B J M H Jefferis1, O Manor, C Power. 1. UCL Institute of Child Health, Centre for Paediatric Epidemiology and Biostatistics, 30 Guilford Street, London WC1N 1EH, UK. b.jefferis@pcps.ucl.ac.uk
Abstract
BACKGROUND/AIMS: Childhood cognition predicts adult morbidity and mortality, potentially working through health behaviours. This study investigates if childhood cognition influences life course (i) non-drinking and (ii) binge drinking and pathways through which this might act-namely, childhood behaviour problems, adult social position and educational qualifications. METHODS: Prospective cohort of British births in March 1958, with information on cognition at 7, 11 and 16 years and alcohol use at 23, 33 and 42 years. Non-drinkers drank "infrequently/on special occasions" or "never". Binge drinkers consumed >or=10 units/occasion (men) and >or=7 units/occasion (women). RESULTS: Lower cognitive ability increased the odds of non-drinking at each adult survey (for example, for men at 42 years OR 1.52 (95% CI 1.34 to 1.72) per SD decrease in 7-year maths). Associations remained after adjustment for pathway factors (i) behaviour problems, (ii) adult social position and (iii) educational qualifications. Decreased ability rank across childhood (7-16 years) also increased odds of non-drinking at 42 years, but the association operated via pathway factors. Lower 7-year ability elevated the odds of 42-year binge drinking, operating via pathway factors. Declining ability rank across childhood also increased the odds of adult binge drinking; associations operated through behavioural problems, adult social position and qualifications. In women, the decline in risk of binge drinking from an age 23-year peak to 42 years was associated with higher 7-year score. CONCLUSIONS: Poorer childhood cognition was associated with non-drinking and binge drinking up to the early 40s. Associations between childhood cognition and drinking status may mediate between childhood cognition and adult health.
BACKGROUND/AIMS: Childhood cognition predicts adult morbidity and mortality, potentially working through health behaviours. This study investigates if childhood cognition influences life course (i) non-drinking and (ii) binge drinking and pathways through which this might act-namely, childhood behaviour problems, adult social position and educational qualifications. METHODS: Prospective cohort of British births in March 1958, with information on cognition at 7, 11 and 16 years and alcohol use at 23, 33 and 42 years. Non-drinkers drank "infrequently/on special occasions" or "never". Binge drinkers consumed >or=10 units/occasion (men) and >or=7 units/occasion (women). RESULTS: Lower cognitive ability increased the odds of non-drinking at each adult survey (for example, for men at 42 years OR 1.52 (95% CI 1.34 to 1.72) per SD decrease in 7-year maths). Associations remained after adjustment for pathway factors (i) behaviour problems, (ii) adult social position and (iii) educational qualifications. Decreased ability rank across childhood (7-16 years) also increased odds of non-drinking at 42 years, but the association operated via pathway factors. Lower 7-year ability elevated the odds of 42-year binge drinking, operating via pathway factors. Declining ability rank across childhood also increased the odds of adult binge drinking; associations operated through behavioural problems, adult social position and qualifications. In women, the decline in risk of binge drinking from an age 23-year peak to 42 years was associated with higher 7-year score. CONCLUSIONS: Poorer childhood cognition was associated with non-drinking and binge drinking up to the early 40s. Associations between childhood cognition and drinking status may mediate between childhood cognition and adult health.
Authors: Kerri E Woodward; Robin P Corley; Naomi P Friedman; Alexander S Hatoum; John K Hewitt; Brooke M Huibregtse; Michael C Stallings; Soo Hyun Rhee Journal: Drug Alcohol Depend Date: 2019-03-14 Impact factor: 4.492
Authors: A Latvala; A Tuulio-Henriksson; D M Dick; E Vuoksimaa; R J Viken; J Suvisaari; J Kaprio; R J Rose Journal: Psychol Med Date: 2010-06-09 Impact factor: 7.723
Authors: Sara Sjölund; Tomas Hemmingsson; Jan-Eric Gustafsson; Peter Allebeck Journal: J Epidemiol Community Health Date: 2015-07-10 Impact factor: 3.710
Authors: Russell M Viner; David Ross; Rebecca Hardy; Diana Kuh; Christine Power; Anne Johnson; Kaye Wellings; Jim McCambridge; Tim J Cole; Yvonne Kelly; G David Batty Journal: J Epidemiol Community Health Date: 2015-02-02 Impact factor: 3.710
Authors: Atsushi Nishida; Dorina Cadar; Man K Xu; Timothy Croudace; Peter B Jones; Diana Kuh; Marcus Richards Journal: PLoS One Date: 2016-01-11 Impact factor: 3.240
Authors: Andreas Lundin; Alma Sörberg Wallin; Daniel Falkstedt; Peter Allebeck; Tomas Hemmingsson Journal: PLoS One Date: 2015-06-10 Impact factor: 3.240