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Health and household environment factors linked with early alcohol use in adolescence: a record-linked, data-driven, longitudinal cohort study

Amrita Bandyopadhyay, Sinead Brophy Orcid Logo, Ashley Akbari Orcid Logo, Joanne Demmler Orcid Logo, Jonathan Kennedy, Shantini Paranjothy, Ronan Lyons Orcid Logo, Simon Moore

International Journal of Population Data Science, Volume: 7, Issue: 1

Swansea University Authors: Amrita Bandyopadhyay, Sinead Brophy Orcid Logo, Ashley Akbari Orcid Logo, Joanne Demmler Orcid Logo, Jonathan Kennedy, Ronan Lyons Orcid Logo

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DOI (Published version): 10.23889/ijpds.v7i1.1717

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IntroductionEarly alcohol use has significant association with poor health outcomes. Individual risk factors around early alcohol use have been identified, but a holistic, data-driven investigation into health and household environmental factors on early alcohol use is yet to be undertaken.Objective...

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Published in: International Journal of Population Data Science
ISSN: 2399-4908
Published: Swansea University 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa60434
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Individual risk factors around early alcohol use have been identified, but a holistic, data-driven investigation into health and household environmental factors on early alcohol use is yet to be undertaken.ObjectivesThis study aims to investigate the relationship between preceding health events, household exposures and early alcohol use during adolescence using a two-stage data-driven approach.MethodsIn stage one, a study population (N=1,072) were derived from the Millennium Cohort Study (MCS) Wales (born between 2000-2002). MCS data were first linked with electronic-health records. Factors associated with early (&lt;= eleven years old) alcohol use were identified using feature selection and stepwise logistic regression. In stage two, analogous risk factors from MCS were recreated for whole population (N=59,231) of children (born between 1998-2002 in the Welsh Demographic Service Dataset) using routine data to predict the alcohol-related health events in hospital or GP records.ResultsSignificant risk factors from stage two included poor maternal mental (adjusted odds ratio [aOR]=1.31) and physical health (aOR=1.25), living with someone with alcohol-related problem (aOR=2.16), single-adult household (aOR=1.45), ever in deprivation (aOR=1.66), child's high hyperactivity (aOR=3.57), and conduct disorder (aOR= 3.26). Children with health events, whose health needs are supported (e.g., are taken to the doctor), are at lower risk of early alcohol use.ConclusionHealth events of the family members and the child can act as modifiable exposures and may therefore inform the development of prevention initiatives. Families with known alcohol problems, living in deprivation, experiencing child behavioural problems and those who are not taken to the doctor are at higher risk of early drinking behaviour and should be prioritised for early years support and interventions to target problem drinking in young people.</abstract><type>Journal Article</type><journal>International Journal of Population Data Science</journal><volume>7</volume><journalNumber>1</journalNumber><paginationStart/><paginationEnd/><publisher>Swansea University</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>2399-4908</issnElectronic><keywords>alcohol; adolescent; data linkage; electronic health records (EHRS); cohort study</keywords><publishedDay>7</publishedDay><publishedMonth>7</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-07-07</publishedDate><doi>10.23889/ijpds.v7i1.1717</doi><url/><notes/><college>COLLEGE NANME</college><department>Health Data Science</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HDAT</DepartmentCode><institution>Swansea University</institution><apcterm/><lastEdited>2022-07-12T14:22:55.9472091</lastEdited><Created>2022-07-10T19:16:17.4195532</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Medicine</level></path><authors><author><firstname>Amrita</firstname><surname>Bandyopadhyay</surname><orcid/><order>1</order></author><author><firstname>Sinead</firstname><surname>Brophy</surname><orcid>0000-0001-7417-2858</orcid><order>2</order></author><author><firstname>Ashley</firstname><surname>Akbari</surname><orcid>0000-0003-0814-0801</orcid><order>3</order></author><author><firstname>Joanne</firstname><surname>Demmler</surname><orcid>0000-0002-4675-6271</orcid><order>4</order></author><author><firstname>Jonathan</firstname><surname>Kennedy</surname><orcid/><order>5</order></author><author><firstname>Shantini</firstname><surname>Paranjothy</surname><order>6</order></author><author><firstname>Ronan</firstname><surname>Lyons</surname><orcid>0000-0001-5225-000X</orcid><order>7</order></author><author><firstname>Simon</firstname><surname>Moore</surname><order>8</order></author></authors><documents><document><filename>60434__24554__f014f259e19b4d6ab42b28a31d08e46a.pdf</filename><originalFilename>60434_VoR.pdf</originalFilename><uploaded>2022-07-12T14:21:47.0631620</uploaded><type>Output</type><contentLength>1056066</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>2022 &#xA9; The Authors. 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spelling 2022-07-12T14:22:55.9472091 v2 60434 2022-07-10 Health and household environment factors linked with early alcohol use in adolescence: a record-linked, data-driven, longitudinal cohort study 9f1e77f76a83746112ef45709bf83630 Amrita Bandyopadhyay Amrita Bandyopadhyay true false 84f5661b35a729f55047f9e793d8798b 0000-0001-7417-2858 Sinead Brophy Sinead Brophy true false aa1b025ec0243f708bb5eb0a93d6fb52 0000-0003-0814-0801 Ashley Akbari Ashley Akbari true false f21f39e2e64b8db709089779ef4f01d0 0000-0002-4675-6271 Joanne Demmler Joanne Demmler true false 08163d1f58d7fefcb1c695bcc2e0ef68 Jonathan Kennedy Jonathan Kennedy true false 83efcf2a9dfcf8b55586999d3d152ac6 0000-0001-5225-000X Ronan Lyons Ronan Lyons true false 2022-07-10 HDAT IntroductionEarly alcohol use has significant association with poor health outcomes. Individual risk factors around early alcohol use have been identified, but a holistic, data-driven investigation into health and household environmental factors on early alcohol use is yet to be undertaken.ObjectivesThis study aims to investigate the relationship between preceding health events, household exposures and early alcohol use during adolescence using a two-stage data-driven approach.MethodsIn stage one, a study population (N=1,072) were derived from the Millennium Cohort Study (MCS) Wales (born between 2000-2002). MCS data were first linked with electronic-health records. Factors associated with early (<= eleven years old) alcohol use were identified using feature selection and stepwise logistic regression. In stage two, analogous risk factors from MCS were recreated for whole population (N=59,231) of children (born between 1998-2002 in the Welsh Demographic Service Dataset) using routine data to predict the alcohol-related health events in hospital or GP records.ResultsSignificant risk factors from stage two included poor maternal mental (adjusted odds ratio [aOR]=1.31) and physical health (aOR=1.25), living with someone with alcohol-related problem (aOR=2.16), single-adult household (aOR=1.45), ever in deprivation (aOR=1.66), child's high hyperactivity (aOR=3.57), and conduct disorder (aOR= 3.26). Children with health events, whose health needs are supported (e.g., are taken to the doctor), are at lower risk of early alcohol use.ConclusionHealth events of the family members and the child can act as modifiable exposures and may therefore inform the development of prevention initiatives. Families with known alcohol problems, living in deprivation, experiencing child behavioural problems and those who are not taken to the doctor are at higher risk of early drinking behaviour and should be prioritised for early years support and interventions to target problem drinking in young people. Journal Article International Journal of Population Data Science 7 1 Swansea University 2399-4908 alcohol; adolescent; data linkage; electronic health records (EHRS); cohort study 7 7 2022 2022-07-07 10.23889/ijpds.v7i1.1717 COLLEGE NANME Health Data Science COLLEGE CODE HDAT Swansea University 2022-07-12T14:22:55.9472091 2022-07-10T19:16:17.4195532 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Amrita Bandyopadhyay 1 Sinead Brophy 0000-0001-7417-2858 2 Ashley Akbari 0000-0003-0814-0801 3 Joanne Demmler 0000-0002-4675-6271 4 Jonathan Kennedy 5 Shantini Paranjothy 6 Ronan Lyons 0000-0001-5225-000X 7 Simon Moore 8 60434__24554__f014f259e19b4d6ab42b28a31d08e46a.pdf 60434_VoR.pdf 2022-07-12T14:21:47.0631620 Output 1056066 application/pdf Version of Record true 2022 © The Authors. Open Access under CC BY 4.0 true eng https://creativecommons.org/licenses/by/4.0/deed.en
title Health and household environment factors linked with early alcohol use in adolescence: a record-linked, data-driven, longitudinal cohort study
spellingShingle Health and household environment factors linked with early alcohol use in adolescence: a record-linked, data-driven, longitudinal cohort study
Amrita Bandyopadhyay
Sinead Brophy
Ashley Akbari
Joanne Demmler
Jonathan Kennedy
Ronan Lyons
title_short Health and household environment factors linked with early alcohol use in adolescence: a record-linked, data-driven, longitudinal cohort study
title_full Health and household environment factors linked with early alcohol use in adolescence: a record-linked, data-driven, longitudinal cohort study
title_fullStr Health and household environment factors linked with early alcohol use in adolescence: a record-linked, data-driven, longitudinal cohort study
title_full_unstemmed Health and household environment factors linked with early alcohol use in adolescence: a record-linked, data-driven, longitudinal cohort study
title_sort Health and household environment factors linked with early alcohol use in adolescence: a record-linked, data-driven, longitudinal cohort study
author_id_str_mv 9f1e77f76a83746112ef45709bf83630
84f5661b35a729f55047f9e793d8798b
aa1b025ec0243f708bb5eb0a93d6fb52
f21f39e2e64b8db709089779ef4f01d0
08163d1f58d7fefcb1c695bcc2e0ef68
83efcf2a9dfcf8b55586999d3d152ac6
author_id_fullname_str_mv 9f1e77f76a83746112ef45709bf83630_***_Amrita Bandyopadhyay
84f5661b35a729f55047f9e793d8798b_***_Sinead Brophy
aa1b025ec0243f708bb5eb0a93d6fb52_***_Ashley Akbari
f21f39e2e64b8db709089779ef4f01d0_***_Joanne Demmler
08163d1f58d7fefcb1c695bcc2e0ef68_***_Jonathan Kennedy
83efcf2a9dfcf8b55586999d3d152ac6_***_Ronan Lyons
author Amrita Bandyopadhyay
Sinead Brophy
Ashley Akbari
Joanne Demmler
Jonathan Kennedy
Ronan Lyons
author2 Amrita Bandyopadhyay
Sinead Brophy
Ashley Akbari
Joanne Demmler
Jonathan Kennedy
Shantini Paranjothy
Ronan Lyons
Simon Moore
format Journal article
container_title International Journal of Population Data Science
container_volume 7
container_issue 1
publishDate 2022
institution Swansea University
issn 2399-4908
doi_str_mv 10.23889/ijpds.v7i1.1717
publisher Swansea University
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
active_str 0
description IntroductionEarly alcohol use has significant association with poor health outcomes. Individual risk factors around early alcohol use have been identified, but a holistic, data-driven investigation into health and household environmental factors on early alcohol use is yet to be undertaken.ObjectivesThis study aims to investigate the relationship between preceding health events, household exposures and early alcohol use during adolescence using a two-stage data-driven approach.MethodsIn stage one, a study population (N=1,072) were derived from the Millennium Cohort Study (MCS) Wales (born between 2000-2002). MCS data were first linked with electronic-health records. Factors associated with early (<= eleven years old) alcohol use were identified using feature selection and stepwise logistic regression. In stage two, analogous risk factors from MCS were recreated for whole population (N=59,231) of children (born between 1998-2002 in the Welsh Demographic Service Dataset) using routine data to predict the alcohol-related health events in hospital or GP records.ResultsSignificant risk factors from stage two included poor maternal mental (adjusted odds ratio [aOR]=1.31) and physical health (aOR=1.25), living with someone with alcohol-related problem (aOR=2.16), single-adult household (aOR=1.45), ever in deprivation (aOR=1.66), child's high hyperactivity (aOR=3.57), and conduct disorder (aOR= 3.26). Children with health events, whose health needs are supported (e.g., are taken to the doctor), are at lower risk of early alcohol use.ConclusionHealth events of the family members and the child can act as modifiable exposures and may therefore inform the development of prevention initiatives. Families with known alcohol problems, living in deprivation, experiencing child behavioural problems and those who are not taken to the doctor are at higher risk of early drinking behaviour and should be prioritised for early years support and interventions to target problem drinking in young people.
published_date 2022-07-07T04:18:32Z
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