Genes and alcohol use: effects of common genetic polymorphisms in general population
Abstract
Problematic use of alcohol is one of the leading causes of preventable deaths and disability. Based on the harm to the user and others, alcohol has been considered to be the most harmful drug1. Men generally drink more alcohol and have more alcohol-related problems than women. Also in our population-representative longitudinal birth cohort study in Estonia, the boys started consuming alcohol earlier and were more frequent alcohol consumers than girls. By young adulthood, there were significantly more men than women diagnosed with alcohol use disorder. The more frequent was the alcohol consumption during the teenage years, the more problable was the occurrence of alcohol problems by young adulthood. In addition, the more stressful life events, the worse relationships with family members and with teachers the children experienced, the higher was the likelihood of developing alcohol use problems later on in life. The chronic nature of alcoholism is the reason why the search for predictive biomarkers is so urgent. When we analyzed the effects of common genetic variances on alcohol use and abuse, the genotypes associated with higher levels of stress reactivity and openness to environmental influences were the ones also linked to problematic alcohol use. However, the relations were not universal and strongly depended on birth cohort – the time period when one was born. Social norms and attitudes regarding alcohol use cluster in birth cohorts, and this clustering has a direct…
How strong is the evidence?
Evidence Hub reads this as a cohort study, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence.
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