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      Patterns and correlates of binge drinking trajectories from early adolescence to young adulthood.

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      Health Psychology
      American Psychological Association (APA)

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          Finite Mixture Modeling with Mixture Outcomes Using the EM Algorithm

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            Age at first alcohol use: a risk factor for the development of alcohol disorders.

            This study aimed to describe the natural course of DSM-III-R alcohol disorders as a function of age at first alcohol use and to investigate the influence of early use as a risk factor for progression to the development of alcohol disorders, exclusive of the effect of confounding influences. Data were obtained from a community sample (N=5,856) of lifetime drinkers participating in the 1990-1991 Mental Health Supplement of the Ontario Health Survey. Survival analyses revealed a rapid progression to alcohol-related harm among those who reported having their first drink at ages 11-14. After 10 years, 13.5% of the subjects who began to drink at ages 11 and 12 met the criteria for a diagnosis of alcohol abuse, and 15.9% had a diagnosis of dependence. Rates for subjects who began to drink at ages 13 and 14 were 13.7% and 9.0%, respectively. In contrast, rates for those who started drinking at ages 19 and older were 2.0% and 1.0%. Unexpectedly, a delay in progression to harm was observed for the youngest drinkers (ages 10 and under). Hazard regression analyses revealed a nonlinear effect of age at first alcohol use, marked by an elevated risk of developing disorders among subjects first using alcohol at ages 11-14. First use of alcohol at ages 11-14 greatly heightens the risk of progression to the development of alcohol disorders and therefore is a reasonable target for intervention strategies that seek to delay first use as a means of averting problems later in life.
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              Regression With Missing X's: A Review

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                Author and article information

                Journal
                Health Psychology
                Health Psychology
                American Psychological Association (APA)
                1930-7810
                0278-6133
                2003
                2003
                : 22
                : 1
                : 79-87
                Article
                10.1037/0278-6133.22.1.79
                12558205
                4670d3d2-935f-4d89-88f2-f8fbbf2b56e9
                © 2003
                History

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