| Titre : | Early Determinants of Alcohol Consumption Trajectories from Adolescence to Adulthood: Analysis of the TEMPO Cohort, 1991-2018 |
| Auteurs : | Annika Kunze |
| Type de document : | Mémoire |
| Année de publication : | 2019 |
| Description : | 30+XXXIIIp. / ann.,graph., tabl. |
| Langues: | Anglais |
| Classement : | MPH19/ (Master EHESP International master of public health - MPH) |
| Mots-clés : | Alcool ; Adolescent ; France ; Consommation alcool ; Enquête cohorte ; Fréquence ; Niveau enseignement ; Cannabis ; Tabagisme ; Modèle |
| Résumé : | Background: Despite decreasing since the 1960s, alcohol consumption still ranks among the top three risk factors for mortality and disability in France. There are no studies assessing distinct longitudinal patterns of alcohol use in the French population. This study aims to identify alcohol consumption groups from adolescence to early adulthood and to explore factors associated with these groups. Methods: Using data from the TEMPO (“Trajectoires EpidéMiologiques en Population”) cohort 1991 to 2018, we modeled developmental trajectories of alcohol consumption frequency via Group-Based Trajectory Modeling from age 12 to 44 (n=2,278). Multinomial logistic regression was applied to identify individual and parental factors (derived from the GAZEL (“GAZ et ELectricité”) cohort) linked to the trajectory groups. Results: Five trajectories were identified: non-drinkers (5.0%), occasional (61.6%), late onset (6.0%), volatile (7.6%) and frequent drinkers (19.9%). Using occasional drinkers as the reference, males had a lower likelihood to be non-drinkers (OR 0.48, 95%CI 0.30-0.77) and a higher likelihood to be volatile (2.13, 1.52-2.98) and frequent (2.70, 2.14-3.40) drinkers. The odds of late onset (0.38, 0.26-0.57), volatile (0.70, 0.49-0.99) and frequent (0.31, 0.24-0.40) drinking were lower for subjects with an education lower or equal to Baccalauréat+2 level. Grade repetition and having left the parental home before age 18 were further associated with non-drinking. Experimentation with cannabis before age 17 was associated with volatile drinking (3.47, 2.17-5.56). Regular smoking and the experimentation with other psychoactive drugs were related to both volatile and frequent drinking. Suicidal ideation and parental smoking were linked to late onset drinking; parental former smoking and heavy drinking were associated with frequent drinking. Conclusion: Alcohol consumption follows various multifactorial patterns over time. A combination of a population-wide strategy and individual-based approach is necessary to tackle the complex and culturally entrenched nature of the different alcohol consumption patterns in the French population. (R.A.) |
| Diplôme : | Master MPH of public health |
| Plan de classement simplifié : | Master of Public Health - master international de Santé Publique (MPH) |
| En ligne : | http://documentation.ehesp.fr/memoires/2019/mph/Annika KUNZE.pdf |
Exemplaires (1)
| Code-barres | Cote | Support | Localisation | Section | Disponibilité |
|---|---|---|---|---|---|
| 098073 | MPH19/0008 | Mémoire | Rennes | Magasin | Empruntable Disponible |
Documents numériques (1)
 MPH/kunze URL |