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.

项目概要/摘要 严重的酒精和药物滥用障碍以及心理健康差异造成了毁灭性影响 在许多美洲印第安人/第一民族（土著）社区。来自不同部落群体的证据 表现出早发性、高频率的物质使用以及同时发生的精神疾病的发生率很高 土著青少年整个青春期的疾病。然而，这些早期的生活模式如何影响 原住民成年后的轨迹和结果尚不清楚。一般人群研究有 研究表明，成年早期（20-30 岁）是角色、责任和生活转变的关键时期。 影响物质使用模式和心理健康的关系。文化规范和背景可能 转化为土著人潜在独特的发展途径、风险和保护因素 物质使用和心理健康结果。我们建议在土著早期研究这些可能性 成年期，是理解从青春期到长期酗酒、物质的过渡的关键时期 使用、心理健康问题和复原力。该项目将链接我们 8 波小组研究的数据 成年早期提出 3 年新数据的土著青少年。数据将通过收集 计算机辅助个人访谈。结果将是唯一跨越土著的纵向数据集 我们所知道的童年、青少年和成年早期。指导这个社区的三个主要目标 - 基于参与性研究：1) 确定土著物质使用和心理健康的轨迹 从童年晚期到成年早期的问题，2) 确定物质使用的早期生命过程预测因素和 土著年轻人的心理健康，以及 3) 描述文化上适当的福祉定义 成年早期并记录这些积极结果的患病率和预测因素。结果 研究将提高人们对酒精、药物滥用、精神疾病的本质、病因和后果的认识。 土著保留地/保留地社区的健康问题及其合并症。另一个结果是 加强对保护因素和积极的土著发展的理解和新的测量。 该项目的结果有可能为以下目标提供信息：时间安排和风险/保护因素 原住民社区的预防计划。