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Adverse Childhood Experiences and Alcohol Consumption in Midlife and Early Old-Age

Leung, JP; Britton, A; Bell, S; (2016) Adverse Childhood Experiences and Alcohol Consumption in Midlife and Early Old-Age. Alcohol and Alcoholism , 51 (3) pp. 331-338. 10.1093/alcalc/agv125. Green open access

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Abstract

AIMS: To examine the individual and cumulative effects of adverse childhood experiences (ACEs) on alcohol consumption in midlife and early old-age, and the role of ACEs in 10-year drinking trajectories across midlife. METHODS: Data were from the Whitehall II study, a longitudinal British civil service-based cohort study (N = 7870, 69.5% male). Multinomial logistic regression was used to examine the individual and cumulative effects of ACEs on weekly alcohol consumption. Mixed-effect multilevel modelling was used to explore the relationship between ACEs and change in alcohol consumption longitudinally. RESULTS: Participants who were exposed to parental arguments/fights in childhood were 1.24 (95% CI 1.06, 1.45) times more likely to drink at hazardous levels in midlife (mean age 56 years) after controlling for covariates and other ACEs. For each additional exposure to an ACE, the risk of hazardous drinking versus moderate drinking was increased by 1.12 (95% CI 1.03, 1.21) after adjusting for sex, age, adult socio-economic status, ethnicity and marital status. No associations between ACEs and increased risk of hazardous drinking in early old-age (mean age 66 years) were found. In longitudinal analyses, ACEs did not significantly influence 10-year drinking trajectories across midlife. CONCLUSION: The effect of exposure to parental arguments on hazardous drinking persists into midlife.

Type: Article
Title: Adverse Childhood Experiences and Alcohol Consumption in Midlife and Early Old-Age
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/alcalc/agv125
Publisher version: http://dx.doi.org/10.1093/alcalc/agv125
Language: English
Additional information: Copyright © The Author 2015. Medical Council on Alcohol and Oxford University Press. All rights reserved. This is a pre-copyedited, author-produced PDF of an article accepted for publication in Alcohol and Alcoholism following peer review. The version of record [Leung, JP; Britton, A; Bell, S; (2016) Adverse Childhood Experiences and Alcohol Consumption in Midlife and Early Old-Age. Alcohol and Alcoholism , 51 (3) pp. 331-338. 10.1093/alcalc/agv125] is available online at: http://dx.doi.org/10.1093/alcalc/agv125
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery.ucl.ac.uk/id/eprint/1483507
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