Christchurch Health and Development Study, Department of Psychological Medicine, University of Otago, Christchurch, New Zealand.
Department of Psychological Medicine, University of Otago, 23 Mein Street, Newton, Wellington, New Zealand.
Int J Drug Policy. 2019 Dec;74:18-25. doi: 10.1016/j.drugpo.2019.06.011. Epub 2019 Aug 10.
Early exposure to alcohol in adolescence is associated with a range of long term harms. Better understanding of trajectories of alcohol use from adolescence to early adulthood would help target prevention strategies to high risk groups.
Christchurch (New Zealand) general population birth cohort (n = 1265). A latent trajectory model of drinking behaviour at age 14-16 was used to predict drinking outcomes at age 18-35, net of covariate factors known to be associated with substance use outcomes in this cohort.
Three classes of adolescent alcohol use were identified. These were: occasional drinkers, emergent binge drinkers and increasing heavy drinkers.
This analysis identifies three groups of adolescent alcohol users with differing patterns of use. Emergent binge drinkers likely require public policy responses to alcohol use whereas increasing heavy drinkers are potentially able to be identified individually on the basis of patterns of alcohol use and social variables. This group may benefit from psychosocial interventions and are unlikely to respond to a broad public health approach.
青少年时期早期接触酒精与一系列长期危害有关。更好地了解青少年到成年早期的酒精使用轨迹将有助于将预防策略针对高风险群体。
基督城（新西兰）一般人群出生队列（n=1265）。使用饮酒行为的潜在轨迹模型来预测 18-35 岁时的饮酒结果，这是基于已知与该队列中物质使用结果相关的协变量因素进行的。
确定了三种青少年饮酒方式。这些是：偶尔饮酒者、新兴狂饮者和逐渐重度饮酒者。
这项分析确定了具有不同使用模式的三组青少年酒精使用者。新兴狂饮者可能需要针对酒精使用采取公共政策措施，而逐渐重度饮酒者可能能够根据饮酒模式和社会变量单独识别。该组可能受益于心理社会干预，并且不太可能对广泛的公共卫生方法做出反应。
