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.

饮酒与无意和故意伤害有关，是年轻人死亡的主要原因。每年有超过 50,000 人死于酒精相关伤害。国家纵向酒精流行病学调查 (NLAES) 的分析表明，较年轻时开始饮酒与产生酒精依赖和经常大量饮酒的可能性更大有关。此外，即使在控制了个人酒精依赖史和酗酒频率后，14 岁或以下开始饮酒的人相对于 21 岁或以上才开始饮酒的人，意外受伤的可能性要高出 2-4 倍，在机动车事故中，或者在青少年和成人饮酒后发生肢体冲突。我们计划对 1992 年 NLAES（N=42,862）、2002 年全国酒精相关疾病流行病学调查（NESARC，N=43,093）和 1999 年大学酒精调查（N=14,138）进行额外的二次数据分析，以探讨年龄是否与首次饮酒和中毒的原因与产生伤害和其他酒精问题的反社会行为有关。我们还建议对 3,000 名 18-39 岁的人进行随机数字拨号调查，以进一步探讨较早开始饮酒是否以及为何与以下因素有关： 1. 即使在非受抚养人中，也会在晚年出现酒精依赖和经常大量饮酒。 2. 个人将自己和他人置于饮酒后增加机动车辆风险以及其他无意和故意伤害的环境中，即使酒精依赖史和经常大量饮酒的措施经过分析控制。 3. 从事其他危险行为（例如，不系安全带、携带枪支或其他武器、打架、发生无计划和无保护的性行为、吸烟、吸毒、企图自杀），以及这些行为是否比以前更有可能发生受访者一直在喝酒。二次数据分析将扩展到整个项目。新调查的试点将在第一年进行，数据收集将在第二年至第四年进行，分析将在第五年进行。