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Longitudinal differences in alcohol use in early adulthood.

Philip R Costanzo1, Patrick S Malone, Daniel Belsky

  • 1Department of Psychology and Neuroscience, Duke University, Box 90085, Durham, North Carolina 27708, USA. constanzo@duke.edu

Journal of Studies on Alcohol and Drugs
|August 11, 2007
PubMed
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Heavy alcohol consumption in early adulthood typically decreases later in life for most people. However, psychologically vulnerable individuals may continue heavy drinking into middle age.

Area of Science:

  • Public Health
  • Psychology
  • Sociology

Background:

  • College studies indicate heavy drinking in young adulthood usually declines later in life.
  • Limited research exists on whether this pattern holds for the general population.
  • Identifying individuals with persistent heavy drinking is crucial for targeted interventions.

Purpose of the Study:

  • To examine heavy drinking patterns across the lifespan in a diverse population.
  • To identify psychological factors associated with persistent heavy drinking.
  • To determine if early adulthood heavy drinking predicts later-life consumption.

Main Methods:

  • Longitudinal study (Coronary Artery Risk Development in Young Adults - CARDIA) from 1985-1995.
  • Assessed heavy drinking patterns in 5,115 participants (55% women) across race-gender groups.

Related Experiment Videos

  • Utilized mixture modeling to link psychological profiles with drinking trajectories.

    • Main Results:

    • Heavy drinking prevalence varied by race and gender, with higher rates in white individuals and men.
    • Most participants reduced heavy drinking after their early 20s.
    • A subset with psychological vulnerabilities (hostility, anxiety, depression) showed persistent heavy drinking into middle age.

    Conclusions:

    • Population-level heavy drinking in early adulthood generally does not persist into later life.
    • Psychologically vulnerable individuals represent a key subset for whom early heavy drinking continues.
    • Understanding these trajectories is vital for public health strategies addressing alcohol consumption.