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Adolescent precursors of young adult drinking motives.

ABSTRACT: INTRODUCTION:Numerous cross-sectional and shorter-term longitudinal studies have supported the role of drinking motives as potent proximal predictors of alcohol phenotypes (e.g., alcohol use, heavy episodic drinking). However, missing from this literature is a focus both on the stability of drinking motives across young adulthood and on adolescent precursors of drinking motives. METHODS:We investigated the adequacy of using a latent trait-state model (LTSM) to investigate three-wave data on social, enhancement, and coping motives for drinking with a community sample of young adults (N?=?1004) at the mean ages of 23.8?years, 28.9?years, and 33.5?years. We further investigated adolescent (M age?=?16.73?years) predictors of young adult drinking motives using data collected on the sample approximately seven years prior to the first young adult data collection. RESULTS:Findings indicated that all three drinking motives across young adulthood were modeled adequately via the LTSM, and that drinking motives manifested high stability (i.e., rank order) across individuals. Significant common (e.g., being male, alcohol-using peers, stressful life events, boredom susceptibility) and specific (e.g., depressive symptoms for coping motives; heavy episodic drinking for enhancement motives) adolescent precursors of young adult drinking motives were identified. CONCLUSIONS:Common and unique adolescent factors predicted trait-like drinking motives during young adulthood. These findings suggest the utility of intervening during the teen years to prevent or interrupt the development of cognitive motivations that encourage alcohol use for the purpose of affect regulation.

SUBMITTER: Windle RC

PROVIDER: S-EPMC5879015 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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Project description:ImportanceCancer diagnosis and treatment may adversely affect reproductive outcomes among female cancer survivors.ObjectiveTo compare the birth outcomes of adolescent and young adult cancer survivors (AYA [diagnosed at ages 15-39 years]) with those of women without a cancer diagnosis.Design, setting, and participantsThe North Carolina Central Cancer Registry (CCR) was used to identify female AYA cancer survivors diagnosed from January 2000 to December 2013; CCR records were linked to statewide birth certificate files from January 2000 to December 2014 to identify postdiagnosis live births to AYA survivors (n?=?2598). A comparison cohort of births to women without a recorded cancer diagnosis was randomly selected from birth certificate files (n?=?12?990) with frequency matching on maternal age and year of delivery.Main outcomes and measuresPrevalence of preterm birth, low birth weight, small-for-gestational-age births, cesarean delivery, and low Apgar score.ResultsOverall, 2598 births to AYA cancer survivors (mean [SD] maternal age, 31 [5] years) were included. Births to AYA cancer survivors had a significantly increased prevalence of preterm birth (prevalence ratio [PR], 1.52; 95% CI, 1.34-1.71), low birth weight (PR, 1.59; 95% CI, 1.38-1.83), and cesarean delivery (PR, 1.08; 95% CI, 1.01-1.14) relative to the comparison cohort of 1299. The higher prevalence of these outcomes was most concentrated among births to women diagnosed during pregnancy. Other factors associated with preterm birth and low birth weight included treatment with chemotherapy and a diagnosis of breast cancer, non-Hodgkin lymphoma, or gynecologic cancers. The prevalence of small-for-gestational-age births and low Apgar score (<7) did not differ significantly between groups.Conclusions and relevanceLive births to AYA cancer survivors may have an increased risk of preterm birth and low birth weight, suggesting that additional surveillance of pregnancies in this population is warranted. Our findings may inform the reproductive counseling of female AYA cancer survivors.

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Adolescent precursors of young adult drinking motives.

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