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Predictors and Consequences of Emerging Adulthood Binge Drinking.
Olivia N Diggs1, Tricia K Neppl1
1Department of Human Development and Family Studies, Iowa State University, Ames, Iowa, USA.
Substance Use & Misuse
|June 9, 2025
Summary
Binge drinking patterns in emerging adulthood predict adolescent risk and adult health outcomes. Identifying specific trajectories can inform targeted prevention strategies for alcohol problems and improve mental and physical health.
Area of Science:
- Psychology
- Public Health
- Addiction Science
Background:
- Binge drinking is a prevalent behavior during emerging adulthood.
- Understanding its developmental trajectories and associated risks is crucial for public health.
Purpose of the Study:
- To identify distinct binge drinking patterns during emerging adulthood (ages 18-29).
- To examine adolescent risk factors predicting these patterns.
- To investigate the association between binge drinking trajectories and adult health outcomes (mental, physical, alcohol problems).
Main Methods:
- Growth mixture modeling was used to analyze binge drinking trajectories.
- Adolescent risk factors (parental, peer, individual) at ages 15-16 were assessed as predictors.
- Adult health outcomes at ages 31, 34, and 41 were examined as consequences.
Main Results:
- Four binge drinking patterns were identified: Abstainers & Minimal (52.1%), Maturing Out (21.7%), Decreasing (16.8%), and Increased Maturing Out (9.4%).
- Paternal drunkenness, male sex, college attendance, adolescent alcohol use, and peer pressure were significant predictors for specific trajectories.
- Higher levels of poor mental and physical health and alcohol problems in adulthood were associated with all binge drinking patterns compared to abstainers, with the Increased Maturing Out group showing the most severe outcomes.
Conclusions:
- Binge drinking patterns in emerging adulthood are linked to adolescent risk factors and predict adverse adult health outcomes.
- These findings highlight the importance of early identification and intervention for individuals at risk of persistent or increasing binge drinking.
- Understanding these trajectories can inform public health strategies for preventing alcohol-related problems and improving long-term well-being.
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