The Role of Age of Onset in Problematic Alcohol Consumption: Artefact or Cohort Effect?

  1. Mercy P. Ontaneda Aguilar
  2. Pablo Ruisoto Palomera
  3. Carla López Núñez
  4. Carmen Torres Maroño
  5. Silvia Vaca Gallegos
  6. Nairoby J. Pineda Cabrera
  7. José E. Real Deus
Clínica y salud: Investigación Empírica en Psicología

ISSN: 1130-5274

Ano de publicación: 2022

Volume: 33

Número: 1

Páxinas: 11-17

Tipo: Artigo

DOI: 10.5093/CLYSA2021A11 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Clínica y salud: Investigación Empírica en Psicología


Age of onset has been reported as a crucial predictor for alcohol consumption in adolescence. However, several authors have warned against it as an unreliable artefact accounted by the tendency to delay age of onset as respondents’ age increases (forward telescoping). This study aims to test whether age of onset is either a proxy for age or a predictor of alcohol consumption of its own. A hierarchical regression model and Process Macro for SPSS were used to test the effect of age of onset (controlling for age) on alcohol consumption and the mediating/moderator role of age of onset, parental control, and sex on alcohol consumption, respectively. Results support the role of age of onset as a significant predictor of alcohol consumption in Ecuadorian adolescents, rather than an artefact. Furthermore, age of onset completely mediated the effect of age on alcohol consumption, often moderated by sex. Practical implications are further discussed.

Referencias bibliográficas

  • Anthenelli, R., & Grandison, L. (2012). Effects of stress on alcohol consumption [Editorial]. Alcohol Research: Current Reviews, 34(4), 381-382.
  • Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., & Monteiro, M. G. (2001). The alcohol use disorders identification test. World Health Organization.
  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182.
  • Beil-Gawelczyk, J., Bratek, A., Banach, M., & Beil, S. (2014). EPA-1511- Association of early drinking onset with subsequent alcohol abuse. European Psychiatry, 29(Suppl. 1), 1. 9338(14)78687-0
  • Conigrave, K. M., Hall, W. D., & Saunders, J. B. (1995). The AUDIT questionnaire: Choosing a cut-off score. Addiction, 90(10), 1349-1356.
  • Consejo Nacional de Control de Sustancias Estupefacientes y Psicotrópicas (CONSEP, 2012). Cuarta encuesta nacional sobre uso de drogas en estudiantes de 12 a 17 años. Informe de investigación 2012. Observatorio Nacional de Drogas (OND) y CONSEP. uploads/documentos/Encuesta_uso_drogas_ CONSEP_08.2013.pdf
  • Cornellà-Font, G., M., Viñas-Poch, F., Juárez-López, J. R., & Malo-Cerrato, S. (2020). Risk of addiction: Its prevalence in adolescence and its relationship with security of attachment and self-concept. Clínica y Salud, 31(1), 21-25.
  • Duncan, S. C., Duncan, T. E., & Strycker, L. A. (2006). Alcohol use from ages 9 to 16: A cohort-sequential latent growth model. Drug and Alcohol Dependence, 81(1), 71-81. drugalcdep.2005.06.001
  • Fuentes, M. C., Garcia, O. F., & Garcia, F. (2020). Protective and risk factors for adolescent substance use in Spain: Self-esteem and other indicators of personal well-being and ill-being. Sustainability, 12(5967), 1-17.
  • Garcia, F., Serra, E., Garcia, O. F., Martinez, I., & Cruise, E. (2019). A third emerging stage for the current digital society? Optimal parenting styles in Spain, the United States, Germany, and Brazil. International Journal of Environmental Research and Public Health, 16(2333), 1-20.
  • Garcia, O. F., Serra, E., Zacares, J. J., Calafat, A., & Garcia, F. (2020). Alcohol use and abuse and motivations for drinking and non-drinking among Spanish adolescents: Do we know enough when we know parenting style? Psychology and Health, 35(6), 645-664. /08870446.2019.1675660
  • Golub, A., Johnson, B. D., & Labouvie, E. (2000). On correcting biases in self-reports of age at first substance use with repeated cross-section analysis. Journal of Quantitative Criminology, 16(1), 45-68. https://doi. org/10.1023/A:1007573411129
  • Gonçalves dos Reis, T., & Marques de Oliveira, L. C. (2015). Pattern of alcohol consumption and associated factors among adolescent students of public schools in an inner city in Brazil. Brazilian Journal of Epidemiology, 18(1), 13-24. 5497201500010002
  • Green, M. J., Leyland, A. H., Sweeting, H., & Benzeval, M. (2016). Adolescent smoking and tertiary education: Opposing pathways linking socioeconomic background to alcohol consumption. Addiction, 111(8), 1457-1463.
  • Hartford, T. C., Grant, B. F., Yi, H. Y., & Chen, C. M. (2005). Patterns of DSM-IV alcohol abuse and dependence criteria among adolescents and adults: results from the 2001 National Household Survey on Drug Abuse.
  • Alcoholism, Clinical and Experimental Research, 29(5), 810-828.
  • Haug, S., López-Núñez, C., Becker, J., Gmel, G., & Schaub, M. (2014). Predictors of onset of cannabis and other drug use in male young adults: results from a longitudinal study. BMC Public Health, 14, 1202.
  • Hayes, A. F. (2013). Introduction to moderation, mediation, and conditional process analysis. A regression-based approach. The Guildford Press.
  • Hayes, A. F. (2017). Introduction to moderation, mediation, and conditional process analysis. A regression-based approach. The Guildford Press.
  • Hermens, D. F., Scott, E. M., White, D., Lynch, M., Lagopoulos, J., Whitwell, B. G., Naismith, S. L., & Hickie, I. B. (2013). Frequent alcohol, nicotine or cannabis use is common in young persons presenting for mental healthcare: a cross-sectional study. BMJ Open, 3(2), e002229. https://
  • Hingson, R. W., Heeren, T., & Winter, M. R. (2006). Age at drinking onset and alcohol dependence. Archives of Pediatrics and Adolescent Medicine, 160(7), 739-746.
  • Kuntsche, E., Rossow, I., Engels, R., & Kuntsche, S. (2015). Is ‘age at first drink’ a useful concept in alcohol research and prevention? We doubt that. Addiction, 111(6), 957-965.
  • Lamborn, S. D., Mounts, N. S., Steinberg, L., & Dornbusch, S. M. (1991). Patterns of competence and adjustment among adolescents from authoritative, authoritarian, indulgent, and neglectful families. Child Development, 62(5), 1049-1065.
  • Mejía, A., González, N., & Marchena, H. (2011). Prevalencia de consumo de alcohol, tabaco y otras sustancias en estudiantes universitarios: la situación de la comunidad andina (Colombia, Bolivia, Ecuador y Perú). Duazary, 8(1), 60-66.
  • Mewton, L., Teeson, M., Slade, T., & Cottler, L. (2011). Psychometric performance of DSM-IV alcohol use disorders in young adulthood: Evidence from an Australian general population sample. Journal of Studies on Alcohol and Drugs, 72(5), 811-822. jsad.2011.72.811
  • Nealis, L. J., Thompson, K. D., Krank, M. D., & Stewart, S. H. (2016). Shifting patterns of variance in adolescent alcohol use: Testing consumption as a developing trait-state. Addictive Behaviors, 55, 25-31. https://doi. org/10.1016/j.addbeh.2015.12.012
  • Ohannessian, C. M., Finan, L. J., Schulz, J., & Hesselbrock, V. (2015). A longterm longitudinal examination of the effect of early onset of alcohol and drug use on later alcohol abuse. Substance Abuse, 36(4), 440–444.
  • Palmer, R. H. C., Young, S. E., Hopfer, C. J., Corley, R. P., Stallings, M. C., Crowley, T. J., & Hewitt, J. K. (2009). Developmental epidemiology of drug use and abuse in adolescence and young adulthood: Evidence of generalized risk. Drug and Alcohol Dependence, 102(1-3), 78-87.
  • Parolin, M., Simonelli, A., Mapelli, D., Sacco, M., & Cristofalo, P. (2016). Parental substance abuse as an early traumatic event. Preliminary findings on neuropsychological and personality functioning in young drug addicts exposed to drugs early. Frontiers in Psychology, 7, 887.
  • Pilatti, A., Read, J., & Pautassi, M. (2016). ELSA 2016 Cohort: Alcohol, tobacco, and marijuana use and their association with age of drug use onset, risk perception, and social norms in Argentinean college freshmen. Frontiers in Psychology, 8, 1452. fpsyg.2017.01452
  • Rial, A., Golpe, S., Barreiro, C., Gómez, P., & Isorna, M. (2020). The age of onset for alcohol consumption among adolescents: Implications and related variables. Adicciones, 32(1), 52-62. adicciones
  • Rogers, M. L., & Jackson, K. M. (2017). Alcohol consumption milestones: Comparing firstversus last-reported age of onset. Journal of Child and Adolescent Substance Abuse, 26(4), 258-264. https://doi. org/10.1080/1067828X.2017.1305928
  • Salamó-Avellaneda, A., Gras-Perez, M. E., & Font-Mayolas, S. (2010). Patrones de consumo de alcohol en la adolescencia. Psicothema, 22(2), 189-195.
  • Schofield, T. J., Conger, R. D., & Robins, R. W. (2015). Early adolescent substance use in Mexican origin families: Peer selection, peer influence, and parental monitoring. Drug and Alcohol Dependence, 157, 129-135.
  • Secades-Villa, R., López-Núñez, C., Fernández-Artamendi, S., Weidberg, S., & Fernández-Hermida, J. R. (2013). Gender differences in the prevalence of DSM-IV alcohol use disorders in adolescents. Adicciones, 25(3), 260- 268.
  • Sheather, S. (2009). A modern approach to regression with R. Springer Science & Business Media.
  • Shillington, A. M., Woodruff, S. I., Clapp, J. D., Reed, M. B., & Lemus, H. (2012). Self-reported age of onset and telescoping for cigarettes, alcohol, and marijuana: Across eight years of the national longitudinal survey of youth. Journal of Child and Adolescent Substance Abuse, 21(4), 333- 348.
  • Silins, E., Horwood, L. J., Najman, J. M., Patton, G. C., Toumbourou, J. W., Olsson, C. A., Hutchinson, D. M., Degenhardt, L., Fergusson, D., Becker, D., Boden, J. M., Borschmann, R., Plotnikova, M., Youssef, G. J., Tait, R. J., Clare, P., Hall, W. D., Mattick, R. P., & Cannabis Cohorts Research Consortium. (2018). Adverse adult consequences of different alcohol use patterns in adolescence: an integrative analysis of data to age 30 years from four Australasian cohorts. Addiction, 113(10), 1811-1825.
  • Steinberg, L., Lamborn, S. D., Darling, N., Mounts, N. S., & Dornbusch, S. M. (1994). Over-time changes in adjustment and competence among adolescents from authoritative, authoritarian, indulgent, and neglectful families. Child Development, 65(3), 754-770. https://doi. org/10.2307/1131416
  • Strunin, L., Díaz Martínez, A., Díaz-Martínez, L. R., Heeren, T., Kuranz, S., Winter, M., Hernández-Ávila, C. A., Fernández-Varela, H., & SolísTorres, C. (2013). Parental monitoring and alcohol use among Mexican students. Addictive Behaviors, 38(10), 2601-2606. https://doi. org/10.1016/j.addbeh.2013.06.011
  • World Health Organization (WHO, 2018). Global status report on alcohol and health. WHO.