AGE OF DRINKING ONSET AND DEVELOPMENT OF ALCOHOL PROBLEMS

开始饮酒的年龄和酒精问题的发展

• 批准号: 6968135
• 负责人: DAVID L ROSENBLOOM
• 金额: $ 11.65万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-02-12 至 2009-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6968135
• 关键词: accident proneness; adolescence (12-20); age difference; alcoholic beverage consumption; alcoholism /alcohol abuse; antisocial personality; behavioral /social science research tag; clinical research; disease /disorder onset; driving while intoxicated; drug addiction; early experience; high risk behavior /lifestyle; human data; human subject; injury; interview; longitudinal human study; substance abuse epidemiology; substance abuse related behavior; vehicular accident; violence; young adult human (21-34)

Alcohol use has been linked to unintentional and intentional injuries, the leading cause of death among young people. Over 50,000 persons die annually from alcohol-related injury deaths. Analyses of the National Longitudinal Alcohol Epidemiologic Survey (NLAES) reveal that starting to drink at a younger age is associated with a greater likelihood of developing alcohol dependence and patterns of frequent heavy drinking. Moreover, even after controlling for personal history of alcohol dependence and f requency of heavy drinking, persons who began drinking at age 14 or younger relative to those who wait until they are age 21 or older are 2-4 times more likely to be unintentionally injured, in motor vehicle crashes, or be in physical fights after drinking both as adolescents and adults. We plan to conduct additional secondary data analyses of the 1992 NLAES (N=42,862), the 2002 National Epidemiologic Survey of Alcohol-Related Conditions (NESARC, N=43,093) and the 1999 College Alcohol Survey (N=14,138)to explore whether age of first drinking and intoxication is related to antisocial behaviors that produce injury and other alcohol problems. We also propose a random digit dial survey of 3,000 18-39 year olds to further explore whether and why starting to drink at an earlier age is related to: 1. development of alcohol dependence and frequent heavy drinking later in life even among non dependent persons. 2. persons placing themselves and others in situations that increase their risk of motor vehicle, and other unintentional and intentional injuries after drinking, even when history of alcohol dependence and measures of frequent heavy drinking are controlled analytically. 3. engaging in other risky behaviors (e.g. not wearing seat belts, carrying guns or other weapons, getting into physical fights, having unplanned and unprotected sex, smoking, using drugs, attempting suicide) and whether these behaviors are more likely to occur than when respondents have been drinking. Secondary data analyses will extend over the entire project. Piloting the new survey will occur in year 1, data collection years 2-4 and analyses year 5.

饮酒与意外和故意伤害有关，这是年轻人的主要死亡原因。每年有超过50,000人死于与酒精有关的伤害死亡。国家纵向酒精流行病学调查（NLAES）的分析表明，在年轻时开始喝酒与发展酒精依赖性和频繁饮酒方式的可能性更大。此外，即使在控制了酒精依赖的个人历史和大量饮酒的征用之后，相对于那些等待直到21岁或21岁以上的人开始饮酒的人，在汽车撞车事故中，或者在与青少年和成人一起喝酒后，在车辆撞车中遭受了无意间受伤的可能性高2-4倍。我们计划对1992年NLAE（n = 42,862）进行其他二级数据分析，2002年对酒精相关条件的全国流行病学调查（NESARC，n = 43,093）以及1999年的大学酒精调查（n = 14,138）（n = 14,138），以探索初次饮酒的年龄与毒性相关，并与之相关。我们还建议对3,000名18-39岁的年轻人进行随机数字拨号调查，以进一步探讨是否以及为什么在早期开始喝酒与以下年龄有关：1。饮酒依赖性和频繁的重量饮酒，即使在非依赖者中也是如此。 2。将自己和其他人置于增加汽车风险的情况下，以及饮酒后其他无意的和故意伤害，即使在分析酒精依赖的病史和频繁的大量饮酒措施时也受到分析的控制。 3。从事其他危险行为（例如，不戴安全带，携带枪支或其他武器，进行身体战斗，进行计划外和未受保护的性行为，吸烟，使用毒品，自杀）以及这些行为是否比受访者饮酒时更有可能发生。辅助数据分析将扩展到整个项目。试行新调查将发生在第1年，数据收集年度2-4和分析5年。