Cohort effects of women's mid-life binge drinking and alcohol use disorder symptoms in the United States: Impacts of changes in timing of parenthood

IF 5.2 1区医学 Q1 PSYCHIATRY

Addiction Pub Date : 2023-06-20 DOI:10.1111/add.16262

Rachel Sayko Adams, Sarah C. McKetta, Justin Jager, Maureen T. Stewart, Katherine M. Keyes

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引用次数: 1

Abstract

Background and Aims

Alcohol use is increasing among women in mid-life concurrently with societal changes in timing of parenthood and changing cultural norms, which may influence alcohol use. The aim of this study was to determine if age of first parenting was associated with excessive drinking [i.e. past 2-week binge drinking and past 5-year alcohol use disorder (AUD) symptoms] among women during mid-life in the United States and to determine if there were pronounced cohort effects influencing these relationships.

Design

This was a retrospective cohort, longitudinal study.

Setting, Participants and Measurements

Data were drawn from the Monitoring the Future survey, an annual ongoing survey of high school students’ substance use behaviors in the United States. Participants were women who completed the age 35 survey between 1993 and 2019, corresponding to high school senior years 1976–2002 (n = 9988). Past 2-week binge drinking and past 5-year AUD symptoms were self-reported. Age of first parenting was self-reported.

Findings

Binge drinking and AUD symptoms were higher among women in recent than in older cohorts. Women from the 2018–19 cohort had increased odds of binge drinking [odds ratio (OR) = 1.73, 95% confidence interval (CI) = 1.41–2.12] and AUD symptoms (OR = 1.51, CI = 1.27–1.80) relative to women from the 1993–97 cohort. Throughout cohorts, there was an inverse association between transition to parenthood and excessive drinking outcomes (e.g. range for ORs for binge drinking among those without children compared with those who had had children between the ages of 18 and 24: 1.22–1.55). Simultaneously, there was a population shift towards delaying parenting in recent cohorts (i.e. 54% of women in the 1993–97 cohort had children before age 30 compared with 39% in the two recent cohorts), increasing the size of the group at highest risk for excessive drinking.

Conclusions

In the United States, subgroups of women at highest risk of excessive drinking appear to be expanding, probably supported in part by a trend towards delayed parenting.

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美国女性中年酗酒和酒精使用障碍症状的队列效应:生育时间变化的影响

背景和目的随着生育时间的社会变化和文化规范的变化，中年妇女的酒精使用正在增加，这可能会影响酒精的使用。本研究的目的是确定首次为人父母的年龄是否与美国中年妇女过度饮酒(即过去2周的酗酒和过去5年的酒精使用障碍(AUD)症状)有关，并确定是否存在明显的队列效应影响这些关系。设计本研究为回顾性队列、纵向研究。环境、参与者和测量数据来自监测未来调查，这是一项对美国高中生物质使用行为的年度持续调查。参与者是在1993年至2019年期间完成35岁调查的女性，相当于1976年至2002年的高中高年级(n = 9988)。过去2周的酗酒和过去5年的AUD症状是自我报告的。第一次为人父母的年龄是自我报告的。研究发现，近期女性酗酒和AUD症状高于老年人群。与1993-97年队列的女性相比，2018-19年队列的女性酗酒的几率增加[优势比(OR) = 1.73, 95%可信区间(CI) = 1.41-2.12]， AUD症状(OR = 1.51, CI = 1.27-1.80)。在整个队列中，过渡到父母和过度饮酒结果之间存在负相关(例如，与那些在18至24岁之间有孩子的人相比，没有孩子的人酗酒的ORs范围为1.22-1.55)。与此同时，在最近的队列中出现了人口向推迟生育的转变(即1993-97队列中54%的妇女在30岁之前生育，而最近的两个队列中这一比例为39%)，增加了过量饮酒风险最高的群体的规模。结论:在美国，酗酒风险最高的女性群体似乎正在扩大，可能部分原因是晚育的趋势。

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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来源期刊

Addiction 医学-精神病学

CiteScore

10.80

自引率

6.70%

发文量

319

审稿时长

3 months

期刊介绍： Addiction publishes peer-reviewed research reports on pharmacological and behavioural addictions, bringing together research conducted within many different disciplines. Its goal is to serve international and interdisciplinary scientific and clinical communication, to strengthen links between science and policy, and to stimulate and enhance the quality of debate. We seek submissions that are not only technically competent but are also original and contain information or ideas of fresh interest to our international readership. We seek to serve low- and middle-income (LAMI) countries as well as more economically developed countries. Addiction’s scope spans human experimental, epidemiological, social science, historical, clinical and policy research relating to addiction, primarily but not exclusively in the areas of psychoactive substance use and/or gambling. In addition to original research, the journal features editorials, commentaries, reviews, letters, and book reviews.