Kim Donoghue1, Hannah Rose2, Sadie Boniface2, Paolo Deluca2, Simon Coulton3, Mohammed Fasihul Alam4, Eilish Gilvarry5, Eileen Kaner6, Ellen Lynch6, Ian Maconochie7, Paul McArdle8, Ruth McGovern6, Dorothy Newbury-Birch9, Robert Patton10, Ceri J Phillips11, Thomas Phillips12, Ian Russell13, John Strang2, Colin Drummond2. 1. National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom. Electronic address: kim.donoghue@kcl.ac.uk. 2. National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom. 3. Centre for Health Services Studies, University of Kent, Canterbury, Kent, United Kingdom. 4. Public Health Department, College of Health Sciences, Qatar University, Doha, Qatar. 5. Northumberland Tyne and Wear NHS Foundation Trust, Newcastle, United Kingdom. 6. Institute of Health and Society, Newcastle University, Newcastle, United Kingdom. 7. Paediatric Emergency Medicine, Imperial College London, United Kingdom. 8. Health Economics and Policy Research Unit, University of South Wales, Pontypridd, United Kingdom. 9. School of Health and Social Care, Teesside University, Middlesbrough, United Kingdom. 10. School of Psychology, University of Surrey, Guildford, United Kingdom. 11. Swansea Centre for Health Economics, College of Human and Health Sciences, Swansea University, Swansea, United Kingdom. 12. National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom; Humber NHS Foundation Trust, Willerby, United Kingdom. 13. Swansea University Medical School, Swansea, United Kingdom.
Abstract
PURPOSE: Globally, alcohol use is the leading cause of ill health and life years lost in adolescents, although its clinical impact is often overlooked, particularly in England where most research is based in schools. This study aims to examine the prevalence of alcohol consumption and the association between alcohol consumption and age of onset with health and social consequences among adolescents presenting to emergency departments (EDs). METHODS: Consecutive attenders (n = 5,576) aged 10-17 years at 10 EDs were included. Information was collected on general health and functioning, quality of life, alcohol use, and alcohol-related health and social consequences. RESULTS: Nearly 40% of adolescents reported the consumption of alcohol that was more than a sip in their lifetime. Age of the first alcohol consumption before the age of 15 years was associated with tobacco use (p < .001), lower quality of life (p = .003), and evidence of an alcohol use disorder (p = .002). It was also associated with general social functioning (problems with conduct p = .001 and hyperactivity p = .001) and alcohol-related health and social consequences (accident p = .046, problems with a parent p = .017, school p = .0117, or police p = .012). CONCLUSIONS: Rates of alcohol consumption in adolescents presenting to the ED were similar to those reported in schools in England and globally. Associations of alcohol consumption and earlier onset of drinking with poorer health and social functioning were observed. The ED can offer an opportunity for the identification of hazardous alcohol use in adolescents.
PURPOSE: Globally, alcohol use is the leading cause of ill health and life years lost in adolescents, although its clinical impact is often overlooked, particularly in England where most research is based in schools. This study aims to examine the prevalence of alcohol consumption and the association between alcohol consumption and age of onset with health and social consequences among adolescents presenting to emergency departments (EDs). METHODS: Consecutive attenders (n = 5,576) aged 10-17 years at 10 EDs were included. Information was collected on general health and functioning, quality of life, alcohol use, and alcohol-related health and social consequences. RESULTS: Nearly 40% of adolescents reported the consumption of alcohol that was more than a sip in their lifetime. Age of the first alcohol consumption before the age of 15 years was associated with tobacco use (p < .001), lower quality of life (p = .003), and evidence of an alcohol use disorder (p = .002). It was also associated with general social functioning (problems with conduct p = .001 and hyperactivity p = .001) and alcohol-related health and social consequences (accident p = .046, problems with a parent p = .017, school p = .0117, or police p = .012). CONCLUSIONS: Rates of alcohol consumption in adolescents presenting to the ED were similar to those reported in schools in England and globally. Associations of alcohol consumption and earlier onset of drinking with poorer health and social functioning were observed. The ED can offer an opportunity for the identification of hazardous alcohol use in adolescents.
Authors: Graham F Moore; Rebecca Cox; Rhiannon E Evans; Britt Hallingberg; Jemma Hawkins; Hannah J Littlecott; Sara J Long; Simon Murphy Journal: Child Indic Res Date: 2018-01-30
Authors: Simon Coulton; M Fasihul Alam; Sadie Boniface; Paolo Deluca; Kim Donoghue; Eilish Gilvarry; Eileen Kaner; Ellen Lynch; Ian Maconochie; Paul McArdle; Ruth McGovern; Dorothy Newbury-Birch; Robert Patton; Ceri J Phillips; Thomas Phillips; Hannah Rose; Ian Russell; John Strang; Colin Drummond Journal: J Public Health (Oxf) Date: 2019-03-01 Impact factor: 2.341
Authors: Ellen Lynch; Ruth McGovern; Catherine Elzerbi; Matthew Breckons; Paolo Deluca; Colin Drummond; Mohammed Fasihul Alam; Sadie Boniface; Simon Coulton; Eilish Gilvarry; Paul McArdle; Robert Patton; Ian Russell; John Strang; Eileen Kaner Journal: PLoS One Date: 2019-06-12 Impact factor: 3.240
Authors: Ashley Agus; Michael McKay; Jonathan Cole; Paul Doherty; David Foxcroft; Séamus Harvey; Lynn Murphy; Andrew Percy; Harry Sumnall Journal: BMJ Open Date: 2019-07-02 Impact factor: 2.692
Authors: Manuel Castro-Sánchez; Félix Zurita-Ortega; José Antonio Pérez-Turpin; Javier Cachón-Zagalaz; Cristian Cofre-Bolados; Concepción Suarez-Llorca; Ramón Chacón-Cuberos Journal: Front Psychol Date: 2019-05-29
Authors: Paolo Deluca; Simon Coulton; Mohammed Fasihul Alam; Sadie Boniface; David Cohen; Kim Donoghue; Eilish Gilvarry; Eileen Kaner; Ian Maconochie; Paul McArdle; Ruth McGovern; Dorothy Newbury-Birch; Robert Patton; Tracy Pellatt-Higgins; Ceri Phillips; Thomas Phillips; Rhys D Pockett; Ian Russell; John Strang; Colin Drummond Journal: Int J Drug Policy Date: 2021-01-22
Authors: G J McGeechan; E L Giles; S Scott; R McGovern; S Boniface; A Ramsay; H Sumnall; D Newbury-Birch; E Kaner Journal: J Public Health (Oxf) Date: 2019-12-20 Impact factor: 2.341