Pattern and risk of developing alcohol use disorders, illegal substance use and psychiatric disorders after early onset of alcohol use: Results of the Thai National Mental Health Survey 2013
| Autor: | Athip Tanaree, Sawitri Assanangkornchai, Phunnapa Kittirattanapaiboon |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Risk medicine.medical_specialty Adolescent Alcohol Drinking Substance-Related Disorders Psychological intervention 030508 substance abuse Comorbidity Toxicology Young Adult 03 medical and health sciences 0302 clinical medicine Prevalence Humans Medicine Pharmacology (medical) 030212 general & internal medicine Age of Onset Psychiatry Survival analysis Aged Aged 80 and over Pharmacology Depressive Disorder Psychotropic Drugs biology business.industry Proportional hazards model Secondary data Middle Aged Thailand biology.organism_classification Health Surveys Mental health Psychiatry and Mental health Panic Disorder Female Cannabis Substance use Club drug 0305 other medical science business Alcohol-Related Disorders |
| Zdroj: | Drug and Alcohol Dependence. 170:102-111 |
| ISSN: | 0376-8716 |
| Popis: | Although underage drinking is a global concern, little is known about the relationship between age at first drink and development of various psychiatric comorbidities.A secondary data analysis was done among 2928 lifetime drinkers from the Thai National Mental Health Survey 2013. Age at first drink, and onset of related psychiatric outcomes were inquired. Survival analysis using Cox regression was performed to estimate the risk over time for psychiatric problems across age ranges at first drink.Two-thirds of male and one-third of female drinkers were considered underage at drinking onset. Substance use and abuse developed earlier (5 years) than alcohol use disorders (AUDs) and other outcomes (mostly10 years). Those who started drinking before age 15 years were more likely to develop use of cannabis (HR=4.75; 95% CI 2.73, 8.24), club drugs (HR=2.88; 95% CI 1.46, 5.71) and inhalants (HR=6.46; 95% CI% 1.64, 25.37), compared to those who were 20 years or older at drinking onset. Using age as an alternative time-scale, those aged15years at drinking onset were significantly more likely to experience AUDs, psychotic symptoms, intermittent explosive disorder and panic disorder. However, the early onset drinkers were less likely to develop depression compared to those who started at age 20 years and over.Premature alcohol consumption tends to be a gateway to various serious consequences. Efforts of such drinking age policy and interventions are needed to address vulnerable young populations. |
| Databáze: | OpenAIRE |
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