title: Binge drinking and subsequent depressive symptoms in young women in Australia.
abstract: BACKGROUND
  The long-term impact of binge drinking on subsequent depressive symptoms is unclear. The aims were to identify longitudinal patterns of binge drinking and whether binge drinking preceded depressive symptoms in the short-term (1-6 years) and long-term (10-15 years).
  
  
  METHODS
  Longitudinal data from 1996, 2000 and 2009 mailed surveys of 8,197 women in the 1973-78 cohort of the Australian Longitudinal Study on Women's Health. Latent class analysis was used to identify binge drinking patterns and logistic regression to estimate associations with subsequent depressive symptoms.
  
  
  RESULTS
  Five binge drinking trajectories were identified with predicted proportions of women who were very infrequent (24%), fluctuating infrequent (17%), frequent (17%), very frequent (26%) or extremely frequent binge drinkers (16%) between 16 and 21 years. At 22-27 years, depressive symptoms were significantly higher for extremely frequent binge drinkers (31% versus 21% in the short-term; 22% versus 16%-18% in the long-term) than for less frequent bingers. Unadjusted odds of depressive symptoms were 1.70 (95%CI:1.38;2.08) times for extremely frequent binge drinkers than very infrequent bingers and were 1.30 (95%CI:1.04;1.63) after adjusting for demographics, relationships and experience of violence. At 31-36 years, the odds of depressive symptoms were 1.34 (95%CI:1.09-1.64) times for extremely frequent than very infrequent binge drinkers, but were not significant after adjusting for relationships and violence.
  
  
  CONCLUSIONS
  Extremely frequent binge drinking (more than weekly) in late adolescence appears to elevate the risk of subsequent depressive symptoms in young women in their early twenties and thirties, emphasising the need for preventive strategies to curb binge drinking.
authors: Research Centre for Generational Health and Ageing, University of Newcastle, Callaghan 2308, Australia. Electronic address: jenny.powers@newcastle.eud.au.
authors: Jennifer
authors: J
authors: Powers
authors: Research Centre for Generational Health and Ageing, University of Newcastle, Callaghan 2308, Australia.
authors: Luke
authors: L
authors: Duffy
authors: National Drug and Alcohol Research Centre, University of New South Wales, NSW 2052, Australia.
authors: Lucy
authors: L
authors: Burns
authors: Research Centre for Generational Health and Ageing, University of Newcastle, Callaghan 2308, Australia.
authors: Deborah
authors: D
authors: Loxton
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001315:Australia / Q000453:epidemiology; D063425:Binge Drinking / Q000150:complications* / Q000453:epidemiology*; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology*; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: ALSWH; Alcohol; Depression; Drinking pattern; Longitudinal; Mental health