Original ArticleChildhood Alcohol Use May Predict Adolescent Binge Drinking: A Multivariate Analysis among Adolescents in Brazil
Section snippets
Methods
Data came from a cross-sectional survey of youths attending school in all the 27 Brazilian state capitals, with classroom survey data collected in 2010 from a sample of the cities’ private and public schools. The study’s target population was designed as a representative multistage probabilistic sample of high school students (10th-12th grades) in these schools, with a 2-step random selection process. A total of 789 schools participated in this study, with a school response rate of 86%. The
Results
Among the 17 366 students who answered the question about lifetime alcohol use, 81.7% (14 146 students) (95% CI 80.5%-82.7%) declared that they have tried alcohol at least once in their lifetime. Among the alcohol lifetime users, 10.9% (95% CI 10.0%-11.8%) had first used alcohol before age 12 years (1080 students).
Descriptive statistics of the 2 groups (alcohol onset before or after 12 years) and bivariate analysis showed an association between earlier age of onset and risky alcohol and other
Discussion
This study indicates that the earlier the onset of alcohol use, the higher is the risk of alcohol misuse (eg, BD and heavy drinking) and other drug use during adolescence. Maternal drinking, private school attendance, and the lack of perception of the possibility of being punished for drunkenness were associated an early onset of alcohol use.
Before detailed discussion of our findings, a few limitations should be mentioned. Due to the fact that a self-report questionnaire was used, the questions
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Funded by the SENAD (National Secretariat for Drug Policies) of the Brazilian Federal Government, which had no role in study design; the collection, analysis, and interpretation of data; the writing of the report, or in the decision to submit the paper for publication. S.M. receives research support from the National Institutes of Health (National Institute on Drug Abuse DA023434 and Eunice Kennedy Shriver National Institute of Child Health and Human Development HD060072). The authors declare no conflicts of interest.