Addiction experts and
researchers often talk about the risk factors for developing addiction (aka
alcoholism, chemical dependency) - the disease of addiction.
A risk factor is
something that is present in a person's life, physically, emotionally, socially
that may contribute to them developing dependence on chemicals or behaviours
(aka the disease of addiction or addiction disorder.)
And the life-stages
they're most often referring to are childhood and adolescence. These are
the life-stages that produce the next generation of addicts/alcoholics.
The risk factors that have been identified most often are:
1. Social
Environment
2. Childhood Trauma (verbal, physical and/or
emotional abuse)
3. Mental Illness
4. Genetics
5. Early Use
When we begin to think
about prevention, it feels a bit overwhelming to look at the first four risk
factors - where do we start? Especially when we know kids who are growing
up in chaotic homes where the adults are abusing, or dependent on, alcohol or
other drugs.
The fifth risk factor - early use - may be the logical choice for a
child who is subjected to the first four. In other words, having a first drink
at a young age would be considered normal for kid who lives with any of the
first four risk factors.
But it's been known
for a few years that delaying first use of alcohol or other drugs helps to
lessen the impact of the first four risk factors. Here's a summary from the
results of a study that was published 11 years ago:
Analysis revealed a
rapid progression to alcohol-related harm among those who reported having their
first drink at ages 11–14. After 10 years, 13.5% of the subjects who
began to drink at ages 11 and 12 met the criteria for a diagnosis of alcohol
abuse, and 15.9% had a diagnosis of dependence. Rates for subjects who began to
drink at ages 13 and 14 were 13.7% and 9.0%, respectively...
In contrast, rates
for those who started drinking at ages 19 and older were 2.0% and 1.0%.
CONCLUSIONS: First
use of alcohol at ages 11–14 greatly heightens the risk of progression to the
development of alcohol disorders and therefore is a reasonable target for
intervention strategies that seek to delay first use as a means of averting
problems later in life.
Study
published in the American
Journal of Psychiatry, May 1, 2000 (157:745-750)
So,
in simple terms, almost 25 to 30 percent of the kids in this study who had
their first drink between 11 and 14 years old developed problems with
alcohol abuse or dependence within ten years, while only 3 percent of kids
who didn't drink until they were at least 19 developed the same problems.
Prevention of addiction to alcohol and other drugs begins with connecting children to at least one safe adult (maybe it has to be you or me).
And that connection could
easily help those kids decide to delay their first drink or toke or
drag. They would probably do so (not take that first drink at a
vulnerable age) because they've been educated about addiction and have received
support from some safe, stable adults. Despite all the other risk factors
they've been subjected to, they might decide that putting off drinking or using
is the safest, most logical choice for them.
Who knows? Your quiet,
reassuring, guiding support for a child in your life might make all the
difference in the world.
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