title: Gestational Alcohol Exposure and Other Factors Associated With Continued Teenage Drinking.
abstract: Purpose A longitudinal cohort of adolescents who initiated drinking before age 15 were studied to determine which factors distinguished between early initiators who continued to drink (persisters) from those who stopped drinking (desisters). There were 308 early initiators in the total sample (n = 917); 247 were persisters, and 61 were desisters. Method A stepwise discriminant analysis identified differences between the two groups. Considered risk/protective factors were parenting practices, peer drinking, child and maternal depression, child behavior, prenatal alcohol exposure, home environment, and demographic factors. Results Desistence was significantly related to African American race and more parental strictness. Exposure to ≥1 drink/day during pregnancy and high levels of autonomy from parents were significant predictors of persistent drinking. Conclusions Early initiation places adolescents at risk for continued and heavier drinking. Identifying characteristics of those who start early but do or do not continue drinking can inform education programs to better target the most appropriate adolescents.
authors.affiliation: University of Pittsburgh School of Medicine, Pittsburgh, PA, USA mdc1@pitt.edu.
authors.forename: Marie D
authors.initials: MD
authors.lastname: Cornelius
authors.affiliation: University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
authors.forename: Lidush
authors.initials: L
authors.lastname: Goldschmidt
authors.affiliation: University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
authors.forename: Nancy L
authors.initials: NL
authors.lastname: Day
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000328:Adult; D001741:Black or African American / Q000523:psychology; D064829:Alcohol Abstinence / Q000523:psychology*; D002648:Child; D002652:Child Behavior / Q000523:psychology; D016002:Discriminant Analysis; D004327:Drinking Behavior; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008137:Longitudinal Studies; D008297:Male; D009035:Mothers; D010287:Parent-Child Relations; D016487:Parenting; D010290:Parents / Q000523:psychology*; D011247:Pregnancy; D011297:Prenatal Exposure Delayed Effects / Q000523:psychology; D012307:Risk Factors; D000066608:Underage Drinking / Q000517:prevention & control / Q000523:psychology* / Q000706:statistics & numerical data; D055815:Young Adult
keywords: adolescence; alcohol and substance abuse; health behavior; maternal and child health; parenting