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Association of parental supply of alcohol with adolescent drinking, alcohol-related harms, and alcohol use disorder symptoms: a prospective cohort study

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Mattick, RP, Clare, PJ, Aiken, A, Wadolowski, M, Hutchinson, D, Najman, J, Slade, T, Bruno, R ORCID: 0000-0001-6673-833X, McBride, N, Kypri, K, Vogl, L and Degenhardt, L 2018 , 'Association of parental supply of alcohol with adolescent drinking, alcohol-related harms, and alcohol use disorder symptoms: a prospective cohort study' , The Lancet Public Health, vol. 3, no. 2 , e64-e71 , doi: 10.1016/S2468-2667(17)30240-2.

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Abstract

Background: Some parents supply alcohol to their children, reportedly to reduce harm, yet longitudinal research on risksassociated with such supply is compromised by short periods of observation and potential confounding.We aimed to investigate associations between parental supply and supply from other (non-parental) sources, withsubsequent drinking outcomes over a 6-year period of adolescence, adjusting for child, parent, family, and peer variables.Methods: We did this prospective cohort study using data from the Australian Parental Supply of Alcohol LongitudinalStudy cohort of adolescents. Children in grade 7 (mean age 12 years), and their parents, were recruited between2010 and 2011 from secondary schools in Sydney, Perth, and Hobart, Australia, and were surveyed annually between2010 and 2016. We examined the association of exposure to parental supply and other sources of alcohol in 1 year withfive outcomes in the subsequent year: binge drinking (more than four standard drinks on a drinking occasion);alcohol-related harms; and symptoms of alcohol abuse (as defined by Diagnostic and Statistical Manual of MentalDisorders, 4th edition [DSM-IV]), alcohol dependence, and alcohol use disorder (as defined by DSM-5). This trial isregistered with ClinicalTrials.gov, number NCT02280551.Findings: Between September, 2010, and June, 2011, we recruited 1927 eligible parents and adolescents (mean age12·9 years [SD 0·52]). Participants were followed up until 2016, during which time binge drinking and experience ofalcohol-related harms increased. Adolescents who were supplied alcohol only by parents had higher odds of subsequentbinge consumption (odds ratio [OR] 2·58, 95% CI 1·96–3·41; pInterpretation: Providing alcohol to children is associated with alcohol-related harms. There is no evidence to supportthe view that parental supply protects from adverse drinking outcomes by providing alcohol to their child. Parentsshould be advised that this practice is associated with risk, both directly and indirectly through increased access toalcohol from other sources.

Item Type: Article
Authors/Creators:Mattick, RP and Clare, PJ and Aiken, A and Wadolowski, M and Hutchinson, D and Najman, J and Slade, T and Bruno, R and McBride, N and Kypri, K and Vogl, L and Degenhardt, L
Keywords: alcohol, parent, children
Journal or Publication Title: The Lancet Public Health
Publisher: The Lancet Publishing Group
ISSN: 2468-2667
DOI / ID Number: 10.1016/S2468-2667(17)30240-2
Copyright Information:

© The Authors. Published by Elsevier Ltd. Licensed under Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) https://creativecommons.org/licenses/by-nc-nd/4.0/

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