Cited by 324Substance Abuse Treatment and OutcomesYouth, Drugs, and ViolenceChild and Adolescent Psychosocial and Emotional Development

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Early Drinking Onset and Its Association with Alcohol Use and Problem Behavior in Late Adolescence

Gruber, Enid, DiClemente, Ralph J., Anderson, Martin M., Lodico, Mark·1996·Preventive Medicine

DOI 10.1006/pmed.1996.0059

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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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Background
Trajectories of alcohol, marijuana, and illicit drug use in a diverse sample of young men who have sex with men
Swann, G., Bettin, E., Clifford, A., Newcomb, M. E., & Mustanski, B. S. (2017) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2017.05.015 · Cited by 21
Improving Parenting and Parent-Adolescent Communication to Delay or Prevent the Onset of Alcohol and Drug Use in Young Adolescents with Emotional/Behavioral Disorders: A Pilot Trial
Spirito, A., Hernández, L., Cancilliere, M. K., Graves, H. R., & Barnett, N. P. (2015) · Journal of Child & Adolescent Substance Abuse · doi:10.1080/1067828x.2013.829013 · Cited by 21
Help-Seeking Behaviors in a Community Sample of Young Adults with Substance Use Disorders
Gayman, M. D., Cuddeback, G. S., & MORRISSEY, J. P. (2011) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-011-9243-1 · Cited by 21
Childhood cigarette and alcohol use: Negative links with adjustment
Staff, J., Maggs, J. L., Cundiff, K., & Evans‐Polce, R. J. (2016) · Addictive Behaviors · doi:10.1016/j.addbeh.2016.06.022 · Cited by 21
“By using prospective data on children followed from infancy to age 11, we provide insight into pre-adolescent associations of early substance use and adjustment that may increase the risk of long-term personal, social, and economic disadvantages later in adolescence and adulthood, such as illicit drug use, addiction,…”
Exposure to drinking mediates the association between parental alcohol use and preteen alcohol use
Smit, K., Otten, R., Voogt, C. V., Kleinjan, M., Engels, R. C. M. E., & Kuntsche, E. N. (2018) · Addictive Behaviors · doi:10.1016/j.addbeh.2018.07.026 · Cited by 21
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Risk of school failure as an early indicator of other health risk behaviour in American high school students
Gruber, E. L., & Machamer, A. M. (2000) · Health Risk & Society · doi:10.1080/136985700111459 · Cited by 20
Self-citation
The associations of comorbid substance use disorders and psychiatric conditions with adolescent brain structure and function: A review
Kroll, D. S., Feldman, D. E., Wang, S.-Y., Zhang, R., Manza, P., Wiers, C. E., Volkow, N. D., & Wang, G. (2020) · Journal of the Neurological Sciences · doi:10.1016/j.jns.2020.117099 · Cited by 22
“Converging evidence suggests that an earlier onset of substance use, SUD, and psychopathology can lead to more severe symptoms and worse treatment outcomes [40,46,78].”
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The Impact of Gender and Family Processes on Mental Health and Substance Use Issues in a Sample of Court-Involved Female and Male Adolescents
Gavazzi, S. M., Lim, J.-Y., Yarcheck, C. M., Bostic, J. M., & Scheer, S. D. (2008) · Journal of Youth and Adolescence · doi:10.1007/s10964-008-9306-7 · Cited by 18
The Impact of Project Northland on Selected MMPI-A Problem Behavior Scales
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“Still, early adolescent alcohol use is precocious and associated with multiple social, behavioral, and developmental problems (Ellickson et al. 2003; Grant and Dawson 1997; Greenblatt 2000; Gruber et al. 1996; Hingson et al. 2002; Hingson et al. 2003).”
Background
Consumo de tabaco y alcohol en adolescentes de 10 a 14 años de la ciudad de San Felipe, Chile: prevalencia y factores asociados
Gaete, J., Olivares, E., Rojas‐Barahona, C. A., Rengifo, M., Labbé, N., Lepe, L., Silva, M., Yáñez, C., & Chen, M. (2016) · Revista médica de Chile · doi:10.4067/s0034-98872016000400007 · Cited by 19
Identifying patterns of alcohol use among secondary school students in Canada: A multilevel latent class analysis
Gohari, M. R., Cook, R. J., Dubin, J. A., & Leatherdale, S. T. (2019) · Addictive Behaviors · doi:10.1016/j.addbeh.2019.106120 · Cited by 19
Determinants of harmful use of alcohol among urban slum dwelling adults in Kenya
Gitatui, M., Kimani, S. T., Muniu, S., & Okube, O. T. (1970) · African Health Sciences · doi:10.4314/ahs.v19i4.12 · Cited by 21
Low and moderate doses of acute ethanol do not impair spatial cognition but facilitate accelerating rotarod performance in adolescent and adult rats
Novier, A., Skike, C. E. V., Chin, V. S., Diaz‐Granados, J. L., & Matthews, D. B. (2012) · Neuroscience Letters · doi:10.1016/j.neulet.2012.01.059 · Cited by 17
Pattern and risk of developing alcohol use disorders, illegal substance use and psychiatric disorders after early onset of alcohol use: Results of the Thai National Mental Health Survey 2013
Tanaree, A., Assanangkornchai, S., & Kittirattanapaiboon, P. (2016) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2016.11.001 · Cited by 20
“…2009; Strunin et al., 2007), development of more severe, recurrent and persisting alcohol use disorders (Hingson et al., 2006), traffic accidents (Gruber et al., 1996; Hingson et al., 2008) and involvement of alcohol related self-harms and harm to others (Hingson and Zha, 2009), all of which…”
Background
Birth Cohort Differences in Features of Antisocial Alcoholism Among Men and Women
Stoltenberg, S. F., Hill, E. M., Mudd, S. A., Blow, F. C., & Zucker, R. A. (1999) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.1999.tb04087.x · Cited by 17
“Earlier alcohol use is associated with greater risk for the development of alcohol-related problems (Gruber et al., 1996); on those grounds we should expect a rise in the prevalence of such alcohol problems.”
Background
Adolescent Substance Misuse: Neurobiology and Evidence-Based Interventions
Newton, N. C., O’Leary-Barrett, M., & Conrod, P. (2011) · Current topics in behavioral neurosciences · doi:10.1007/978-3-642-28720-6_164 · Cited by 15
Feasibility and Acceptability of a Pediatric Emergency Department Alcohol Prevention Intervention for Young Adolescents
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“This age range was selected because drinking at a young age increases risk for alcohol problems later on in adolescence.(3,4,25) We also wanted to select middle school studentsVwho are less likely than high school students to have initiated alcohol useVso that parents would receive the preventive intervention before t…”
Background
Mothers’ Working Hours and Children’s Obesity: Data from the Korean National Health and Nutrition Examination Survey, 2008–2010
Lee, G., & Kim, H. (2013) · Annals of Occupational and Environmental Medicine · doi:10.1186/2052-4374-25-28 · Cited by 16
Zero blood alcohol concentration limits for drivers under 21: lessons from Canada
Chamberlain, E., & Solomon, R. (2008) · Injury Prevention · doi:10.1136/ip.2007.017095 · Cited by 16
Alcohol Use of African Americans and Whites From Ages 9–20: Descriptive Results From a Longitudinal Study
Duncan, S. C., Strycker, L. A., & Duncan, T. E. (2012) · Journal of Ethnicity in Substance Abuse · doi:10.1080/15332640.2012.701550 · Cited by 16
Early drinking onset: A study of prevalence and determinants among 13‐year‐old adolescents in Norway
Adolfsen, F., Kyrrestad, H., Martinussen, M., Natvig, H., Eisemann, M. R., Handegård, B. H., & Koposov, R. A. (2014) · Scandinavian Journal of Psychology · doi:10.1111/sjop.12151 · Cited by 18
Differentiating patterns of substance misuse by subtypes of antisocial traits in male offenders
Brennan, G. M., Stuppy-Sullivan, A. M., Brazil, I. A., & Baskin-sommers, A. R. (2017) · Journal of Forensic Psychiatry and Psychology · doi:10.1080/14789949.2017.1280072 · Cited by 16
Substance Abuse in Girls
Andrews, J. A. (2005) · Springer eBooks · doi:10.1007/0-306-48674-1_6 · Cited by 16
The Developmental Behavior Genetics of Drug Involvement: Overview and Comments
Zucker, R. A. (2006) · Behavior Genetics · doi:10.1007/s10519-006-9070-y · Cited by 17
“The issue is of special importance when studying youthful populations given that those who initiate later are known to have different trajectories of drug involvement than those who initiate earlier (Gruber et al. 1996; Grant and Dawson 1997).”
Background
Age at Onset of Alcohol Consumption and Risk of Problematic Alcohol and Psychoactive Substance Use in Adulthood in the General Population in Colombia
Scoppetta, O. (2011) · Cited by 15

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)
DOI: 10.1006/pmed.1996.0059
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Preventive Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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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Early Drinking Onset and Its Association with Alcohol Use and Problem Behavior in Late Adolescence

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