Links between adolescent binge drinking and midlife alcohol use behaviors by age, sex, and race/ethnicity.

IF 3 Q2 SUBSTANCE ABUSE Alcohol (Hanover, York County, Pa.) Pub Date : 2024-11-01 Epub Date: 2024-10-27 DOI:10.1111/acer.15435
Megan E Patrick, Sarah J Peterson, Yuk C Pang, Yvonne M Terry-McElrath
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Abstract

Background: Alcohol use is increasing among adults in midlife (i.e., ages 35-60), but few studies examine specific alcohol use behaviors in this age group. We examined measures of typical drinks, maximum drinks, binge drinking, and high-intensity drinking by age, sex, and race/ethnicity among midlife adults, as well as the prospective association between age 18 binge drinking and midlife behaviors.

Methods: Data from 5180 respondents participating in the national Monitoring the Future Panel study who were aged 35-60 in 2022 (followed since they were in 12th grade in 1980-2005) were used to estimate past 30-day midlife drinking behaviors (i.e., typical drinks, maximum drinks, binge, and high-intensity drinking) by age group, sex, and race/ethnicity. Associations between age 18 binge drinking status and midlife drinking outcomes were examined, as well as moderation by sociodemographic characteristics.

Results: Across ages 35-60, the mean typical number of drinks on drinking days within the past month ranged from 1.4 to 1.8; the mean maximum drinks ranged from 2.3 to 3.2. Past-month binge and high-intensity drinking prevalence ranged from 19.1% to 31.2% and 3.6% to 8.1%, respectively. Estimates of drinking behaviors were generally higher among respondents aged 35-40 (vs. older age groups), males (vs. females), those identifying as White (vs. other racial/ethnic groups), and those who reported age 18 binge drinking (vs. not). Adolescent binge drinking was a stronger predictor of high-intensity drinking among females than males and of typical and maximum drinks among older (age 60) than younger (age 35) respondents.

Conclusion: Binge and high-intensity drinking were reported by a meaningful percentage of the US midlife adults. Binge drinking in adolescence was a predictor of subsequent alcohol-related risks. These long-term connections were especially strong among females. Age 18 binge drinking was a stronger predictor of high-intensity drinking at age 60 than earlier in midlife, underscoring that adolescent binge drinking is a key indicator of risk across the lifespan.

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按年龄、性别和种族/民族分列的青少年暴饮与中年酒精使用行为之间的联系。
背景:中年成年人(即 35-60 岁)的饮酒量正在增加,但很少有研究对这一年龄组的具体饮酒行为进行调查。我们研究了中年成年人中按年龄、性别和种族/民族划分的典型饮酒量、最高饮酒量、暴饮暴食量和高强度饮酒量,以及 18 岁暴饮暴食与中年行为之间的前瞻性关联:方法:利用参与全国 "监测未来小组 "研究的 5180 名 2022 年 35-60 岁受访者的数据(自 1980-2005 年 12 年级开始跟踪),按年龄组、性别和种族/民族对过去 30 天的中年饮酒行为(即典型饮酒、最多饮酒、酗酒和高强度饮酒)进行估计。研究了18岁暴饮状态与中年饮酒结果之间的关系,以及社会人口特征的调节作用:结果:在 35-60 岁的人群中,过去一个月内饮酒日的平均典型饮酒量在 1.4-1.8 之间;平均最高饮酒量在 2.3-3.2 之间。过去一个月的暴饮和高强度饮酒率分别为 19.1%至 31.2%和 3.6%至 8.1%。饮酒行为的估计值在以下人群中普遍较高:35-40 岁(相对于更大年龄组)、男性(相对于女性)、白人(相对于其他种族/民族)以及报告 18 岁暴饮(相对于未报告)的人群。青春期暴饮对女性高强度饮酒的预测作用强于男性,对年龄较大(60 岁)的受访者典型饮酒量和最高饮酒量的预测作用强于年龄较小(35 岁)的受访者:结论:在美国的中年人中,有相当比例的人报告了暴饮和高强度饮酒。青少年时期的酗酒是日后酒精相关风险的预测因素。这些长期联系在女性中尤为明显。与中年早期相比,18 岁时的酗酒更能预测 60 岁时的高强度饮酒,这表明青少年时期的酗酒是整个生命周期中风险的关键指标。
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