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Auteur R. MELOTTI
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Adolescent alcohol and tobacco use and early socioeconomic position: The ALSPAC birth cohort / R. MELOTTI ; J. HERON ; M. HICKMAN ; J. MACLEOD ; R. ARAYA ; G. LEWIS in Pediatrics, Vol.127, n°4 (April 2011)
Titre : Adolescent alcohol and tobacco use and early socioeconomic position: The ALSPAC birth cohort Type de document : Périodique Auteurs : R. MELOTTI ; J. HERON ; M. HICKMAN ; J. MACLEOD ; R. ARAYA ; G. LEWIS Année de publication : 2011 Article en page(s) : e948-e955 Langues : Anglais (eng) Mots-clés : Thésaurus Géographique
ETUDE LONGITUDINALE ; COHORTE ; ADOLESCENT ; ALCOOL ; TABAC ; CATEGORIE SOCIO-PROFESSIONNELLE ; PARENT ; NIVEAU D'ETUDES
Discipline : EPI Epidémiologie / Epidemiology Résumé : Objective: To examine the association between use of alcohol and cigarettes among adolescents and their early socioeconomic background. Methods: Members of a longitudinal birth cohort (Avon Longitudinal Study of Parents and Children [ALSPAC], United Kingdom) were invited to attend a personal interview. A total of 5837 children aged 13 years were asked about previous consumption of alcohol and tobacco. Information on parental socioeconomic position, collected from questionnaires from the mother, included both social class and education of the expectant mother and her partner and average household disposable income in early preschool childhood. The impact of missing data was assessed by multiple imputation. Results: Consuming a drink of alcohol in the previous 6 months was linearly associated with higher income levels even when adjusting for other socioeconomic indicators. In contrast, both the risk of binge drinking and recent drinking was lower for children whose mothers had a higher educational level. Smoking tobacco was associated with lower socioeconomic position irrespective of the indicator used. Analyses after imputation of missing data confirmed these associations. Conclusions: Alcohol drinking was more common in young people from higher-income households but less common with higher levels of maternal education. A consistent inverse socioeconomic gradient with tobacco smoking was apparent. These results may reflect how different aspects of socioeconomic position can influence health behavior in opposing directions. Higher income may increase the availability of alcohol in the family, whereas mothers with higher educational attainment might encourage more healthy behaviors in their children, including reduced alcohol use. Domaine : Alcool / Alcohol ; Tabac / Tobacco Refs biblio. : 42 Affiliation : School of Social and Community Medicine, University of Bristol, Bristol, United Kingdom / Royaume-Uni Cote : A04102 Permalink :
in Pediatrics > Vol.127, n°4 (April 2011) . - e948-e955[article]Patterns of alcohol use in early adolescence predict problem use at age 16 / J. HERON ; J. MACLEOD ; M. R. MUNAFO ; R. MELOTTI ; G. LEWIS ; K. TILLING ; M. HICKMAN in Alcohol and Alcoholism, Vol.47, n°2 (March-April 2012)
Titre : Patterns of alcohol use in early adolescence predict problem use at age 16 Type de document : Périodique Auteurs : J. HERON ; J. MACLEOD ; M. R. MUNAFO ; R. MELOTTI ; G. LEWIS ; K. TILLING ; M. HICKMAN Année de publication : 2012 Article en page(s) : 169-177 Langues : Anglais (eng) Mots-clés : Thésaurus Géographique
ALCOOL ; ADOLESCENT ; FACTEUR PREDICTIF ; TYPE D'USAGE ; COHORTE ; ETUDE LONGITUDINALE ; AGE ; FACTEUR DE RISQUE ; CONSOMMATION
Discipline : EPI Epidémiologie / Epidemiology Résumé : AIMS: Teenagers in the UK report some of the highest rates of alcohol use in Europe. We identify patterns of alcohol use in early adolescence and relate these to hazardous and harmful alcohol use at age 16.
METHODS: In a UK birth cohort, we analysed repeated measures of alcohol use from age 13 to 15 in a sample of 7100 adolescents. Data on drinking frequency and typical consumption when drinking were modelled separately using a pair of latent class models. Classes of alcohol-use behaviour were contrasted across a range of risk factors and then to hazardous and harmful alcohol use as assessed using the Alcohol Use Disorders Identification Test scale at age 16.
RESULTS: Heterogeneity in drinking frequency and consumption could each be captured with three classes corresponding to low, medium and high levels. In total, 14.2% were classified as high-frequency and 8.9% as high consumption alcohol users. Socio-demographic factors, maternal substance use and the young persons' use of tobacco and cannabis were associated with class membership. At age 16, 29% were drinking hazardously and a further 5.6% were assessed as harmful drinkers. Young people in the high drinking frequency or consumption class had a 9-fold increased risk of reporting harmful drinking at age 16.
CONCLUSIONS: By the age of 16, a substantial proportion of teenagers in this sample were drinking at levels that could be considered hazardous or harmful for an adult. Patterns of alcohol exposure in early adolescence were strongly associated with later alcohol use. Altering drinking patterns in middle adolescence has the potential to reduce harmful use in later adolescence.
Domaine : Alcool / Alcohol Affiliation : School of Social and Community Medicine, University of Bristol, Canynge Hall, Bristol, UK Permalink :
in Alcohol and Alcoholism > Vol.47, n°2 (March-April 2012) . - 169-177[article]