Life Course Perspective on Alcohol and Drug Use Trajectories from Adolescence into Adulthood

从青春期到成年的酒精和毒品使用轨迹的生命历程视角

• 批准号: 10293235
• 负责人: ELIZABETH J. D'AMICO
• 金额: $ 63.2万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-01 至 2026-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10293235
• 关键词: Address; Adolescence; Adult; Advertising; Affect; Age; Age Factors; Alcohol consumption; Alcohols; Area; Asians; California; Cannabis; Characteristics; Child Rearing; Data; Databases; Development; Drug Use Disorder; Drug usage; Economics; Employment; Environment; Environmental Risk Factor; Epidemiology; Ethnic Origin; Exposure to; Face; Family; Female; Gender; Generations; Health; Heavy Drinking; Hispanics; Individual; Intervention; Knowledge; Life; Life Cycle Stages; Link; Longitudinal Studies; Measures; Medical Marijuana; Mental Health; Neighborhoods; Pattern; Play; Positioning Attribute; Prevention; Psyche structure; Public Policy; Race; Resistance; Risk Behaviors; Risk Factors; Role; Sampling; Self Efficacy; Shapes; Social Development; Structure; Students; Subgroup; Surveys; Time; Tobacco; Work; Youth; age group; alcohol and other drug; alcohol consequences; alcohol research; alcohol use disorder; career; cohort; college; density; driving under influence; emerging adulthood; ethnic diversity; functional independence; health related quality of life; high risk drinking; high risk sexual behavior; junior high school; misuse of prescription only drugs; multi-ethnic; outcome prediction; peer; physical conditioning; protective factors; racial and ethnic; racial and ethnic disparities; racial diversity; recruit; retention rate; satisfaction; school district; sleep quality; social; social media; social stressor; university student; vaping nicotine; young adult

Summary/Abstract Young adulthood is a challenging time focused on making important decisions that can either facilitate or hinder independence across a variety of domains. The CHOICE-STRATA Study (CHOICE STudy of Racial diversity in AOD use during the Transition to Adulthood) has assessed alcohol and other drug (AOD) use and functioning in numerous domains (e.g., social, economic, health) across 13 waves of data in youth from age 10 to age 24 (R01AA016577, R01AA020883, R01AA025848), with retention rates averaging 84% across the 12 waves completed to date, and 91% from age 18 (waves 8-12). The proposed study, STRATA-XP (eXPanded), provides an important opportunity to follow this large and racially/ethnically diverse cohort into young adulthood (ages 25-28), a unique developmental period for which there are few contemporary longitudinal studies of AOD use. This application responds to NOT-AA-20-017: Epidemiology and Prevention in Alcohol Research, focused on understanding the developmental trajectories of alcohol use, risky drinking, and alcohol use disorders and the correlates of "maturing out" of heavy drinking. We propose to conduct 4 additional annual surveys from age 25- 28 (N=2,500) and address the following aims: Aim 1a: Identify trajectories of alcohol use (as well as tobacco, cannabis, and other drug use) from age 10 into young adulthood. 1b.Examine effects of individual factors (e.g., resistance self-efficacy), peer factors (e.g., time spent around peers who use) and neighborhood factors (both subjective and objective, including alcohol and cannabis outlet density) on AOD use trajectories. Aim 2: Examine how AOD use trajectories across adolescence and emerging adulthood predict outcomes through age 28 in three core domains: 1) risk behaviors (e.g., AOD use and disorder, risky sexual behavior, delinquency), 2) health-related quality of life (e.g., mental, physical, social), and 3) adult role functioning and transitions (e.g., employment, relationships and family formation, life satisfaction). Aim 3:Examine how adult role functioning and transitions, such as pursuing a career and parenting, longitudinally predict subsequent changes in AOD use and other risk behaviors, as well as health-related quality of life, in young adulthood. Aim 4: Provide an understanding of potential across race/ethnicity, gender, and educational attainment that may occur across the AOD trajectories and the factors associated with these trajectories. Continuing this work will move the field forward by providing a better understanding of developmental patterns, antecedents, and consequences of AOD use among today's young people as they transition into young adulthood.

摘要/摘要 青壮年是一个充满挑战的时期，人们专注于做出重要的决定，这些决定既可以促进也可以阻碍。 跨多个领域的独立性。选择-阶层研究(种族多样性的选择研究 成年期间使用AOD)评估了酒精和其他药物(AOD)的使用和功能 从10岁到24岁的13波青年数据中的众多领域(例如，社会、经济、健康) (R01AA016577、R01AA020883、R01AA025848)，12波平均保留率为84% 到目前为止，91%的人是从18岁开始的(第8-12波)。拟议的研究报告《STARTER-XP(扩展)》提供 跟随这一庞大的、种族/民族多样化的队列进入青壮年(年龄)的重要机会 25-28)，这是一个独特的发展时期，几乎没有当代关于AOD使用的纵向研究。 此应用程序响应NOT-AA-20-017：酒精研究中的流行病学和预防，重点是 了解酒精使用、高风险饮酒和酒精使用障碍的发展轨迹以及 酗酒后“成熟”的相关因素。我们建议从25岁开始额外进行4次年度调查- 28(N=2,500)，并针对以下目标：目标1a：查明酒精使用的轨迹(以及烟草、 大麻和其他毒品的使用)从10岁到青壮年。1b.审查个别因素的影响(例如， 阻力自我效能感)、同伴因素(例如，花在同伴身边的时间)和邻居因素(两者都有 主观和客观，包括酒精和大麻出口密度)对AOD使用轨迹的影响。目标2： 研究AOD如何使用青春期和成年初期的轨迹来预测年龄结果 28在三个核心领域：1)危险行为(例如，使用AOD和精神障碍、危险性行为、犯罪)，2) 与健康相关的生活质量(例如，心理、身体、社交)，以及3)成人角色功能和转变(例如， 就业、关系和家庭形成、生活满意度)。目标3：检查成人角色如何发挥作用 而转变，如追求职业和养育子女，从纵向上预测了AOD使用的后续变化 以及其他危险行为，以及与健康相关的生活质量。目标4：提供 了解可能发生在不同种族/民族、性别和教育程度之间的潜力 AOD轨迹以及与这些轨迹相关的因素。继续这项工作将改变这一领域 通过更好地了解AOD的发展模式、前因和后果 在今天的年轻人中使用，因为他们正在过渡到年轻的成年期。