title: Progression through early drinking milestones in an adolescent treatment sample.
abstract: OBJECTIVE
  Research using nationally representative and community samples demonstrates a robust association between early onset of drinking and increased likelihood of numerous adverse outcomes. However, little is known about the subsequent drinking that occurs early in the drinking career. The present study dissects the transition from any alcohol use to treatment entry by taking a fine-grained approach to examining the attainment and progression of drinking events in a sample of adolescents in substance use treatment.
  
  
  METHODS
  Data were taken from the Drug Abuse Treatment Outcome Study for Adolescents (DATOS-A), a multi-site, community-based study of adolescents entering treatment.
  
  
  METHODS
  Respondents included 3331 youth aged 12-18 years (mean = 15.75) admitted to treatment in 1993-95 (74% male, 52% white, 24% African American, 20% Hispanic).
  
  
  METHODS
  Age of attainment was obtained for five drinking-related milestones, including first drink of alcohol, first time drunk, first monthly drinking, first drank five or more drinks/day on a weekly basis and first drank five or more drinks/day on a daily basis.
  
  
  RESULTS
  Most milestones were attained at a very early age, and average progression through adjacent drinking events was relatively swift, Movement through early drinking milestones was accelerated in girls and white youth. Youth who reported their first drink at an early age (age 10 or younger) showed slower progression, suggesting the existence of distinct processes underlying early use and drinking transitions within an individual.
  
  
  CONCLUSIONS
  This study provides data relevant to understanding drinking progression/natural history in a large clinical sample, especially for differences by gender and ethnicity. The findings have implications for the identification of intermediate stages that might benefit from selected intervention programs.
authors.affiliation: Center for Alcohol and Addiction Studies, Brown University, Providence, RI 02912, USA. kristina_jackson@brown.edu
authors.forename: Kristina M
authors.initials: KM
authors.lastname: Jackson
mesh_terms: D000293:Adolescent; D017668:Age of Onset; D000428:Alcohol Drinking / Q000453:epidemiology / Q000523:psychology* / Q000639:trends; D002648:Child; D018450:Disease Progression; D005006:Ethnicity; D005260:Female; D006801:Humans; D008297:Male; D012307:Risk Factors; D012737:Sex Factors; D016896:Treatment Outcome
references.citation: Alcohol Clin Exp Res. 2007 Jan;31(1):69-77
references.pmid: 17207104
references.citation: J Adolesc Health. 2007 Jun;40(6):527-34
references.pmid: 17531759
references.citation: Health Psychol. 2009 Jul;28(4):473-83
references.pmid: 19594272
references.citation: J Stud Alcohol Suppl. 2002 Mar;(14):54-70
references.pmid: 12022730
references.citation: Alcohol Clin Exp Res. 2005 Feb;29(2):207-20
references.pmid: 15714044
references.citation: Drug Alcohol Depend. 2002 Dec 1;68(3):285-97
references.pmid: 12393223
references.citation: J Abnorm Psychol. 2008 Feb;117(1):63-78
references.pmid: 18266486
references.citation: Addiction. 2001 Aug;96(8):1187-98
references.pmid: 11487424
references.citation: Int J Methods Psychiatr Res. 2005;14(3):119-29
references.pmid: 16389888
references.citation: Alcohol Clin Exp Res. 2003 Aug;27(8):1368-73
references.pmid: 12966342
references.citation: Alcohol Clin Exp Res. 2001 Aug;25(8):1156-65
references.pmid: 11505047
references.citation: Alcohol Clin Exp Res. 1999 Jan;23(1):101-7
references.pmid: 10029209
references.citation: J Stud Alcohol. 1998 Nov;59(6):659-68
references.pmid: 9811087
references.citation: Addiction. 2007 Feb;102(2):185-7; discussion 189-90
references.pmid: 17222268
references.citation: Arch Pediatr Adolesc Med. 2006 Jul;160(7):739-46
references.pmid: 16818840
references.citation: Arch Fam Med. 1996 Mar;5(3):146-52
references.pmid: 8620255
references.citation: J Stud Alcohol. 1999 Mar;60(2):252-60
references.pmid: 10091964
references.citation: J Subst Abuse. 2001;13(3):229-38
references.pmid: 11693449
references.citation: J Stud Alcohol. 1996 Sep;57(5):549-58
references.pmid: 8858553
references.citation: Addiction. 2008 Oct;103(10):1638-47
references.pmid: 18821874
references.citation: Subst Use Misuse. 2005;40(8):1139-51
references.pmid: 16040374
references.citation: Health Psychol. 1998 May;17(3):290-9
references.pmid: 9619480
references.citation: Psychol Addict Behav. 2003 Sep;17(3):211-8
references.pmid: 14498815
references.citation: Am J Psychiatry. 2000 May;157(5):745-50
references.pmid: 10784467
references.citation: Alcohol Clin Exp Res. 2004 Sep;28(9):1388-95
references.pmid: 15365310
references.citation: Arch Gen Psychiatry. 2000 Jan;57(1):21-7
references.pmid: 10632229
references.citation: Addiction. 2007 Feb;102(2):216-25
references.pmid: 17222275
references.citation: Drug Alcohol Depend. 2008 Jul 1;96(1-2):57-68
references.pmid: 18434045
references.citation: Addict Behav. 2007 Aug;32(8):1628-39
references.pmid: 17210230
references.citation: Am J Public Health. 2005 May;95(5):887-93
references.pmid: 15855470
references.citation: Drug Alcohol Depend. 2004 Jun 11;74(3):265-72
references.pmid: 15194204
references.citation: Addiction. 2007 Feb;102(2):188-9; discussion 189-90
references.pmid: 17222270
references.citation: Pediatrics. 2008 Feb;121(2):297-305
references.pmid: 18245421
references.citation: Dev Psychol. 2006 Mar;42(2):305-18
references.pmid: 16569169
references.citation: Prev Med. 2000 Jul;31(1):39-48
references.pmid: 10896842
references.citation: Int J Addict. 1989 Jan;24(1):19-28
references.pmid: 2759762
references.citation: JAMA. 2000 Sep 27;284(12):1527-33
references.pmid: 11000646
references.citation: J Adolesc Health. 2004 Dec;35(6):529.e7-18
references.pmid: 15581536
references.citation: J Stud Alcohol. 2002 Sep;63(5):609-19
references.pmid: 12380858
references.citation: NIDA Res Monogr. 1985;56:178-92
references.pmid: 3929100
references.citation: J Consult Clin Psychol. 2002 Aug;70(4):976-85
references.pmid: 12182281
references.citation: J Subst Abuse. 1997;9:103-10
references.pmid: 9494942
references.citation: Lancet. 2007 Apr 21;369(9570):1391-1401
references.pmid: 17448826
references.citation: Pediatrics. 2001 Oct;108(4):872-7
references.pmid: 11581438