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

Background: Some parents supply alcohol to their children, reportedly to reduce harm, yet longitudinal research on risks associated with such supply is compromised by short periods of observation and potential confounding. We aimed to investigate associations between parental supply and supply from...

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Main Authors: Prof Richard P Mattick, PhD, Philip J Clare, MBiostats, Alexandra Aiken, MPH, Monika Wadolowski, PhD, Delyse Hutchinson, PhD, Prof Jackob Najman, PhD, Tim Slade, PhD, Raimondo Bruno, PhD, Nyanda McBride, PhD, Prof Kypros Kypri, PhD, Laura Vogl, PhD, Prof Louisa Degenhardt, PhD
Format: Article
Language:English
Published: Elsevier 2018-02-01
Series:The Lancet Public Health
Online Access:http://www.sciencedirect.com/science/article/pii/S2468266717302402
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author Prof Richard P Mattick, PhD
Philip J Clare, MBiostats
Alexandra Aiken, MPH
Monika Wadolowski, PhD
Delyse Hutchinson, PhD
Prof Jackob Najman, PhD
Tim Slade, PhD
Raimondo Bruno, PhD
Nyanda McBride, PhD
Prof Kypros Kypri, PhD
Laura Vogl, PhD
Prof Louisa Degenhardt, PhD
author_facet Prof Richard P Mattick, PhD
Philip J Clare, MBiostats
Alexandra Aiken, MPH
Monika Wadolowski, PhD
Delyse Hutchinson, PhD
Prof Jackob Najman, PhD
Tim Slade, PhD
Raimondo Bruno, PhD
Nyanda McBride, PhD
Prof Kypros Kypri, PhD
Laura Vogl, PhD
Prof Louisa Degenhardt, PhD
author_sort Prof Richard P Mattick, PhD
collection DOAJ
description Background: Some parents supply alcohol to their children, reportedly to reduce harm, yet longitudinal research on risks associated 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, with subsequent 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 Longitudinal Study cohort of adolescents. Children in grade 7 (mean age 12 years), and their parents, were recruited between 2010 and 2011 from secondary schools in Sydney, Perth, and Hobart, Australia, and were surveyed annually between 2010 and 2016. We examined the association of exposure to parental supply and other sources of alcohol in 1 year with five 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 Mental Disorders, 4th edition [DSM-IV]), alcohol dependence, and alcohol use disorder (as defined by DSM-5). This trial is registered with ClinicalTrials.gov, number NCT02280551. Findings: Between September, 2010, and June, 2011, we recruited 1927 eligible parents and adolescents (mean age 12·9 years [SD 0·52]). Participants were followed up until 2016, during which time binge drinking and experience of alcohol-related harms increased. Adolescents who were supplied alcohol only by parents had higher odds of subsequent binge consumption (odds ratio [OR] 2·58, 95% CI 1·96–3·41; p<0·0001), alcohol-related harm (2·53, 1·99–3·24; p<0·0001), and symptoms of alcohol use disorder (2·51, 1·46–4·29; p=0·0008) than did those reporting no supply. Parental supply of alcohol was not significantly associated with the odds of reporting symptoms of either alcohol abuse or dependence, compared with no supply from any source. Supply from other sources was associated with significant risks of all adverse outcomes, compared with no supply, with an even greater increased risk of adverse outcomes. Interpretation: Providing alcohol to children is associated with alcohol-related harms. There is no evidence to support the view that parental supply protects from adverse drinking outcomes by providing alcohol to their child. Parents should be advised that this practice is associated with risk, both directly and indirectly through increased access to alcohol from other sources. Funding: Australian Research Council, Australian Rotary Health, Foundation for Alcohol Research and Education, National Drug and Alcohol Research Centre.
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spelling doaj.art-78fd630106394b369c8fe16413186d892022-12-22T02:01:16ZengElsevierThe Lancet Public Health2468-26672018-02-0132e64e7110.1016/S2468-2667(17)30240-2Association of parental supply of alcohol with adolescent drinking, alcohol-related harms, and alcohol use disorder symptoms: a prospective cohort studyProf Richard P Mattick, PhD0Philip J Clare, MBiostats1Alexandra Aiken, MPH2Monika Wadolowski, PhD3Delyse Hutchinson, PhD4Prof Jackob Najman, PhD5Tim Slade, PhD6Raimondo Bruno, PhD7Nyanda McBride, PhD8Prof Kypros Kypri, PhD9Laura Vogl, PhD10Prof Louisa Degenhardt, PhD11National Drug & Alcohol Research Centre, University of New South Wales, Sydney, NSW, AustraliaNational Drug & Alcohol Research Centre, University of New South Wales, Sydney, NSW, AustraliaNational Drug & Alcohol Research Centre, University of New South Wales, Sydney, NSW, AustraliaFaculty of Health, University of Technology Sydney, Ultimo, NSW, AustraliaCentre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Deakin University, Geelong, VIC, AustraliaQueensland Alcohol and Drug Research and Education Centre, University of Queensland, Brisbane, QLD, AustraliaNational Drug & Alcohol Research Centre, University of New South Wales, Sydney, NSW, AustraliaSchool of Psychology, University of Tasmania, Hobart, TAS, AustraliaNational Drug Research Institute, Curtin University, Perth, WA, AustraliaCentre for Clinical Epidemiology and Biostatistics, School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, AustraliaBlack Dog Institute, Randwick, NSW, AustraliaNational Drug & Alcohol Research Centre, University of New South Wales, Sydney, NSW, AustraliaBackground: Some parents supply alcohol to their children, reportedly to reduce harm, yet longitudinal research on risks associated 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, with subsequent 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 Longitudinal Study cohort of adolescents. Children in grade 7 (mean age 12 years), and their parents, were recruited between 2010 and 2011 from secondary schools in Sydney, Perth, and Hobart, Australia, and were surveyed annually between 2010 and 2016. We examined the association of exposure to parental supply and other sources of alcohol in 1 year with five 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 Mental Disorders, 4th edition [DSM-IV]), alcohol dependence, and alcohol use disorder (as defined by DSM-5). This trial is registered with ClinicalTrials.gov, number NCT02280551. Findings: Between September, 2010, and June, 2011, we recruited 1927 eligible parents and adolescents (mean age 12·9 years [SD 0·52]). Participants were followed up until 2016, during which time binge drinking and experience of alcohol-related harms increased. Adolescents who were supplied alcohol only by parents had higher odds of subsequent binge consumption (odds ratio [OR] 2·58, 95% CI 1·96–3·41; p<0·0001), alcohol-related harm (2·53, 1·99–3·24; p<0·0001), and symptoms of alcohol use disorder (2·51, 1·46–4·29; p=0·0008) than did those reporting no supply. Parental supply of alcohol was not significantly associated with the odds of reporting symptoms of either alcohol abuse or dependence, compared with no supply from any source. Supply from other sources was associated with significant risks of all adverse outcomes, compared with no supply, with an even greater increased risk of adverse outcomes. Interpretation: Providing alcohol to children is associated with alcohol-related harms. There is no evidence to support the view that parental supply protects from adverse drinking outcomes by providing alcohol to their child. Parents should be advised that this practice is associated with risk, both directly and indirectly through increased access to alcohol from other sources. Funding: Australian Research Council, Australian Rotary Health, Foundation for Alcohol Research and Education, National Drug and Alcohol Research Centre.http://www.sciencedirect.com/science/article/pii/S2468266717302402
spellingShingle Prof Richard P Mattick, PhD
Philip J Clare, MBiostats
Alexandra Aiken, MPH
Monika Wadolowski, PhD
Delyse Hutchinson, PhD
Prof Jackob Najman, PhD
Tim Slade, PhD
Raimondo Bruno, PhD
Nyanda McBride, PhD
Prof Kypros Kypri, PhD
Laura Vogl, PhD
Prof Louisa Degenhardt, PhD
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
title Association of parental supply of alcohol with adolescent drinking, alcohol-related harms, and alcohol use disorder symptoms: a prospective cohort study
title_full Association of parental supply of alcohol with adolescent drinking, alcohol-related harms, and alcohol use disorder symptoms: a prospective cohort study
title_fullStr Association of parental supply of alcohol with adolescent drinking, alcohol-related harms, and alcohol use disorder symptoms: a prospective cohort study
title_full_unstemmed Association of parental supply of alcohol with adolescent drinking, alcohol-related harms, and alcohol use disorder symptoms: a prospective cohort study
title_short Association of parental supply of alcohol with adolescent drinking, alcohol-related harms, and alcohol use disorder symptoms: a prospective cohort study
title_sort association of parental supply of alcohol with adolescent drinking alcohol related harms and alcohol use disorder symptoms a prospective cohort study
url http://www.sciencedirect.com/science/article/pii/S2468266717302402
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