title: Alcohol Consumption, Early-Onset Drinking, and Health-Related Consequences in Adolescents Presenting at Emergency Departments in England.
abstract: OBJECTIVE
  Globally, alcohol use is the leading cause of ill health and life years lost in adolescents, although its clinical impact is often overlooked, particularly in England where most research is based in schools. This study aims to examine the prevalence of alcohol consumption and the association between alcohol consumption and age of onset with health and social consequences among adolescents presenting to emergency departments (EDs).
  
  
  METHODS
  Consecutive attenders (n = 5,576) aged 10-17 years at 10 EDs were included. Information was collected on general health and functioning, quality of life, alcohol use, and alcohol-related health and social consequences.
  
  
  RESULTS
  Nearly 40% of adolescents reported the consumption of alcohol that was more than a sip in their lifetime. Age of the first alcohol consumption before the age of 15 years was associated with tobacco use (p < .001), lower quality of life (p = .003), and evidence of an alcohol use disorder (p = .002). It was also associated with general social functioning (problems with conduct p = .001 and hyperactivity p = .001) and alcohol-related health and social consequences (accident p = .046, problems with a parent p = .017, school p = .0117, or police p = .012).
  
  
  CONCLUSIONS
  Rates of alcohol consumption in adolescents presenting to the ED were similar to those reported in schools in England and globally. Associations of alcohol consumption and earlier onset of drinking with poorer health and social functioning were observed. The ED can offer an opportunity for the identification of hazardous alcohol use in adolescents.
authors.affiliation: National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom. Electronic address: kim.donoghue@kcl.ac.uk.
authors.forename: Kim
authors.initials: K
authors.lastname: Donoghue
authors.affiliation: National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
authors.forename: Hannah
authors.initials: H
authors.lastname: Rose
authors.affiliation: National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
authors.forename: Sadie
authors.initials: S
authors.lastname: Boniface
authors.affiliation: National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
authors.forename: Paolo
authors.initials: P
authors.lastname: Deluca
authors.affiliation: Centre for Health Services Studies, University of Kent, Canterbury, Kent, United Kingdom.
authors.forename: Simon
authors.initials: S
authors.lastname: Coulton
authors.affiliation: Public Health Department, College of Health Sciences, Qatar University, Doha, Qatar.
authors.forename: Mohammed Fasihul
authors.initials: MF
authors.lastname: Alam
authors.affiliation: Northumberland Tyne and Wear NHS Foundation Trust, Newcastle, United Kingdom.
authors.forename: Eilish
authors.initials: E
authors.lastname: Gilvarry
authors.affiliation: Institute of Health and Society, Newcastle University, Newcastle, United Kingdom.
authors.forename: Eileen
authors.initials: E
authors.lastname: Kaner
authors.affiliation: Institute of Health and Society, Newcastle University, Newcastle, United Kingdom.
authors.forename: Ellen
authors.initials: E
authors.lastname: Lynch
authors.affiliation: Paediatric Emergency Medicine, Imperial College London, United Kingdom.
authors.forename: Ian
authors.initials: I
authors.lastname: Maconochie
authors.affiliation: Health Economics and Policy Research Unit, University of South Wales, Pontypridd, United Kingdom.
authors.forename: Paul
authors.initials: P
authors.lastname: McArdle
authors.affiliation: Institute of Health and Society, Newcastle University, Newcastle, United Kingdom.
authors.forename: Ruth
authors.initials: R
authors.lastname: McGovern
authors.affiliation: School of Health and Social Care, Teesside University, Middlesbrough, United Kingdom.
authors.forename: Dorothy
authors.initials: D
authors.lastname: Newbury-Birch
authors.affiliation: School of Psychology, University of Surrey, Guildford, United Kingdom.
authors.forename: Robert
authors.initials: R
authors.lastname: Patton
authors.affiliation: Swansea Centre for Health Economics, College of Human and Health Sciences, Swansea University, Swansea, United Kingdom.
authors.forename: Ceri J
authors.initials: CJ
authors.lastname: Phillips
authors.affiliation: National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom; Humber NHS Foundation Trust, Willerby, United Kingdom.
authors.forename: Thomas
authors.initials: T
authors.lastname: Phillips
authors.affiliation: Swansea University Medical School, Swansea, United Kingdom.
authors.forename: Ian
authors.initials: I
authors.lastname: Russell
authors.affiliation: National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
authors.forename: John
authors.initials: J
authors.lastname: Strang
authors.affiliation: National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
authors.forename: Colin
authors.initials: C
authors.lastname: Drummond
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000187:drug effects* / Q000523:psychology; D017668:Age of Onset; D000428:Alcohol Drinking / Q000009:adverse effects* / Q000453:epidemiology; D000437:Alcoholism / Q000150:complications* / Q000453:epidemiology / Q000523:psychology; D002648:Child; D003863:Depression / Q000209:etiology*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D004739:England / Q000453:epidemiology; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D015995:Prevalence; D011788:Quality of Life; D012044:Regression Analysis; D012307:Risk Factors; D012725:Sexual Behavior / Q000187:drug effects*; D012919:Social Behavior
keywords: Adolescents; Alcohol use; Emergency department; Health; Social functioning