Dobkin P L, Tremblay R E, Desmarais-Gervais L, Dépelteau L
McGill University, Division of Clinical Epidemiology, Montreal General Hospital, Quebec, Canada.
Addiction. 1994 Dec;89(12):1619-27. doi: 10.1111/j.1360-0443.1994.tb03763.x.
Five hundred and ninety-nine French-Canadian pre-adolescent children for whom the alcoholic status of the parents was known were subdivided into eight groups, according to family structure (intact, non-intact), alcoholic status of the father (alcoholic, non-alcoholic) and gender of the target child (girl, boy). ANCOVAs were conducted (controlling for income, a factor which contributes to illness) for health-related variables in order to test the hypothesis that children of alcoholic fathers have more physical health problems compared to children without alcoholic fathers. Data pertaining to use of medical services, serious and minor illnesses and pregnancy-related events were analysed. It was found that overall, pre-adolescent children of alcoholics were not more ill than children of non-alcoholics. There were, however, some differences worthy of note. Children of alcoholics had significantly lower birthweights than the children of non-alcoholics. Boys in non-intact alcoholic families were of shorter stature than the other children. A three-way interaction showed that daughters of alcoholics and sons of non-alcoholics living in non-intact families were more likely to have used psychologists' services, as were sons of alcoholics in intact families. The results were discussed in terms of the heterogeneity of alcoholic families as well as the need to identify subgroups of children of alcoholics who are at risk.
599名父母饮酒状况已知的法裔加拿大青少年前期儿童，根据家庭结构（完整家庭、非完整家庭）、父亲的饮酒状况（酗酒、不酗酒）以及目标儿童的性别（女孩、男孩）被分为八组。为了检验酗酒父亲的孩子比没有酗酒父亲的孩子有更多身体健康问题这一假设，对与健康相关的变量进行了协方差分析（控制收入这一导致疾病的因素）。分析了与医疗服务使用、严重和轻微疾病以及与怀孕相关事件的数据。结果发现，总体而言，酗酒者的青少年前期儿童并不比非酗酒者的孩子病得更重。然而，有一些差异值得注意。酗酒者的孩子出生体重明显低于非酗酒者的孩子。非完整酗酒家庭中的男孩身高比其他孩子矮。三因素交互作用表明，生活在非完整家庭中的酗酒者的女儿和不酗酒者的儿子比完整家庭中酗酒者的儿子更有可能使用心理医生的服务。根据酗酒家庭的异质性以及识别有风险的酗酒者子女亚组的必要性对结果进行了讨论。
