Modes de consommation d'alcool chez les jeunes mineurs autistes et non autistes
Titre original en anglais : Alcohol Use Patterns Among Underage Autistic and Non-Autistic Youth
Graham Holmes, L., Xuan, Z., Quinn, E., Caplan, R., Sanchez, A., Wharmby, P., Holingue, C., Levy, S., & Rothman, E. F. (2023). Alcohol Use Patterns Among Underage Autistic and Non-Autistic Youth. Journal of Autism and Developmental Disorders, 54(10), 3808-3822. https://doi.org/10.1007/s10803-023-06086-4
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Résumé
OBJECTIF : Nous avons exploré les facteurs prédictifs de la consommation répétée ou à risque d'alcool chez des jeunes américains autistes et non autistes âgés de 16 à 20 ans. MÉTHODES : Des jeunes autistes (n = 94) et non autistes (n = 92) ont répondu à une enquête en ligne. Par conception, la moitié de chaque groupe a déclaré une consommation d'alcool au cours de l'année écoulée. Nous avons comparé les modes de consommation d'alcool des jeunes autistes et non autistes, et, au sein de chaque groupe, les abstinents ou les consommateurs peu fréquents (0-1 épisodes de consommation d'alcool au cours de l'année écoulée) à ceux qui avaient consommé de l'alcool 2 + fois au cours de l'année écoulée. RÉSULTATS : Les jeunes autistes (par rapport aux jeunes non autistes) qui consommaient de l'alcool le faisaient moins fréquemment et consommaient moins de verres par occasion. Cependant, 15 % des jeunes autistes ayant consommé de l'alcool au cours de l'année écoulée ont déclaré une consommation excessive épisodique d'alcool et 9,3 % ont obtenu un dépistage positif pour une consommation à risque selon l'AUDIT-C. Chez les jeunes autistes uniquement, un diagnostic de dépression, des antécédents de harcèlement ou d'exclusion étaient positivement associés à une consommation d'alcool 2 + fois au cours de l'année écoulée. Les jeunes autistes qui consacraient davantage d'efforts à masquer les traits autistiques étaient moins susceptibles de déclarer avoir consommé de l'alcool 2 + fois au cours de l'année écoulée. Comparativement aux jeunes non autistes, les participants autistes étaient moins susceptibles de boire pour des raisons sociales, de conformité ou d'amélioration des expériences, mais buvaient pour faire face à des difficultés à des taux similaires. CONCLUSION : La consommation répétée et à risque d'alcool chez les mineurs est présente parmi les jeunes autistes. Des programmes de prévention ciblés conçus pour répondre aux profils de consommation d'alcool spécifiques des jeunes autistes sont nécessaires.
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