Child and Adolescent Psychiatry Unit, Department of Neuroscience, Uppsala University, 751 85, Uppsala, Sweden.
Child Study Center, Yale University Medical School, New Haven, CT, 06520, USA.
Child Psychiatry Hum Dev. 2020 Apr;51(2):231-238. doi: 10.1007/s10578-019-00925-1.
Alcohol use during early adolescence is associated with other risk behaviors as well as future health problems. Within the design of a larger prospective research program, a cohort of U.S. inner-city sixth-grade students (N = 1573, mean age = 12.10) were assessed and reassessed in the seventh-grade. Self-reported information was obtained on problems related to alcohol, fixed markers of risk (e.g. sex, age, SES), individual and interpersonal factors (e.g. internalizing and externalizing symptoms) and contextual factors (e.g. substance availability). Alcohol-related problems in seventh grade were foremost predicted by individual and interpersonal factors in the sixth grade including depressive symptoms, conduct problems, a decreased perception of wrongdoing, and affiliation with delinquent peers. In addition, alcohol use in the sixth grade and being of Hispanic or White ethnicity was also associated with subsequent alcohol-related problems. Interventions should be directed towards assessing and treating individual risk factors such as depression and externalizing symptoms.
青少年早期饮酒与其他风险行为以及未来的健康问题有关。在一项更大的前瞻性研究计划的设计中，对美国市中心的六年级学生进行了评估（N=1573，平均年龄=12.10），并在七年级进行了重新评估。获得了与酒精相关的问题、固定风险因素（例如性别、年龄、SES）、个人和人际关系因素（例如内化和外化症状）以及环境因素（例如物质可及性）的自我报告信息。七年级的酒精相关问题主要由六年级的个人和人际关系因素预测，包括抑郁症状、行为问题、对错误的感知降低以及与犯罪同伴的关系。此外，六年级的饮酒行为和西班牙裔或白人种族也与随后的酒精相关问题有关。干预措施应针对评估和治疗个人风险因素，如抑郁和外化症状。
