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Health Place. 2018 Mar;50:16-26. doi: 10.1016/j.healthplace.2017.12.008. Epub 2018 Jan 12.

Chains of risk for alcohol use disorder: Mediators of exposure to neighborhood deprivation in early and middle childhood.

Author information

1
Alcohol Research Group, Public Health Institute, Emeryville, CA, United States. Electronic address: kkarrikerjaffe@arg.org.
2
Center for Primary Health Care Research, Lund University, Malmö, Sweden.
3
Alcohol Research Group, Public Health Institute, Emeryville, CA, United States.
4
Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Department of Psychiatry, Richmond, VA, United States.
5
Center for Primary Health Care Research, Lund University, Malmö, Sweden; Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, United States.

Abstract

Our goal was to test a cascade model to identify developmental pathways, or chains of risk, from neighborhood deprivation in childhood to alcohol use disorder (AUD) in young adulthood. Using Swedish general population data, we examined whether exposure to neighborhood deprivation during early and middle childhood was associated with indicators of social functioning in adolescence and emerging adulthood, and whether these were predictive of AUD. Structural equation models showed exposure to neighborhood deprivation was associated with lower school achievement during adolescence, poor social functioning during emerging adulthood, and the development of AUD for both males and females. Understanding longitudinal pathways from early exposure to adverse environments to later AUD can inform prevention and intervention efforts.

KEYWORDS:

Alcohol use disorder; Neighborhood deprivation; Social functioning; Sweden

PMID:
29334617
PMCID:
PMC5834358
DOI:
10.1016/j.healthplace.2017.12.008
[Indexed for MEDLINE]
Free PMC Article

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