Developing a Prevention Model of Alcohol Use Disorder for Pacific Islander Young Adults

摘要 本行政副刊建议重新调查太平洋岛民青年，从我们的父母R21到 了解他们在新冠肺炎大流行期间和应对措施中独特的饮酒风险和危害。 具体地说，我们将在两个大型太平洋岛民社区调查18-30岁的年轻成年参与者 深受新冠肺炎危机影响的人：洛杉矶县的萨摩亚人和马绍尔人 阿肯色州西北部。 在之前从这些参与者那里收集的R21数据中，我们确定太平洋岛民的年轻人在 酒精滥用和相关危害的特殊风险，令人震惊的56%的参与者筛查呈阳性 对于危险饮酒，49%的人患有酒精使用障碍，40%的人经历了与酒精相关的重大伤害。 正是在这种酒精负担增加和高风险饮酒的背景下，社会上出现了担忧 关于新冠肺炎疫情对太平洋岛民青壮年饮酒的潜在负面影响- 相关行为和健康后果；因为许多人在肉类加工厂等高风险环境中工作- 美国新冠肺炎疫情的头号源头 本研究的具体目标是：(1)评估太平洋岛民青少年与新冠肺炎的关系 知识和暴露风险，以及(2)重新评估他们的酒精使用、误用、共患物质使用以及 与酒精有关的伤害。使用远程调查方法评估太平洋岛民的物质使用情况 社区人口，这项研究中收集的信息将使我们能够探索参与者的数据 纵向了解太平洋岛民接触新冠肺炎相关健康的范围(1) 挑战，以及(2)太平洋岛民饮酒的变化和相关的危害。这项研究的发现 将分发给太平洋岛民利益相关者和响应团队，以支持正在进行的社区 在这一紧迫的健康危机期间，努力提高公众对太平洋岛民健康差距的认识。

Abstract This administrative supplement proposes to re-survey Pacific Islander young adults from our parent R21 to understand their unique alcohol risks and harms during, and in response to, the COVID-19 pandemic. Specifically, we will survey 18-30-year old young adult participants in two large Pacific Islander communities that have been deeply affected by the COVID-19 crisis: Samoans in Los Angeles County and Marshallese in Northwest Arkansas. In prior R21 data collected from these participants, we determined that Pacific Islander young adults are at exceptional risk for alcohol misuse and related harms with an alarming 56% of participants screening positive for hazardous drinking, 49% for alcohol use disorder, and 40% experiencing significant alcohol-related harms. It is in this context of elevated alcohol burden and high-risk drinking that community concern has emerged regarding the potential negative impact of the COVID-19 pandemic on Pacific Islander young adults’ alcohol- related behaviors and health outcomes; as many work in high-risk settings such as meat-packing factories— the number one source of COVID-19 outbreaks in the U.S. The specific goals of this research are to (1) assess Pacific Islander young adults’ COVID-19-related knowledge and risk of exposure, and (2) re-assess their alcohol use, misuse, comorbid substance use, and alcohol-related harms. Using remote survey methods designed to assess substance use in Pacific Islander community populations, the information gathered in this study will allow us to explore participants’ data longitudinally to understand the scope of Pacific Islanders’ exposure to COVID-19-related (1) health challenges, and (2) changes in Pacific Islanders’ alcohol use and associated harms. The findings of this study will be disseminated to Pacific Islander stakeholders and response teams to support ongoing community efforts to increase public awareness of Pacific Islander health disparities during this urgent health crisis.