The association between AFD and the incidence of alcohol abuse retained its significance even after adjusting for all significant covariates (OR = 1.52 and 1.30 for AFD at ages <15 and 15-17). The only abuse criterion that showed a significant linear trend with AFD was recurrent drinking in hazardous situations; however, individuals who started drinking before age 15 were almost twice as likely as those who started drinking at 18 or older to have experienced the incidence of continued drinking despite alcohol-related interpersonal problems.