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Prediction of Alcohol-related Harm from Controlled Drinking Strategies and Alcohol Consumption Trajectories

by J.W. Toumbouro et al.; Addiction 99(4); 498-508; 2004. Posted 2004-10-22; Modified: 2006-09-10.
[Identifier: http://www.doctordeluca.com/Library/AbstinenceHR/PredictHarmFromCD-Strategies04.htm]

See also:
Harm Reduction and Individually Focused Alcohol Prevention - Neighbors et al.; IJDP; 17(4); 2006
 
Overview of Harm Reduction Treatments for Alcohol Problems - Witkiewitza and Marlatt; IJDP; 2006
 
The MM Programme in 2004: What Type of Drinker Seeks Controlled Drinking? - Kosok; IJDP; 2006
 
College Binge Drinking and the Prevention Paradox -Weitzman and Nelson, Harvard J.Drug Ed.; 34(3); 2004.
 
Harm Reduction for Alcohol and Drug Use Disorders Weekly - RSS feed:
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Abstract

AIMS:
To establish predictors of age 21 alcohol-related harm from prior drinking patterns, current levels of alcohol consumption and use of controlled drinking strategies.

PARTICIPANTS:
One thousand, five hundred and ninety-six students recruited from an initial sample of 3300 during their final year of high school in 1993.

DESIGN:
Longitudinal follow-up across five waves of data collection.

SETTING:
Post high school in Victoria, Australia.

MEASUREMENTS:
Self-administered surveys examining a range of health behaviours, including alcohol consumption patterns and related behaviour.

FINDINGS:
Drinking behaviours at age 21 were found to be strongly predicted by drinking trajectories established through the transition from high school. Multivariate regression analysis revealed that alcohol-related harms at age 21 were reduced where current levels of alcohol use fell within limits recommended in Australian national guidelines. After controlling for this effect it was found that the range of strategies employed by participants to control alcohol use maintained a small protective influence. Post-high-school drinking trajectories continued to demonstrate a significant effect after controlling for current behaviours.

FINDINGS:
revealed that over one quarter of males and females drank alcohol, but on a less-than-weekly basis. This pattern of alcohol use demonstrated considerable stability through the post-school transition and was associated with a low level of subsequent harm at age 21.

CONCLUSIONS:
Future research should investigate whether encouraging more Australian adolescents to drink alcohol on a less-than-weekly basis may be a practical intervention target for reducing alcohol-related harms

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Alexander DeLuca, M.D.

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Originally posted: 2004-10-22

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