Early drinking onset and its association with alcohol use and problem behavior in late adolescence
Abstract
Objective To examine the relationship between age of drinking onset and patterns of use, abuse of other substances, and the prevalence of other alcohol-related problems in a population of midwestern high school seniors.Design We analyzed self-report survey data on public school students' history of alcohol and other drug use and related problems from the Minnesota Student Survey conducted in 1989. The sample consisted of 2,650 male and female seniors, representing a 10% random sample of all white seniors in the study.Results The findings suggest that early onset of alcohol use (by age 12) is associated with subsequent abuse of alcohol and related problem behaviors in later adolescence, including alcohol-related violence, injuries, drinking and driving, and absenteeism from school or work, as well as increased risks for using other drugs.Conclusion This paper identifies the preadolescent years from age 10 to 12 as a particularly vulnerable period for the development of early alcohol dependence and abuse. Delaying alcohol use onset to age 13 may significantly reduce the risk of severe alcohol abuse in later adolescence.
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Earlier onset is a risk factor for achievement of a higher level of substance use problems and abuse than in the rest of the population.
“Earlier onset is simultaneously a risk factor for achievement of a higher level of substance use problems and abuse than in the rest of the population (Gruber et al., 1996; Hingson et al., 2008).”
From Assessment of culture and environment in the Adolescent Brain and Cognitive Development Study: Rationale, description of measures, and early data (2018) · cites this paper as Gruber et al., 1996
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“Furthermore, early onset of alcohol use ( 13 years of age) is associated with increased drinking frequency and physical violence (Gruber et al., 1996), which is consistent with diminished impulse inhibition.”
BackgroundEvers, K. E., Paiva, A. L., Johnson, J. L., Cummins, C. O., Prochaska, J. O., Prochaska, J. M., Padula, J. A., & Gökbayrak, N. S. (2012) · Addictive Behaviors · doi:10.1016/j.addbeh.2012.04.008 · Cited by 69 · see citing works
The Short‐ and Long‐Term Consequences of Adolescent Alcohol Use
Boden, J. M., & Fergusson, D. M. (2011) · Wiley eBooks · doi:10.1002/9781118785089.ch3 · Cited by 72 · see citing works
Natural reduction of binge drinking among college students
Vik, P. W., Cellucci, T. J., & Ivers, H. (2003) · Addictive Behaviors · doi:10.1016/s0306-4603(01)00281-7 · Cited by 68 · see citing works
Simons‐Morton, B. G., Haynie, D. L., Crump, A. D., Saylor, K. E., Eitel, P., & Yu, K. F. (1999) · Addictive Behaviors · doi:10.1016/s0306-4603(98)00095-1 · Cited by 64 · see citing works
The Relationship between School Absenteeism and Substance Use: An Integrative Literature Review
Gakh, M., Coughenour, C., Assoumou, B. O., & Vanderstelt, M. (2020) · Substance Use & Misuse · doi:10.1080/10826084.2019.1686021 · Cited by 67 · see citing works
““Early onset of alcohol use (i.e. by age 12) was associated with subsequent abuse of alcohol and related problem behaviors in later adolescence, including... absenteeism from school or work, as well as increased risks for using other drugs” (Gruber et al., 1996).”
BackgroundMethodInfluentialReview * The impact of alcopops on adolescent drinking: a literature review
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Effect of alcohol consumption in prenatal life, childhood, and adolescence on child development
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“Given that alcohol use initiation peaks in early adolescence (National Center for Chronic Disease Prevention and Health Promotion 2008) and the considerable consequences associated with use during this critical developmental period (Gruber et al. 1996; Hingson et al. 2002, 2003), preventive efforts targeting young ado…”
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Family functioning and binge drinking among Italian adolescents
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Alcohol use across the lifespan: An analysis of adolescent and aged rodents and humans
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Self-Reported Alcohol Use and Sexual Behaviors of Adolescents
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Heightening Adolescent Vigilance toward Alcohol Advertising to Forestall Alcohol Use
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“Early-onset alcohol use (EOA) is associated with an increased likelihood of engaging in frequent and problematic use of alcohol among adolescents (Fergusson et al. 1994; French and Maclean 2006; Gruber et al. 1996; Hawkins et al. 1997; Hingson et al. 2006; Mason and Spoth 2012; Swahn et al. 2008).”
Alcohol drinking patterns among high school students in Ethiopia: a cross-sectional study
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“Among youth, drinking often coexists with other problem behaviors such as poor academic performance [12] and absenteeism [13] which may impair healthy development and successful transition from adolescence to adulthood [14].”
BackgroundThe Effects of the Going Places Program on Early Adolescent Substance Use and Antisocial Behavior
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“reductions in adolescent smoking may be important given the health and social costs of early experimentation (Chassin et al., 1990; Gruber et al., 1996).”
BackgroundLongitudinal examination of underage drinking and subsequent drinking and risky driving
Zakrajsek, J. S., & Shope, J. T. (2006) · Journal of Safety Research · doi:10.1016/j.jsr.2006.06.002 · Cited by 54 · see citing works
- Authors
- Gruber, E., DiClemente, R. J., Anderson, M. M., & Lodico, M.
- Affiliations
- University of California, Los Angeles (US)
- University of Alabama (US)
- Corresponding author
- Anderson, Martin M.
- ORCID
- DiClemente, Ralph J.
- Venue
- Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 1996-05
- Volume
- 25
- Issue
- 3
- Pages
- 293-300
- ISSN
- 0091-7435 (ISSN-L)
- OpenAlex
- W1968871982
- Cited by
- 324
- References
- 0
- Citations by year
- 2026: 6 · 2025: 1 · 2024: 3 · 2023: 3 · 2022: 6 · 2021: 13 · 2020: 3 · 2019: 10 · 2018: 13 · 2017: 11 · 2016: 13 · 2015: 21 · 2014: 12 · 2013: 23 · 2012: 21
- FWCI
- 3.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Demography › Youth, Drugs, and Violence
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- adolescent alcohol use, alcohol abuse, alcohol-related violence, alcohol-related injuries, drunk driving, school absenteeism, substance use, alcoholism, high school seniors, late childhood, Minnesota Student Survey
- MeSH terms
- Adolescent, Alcohol Drinking, Alcoholism, Child, Female, Humans, Male, Minnesota, Social Behavior Disorders, Multivariate Analysis, Logistic Models, Age of Onset, Substance-Related Disorders
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