Risk and protective factors in adult-onset drinking: Application of the multiple disadvantage model


Cheng, Tyrone C. & Lo, Celia C. (2018). Risk and protective factors in adult-onset drinking: Application of the multiple disadvantage model. International Journal of Health, Wellness & Society. vol. 8 (4) pp. 29-41


The literature exhibits a gap concerning factors that may foster or inhibit onset drinking among adults. This study examined risk and protective factors involved when adult lifetime nondrinkers became drinkers or heavy drinkers. The sample included 548 lifetime nondrinkers ages 18-28; it was extracted from 2 waves of the National Longitudinal Study of Adolescent to Adult Health, or Add Health. Results showed that likelihood of change from nondrinking (Wave 3) to drinking (Wave 4) rose with unsafe neighborhood (RRR = 3.27, p < .05), high occupational skill (RRR = 1.16, p < .05), number of close friends (RRR = 1.23, p < .05), seizures (RRR = 17.07, p < .05), ADHD (RRR = 2.53, p < .05), drug use (RRR = 2.44, p < .05), and attending counseling services (RRR = 2.96, p < .05); but fell with age (RRR = .86, p < .05) and active religiosity (RRR = .73, p < .01). The likelihood of change from nondrinking (Wave 3) to heavy drinking (Wave 4) was associated positively with being male (RRR = 3.56, p < .01), being married (RRR = 3.17, p < .05), depression (RRR = 2.49, p < .05), seizures (RRR = 35.08, p < .05), and drug use (RRR = 3.42, p < .01); and was associated negatively with strong commitment to partners (RRR = .72, p < .05) and religiosity (RRR = .41, p < .01). The results imply that religiosity and rejuvenating poor neighborhoods will curb adult-onset drinking, and that treating heavy drinking will focus on co-occurring mental disorder and drug use. [ABSTRACT FROM AUTHOR] Copyright of International Journal of Health, Wellness & Society is the property of Common Ground Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)




DRINKING behavior SOCIAL disorganization MENTAL health services MENTAL health ALCOHOLISM Adult Drinking Multiple Disadvantage Model Onset Drinking


Cheng, Tyrone C. 1; Email Address: chengt@montclair.edu Lo, Celia C. 2; Affiliation: 1: Montclair State University, USA 2: Texas Woman's University, USA; Source Info: 2018, Vol. 8 Issue 4, p29; Subject Term: DRINKING behavior; Subject Term: SOCIAL disorganization; Subject Term: MENTAL health services; Subject Term: MENTAL health; Subject Term: ALCOHOLISM; Author-Supplied Keyword: Adult Drinking; Author-Supplied Keyword: Multiple Disadvantage Model; Author-Supplied Keyword: Onset Drinking; NAICS/Industry Codes: 621330 Offices of Mental Health Practitioners (except Physicians); NAICS/Industry Codes: 622210 Psychiatric and Substance Abuse Hospitals; NAICS/Industry Codes: 623220 Residential Mental Health and Substance Abuse Facilities; Number of Pages: 13p; Document Type: Article

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Journal Article

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International Journal of Health, Wellness & Society


Cheng, Tyrone C.
Lo, Celia C.

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