222523 Family Environment Predicts Binge Drinking Among Adolescents

Monday, November 8, 2010

Steven Champaloux, MPH , Department of Epidemiology and Biostatistics, University of Maryland School of Public Health, Potomac, MD
Stephen L. Buka, ScD , Department of Community Health, Brown University, Providence, RI
Abstract

Introduction

Binge drinking at an early age is associated with other high risk behaviors during adolescence and young adulthood. A child's family environment affects his/her lifestyle choices, which can include heavy alcohol use. In this study we examined aspects of the family environment in 12 year olds to predict future binge and heavy drinking 3 years later.

Methods

658 participants were analyzed from the Project for Human Development in Chicago Neighborhoods. These participant's caretakers completed the Family Environment Scale in 1994 (Moos) at Wave 1 when the children were 12 years old followed by the Substance Abuse Interview at Wave 2 (1997) three years later. Logistic regression was used to determine how the family environment predicted binge drinking (5 or more drinks on one occasion) in the past month. Potential confounders were: Caretaker's education, neighborhood cluster, caretakers' ethnicity, gender, household income, and socioeconomic status.

Results

The unadjusted analyses suggested that youth with low family control had 2.56 times (1.10 – 5.94) the odds of binge drinking at 3 years follow-up compared with youth with medium or high control. When adjusting for confounders it was found that caretaker's ethnicity made the relationship insignificant. It was theorized that caretaker's ethnicity veiled the relationship by altering the level of family control which affected future binge drinking.

Discussion

Future studies should focus on family ethnicity as well as varied demographic populations to further understand the association between the family environment and future binge and heavy drinking.

Learning Areas:
Epidemiology

Learning Objectives:
LEARNING OBJECTIVES: 1. Describe a possible developmental trajectory involving the family environment and binge and heavy drinking. 2. Understand the relationship between Moos’ family environment dimensions and prediction of binge and heavy drinking three years later. 3. Recognize the role of the family as it relates to binge and heavy drinking.

Keywords: Adolescent Health, Alcohol Use

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because this is my thesis research where I was advised by Dr. Buka.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.