Adult Social Networks and Well Being

项目摘要 拟议项目将大大推进对COVID-19相关影响的理解 缓解隔离，孤独，酒精使用，酒精使用后果和心理健康的策略， 通过使用社会网络分析来调查隔离和个人网络 与长期饮酒模式有关。孤立和孤独都被认为会对一个范围产生负面影响 健康结果和健康行为;而与COVID-19相关的长期居家订单将增加 隔离，不知道它们会对孤独或其他已确定的结果产生什么影响， 最容易受到负面结果的影响，或者酒精使用的变化是暂时的还是长期的。 酒精研究和预防领域可能会从使用新的方法中获得实质性的好处。 开发模型的技术，可以更清楚地了解物理隔离的方式， 和相关的缓解策略影响成人饮酒。 具体而言，拟议项目将：1）评估COVID-19相关的物理隔离变化， 孤独感和社会支持交流（情感和工具支持）与 全国代表性人群的心理健康、身体健康和酒精使用及其后果的变化 样本N= 1，771 30-80奥尔兹; 2）确定一系列结构和行为的相对重要性 个人网络特征对心理健康、身体健康和饮酒的影响， COVID-19期间的后果;以及3）研究COVID-19相关变化在物理隔离中的作用， 孤独感和社会支持对心理健康、身体健康、酒精使用和后果的差异 按性别、种族/族裔和经济地位分列的成年人寿命的两个阶段（中期和后期） 生活），并确定对COVID-19相关影响更具弹性的成年人。 为此，我们建议在R 01 AA 025956的持续数据收集中增加两项调查， 检查COVID-19相关的身体隔离，孤独，社会支持，个人和网络的变化 酒精使用和酒精使用结果。有了这些额外的数据收集，我们将有五波数据， 这些措施跨越了COVID大流行的关键阶段：COVID前（母项目第一波，反映了 2019年4月的行为），早期COVID（母项目Wave 2，反映2020年4月-在推出距离 指南），中晚期COVID（2次补充调查：2020年8月和2021年2月，可能在宽松期间 当前限制）和新冠肺炎后（母项目第3波，反映2021年4月）。 这项研究将为孤立，孤独和社会支持对酒精使用的作用提供新的见解， 和相关的健康方面的差距， 隔离此外，这项研究的数据最终将公开，其他研究人员将 还能够继续调查同一小组，为科学界提供持续的资源。

PROJECT SUMMARY The proposed project will significantly advance the understanding of the impact of COVID-19 related mitigation strategies on isolation, loneliness, alcohol use, alcohol use consequences, and mental health and physical health outcomes by using social network analysis to investigate how isolation and personal networks are related to patterns of drinking over time. Isolation and loneliness are both known to negatively impact a range of health outcomes and health behaviors; while prolonged COVID-19 related stay-at-home orders will increase isolation, it is unknown what impact they will have on loneliness or the other identified outcomes, which groups will be most susceptible to negative outcomes, or whether changes in alcohol use will be temporary or long lived. The fields of alcohol research and prevention may see substantial benefit from the use of novel methodological techniques to develop models that may provide a clearer understanding of the ways in which physical isolation and related mitigation strategies impact adult drinking. Specifically, the proposed project will: 1) assess how COVID-19 related changes in physical isolation, perceptions of loneliness, and social support exchanges (emotional and instrumental support) are linked to changes in mental health, physical health, and alcohol use and consequences in a nationally representative sample of N=1,771 30-80 year olds; 2) determine the relative importance of a range of structural and behavioral personal network characteristics on changes in mental health, physical health, and alcohol use and consequences during COVID-19; and 3) examine the role of COVID-19 related changes in physical isolation, loneliness, and social support on mental health, physical health, and alcohol use and consequences disparities by sex, race/ethnicity and economic status within and across two stages of the adult lifespan (mid- and later- life), and identify adults who are more resilient versus vulnerable to COVID-19 related impacts. To do so, we propose to add two surveys to our ongoing data collection for R01AA025956 that specifically examine COVID-19 related changes in physical isolation, loneliness, social support, personal and network alcohol use, and alcohol use outcomes. With this additional data collection, we will have five waves of data on these measures, spanning critical phases of the COVID pandemic: pre-COVID (Parent project Wave 1, reflecting April 2019 behaviors), early-COVID (Parent project Wave 2, reflecting April 2020 – during the rollout of distancing guidelines), mid- and late-COVID (2 supplemental surveys: August 2020 and February 2021, likely during easing of current restrictions), and post-COVID (Parent project Wave 3, reflecting April 2021). The study will provide new insights into the role of isolation, loneliness, and social support on alcohol use, and associated health-related disparities, subsequent to pandemic-related mitigation strategies based on isolation. Additionally, data from the study will eventually be made publicly available and other researchers will also be able to continue to survey the same panel, providing an ongoing resource for the scientific community.