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

摘要 本行政补充建议重新调查太平洋岛民年轻人，从我们的父母R21到 了解他们在COVID-19大流行期间和应对COVID-19大流行时独特的酒精风险和危害。 具体来说，我们将调查两个大型太平洋岛民社区的18-30岁的年轻人参与者 受COVID-19危机影响很深的人：洛杉矶县的萨摩亚人和 阿肯色州西北部。 在之前从这些参与者收集的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，56%的参与者筛查呈阳性， 49%的人患有酒精使用障碍，40%的人经历了与酒精有关的严重伤害。 正是在这种酒精负担增加和高风险饮酒的背景下，社会出现了关注 关于COVID-19大流行对太平洋岛民年轻人酒精的潜在负面影响- 相关行为和健康结果;许多人在肉类加工厂等高风险环境中工作- 美国COVID-19疫情的头号源头 这项研究的具体目标是（1）评估太平洋岛民年轻人的COVID-19相关 知识和暴露风险，（2）重新评估他们的酒精使用，滥用，共病物质的使用， 酒精相关的危害使用旨在评估太平洋岛民药物使用情况的远程调查方法 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COVID-19相关（1）健康的范围 挑战，以及（2）太平洋岛民饮酒和相关危害的变化。这项研究的结果 将分发给太平洋岛民利益攸关方和应对小组， 在这场紧急的健康危机中，我们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.