Early childhood predictors of early substance use and substance use disorders: prospective study

Hayatbakhsh, Mohammad R., Mamun, Abdullah A., Najman, Jake M., O'Callaghan, Michael J., Bor, William and Alati, Rosa (2008) Early childhood predictors of early substance use and substance use disorders: prospective study. Australian And New Zealand Journal of Psychiatry, 42 8: 720-731. doi:10.1080/00048670802206346


Author Hayatbakhsh, Mohammad R.
Mamun, Abdullah A.
Najman, Jake M.
O'Callaghan, Michael J.
Bor, William
Alati, Rosa
Title Early childhood predictors of early substance use and substance use disorders: prospective study
Journal name Australian And New Zealand Journal of Psychiatry   Check publisher's open access policy
ISSN 0004-8674
Publication date 2008-01-01
Year available 2008
Sub-type Article (original research)
DOI 10.1080/00048670802206346
Open Access Status
Volume 42
Issue 8
Start page 720
End page 731
Total pages 12
Editor Peter Joyce
Place of publication Abingdon, England
Publisher Informa Healthcare
Language eng
Subject C1
111706 Epidemiology
111714 Mental Health
920401 Behaviour and Health
920414 Substance Abuse
Abstract Objectives: The purpose of the present study was to examine the longitudinal association between early childhood factors and early initiation of use of substances and substance use disorders in a large prospective study.
Formatted abstract
 Objectives: The purpose of the present study was to examine the longitudinal association between early childhood factors and early initiation of use of substances and substance use disorders in a large prospective study.

Method: Data were from the Mater Hospital University of Queensland Study of Pregnancy, a prospective birth cohort study in Brisbane, Australia. Use of nicotine, alcohol and cannabis and age of initiation of such use were reported at the 21 year follow up. DSM-IV diagnosis of nicotine, alcohol and cannabis use disorders was assessed at 21 years using a computerized version of the Composite International Diagnostic Interview (CIDI-Auto). Early childhood factors were measured between mother's pregnancy and child age 5 years.

Results: Of the 3647 respondents with complete data, 15.4% had started to smoke cigarettes before 15 years. Another 17.4% and 12.2% reported having started to consume alcohol or use cannabis in early adolescence, respectively. Some 16.2%, 27.8% and 21.9% had ever had nicotine, alcohol or cannabis abuse or dependence (disorder) by 21 years, respectively. In multivariate models early initiation of use of substances, and substance use disorders were associated with disrupted families or drug-using parents, childhood problem behaviours, and poor parental monitoring and supervision in childhood.

Conclusions: There are four independent factors in early or middle childhood that predict early initiation of use of substances and subsequent substance use disorders by early adulthood. There is a need to consider whether what is known about the risk factors that predict young age of substance use, and substance use disorders, may be incorporated into treatment and/or prevention initiatives.

Keyword early childhood
predictor
substance use
Q-Index Code C1
Q-Index Status Confirmed Code
Grant ID AA13446
AA10249
510279
Institutional Status UQ

 
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Created: Thu, 16 Apr 2009, 01:45:57 EST by Yvonne Flanagan on behalf of School of Public Health