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To inform culturally tailored prevention efforts, this longitudinal study examined racial\/ethnic differences in the associations of drinking firsts at home and with parental knowledge with alcohol use outcomes among underage youth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study included baseline and five follow\u2010up surveys, collected every 6\u2009months, from California adolescents (ages 12\u201316\u2009years at baseline). The analytic sample was composed of the 689 adolescents who reported lifetime alcohol use at baseline or a follow\u2010up survey (5% Black, 37% Latinx, 46% White, and 12% other\/mixed racial\/ethnic group; 54% female). Participants who reported consumption of a full drink, intoxication, or heavy episodic drinking (HED) were asked ages and contexts of these drinking firsts, including whether the initiation was at their own home and whether their parents\/guardians knew about this drinking event. Outcomes included past\u20106\u2010month alcohol frequency, alcohol quantity, and number of alcohol\u2010related problems. Multilevel negative binomial regression analyses were conducted, controlling for demographics and age of initiation by type of drinking behavior. Moderation analyses examined racial\/ethnic differences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For consumption of the first full drink, both drinking at home and parental knowledge were negatively associated with all outcomes; associations did not vary by race\/ethnicity. First intoxication at own home was negatively associated with the number of drinks for Latinx youth and with the number of problems for Black youth. For first HED, drinking at own home was positively associated with drinking frequency across groups, and for Black youth specifically, parental knowledge of their first HED experience was significantly associated with greater later alcohol frequency and quantity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Results suggest that the association of family contexts of drinking first with later alcohol outcomes among underage youth varied by stage of alcohol use and race\/ethnicity.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acer.15471","type":"journal-article","created":{"date-parts":[[2024,10,26]],"date-time":"2024-10-26T01:28:30Z","timestamp":1729906110000},"page":"2378-2390","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Drinking firsts at home and with parental knowledge: Racial\/ethnic differences in associations with later alcohol outcomes among underage youth"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7463-938X","authenticated-orcid":false,"given":"Sharon","family":"Lipperman\u2010Kreda","sequence":"first","affiliation":[{"name":"Prevention Research Center Pacific Institute for Research and Evaluation  Berkeley California USA"},{"name":"Center for Critical Public Health at the Institute for Scientific Analysis  Alameda California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3552-1407","authenticated-orcid":false,"given":"Kristina","family":"Wharton","sequence":"additional","affiliation":[{"name":"Prevention Research Center Pacific Institute for Research and Evaluation  Berkeley California USA"},{"name":"School of Public Health University of California Berkeley  Berkeley California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1527-2792","authenticated-orcid":false,"given":"Tammy","family":"Chung","sequence":"additional","affiliation":[{"name":"Rutgers Institute for Health, Health Care Policy and Aging Research Robert Wood Johnson Medical School  New Brunswick New Jersey USA"},{"name":"Rutgers Addiction Research Center Robert Wood Johnson Medical School  New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1622-1970","authenticated-orcid":false,"given":"Carolyn E.","family":"Sartor","sequence":"additional","affiliation":[{"name":"Rutgers Institute for Health, Health Care Policy and Aging Research Robert Wood Johnson Medical School  New Brunswick New Jersey USA"},{"name":"Rutgers Addiction Research Center Robert Wood Johnson Medical School  New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristina M.","family":"Jackson","sequence":"additional","affiliation":[{"name":"Rutgers Addiction Research Center Robert Wood Johnson Medical School  New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1725-9188","authenticated-orcid":false,"given":"Tim","family":"Slade","sequence":"additional","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,25]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_8_2_1","DOI":"10.1016\/j.drugalcdep.2020.108204"},{"volume-title":"Deviant behavior: a social learning approach","year":"1977","author":"Akers R.L.","key":"e_1_2_8_3_1"},{"doi-asserted-by":"publisher","key":"e_1_2_8_4_1","DOI":"10.2307\/2094592"},{"unstructured":"American Association for Public Opinion Research. 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