Developmental pathways to alcohol abuse and dependence in young adulthood.
- 1 November 2000
- journal article
- Published by Alcohol Research Documentation, Inc. in Journal of Studies on Alcohol
- Vol. 61 (6), 799-808
- https://doi.org/10.15288/jsa.2000.61.799
Abstract
Objective: To determine if people who were diagnosed with alcohol abuse or dependence (AAD) at age 21 had different developmental patterns of alcohol use in adolescence than non-AAD individuals. Method: An ethnically diverse urban sample of 808 children was surveyed at age 10 in 1985 and followed prospectively to age 21 in 1996. AAD at age 21 was assessed following DSM-IV criteria. Latent Transition Analysis (LTA) was used to identify four statuses of alcohol use (nonuse, initiation only, current use only, heavy episodic drinking), as well as transition probabilities between these four statuses from elementary school to middle school and from middle school to high school among the AAD and non-AAD group. Results: The prevalence of alcohol use statuses during elementary school was similar in the two groups. Differences in alcohol use emerged in middle school and became more pronounced in high school. In middle school, AAD individuals were more likely to have initiated or been current drinkers than non-AAD individuals. However, the two groups did not differ in the prevalence of heavy episodic drinking in middle school. In high school, most AAD individuals were in the heavy episodic drinking status (54%), while most non-AAD individuals were in the initiation only (33%) or current use only (34%) statuses. Conclusions: These findings suggest preventive intervention targets for different developmental periods. Alcohol abuse and dependence at age 21 may be prevented by delaying alcohol initiation, by reducing current use in middle school and by reducing heavy episodic drinking in high school.Keywords
This publication has 19 references indexed in Scilit:
- Age at onset of alcohol use and its association with DSM-IV alcohol abuse and dependence: results from the national longitudinal alcohol epidemiologic surveyJournal of Substance Abuse, 1997
- Progression of alcohol consumption across the drinking career in alcoholics and social drinkers.Journal of Studies on Alcohol, 1995
- Stages of progression in drug involvement from adolescence to adulthood: further evidence for the gateway theory.Journal of Studies on Alcohol, 1992
- Early onset of drinking as a risk factor for lifetime alcohol‐related problemsBritish Journal of Addiction, 1992
- RISK AND PROTECTIVE FACTORS FOR ALCOHOL AND OTHER DRUG PROBLEMS IN ADOLESCENCE AND EARLY ADULTHOOD - IMPLICATIONS FOR SUBSTANCE-ABUSE PREVENTIONPsychological Bulletin, 1992
- Modeling transitions in latent stage-sequential processes: A substance use prevention example.Journal of Consulting and Clinical Psychology, 1991
- Personality and Alcohol and Marijuana Use: Patterns of Convergence in Young AdulthoodInternational Journal of the Addictions, 1990
- Women's drinking and drinking problems: patterns from a 1981 national survey.American Journal of Public Health, 1984
- Patterns of drug use from adolescence to young adulthood: II. Sequences of progression.American Journal of Public Health, 1984
- Stages in adolescent involvement in drug useScience, 1975