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Adolescent predictors and environmental correlates of young adult alcohol use problems
Author(s) -
Toumbourou John W.,
EvansWhipp Tracy J.,
Smith Rachel,
Hemphill Sheryl A.,
Herrenkohl Todd I.,
Catalano Richard F.
Publication year - 2014
Publication title -
addiction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.424
H-Index - 193
eISSN - 1360-0443
pISSN - 0965-2140
DOI - 10.1111/add.12401
Subject(s) - young adult , alcohol use disorders identification test , cannabis , alcohol , medicine , confidence interval , demography , psychology , injury prevention , psychiatry , poison control , gerontology , environmental health , biochemistry , chemistry , sociology
Aims To examine the rates of young adult alcohol and drug use and alcohol problems, adolescent predictors of young adult alcohol problems and correlations with young adult social, work and recreational environments. Design Adolescents were followed longitudinally into young adulthood. Predictors were measured in grade 9 (average age 15), and environmental correlates and outcomes in young adulthood (average age 21). Setting Students recruited in V ictoria, A ustralia in 2002, were resurveyed in 2010/11. Participants Analytical n = 2309, 80% retention. Measurements Adolescent self‐report predictors included past‐month alcohol use. Young adults completed the A lcohol U se D isorders I dentification T est ( AUDIT ) together with reports of environmental influences. Findings Comparisons to U nited S tates national school graduate samples revealed higher rates of alcohol, tobacco and illicit drug use (other than cannabis) in V ictoria. For example, rates of past month use at age 21–22 were: alcohol 69.3% US versus 84.9%, 95% confidence interval ( CI ) 81.3–88.6% V ictoria; illicit drugs (other than cannabis) 8.8 versus 12.7%, CI 9.7–15.7%. AUDIT alcohol problems (scored 8+) were identified for 41.2%, CI 38.8–43.6% of young adults in V ictoria. The likelihood of young adult alcohol problems was higher for frequent adolescent alcohol users and those exposed to environments characterized by high alcohol use and problems in young adulthood. Conclusions High rates of alcohol problems are evident in more than two in five A ustralian young adults, and these problems appear to be influenced both by earlier patterns of adolescent alcohol use and by young adult social, work and recreational environments.