Adolescent Repeated Alcohol Intoxication as a Predictor of Young Adulthood Alcohol Abuse: The Role of Socioeconomic Context

Ahmed Yaogo, Eric Fombonne, France Lert, Maria Melchior

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Aims. Trajectories of alcohol abuse from adolescence onwards are not well known. We examined the relationship between repeated alcohol intoxication in adolescence and later alcohol abuse, testing whether this association varies depending on individuals’ socioeconomic context. Methods. Study participants (n = 674, age 22–35 years in 2009) belong to the French TEMPO cohort study; their parents also participate in an epidemiological study—the GAZEL cohort. Repeated alcohol intoxication was assessed by questionnaire in adolescence (1999) (defined by ≥3 episodes of alcohol intoxication in the preceding 12 months). In young adulthood (2009), alcohol abuse was assessed by the WHO AUDIT questionnaire. Socioeconomic characteristic studied was childhood family income. Data were analyzed using logistic regression models controlling for age, sex, childhood temperament, parental history of alcohol use, and the quality of family relations. Results. Among adolescents who reported repeated alcohol intoxication, 30.8% reported alcohol abuse in young adulthood (adjusted OR=4.27, 95%CI 2.21–8.27). This association appeared stronger in participants who grew up in families with low income (adjusted OR=11.86, 95%CI 3.35–41.94 vs. 2.49, 95%CI 1.09–5.68 for youths from families with intermediate or high income). Conclusions. In most adolescents (69.2%), alcohol abuse is a time-limited behavior. Nonetheless, in participants from low income families, the likelihood of persistent alcohol abuse beyond adolescence may be increased. Although some limitations are noted, a preliminary conclusion is that alcohol abuse trajectories over time need to be monitored, particularly in certain subgroups.

Original languageEnglish (US)
Pages (from-to)1-10
Number of pages10
JournalSubstance Use and Misuse
DOIs
StateAccepted/In press - Nov 27 2015

Fingerprint

Alcoholic Intoxication
intoxication
adulthood
Alcoholism
abuse
alcohol
adolescent
adolescence
Logistic Models
Temperament
Family Relations
low income
childhood
Cohort Studies
Parents
Alcohols
questionnaire
family income
WHO
parents

Keywords

  • alcohol abuse persistence
  • community sample
  • epidemiology
  • longitudinal cohort
  • Socioeconomic position

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Medicine (miscellaneous)

Cite this

Adolescent Repeated Alcohol Intoxication as a Predictor of Young Adulthood Alcohol Abuse : The Role of Socioeconomic Context. / Yaogo, Ahmed; Fombonne, Eric; Lert, France; Melchior, Maria.

In: Substance Use and Misuse, 27.11.2015, p. 1-10.

Research output: Contribution to journalArticle

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abstract = "Aims. Trajectories of alcohol abuse from adolescence onwards are not well known. We examined the relationship between repeated alcohol intoxication in adolescence and later alcohol abuse, testing whether this association varies depending on individuals’ socioeconomic context. Methods. Study participants (n = 674, age 22–35 years in 2009) belong to the French TEMPO cohort study; their parents also participate in an epidemiological study—the GAZEL cohort. Repeated alcohol intoxication was assessed by questionnaire in adolescence (1999) (defined by ≥3 episodes of alcohol intoxication in the preceding 12 months). In young adulthood (2009), alcohol abuse was assessed by the WHO AUDIT questionnaire. Socioeconomic characteristic studied was childhood family income. Data were analyzed using logistic regression models controlling for age, sex, childhood temperament, parental history of alcohol use, and the quality of family relations. Results. Among adolescents who reported repeated alcohol intoxication, 30.8{\%} reported alcohol abuse in young adulthood (adjusted OR=4.27, 95{\%}CI 2.21–8.27). This association appeared stronger in participants who grew up in families with low income (adjusted OR=11.86, 95{\%}CI 3.35–41.94 vs. 2.49, 95{\%}CI 1.09–5.68 for youths from families with intermediate or high income). Conclusions. In most adolescents (69.2{\%}), alcohol abuse is a time-limited behavior. Nonetheless, in participants from low income families, the likelihood of persistent alcohol abuse beyond adolescence may be increased. Although some limitations are noted, a preliminary conclusion is that alcohol abuse trajectories over time need to be monitored, particularly in certain subgroups.",
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