Risk and Resilience Pathways, Community Adversity, Decision-making, and Alcohol Use Among Appalachian Adolescents: Protocol for the Longitudinal Young Mountaineer Health Study Cohort.
Risk and Resilience Pathways, Community Adversity, Decision-making, and Alcohol Use Among Appalachian Adolescents: Protocol for the Longitudinal Young Mountaineer Health Study Cohort.
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DOI：
10.2196/40451
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发表时间：
2022-08-05
影响因子：
1.7
通讯作者：
Kogan, Steven M.
中科院分区：
文献类型：
--
作者：
Kristjansson, Alfgeir L.;Santilli, Annette M.;Mills, Rosalina;Layman, Hannah M.;Smith, Megan L.;Mann, Michael J.;MacKillop, James;James, Jack E.;Lilly, Christa L.;Kogan, Steven M.
饮酒损害心理社会和神经认知发展，增加青年人学业失败、药物使用障碍和其他心理健康问题的脆弱性。青少年早期开始使用酒精尤其令人关切，这预示着青少年后期和成年期会滥用药物。迄今为止，有证据表明，农村地区的青年特别容易受到环境和社区因素的影响，这些因素导致他们过早开始饮酒。青年登山者健康研究的目的是调查环境和健康行为变量对资源贫乏的阿巴拉契亚农村社区的中学生饮酒的影响。这是一项前瞻性队列研究计划，涉及西弗吉尼亚州20所农村、小城镇和小城市（人口<30，000）公立学校的约2200名中学生。从2020年到2023年，学生们在中学（六年级到八年级;秋季和春季）的课程中参加了6波数据收集（每年2次）。在组织安排的基础上，包括一个当地数据收集领导团队，监督学校的联系代理，以及一个诚实的经纪人系统，以消除通过学校ID链接的数据，我们能够收集新形式的数据（自报数据、教师自报数据、普查关联地区数据、学校档案），同时确保每个参与学校的绝大多数青年都有很高的参与率。2021年春季，收集了3波学生调查数据、2波教师调查数据和精选的档案学校记录。第一波学生调查包括1349名（响应率80.7%）参与者，第二波包括1649名（响应率87%）参与者，第三波包括1909名（响应率83.1%）参与者。COVID-19疫情对抽样框架规模产生负面影响，导致合资格学生人数减少，尤其是在2020年秋季。尽管如此，我们的团队架构及奖励制度已证明对减轻疫情对我们的数据收集过程可能产生的更大负面影响至关重要。青年登山者健康研究将使用大量数据集来测试农村社区不利条件与青少年酗酒之间的联系。此外，该计划将测试有关环境因素（例如，父母的做法和邻里集体效能）的假设，以保护青少年免受社区不利因素的影响，并探索尼古丁，大麻和其他药物使用的酒精前因。尽管2020年及2021年COVID-19疫情导致数据收集工作中断，但数据收集工作仍取得成功。DERR1-10.2196/40451
Alcohol use impairs psychosocial and neurocognitive development and increases the vulnerability of youth to academic failure, substance use disorders, and other mental health problems. The early onset of alcohol use in adolescents is of particular concern, forecasting substance abuse in later adolescence and adulthood. To date, evidence suggests that youth in rural areas are especially vulnerable to contextual and community factors that contribute to the early onset of alcohol use. The objective of the Young Mountaineer Health Study is to investigate the influence of contextual and health behavior variables on the early onset of alcohol use among middle school–aged youth in resource-poor Appalachian rural communities. This is a program of prospective cohort studies of approximately 2200 middle school youth from a range of 20 rural, small town, and small city (population <30,000) public schools in West Virginia. Students are participating in 6 waves of data collection (2 per year) over the course of middle school (sixth to eighth grades; fall and spring) from 2020 to 2023. On the basis of an organizational arrangement, which includes a team of local data collection leaders, supervising contact agents in schools, and an honest broker system to deidentify data linked via school IDs, we are able to collect novel forms of data (self-reported data, teacher-reported data, census-linked area data, and archival school records) while ensuring high rates of participation by a large majority of youth in each participating school. In the spring of 2021, 3 waves of student survey data, 2 waves of data from teachers, and a selection of archival school records were collected. Student survey wave 1 comprised 1349 (response rate 80.7%) participants, wave 2 comprised 1649 (response rate 87%) participants, and wave 3 comprised 1909 (response rate 83.1%) participants. The COVID-19 pandemic has had a negative impact on the sampling frame size, resulting in a reduced number of eligible students, particularly during the fall of 2020. Nevertheless, our team structure and incentive system have proven vitally important in mitigating the potentially far greater negative impact of the pandemic on our data collection processes. The Young Mountaineer Health Study will use a large data set to test pathways linking rural community disadvantage to alcohol misuse among early adolescents. Furthermore, the program will test hypotheses regarding contextual factors (eg, parenting practices and neighborhood collective efficacy) that protect youth from community disadvantage and explore alcohol antecedents in the onset of nicotine, marijuana, and other drug use. Data collection efforts have been successful despite interruptions caused by the COVID-19 pandemic in 2020 and 2021. DERR1-10.2196/40451
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