Childhood and adolescent predictors of heavy drinking and alcohol use disorders in early adulthood: a longitudinal developmental analysis
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Aims To identify childhood and adolescent factors differentiating heavy alcohol users in early adulthood from more moderate users or abstainers. Design Low‐income participants followed from birth to age 28 years. Participants A total of 178 adults (95 males) who were first‐born children of low‐income mothers recruited in Minneapolis, Minnesota, during their third trimester of pregnancy. Measurements Maternal hostility (24/42 months), externalizing and internalizing behavior problems (9 years), peer acceptance and academic achievement (12 years), maternal alcohol use and participants' drinking behavior (16 years), quantity of alcohol use per occasion (19, 23 and 26 years), alcohol use disorders (28 years). Findings For men: (i) higher amounts of alcohol consumption at age 16 increased the odds of being a heavy drinker compared to an abstainer (age 19) and a moderate drinker (ages 23 and 26); (ii) lower achievement scores at age 12 and having a mother who drank more when the participant was age 16 increased the odds of being a heavy drinker compared to moderate drinker (age 26). Higher levels of externalizing behavior problems at age 9 and drinking more when the participants were age 16 increased the odds that men would have a current alcohol use disorder at age 28. For women: (i) drinking more at age 16 increased the odds of being a heavy drinker compared to being either an abstainer or a moderate drinker (age 26); (ii) having higher levels of achievement at age 12 increased the odds of being a heavy drinker compared to an abstainer at age 23. Adolescent alcohol use mediated the relation between externalizing behavior at age 9 and alcohol use at age 26 for women. Conclusions Problem drinking may be the result of a long‐term developmental process wherein childhood externalizing behavior problems sets a pathway leading to heavy drinking during and after adolescence.
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Early-onset adolescent exposure to alcohol, tobacco, and drugs predicts later AUD, substance use disorder, and related problems.
“Early-onset adolescent exposure to alcohol, tobacco, and drugs of abuse also predicts later AUD and substance use disorder and alcohol-and drug-related problems (Grant et al., 2001;Englund et al., 2008;Enoch, 2011).”
From Drug Addiction: Hyperkatifeia/Negative Reinforcement as a Framework for Medications Development (2021) · cites this paper as Englund et al., 2008
The Logistic regression models section (page not available) reports that higher alcohol use at age 16 predicted current alcohol use disorder at age 28 in men. The paper measured adolescent alcohol-use level, not age of first exposure, and these findings do not establish the claimed predictions for tobacco or other drugs, non-alcohol substance use disorders, or drug-related problems. (LLM, conf=0.89)
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- Authors
- Englund, M. M., Egeland, B., Oliva, E. M., & Collins, W. A.
- Affiliations
- University of Minnesota (US)
- Corresponding author
- Englund, Michelle M.
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2008-04-17
- Volume
- 103
- Issue
- s1
- Pages
- 23-35
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- PMC
- PMC2822999
- OpenAlex
- W1990678160
- Cited by
- 264
- References
- 74
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 5 · 2023: 9 · 2022: 11 · 2021: 10 · 2020: 19 · 2019: 30 · 2018: 18 · 2017: 12 · 2016: 18 · 2015: 15 · 2014: 13 · 2013: 14 · 2012: 13
- FWCI
- 15.34
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Addiction (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Science Foundation (0322356)
- National Institute of Mental Health (MH 40864, R01MH040864)
- National Institute of Child Health and Human Development (HD054850)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD054850, R01HD054850)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Keywords
- heavy drinking, alcoholism, adolescent alcohol use, maternal alcohol use, academic performance, peer acceptance, maternal hostility, low-income children, sex differences
- MeSH terms
- Adolescent, Adult, Alcohol Drinking, Alcoholism, Child, Child Development, Female, Humans, Longitudinal Studies, Male, Middle Aged, Predictive Value of Tests, Sex Factors, Socioeconomic Factors, Parenting, Adolescent Development
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