Male-female differences in the onset of heavy drinking episode soon after first full drink in contemporary United States: From early adolescence to young adulthood

Drug and Alcohol Dependence
Hui G Cheng, James C Anthony

Abstract

Globally, there is a male excess in the occurrence of heavy drinking once alcoholic beverages are consumed and some new evidence that this 'gender gap' might be null among underage drinkers. Here, we estimate age-specific male-female differences in heavy drinking episode (HDE) incidence across the first eight calendar-quarters after first full drink. Study population is non-institutionalized civilians in the United States (2006-2014). Standardized audio computer-assisted self-interviews were used to assess the date of first full drink and the date of first HDE (i.e., 5+ drinks on one occasion) among ∼33,000 12-to-21-year-old newly incident drinkers (all with 1st full drink and HDE evaluated within 24 months of drinking onset). Time-to-HDE survival analyses are used to estimate age-specific male-female ratios in the hazard of HDE onset. We found that among early adolescent new drinkers (drinking onset at age 11-14), the newly incident drinking females progress to HDE more quickly than males (HR = 1.3, 95% CI = 1.1, 1.6). In contrast, male excess risk is observed when drinking starts at or after age 15 years. For underage drinkers, age-specific hazard ratios (HR) depend upon age at first full drink. Based on recent survey data fr...Continue Reading

Citations

May 11, 2019·Alcoholism, Clinical and Experimental Research·Katherine M KeyesDeborah Hasin
Aug 23, 2019·Journal of Toxicology and Environmental Health. Part B, Critical Reviews·Timothy B EricksonPatrick Vinck
Mar 2, 2021·Journal of Addictions Nursing·Tedra S SmithSusanne Astrab Fogger

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