A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Age of first alcohol intoxication and psychiatric disorders in young adulthood: A prospective birth cohort study
Tekijät: Mustonen Antti, Alakokkare Anni-Emilia, Salom Caroline, Hurtig Tuula, Levola Jonna, Scott James G., Miettunen Jouko, Niemelä Solja
Kustantaja: PERGAMON-ELSEVIER SCIENCE LTD
Julkaisuvuosi: 2021
Journal: Addictive Behaviors
Tietokannassa oleva lehden nimi: ADDICTIVE BEHAVIORS
Lehden akronyymi: ADDICT BEHAV
Artikkelin numero: ARTN 106910
Vuosikerta: 118
Sivujen määrä: 8
ISSN: 0306-4603
DOI: https://doi.org/10.1016/j.addbeh.2021.106910
Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/detail/Publication/54385203
Objective: Early onset of alcohol use is associated with an increased risk of substance use disorders (SUD), but few studies have examined associations with other psychiatric disorders. Our aim was to study the association between the age of first alcohol intoxication (AFI) and the risk of psychiatric disorders in a Finnish general population sample.
Methods: We utilized a prospective, general population-based study, the Northern Finland Birth Cohort 1986. In all, 6,290 15?16-year old adolescents answered questions on AFI and were followed up until the age of 33 years for psychiatric disorders (any psychiatric disorder, psychosis, SUD, mood disorders and anxiety disorders) by using nationwide register linkage data. Cox-regression analysis with Hazard Ratios (HR, with 95% confidence intervals (CI)) was used to assess the risk of psychiatric disorders associated with AFI.
Results: Statistically significant associations were observed between AFI and any psychiatric disorder, psychosis, SUDs, and mood disorders. After adjustments for other substance use, family structure, sex and parental psychiatric disorders, AFIs of 13?14 years and <12 years were associated with SUD (HR = 5.30; 95%CI 2.38?11.82 and HR = 6.49; 95%CI 2.51?16.80, respectively), while AFI < 12 years was associated with any psychiatric disorder (HR = 1.59; 95%CI 1.26?2.02) and mood disorders (HR = 1.81; 95%CI 1.22?2.68). After further adjustments for Youth Self Report total scores, AFI < 14 was associated with an increased risk of SUD and AFI < 12 with an increased risk of any psychiatric disorder.
Conclusions: We found significant associations between the early age of first alcohol intoxication, later SUD and any psychiatric disorder in a general population sample. This further supports the need for preventive efforts to postpone the first instances of adolescent alcohol intoxication.
Ladattava julkaisu This is an electronic reprint of the original article. |  |
