Indigenous Pathways of Substance Use and Mental Health through Early Adulthood

成年早期药物使用和心理健康的土著途径

• 批准号: 10221284
• 负责人: Melissa L. Walls
• 金额: $ 18.68万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-04-15 至 2022-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10221284
• 关键词: Address; Administrative Supplement; Adolescence; Adolescent; Adult; Affect; Age-Years; Alcohol abuse; Alcohol or Other Drugs use; Alcohols; American Indians; Anxiety; Awareness; Behavioral; COVID-19; COVID-19 pandemic; Canada; Cessation of life; Characteristics; Childhood; Communicable Diseases; Communities; Computer Assisted; Data; Development; Disasters; Discrimination; Disease; Enrollment; Etiology; Family; Frequencies; Future; General Population; Germ; Grant; Health; Health Services Accessibility; Indigenous; Interview; Life; Life Cycle Stages; Link; Longitudinal Studies; Measurement; Mediating; Mental Health; Mental disorders; National Institute of Drug Abuse; Native-Born; Nature; Outcome; Parents; Participant; Pathway interactions; Pattern; Personal Satisfaction; Population Study; Prevalence; Prevention program; Preventive Intervention; Research; Reservations; Risk; Risk Factors; Role; Schools; Social isolation; Substance Addiction; Substance Use Disorder; Substance abuse problem; Translating; Tribal group; United States; Work; Youth; addiction; alcohol consequences; community based participatory research; comorbidity; critical period; early onset; emerging adult; experience; food insecurity; healing; health disparity; health inequalities; indigenous community; innovation; interest; intervention program; longitudinal dataset; neurodevelopment; novel; pandemic disease; protective factors; resilience; social health determinants; socioeconomics; stressor; young adult

Project Summary/Abstract Significant alcohol and substance abuse disorders and mental health disparities have had devastating impacts in many American Indian/First Nations (Indigenous) communities. Evidence from diverse tribal groups demonstrates early onset, high frequency substance use with substantial rates of co-occurring mental disorders among Indigenous youth throughout their adolescence. Yet, how these early life patterns affect trajectories and outcomes in adulthood for Indigenous people is unknown. General population studies have shown that early adulthood (20 – 30 years of age) is a critical period of transitions in roles, responsibilities, and relationships impacting patterns of substance use and mental health. Cultural norms and contexts may translate into potentially unique developmental pathways, risks, and protective factors for Indigenous substance use and mental health outcomes. We propose to investigate these possibilities in Indigenous early adulthood, a critical period for understanding transitions from adolescence to longer-term alcohol, substance use, and mental health problems and resilience. The project will link data from our 8-wave panel study of Indigenous adolescents with 3 years of proposed new data in early adulthood. Data will be collected via computer-assisted personal interviews. The result will be the only longitudinal data set spanning Indigenous childhood, adolescent, and early adult years of which we are aware. Three major aims guide this community- based participatory research: 1) Determine trajectories of Indigenous substance use and mental health problems from late childhood to early adulthood, 2) Identify early life-course predictors of substance use and mental health among Indigenous young adults, and 3) Describe culturally appropriate definitions of wellbeing in early adulthood and document the prevalence and predictors of these positive outcomes. Results of this research will increase awareness of the nature, etiology, and consequences of alcohol, substance use, mental health problems and their comorbidity in Indigenous reservation/reserve communities. Another outcome is enhanced understanding and novel measurement of protective factors and positive Indigenous development. The results of this project have potential to inform the timing of and risk/protective factors targeted by prevention programs in Indigenous communities.

项目摘要/摘要 严重的酒精和药物滥用障碍和心理健康差异具有毁灭性的影响 在许多美洲印第安人/原住民（土著）社区中。来自不同部落群体的证据 展示了早期发作，高频物质的使用，并具有很大的同时发生的精神 整个青少年青少年的疾病。然而，这些早期生活模式如何影响 对于土著人民来说，成年后的轨迹和结果尚不清楚。一般人口研究有 表明成年早期（20至30岁）是角色，责任和职责过渡的关键时期 关系影响物质使用和心理健康的模式。文化规范和环境可能 转化为土著的潜在独特的发展途径，风险和受保护因素 药物使用和心理健康结果。我们建议在早期研究这些可能性 成年，这是了解从青少年到长期酒精过渡的关键时期 使用以及心理健康问题和韧性。该项目将链接我们的8波小组研究的数据 成年初期有3年拟议的新数据的土著青少年。数据将通过 计算机辅助的个人访谈。结果将是跨越土著的唯一纵向数据集 我们知道的童年，青少年和成年年龄。三个主要目标指导这个社区 - 基于参与研究：1）确定土著物质使用和心理健康的轨迹 从童年晚期到成年初期的问题，2）确定使用物质使用的早期生活课程预测指标 土著年轻人的心理健康，以及3）描述在文化上适当的幸福定义 成年和记录这些积极结果的流行和预测因素。结果 研究将提高对酒精，物质使用，精神的性质，病因和后果的认识 健康问题及其合并症在土著保留地/预备役社区中。另一个结果是 增强了对保护因素和积极土著发展的理解和新颖的测量。 该项目的结果有可能告知针对目标的时机和风险/保护因素 土著社区的预防计划。