Centre for Alcohol Policy Research (CAPR), La Trobe University, Bundoora, Victoria, Australia.
National Drug Research Institute, Curtin University, Perth, Western Australia, Australia.
J Stud Alcohol Drugs. 2021 Mar;82(2):237-245.
The present study compares drinking trajectories for two cohorts of adolescents and young adults, 10 years apart, to assess whether recent declines in adolescent drinking in Australia represent fundamental shifts in typical drinking behavior.
Six waves of annually collected, longitudinal responses from two cohorts of adolescents and young adults ages 15-25 in 2001 (n = 1,436, 48.3% male) or 2011 (n = 2,520, 48.1% male) were acquired from the Household, Income and Labour Dynamics in Australia survey (HILDA). Latent class growth analysis was used to determine the best fitting drinking trajectories for both cohorts.
Four quadratic classes were identified for the earlier cohort, and three linear for the more recent one. Light/abstaining, moderate/moderate-steady, and heavy drinking classes were observed in both cohorts, whereas an additional moderate-increasing class in the earlier cohort was absent from the recent one. The two lowest trajectories (light/abstaining and moderate/moderate-steady) appeared relatively stable across cohorts, despite an increase in light/abstaining drinkers in the recent cohort, whereas the heaviest drinkers consumed substantially less in the recent cohort than the earlier one.
We found reduced consumption across drinking patterns, suggesting that youth drinking declines are not attributable to significant shifts in drinking behaviors; rather, adolescents and young adults are drinking in a similar, albeit significantly lower, fashion. The stability of these trajectories, and the continuation of these declines into adulthood, suggest that reductions in alcohol-related harm may be likely for recent cohorts across their life course.
本研究对比了相隔 10 年的两代青少年和年轻人的饮酒轨迹,以评估澳大利亚青少年饮酒率近期下降是否代表典型饮酒行为的根本转变。
本研究从澳大利亚家庭、收入和劳动力动态调查(HILDA)中获取了 2001 年(n=1436,48.3%为男性)和 2011 年(n=2520,48.1%为男性)两代年龄在 15-25 岁的青少年和年轻人连续 6 年的年度纵向数据。使用潜在类别增长分析确定两个队列的最佳拟合饮酒轨迹。
较早的队列确定了四个二次类,较新的队列确定了三个线性类。两个队列均观察到轻度/戒酒、中度/稳定和重度饮酒类别,而较早队列中不存在中度增加的类别。尽管最近的队列中轻度/戒酒的饮酒者有所增加,但两个最低的轨迹(轻度/戒酒和中度/稳定)在两个队列中似乎相对稳定,而最近的队列中最重的饮酒者的饮酒量明显低于较早的队列。
我们发现各种饮酒模式的消费量都有所减少,这表明青少年饮酒量的下降并非归因于饮酒行为的重大转变;相反,青少年和年轻人的饮酒方式相似,尽管饮酒量明显较低。这些轨迹的稳定性以及这些下降趋势持续到成年期,表明最近几代人在其整个生命周期中,可能会减少与酒精相关的危害。