Drinking firsts at home and with parental knowledge: Racial/ethnic differences in associations with later alcohol outcomes among underage youth.

IF 3 Q2 SUBSTANCE ABUSE
Sharon Lipperman-Kreda, Kristina Wharton, Tammy Chung, Carolyn E Sartor, Kristina M Jackson, Tim Slade
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Abstract

Background: Prior research has shown that early alcohol experiences, such as age of initiation and speed of progression between drinking milestones, vary across racial/ethnic groups. To inform culturally tailored prevention efforts, this longitudinal study examined racial/ethnic differences in the associations of drinking firsts at home and with parental knowledge with alcohol use outcomes among underage youth.

Methods: The study included baseline and five follow-up surveys, collected every 6 months, from California adolescents (ages 12-16 years at baseline). The analytic sample was composed of the 689 adolescents who reported lifetime alcohol use at baseline or a follow-up survey (5% Black, 37% Latinx, 46% White, and 12% other/mixed racial/ethnic group; 54% female). Participants who reported consumption of a full drink, intoxication, or heavy episodic drinking (HED) were asked ages and contexts of these drinking firsts, including whether the initiation was at their own home and whether their parents/guardians knew about this drinking event. Outcomes included past-6-month alcohol frequency, alcohol quantity, and number of alcohol-related problems. Multilevel negative binomial regression analyses were conducted, controlling for demographics and age of initiation by type of drinking behavior. Moderation analyses examined racial/ethnic differences.

Results: For consumption of the first full drink, both drinking at home and parental knowledge were negatively associated with all outcomes; associations did not vary by race/ethnicity. First intoxication at own home was negatively associated with the number of drinks for Latinx youth and with the number of problems for Black youth. For first HED, drinking at own home was positively associated with drinking frequency across groups, and for Black youth specifically, parental knowledge of their first HED experience was significantly associated with greater later alcohol frequency and quantity.

Conclusions: Results suggest that the association of family contexts of drinking first with later alcohol outcomes among underage youth varied by stage of alcohol use and race/ethnicity.

在父母知情的情况下,在家中第一次饮酒:与未成年青少年日后酗酒结果相关的种族/民族差异。
背景:先前的研究表明,不同种族/民族群体的早期饮酒经历(如开始饮酒的年龄和饮酒里程碑之间的进展速度)各不相同。为了给针对不同文化背景的预防工作提供信息,本纵向研究考察了不同种族/民族在家中首次饮酒以及父母对饮酒的了解程度与未成年青少年饮酒结果之间的关联:研究包括每 6 个月一次的基线调查和五次跟踪调查,调查对象为加州青少年(基线调查时年龄为 12-16 岁)。分析样本由在基线调查或后续调查中报告终生饮酒的 689 名青少年组成(5% 为黑人,37% 为拉丁裔,46% 为白人,12% 为其他/混合种族/人种;54% 为女性)。调查询问了报告饮酒过量、醉酒或大量偶发性饮酒(HED)的参与者的年龄及其首次饮酒的背景,包括是否在自己家中开始饮酒以及其父母/监护人是否知道这一饮酒事件。结果包括过去 6 个月的饮酒频率、饮酒量和与酒精有关的问题数量。通过控制人口统计学和饮酒行为类型的开始年龄,进行了多层次负二项式回归分析。调节分析研究了种族/民族差异:结果:就第一次完全饮酒而言,在家中饮酒和父母对饮酒的了解程度与所有结果均呈负相关;相关性不因种族/人种而异。对于拉丁裔青少年来说,在自己家中首次醉酒与饮酒数量呈负相关,而对于黑人青少年来说,则与问题数量呈负相关。对于首次酗酒的青少年来说,在自己家中酗酒与各群体的饮酒频率呈正相关,特别是对于黑人青少年来说,父母对其首次酗酒经历的了解程度与日后饮酒频率和饮酒量的增加呈显著相关:结论:研究结果表明,未成年青少年首次饮酒的家庭环境与日后饮酒结果的关系因饮酒阶段和种族/民族而异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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