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The influence of behavioural and health problems on alcohol and drug use in late adolescence - a follow up study of 2 399 young Norwegians

Strandheim, Arve; Bratberg, Grete Helen; Holmen, Turid Lingaas; Coombes, Lindsey; Bentzen, Niels
Journal article, Peer reviewed
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URI
http://hdl.handle.net/11250/2356209
Date
2011
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  • Institutt for samfunnsmedisin og sykepleie [3382]
  • Publikasjoner fra CRIStin - NTNU [34951]
Original version
Child and Adolescent Psychiatry and Mental Health 2011, 5(17)   10.1186/1753-2000-5-17
Abstract
Background: Both early alcohol debut, behavioural and health problems are reported to enhance adolescence

substance use. This prospective study investigate the influence of behavioural and health problems on adolescents’

alcohol and drug use.

Method: Prospective population based cohort study of 2 399 adolescents attending the Young-HUNT study, aged

13-15 at baseline in 1995/97, and 17-19 at follow-up 4 years later. Exposure variables were self reported conduct

problems, attention problems, anxiety and depressive symptoms, and muscular pain and tension. Outcome

variables at follow-up were frequent alcohol use and initiation of drug use. Associations were estimated by logistic

regression models, influence of gender and drinking status at baseline were controlled for by stratification.

Results: At follow-up 19% of the students drank alcohol once a week or more frequently. Baseline conduct

problems (OR 2.2, CI 1.7-3.0) and attention problems (OR 1.5, CI 1.2-2.0) increased the risk for frequent alcohol use

at follow-up in the total population. Girls who had experienced alcohol-intoxications at baseline showed strong

association between baseline problems and frequent alcohol use at follow-up. Conduct problems (OR 2.5, CI 1.3-

4.8), attention problems (OR 2.1, CI 1.2-3.4), anxiety/depressive symptoms (OR 1.9, CI 1.1-3.1) and muscular pain and

tension (OR 1.7, CI 1.0-2.9) all were associated with frequent alcohol use among early intoxicated girls.

14% of the students had tried cannabis or other drugs at follow-up. Conduct problems at baseline increased the

odds for drug use (OR 2.6, CI 1.9-3.6). Any alcohol intoxications at baseline, predicted both frequent alcohol use

(boys OR 3.6, CI 2.4-5.2; girls OR 2.8, CI 1.9-4.1), and illegal drug use (boys OR 4.7; CI 3.2-7.0, girls OR 7.7, CI 5.2-11.5)

within follow-up.

Conclusions: Conduct problems in high-school more than doubles the risk for both frequent alcohol use and

initiation of drug use later in adolescence. The combination of health problems and alcohol intoxication in

early adolescence was closely associated with more frequent drinking later in adolescence among girls.

Overall, early alcohol intoxication was closely associated with both frequent alcohol use and drug use at follow up

in both genders.
Publisher
BioMed Central
Journal
Child and Adolescent Psychiatry and Mental Health

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