Evidence map›Paper›PMID 35972451›Full record

ArticleEuropean journal of public health2022

Alcohol use in adolescence as a risk factor for overdose in the 1986 Northern Finland Birth Cohort Study.

Maarit K Koivisto, Jouko Miettunen, Jonna Levola, Antti Mustonen, Anni-Emilia Alakokkare, Caroline L Salom, Solja Niemelä

Open access · goldAbstract read
In one paragraph

Article in European journal of public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Maarit K KoivistoDepartment of Psychiatry, University of Turku, Turku, Finland.
Jouko MiettunenCenter for Life Course Health Research, University of Oulu, Oulu, Finland.
Jonna LevolaDepartment of Psychiatry, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0002-4707-1485
Antti MustonenCenter for Life Course Health Research, University of Oulu, Oulu, Finland.ORCID 0000-0002-3259-2122
Anni-Emilia AlakokkareDepartment of Psychiatry, University of Turku, Turku, Finland.
Caroline L SalomInstitute for Social Science Research, The University of Queensland, Brisbane, Australia.ORCID 0000-0002-8986-9735
Solja NiemeläDepartment of Psychiatry, University of Turku, Turku, Finland.
University of Turku · FIOulu University Hospital · FITampere University · FIThe University of Queensland · AUUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOverdoses and poisonings are among the most common causes of death in young adults. Adolescent problem drinking has been associated with psychiatric morbidity in young adulthood as well as with elevated risk for suicide attempts. There is limited knowledge on adolescent alcohol use as a risk factor for alcohol and/or drug overdoses in later life.

methodsHere, data from The Northern Finland Birth Cohort 1986 study with a follow-up from adolescence to early adulthood were used to assess the associations between adolescent alcohol use and subsequent alcohol or drug overdose. Three predictors were used: age of first intoxication, self-reported alcohol tolerance and frequency of alcohol intoxication in adolescence. ICD-10-coded overdose diagnoses were obtained from nationwide registers. Use of illicit drugs or misuse of medication, Youth Self Report total score, family structure and mother's education in adolescence were used as covariates.

resultsIn multivariate analyses, early age of first alcohol intoxication [hazard ratios (HR) 4.5, 95% confidence intervals (CI) 2.2-9.2, P < 0.001], high alcohol tolerance (HR 3.1, 95% CI 1.6-6.0, P = 0.001) and frequent alcohol intoxication (HR 1.9, 95% CI 1.0-3.4, P = 0.035) all associated with the risk of overdoses. Early age of first intoxication (HR 5.2, 95% CI 1.9-14.7, P = 0.002) and high alcohol tolerance (HR 4.4, 95% CI 1.7-11.5, P = 0.002) also associated with intentional overdoses.

conclusionsAlcohol use in adolescence associated prospectively with increased risk of overdose in later life. Early age of first intoxication, high alcohol tolerance and frequent alcohol intoxication are all predictors of overdoses.

Indexed as

Alcoholic IntoxicationDrug OverdoseIllicit DrugsAdolescentAdultBirth CohortCohort StudiesFinlandHumansRisk FactorsYoung AdultIllicit Drugs

Identifiers

PMID35972451
PMCPMC9527972
OpenAlexW4292185463

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.