Workie Hiwot Mezgebe, Wahlström Joakim, Svensson Johan, Låftman Sara Brolin
Department of Public Health Sciences, Stockholm University, SE-10691 Stockholm, Sweden.
The Swedish Council for Information on Alcohol and Other Drugs (CAN), Östgötagatan 90, SE-11664 Stockholm, Sweden.
Addict Behav Rep. 2024 Feb 18;19:100535. doi: 10.1016/j.abrep.2024.100535. eCollection 2024 Jun.
Much research into the links between parental problematic alcohol use and adolescent substance use has focused on clinically diagnosed parental alcohol disorders. Few prior studies have utilised validated measures of adolescents' perception of parental alcohol problems and considered the severity of these problems. This study examined the associations between the severity of perceived parental alcohol problems and adolescents' drinking patterns in a Swedish national sample.
We used survey information from grade 9 and 11 students (15-18 years) from 2021 (n = 9,227). Perceived parental alcohol problems were measured by the short version of The Children of Alcoholics Screening Test (CAST-6). The outcomes were: alcohol consumption during the past 12 months, frequent heavy episodic drinking (HED), and early alcohol debut (before age 14). Sociodemographic characteristics were adjusted for.
Binary logistic regressions showed that the severity of perceived parental alcohol problems was associated with alcohol consumption during the past 12 months (low severity OR 1.53, p < 0.001; moderate severity OR 1.85, p < 0.001; high severity OR 2.52, p < 0.001), HED (low severity OR 1.16, n.s.; moderate severity OR 1.31, n.s.; high severity OR 1.64, p < 0.01), and early alcohol debut (low severity OR 1.57, p < 0.001; moderate severity OR 1.65, p < 0.001; high severity OR 2.20, p < 0.001).
Adolescents with perceived parental alcohol problems are more likely to have risky drinking patterns themselves, and the likelihood becomes higher with increased severity. Effective interventions for children whose parents have drinking problems are important, and should also take the severity of the parents' drinking problem into account.
许多关于父母酒精使用问题与青少年物质使用之间联系的研究都集中在临床诊断的父母酒精障碍上。之前很少有研究使用经过验证的青少年对父母酒精问题认知的测量方法，并考虑这些问题的严重程度。本研究在瑞典全国样本中考察了父母酒精问题严重程度与青少年饮酒模式之间的关联。
我们使用了2021年9年级和11年级学生（15 - 18岁）的调查信息（n = 9227）。通过酒精成瘾者子女筛查测试简版（CAST - 6）来测量青少年对父母酒精问题的认知。结果包括：过去12个月内的酒精消费、频繁重度暴饮（HED）以及过早饮酒（14岁之前）。对社会人口学特征进行了调整。
二元逻辑回归显示，青少年对父母酒精问题认知的严重程度与过去12个月内的酒精消费相关（低严重程度：比值比1.53，p < 0.001；中度严重程度：比值比1.85，p < 0.001；高严重程度：比值比2.52，p < 0.001），与频繁重度暴饮相关（低严重程度：比值比1.16，无统计学意义；中度严重程度：比值比1.31，无统计学意义；高严重程度：比值比1.64，p < 0.01），以及与过早饮酒相关（低严重程度：比值比1.57，p < 0.001；中度严重程度：比值比1.65，p < 0.001；高严重程度：比值比2.20，p < 0.001）。
认为父母有酒精问题的青少年自身更有可能有危险的饮酒模式，且随着问题严重程度的增加，这种可能性会更高。针对父母有饮酒问题的儿童进行有效干预很重要，并且还应考虑父母饮酒问题的严重程度。
