Adolescent alcohol and cannabis use and early adulthood educational attainment in the 1986 Northern Finland birth cohort study
Abstract Background Heavy alcohol and cannabis use during adolescence have been previously described as risk factors not only for morbidity in adulthood, but also social problems including adversities in educational attainment. Attempts to consider overlapping risk factors and confounders for these...
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ftdoajarticles:oai:doaj.org/article:61e5f3d004cf4339bfe805d70f71cb61 2024-09-15T18:25:37+00:00 Adolescent alcohol and cannabis use and early adulthood educational attainment in the 1986 Northern Finland birth cohort study Jonna Levola Anni-Emilia Alakokkare Alexander Denissoff Antti Mustonen Jouko Miettunen Solja Niemelä 2024-01-01T00:00:00Z https://doi.org/10.1186/s12889-024-17693-w https://doaj.org/article/61e5f3d004cf4339bfe805d70f71cb61 EN eng BMC https://doi.org/10.1186/s12889-024-17693-w https://doaj.org/toc/1471-2458 doi:10.1186/s12889-024-17693-w 1471-2458 https://doaj.org/article/61e5f3d004cf4339bfe805d70f71cb61 BMC Public Health, Vol 24, Iss 1, Pp 1-10 (2024) Alcohol Cannabis Educational attainment Intoxication Adolescence Birth-cohort study Public aspects of medicine RA1-1270 article 2024 ftdoajarticles https://doi.org/10.1186/s12889-024-17693-w 2024-08-05T17:49:53Z Abstract Background Heavy alcohol and cannabis use during adolescence have been previously described as risk factors not only for morbidity in adulthood, but also social problems including adversities in educational attainment. Attempts to consider overlapping risk factors and confounders for these associations are needed. Methods Using weighted multivariable models, we examined prospective associations between age at first drink (AFD), age at first intoxication (AFI), frequency of alcohol intoxication, as well as self-reported alcohol tolerance (i.e., number of drinks needed for the subjective experience of intoxication), and lifetime cannabis use at age 15/16 years with subsequent educational attainment obtained from comprehensive registers until age 33 in the Northern Finland Birth Cohort 1986 (6,564 individuals, 49.1% male). Confounding variables including sex, family structure (intact vs. non-intact), maternal and paternal education level, behavioural/emotional problems in school at age 7/8 years, having a history of illicit substance use in adolescence, having any psychiatric diagnosis before age 16, and parental psychiatric diagnoses, were adjusted for. Results In this large birth cohort study with a 17-year follow-up, younger age at first intoxication, higher frequency of alcohol intoxication, and high self-reported alcohol tolerance at age 15/16 years were associated with poorer educational outcomes by the age of 33 years. These associations were evident regardless of potential confounders, including parental education and childhood behavioural/emotional problems. The association between adolescent cannabis use and educational attainment in adulthood was no longer statistically significant after adjusting for confounders including frequency of alcohol intoxication at age 15/16. Conclusions Assessments of age of first alcohol intoxication, high self-reported alcohol tolerance and frequency of intoxication during adolescence should be included when implementing screening strategies aimed at identifying ... Article in Journal/Newspaper Northern Finland Directory of Open Access Journals: DOAJ Articles BMC Public Health 24 1 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Alcohol Cannabis Educational attainment Intoxication Adolescence Birth-cohort study Public aspects of medicine RA1-1270 |
spellingShingle |
Alcohol Cannabis Educational attainment Intoxication Adolescence Birth-cohort study Public aspects of medicine RA1-1270 Jonna Levola Anni-Emilia Alakokkare Alexander Denissoff Antti Mustonen Jouko Miettunen Solja Niemelä Adolescent alcohol and cannabis use and early adulthood educational attainment in the 1986 Northern Finland birth cohort study |
topic_facet |
Alcohol Cannabis Educational attainment Intoxication Adolescence Birth-cohort study Public aspects of medicine RA1-1270 |
description |
Abstract Background Heavy alcohol and cannabis use during adolescence have been previously described as risk factors not only for morbidity in adulthood, but also social problems including adversities in educational attainment. Attempts to consider overlapping risk factors and confounders for these associations are needed. Methods Using weighted multivariable models, we examined prospective associations between age at first drink (AFD), age at first intoxication (AFI), frequency of alcohol intoxication, as well as self-reported alcohol tolerance (i.e., number of drinks needed for the subjective experience of intoxication), and lifetime cannabis use at age 15/16 years with subsequent educational attainment obtained from comprehensive registers until age 33 in the Northern Finland Birth Cohort 1986 (6,564 individuals, 49.1% male). Confounding variables including sex, family structure (intact vs. non-intact), maternal and paternal education level, behavioural/emotional problems in school at age 7/8 years, having a history of illicit substance use in adolescence, having any psychiatric diagnosis before age 16, and parental psychiatric diagnoses, were adjusted for. Results In this large birth cohort study with a 17-year follow-up, younger age at first intoxication, higher frequency of alcohol intoxication, and high self-reported alcohol tolerance at age 15/16 years were associated with poorer educational outcomes by the age of 33 years. These associations were evident regardless of potential confounders, including parental education and childhood behavioural/emotional problems. The association between adolescent cannabis use and educational attainment in adulthood was no longer statistically significant after adjusting for confounders including frequency of alcohol intoxication at age 15/16. Conclusions Assessments of age of first alcohol intoxication, high self-reported alcohol tolerance and frequency of intoxication during adolescence should be included when implementing screening strategies aimed at identifying ... |
format |
Article in Journal/Newspaper |
author |
Jonna Levola Anni-Emilia Alakokkare Alexander Denissoff Antti Mustonen Jouko Miettunen Solja Niemelä |
author_facet |
Jonna Levola Anni-Emilia Alakokkare Alexander Denissoff Antti Mustonen Jouko Miettunen Solja Niemelä |
author_sort |
Jonna Levola |
title |
Adolescent alcohol and cannabis use and early adulthood educational attainment in the 1986 Northern Finland birth cohort study |
title_short |
Adolescent alcohol and cannabis use and early adulthood educational attainment in the 1986 Northern Finland birth cohort study |
title_full |
Adolescent alcohol and cannabis use and early adulthood educational attainment in the 1986 Northern Finland birth cohort study |
title_fullStr |
Adolescent alcohol and cannabis use and early adulthood educational attainment in the 1986 Northern Finland birth cohort study |
title_full_unstemmed |
Adolescent alcohol and cannabis use and early adulthood educational attainment in the 1986 Northern Finland birth cohort study |
title_sort |
adolescent alcohol and cannabis use and early adulthood educational attainment in the 1986 northern finland birth cohort study |
publisher |
BMC |
publishDate |
2024 |
url |
https://doi.org/10.1186/s12889-024-17693-w https://doaj.org/article/61e5f3d004cf4339bfe805d70f71cb61 |
genre |
Northern Finland |
genre_facet |
Northern Finland |
op_source |
BMC Public Health, Vol 24, Iss 1, Pp 1-10 (2024) |
op_relation |
https://doi.org/10.1186/s12889-024-17693-w https://doaj.org/toc/1471-2458 doi:10.1186/s12889-024-17693-w 1471-2458 https://doaj.org/article/61e5f3d004cf4339bfe805d70f71cb61 |
op_doi |
https://doi.org/10.1186/s12889-024-17693-w |
container_title |
BMC Public Health |
container_volume |
24 |
container_issue |
1 |
_version_ |
1810466118917160960 |