Age of first alcohol intoxication and psychiatric disorders in young adulthood - A prospective birth cohort study

• Published in: Addictive Behaviors
• Main Authors: Mustonen, Antti, Alakokkare, Anni-Emilia, Salom, Caroline, Hurtig, Tuula, Levola, Jonna, Scott, James G., Miettunen, Jouko, Niemelä, Solja
• Other Authors: HUS Psychiatry, Clinicum, Department of Psychiatry
• Format: Article in Journal/Newspaper
• Language: English
• Published: Elsevier Scientific Publ. Co 2021
• Subjects: Alcohol; Adolescent; Birth cohort; Psychiatric disorders; Substance use disorders; DRINKING ONSET; SUBSTANCE USE; CANNABIS USE; RISK; ASSOCIATION; DEPENDENCE; SYMPTOMS; 515 Psychology; Northern Finland
• Online Access: http://hdl.handle.net/10138/330937

Objective: Early onset of alcohol use is associated with an increased risk of substance use disorders (SUD), but few studies have examined associations with other psychiatric disorders. Our aim was to study the association between the age of first alcohol intoxication (AFI) and the risk of psychiatric disorders in a Finnish general population sample. Methods: We utilized a prospective, general population-based study, the Northern Finland Birth Cohort 1986. In all, 6,290 15?16-year old adolescents answered questions on AFI and were followed up until the age of 33 years for psychiatric disorders (any psychiatric disorder, psychosis, SUD, mood disorders and anxiety disorders) by using nationwide register linkage data. Cox-regression analysis with Hazard Ratios (HR, with 95% confidence intervals (CI)) was used to assess the risk of psychiatric disorders associated with AFI. Results: Statistically significant associations were observed between AFI and any psychiatric disorder, psychosis, SUDs, and mood disorders. After adjustments for other substance use, family structure, sex and parental psychiatric disorders, AFIs of 13?14 years and Peer reviewed