxication is an additional risk factor, and whether these two factors are associated with binge and high-intensity drinking among adolescents.
Data collected in 2005-2017 from a nationally-representative sample of 11,100 U.S. 12th grade students participating in the Monitoring the Future study were coded to indicate grade of first drink, grade of first intoxication, and speed of escalation from first drink to first intoxication. Logistic regression models estimated bivariate and multivariable odds of past 2-week binge (5+ drinks in a row) and high-intensity (10+ drinks in a row) drinking in 12th grade.
Of those who reported intoxication by 12th grade, almost 60% reported first drunkenness in the same grade in which they first drank. The likelihoods of 12th grade binge and high-intensity drinking were significantly associated with both grade of first drink and speed of escalation to intoxication. Past two-week high-intensity drinking prevalence was 17.4% among those with immediate (same-grade) escalation from first drink to first intoxication; 15.8% among those with a 1-grade delay, and 12.6% among those with a 2+ grade delay to intoxication.
The majority of students escalate quickly from having their first drink to being intoxicated for the first time. Both earlier age of first drink and a faster escalation from first drink to first intoxication are important indicators of binge and high-intensity drinking risk among adolescents.
首次饮酒年龄是青少年高危饮酒的关键风险因素。本研究旨在探讨首次饮酒到首次醉酒的速度是否是另一个风险因素，以及这两个因素是否与青少年 binge 饮酒和高度饮酒有关。
本研究的数据来自于 2005 年至 2017 年期间参加“监测未来”研究的全美代表性样本中的 11100 名 12 年级学生，这些数据被编码以表明首次饮酒的年级、首次醉酒的年级以及首次饮酒到首次醉酒的速度。逻辑回归模型估计了 12 年级过去两周 binge 饮酒（连续 5 次以上饮酒）和高度饮酒（连续 10 次以上饮酒）的双变量和多变量比值比。
在报告醉酒的学生中，近 60%的人在首次饮酒的同一年级报告了首次醉酒。12 年级 binge 饮酒和高度饮酒的可能性与首次饮酒的年级和醉酒的速度都显著相关。在过去两周内，有立即（同年级）从首次饮酒到首次醉酒的学生中，高度饮酒的流行率为 17.4%；有 1 年级延迟的学生中，高度饮酒的流行率为 15.8%；有 2 年级或以上延迟的学生中，高度饮酒的流行率为 12.6%。
大多数学生从首次饮酒到首次醉酒的速度很快。首次饮酒年龄更早和首次饮酒到首次醉酒的速度更快都是青少年 binge 饮酒和高度饮酒风险的重要指标。
