title: Life course outcomes for women with different alcohol consumption trajectories: A population-based longitudinal study.
abstract: Relatively little is known about the consequences for women of sustained higher levels of alcohol consumption. We examine three outcomes (marital relationship, reproductive health and well-being) for women with different alcohol consumption trajectories over 21 years.
  
  
  
  Data were from a prospective cohort study in Brisbane, Queensland (n = 3337). Group-based trajectory modeling measured women's alcohol consumption trajectories spanning 21 years. Outcomes were measured using a self-report questionnaire at the 27-year follow-up.
  
  
  
  Four trajectories of women's alcohol consumption were identified: abstaining, low-stable drinkers, moderate-escalating drinkers and heavy-escalating drinkers. Abstaining predicts positive outcomes measured at the 27-year follow-up such as being married, never having a divorce, never having multiple partners, and fewer pregnancy terminations. Moderate and heavy-escalating trajectories predict being unmarried, having multiple partners, having fewer children, having a termination of a previous pregnancy, and reporting lower levels of well-being at the 27-year follow-up.
  
  
  
  The escalating-trajectory group is of particular interest as membership of this group is associated with a wide range of adverse life course outcomes by the 27-year follow-up. The consequences of moderate and heavy-escalating alcohol trajectories in a community sample of women whose pattern of alcohol consumption do not reach clinical criteria of problem drinking have not previously been described. Women with these sustained patterns of alcohol consumption are an appropriate target group for intervention programs. programs. [TranNT, Clavarino A,WilliamsGM,Najman JM. Life course outcomes for women with different alcohol consumption trajectories: A population-based longitudinal study. Drug Alcohol Rev 2016;35:763-771].
authors.affiliation: School of Social Science, University of Queensland, Brisbane, Australia.|Department of Sociology, Academy of Journalism and Communication, Hanoi, Vietnam.
authors.forename: Nam T
authors.initials: NT
authors.lastname: Tran
authors.affiliation: School of Pharmacy, University of Queensland, Brisbane, Australia.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Clavarino
authors.affiliation: School of Public Health, University of Queensland, Brisbane, Australia.
authors.forename: Gail M
authors.initials: GM
authors.lastname: Williams
authors.affiliation: School of Social Science, University of Queensland, Brisbane, Australia.|School of Public Health, University of Queensland, Brisbane, Australia.|Queensland Alcohol and Drug Research and Education Centre, Brisbane, Australia.
authors.forename: Jake M
authors.initials: JM
authors.lastname: Najman
mesh_terms: D000028:Abortion, Induced; D000328:Adult; D000428:Alcohol Drinking / Q000523:psychology*; D000437:Alcoholism / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008137:Longitudinal Studies; D017533:Marital Status; D008393:Marriage; D008875:Middle Aged; D009035:Mothers / Q000523:psychology*; D011247:Pregnancy; D011793:Queensland; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: alcohol consumption; life course; longitudinal study; marital relationship; reproductive health; trajectory; well-being; women