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Sharmin S, Kypri K, Wadolowski M, Bruno R, Khanam M, Aiken A, Hutchinson D, Najman JM, Slade T, McBride N, Attia J, Palazzi K, Oldmeadow C, Mattick RP. Parent hazardous drinking and their children's alcohol use in early and mid-adolescence: prospective cohort study. Eur J Public Health 2020; 29:736-740. [PMID: 30851106 DOI: 10.1093/eurpub/ckz029] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Why adolescents' drinking is associated with their parents' drinking remains unclear. We examined associations in a prospective cohort study, adjusting for socio-demographic characteristics and family factors. METHODS We recruited 1927 children from grade 7 classes (mean age 13 years), and one of their parents, in three Australian states, contacted participants annually from 2010 to 2014, and analysed data from assessments at ages 13, 14, 15 and 16 years. We used the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) subscale to identify hazardous drinking in parents (score ≥5) and children (score ≥3) and constructed mixed-effect logistic regression models, accounting for clustering within school and adjusting for likely confounders. We evaluated the sensitivity of estimates by imputing missing values assuming the data were missing at random vs. missing not at random. RESULTS Parent hazardous drinking predicted mid-adolescent hazardous drinking, e.g. 15 years olds whose parents [adjusted odds ratio (aOR) 2.00; 95% confidence interval 1.51-2.64] or parents' partners (aOR 1.94; 1.48-2.55) were hazardous drinkers had higher odds of being hazardous drinkers at age 16. The magnitude of univariate associations changed little after adjusting for covariates, and sensitivity analyses confirmed the robustness of the association, across a wide range of assumptions about the missing data. CONCLUSIONS The associations between parents' and their adolescent children's hazardous drinking are unlikely to be due to confounding by socio-demographic and family factors. Parents should be encouraged, and supported by public policy, to reduce their own alcohol consumption in order to reduce their children's risk of becoming hazardous drinkers.
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Affiliation(s)
- Sonia Sharmin
- Centre for Clinical Epidemiology and Biostatistics, School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia
| | - Kypros Kypri
- Centre for Clinical Epidemiology and Biostatistics, School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia
| | - Monika Wadolowski
- Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, NSW, Australia
| | - Raimondo Bruno
- School of Psychology, University of Tasmania, Hobart, TAS, Australia
| | - Masuma Khanam
- School of Health Science, University of Tasmania, Hobart, TAS, Australia
| | - Alexandra Aiken
- National Drug and Alcohol Research Centre, University of New South Wales (UNSW), Sydney, NSW, Australia
| | - Delyse Hutchinson
- Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Deakin University, Geelong, VIC, Australia
| | - Jackob M Najman
- Queensland Alcohol and Drug Research and Education Centre, University of Queensland, Brisbane, QLD, Australia
| | - Tim Slade
- National Drug and Alcohol Research Centre, University of New South Wales (UNSW), Sydney, NSW, Australia
| | - Nyanda McBride
- National Drug Research Institute, Curtin University, Perth, WA, Australia
| | - John Attia
- Centre for Clinical Epidemiology and Biostatistics, School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia
| | - Kerrin Palazzi
- Hunter Medical Research Institute (HMRI), Newcastle, NSW, Australia
| | | | - Richard P Mattick
- National Drug and Alcohol Research Centre, University of New South Wales (UNSW), Sydney, NSW, Australia
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Sharmin S, Kypri K, Wadolowski M, Bruno R, Khanam M, Aiken A, Hutchinson D, M. Najman J, Slade T, McBride N, Attia J, P. Mattick R. Parent characteristics associated with approval of their children drinking alcohol from ages 13 to 16 years: prospective cohort study. Aust N Z J Public Health 2018; 42:347-353. [DOI: 10.1111/1753-6405.12811] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2017] [Revised: 03/01/2018] [Accepted: 05/01/2018] [Indexed: 01/21/2023] Open
Affiliation(s)
- Sonia Sharmin
- Centre for Clinical Epidemiology and Biostatistics, School of Medicine and Public Health; University of Newcastle; New South Wales
| | - Kypros Kypri
- Centre for Clinical Epidemiology and Biostatistics, School of Medicine and Public Health; University of Newcastle; New South Wales
| | - Monika Wadolowski
- Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation; Macquarie University; New South Wales
| | | | | | - Alexandra Aiken
- National Drug and Alcohol Research Centre; University of New South Wales (UNSW)
| | - Delyse Hutchinson
- Centre for Social and Early Emotional Development, School of Psychology; Deakin University; Victoria
| | - Jackob M. Najman
- Queensland Alcohol and Drug Research and Education Centre; University of Queensland
| | - Tim Slade
- National Drug and Alcohol Research Centre; University of New South Wales (UNSW)
| | - Nyanda McBride
- National Drug Research Institute; Curtin University; Western Australia
| | - John Attia
- Centre for Clinical Epidemiology and Biostatistics, School of Medicine and Public Health; University of Newcastle; New South Wales
| | - Richard P. Mattick
- National Drug and Alcohol Research Centre; University of New South Wales (UNSW)
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