Framework for Behavioral Risk Models of Alcohol Problems

摘要 我们建议使用基于主体的建模方法来阐明酒精相关的特定机制 并为在社区一级制定全面的预防干预措施提供一个框架。 基于代理的模型是一种工具，用于评估支持酒精问题的特定社会机制对健康的影响 框架内的社区设置，饮酒者在其中移动他们的环境(例如，通勤回家或 学校)，并以生态现实的方式与彼此和他们的环境互动(例如，与他们的 家庭)。这一建模过程要求对社会的理论陈述有很高的精确度 过程，并明确那些我们可以创造性地干预以减少问题的过程，设置了一个高 科学解释的障碍。在这个中心组件中，我们将使用重建流行病学的框架 Dynamic(FRED)平台，这是一个基于代理的模型，具有现实的、基于开放访问的人口普查的合成人口， 捕捉美国人口的人口和地理异质性，一直到人口普查区 级别，并允许代理与物理和社会环境共同进化。我们将：(1)应用行为风险模型 框架内，以帮助澄清具体的社会生态机制，作为基础的病因 加州社区中与酒精相关的问题；以及(2)制定一套精选的情景来改变社会生态 与饮酒环境相关的机制，并使用FRED平台评估其对与酒精相关的问题的影响。 我们将扩展FRED的能力，以包括典型的行为风险模型的独特的代理-环境动力学 与酒精使用、酒精使用障碍及相关问题有关。一个模拟平台必须有一套核心的 能力，以便承担这些行为风险模型的开发。其中包括建模的能力 个体的异质性、不同的代理人相互作用和环境的异质性，所有这些都内置于 弗雷德。我们将构建一套准确描述饮酒者行为、饮酒者行为、饮酒行为 环境，以及特定环境中的特定风险。一旦构建了模型，我们将进行更改 一个要素(例如，将社区中的酒吧数量增加10%)并衡量它如何影响我们的结果 利息。我们将基于当前和之前的Center Grant将该建模方法应用于至少五种问题 研究：(A)父母虐待和忽视子女；(B)早期饮酒和青少年饮酒问题 (第3部分)；(C)与美墨边境酒精供应过多有关的健康影响(第4部分)；(D) AUDS、酗酒和与外出饮酒有关的问题(构成部分5)；和(E)社会影响 颁布了关于未成年人酗酒的法令。BRMS允许将饮酒剂和行为与 饮酒环境--设计和实施有效的预防和减少饮酒战略的必要步骤 社区系统内的问题。它们清楚地表明了我们可以创造性地干预的过程 减少问题。

ABSTRACT We propose to use an agent-based modeling approach to elucidate specific mechanisms underlying alcohol-related problems and provide a framework for developing comprehensive preventive interventions at the community level. Agent-based models are a tool to assess the health impacts of specific social mechanisms that support alcohol problems in community settings within a framework in which drinkers move through their environments (e.g., commute to home or school) and interact with each other and their environments in ecologically realistic ways (e.g., eat dinner with their families at home). This modeling process demands a high level of precision with regard to theoretical statements of social processes and makes explicit those processes in which we might creatively intervene to reduce problems, setting a high bar for scientific explanation. In this Center component, we will use the Framework for Reconstructing Epidemiologic Dynamics (FRED) platform, an agent-based model with realistic, open-access Census-based synthetic populations that capture the demographic and geographic heterogeneities of the population of the United States down to the Census Block level and allows agents to co-evolve with physical and social environments. We will: (1) Apply a behavioral risk model framework within FRED in order to help clarify specific social ecological mechanisms that underlie the etiology of alcohol-related problems in California communities; and (2) Develop a select set of scenarios to alter social ecological mechanisms related to drinking contexts and assess their effects on alcohol-related problems using the FRED platform. We will extend FRED’s capacities to include unique agent-environment dynamics typical of behavioral risk models related to alcohol use, alcohol use disorders, and related problems. A simulation platform must have a core set of capabilities in order to undertake the development of these behavioral risk models. These include the ability to model individual heterogeneities, heterogeneous agent interactions, and environmental heterogeneity, all of which are built into FRED. We will construct a set of models that accurately describe drinking agents, drinker movements, drinking environments, and specific risks within specific environments. Once the models have been constructed, we will change one element (e.g., increase the number of bars in a community by 10%) and measure how it impacts our outcomes of interest. We will apply this modeling approach to at least five kinds of problems based on current and prior Center Grant research: (a) Parents’ abuse and neglect of their children; (b) Early initiation of alcohol use and youth drinking problems (Component #3); (c) Health impacts related to hyper-availability of alcohol at the US-Mexico border (Component #4); (d) AUDs, heavy drinking and problems related to drinking outside the home (Component #5); and (e) The impact of social host ordinances on underage heavy drinking. BRMs allow for the integration of drinking agents and behaviors with drinking contexts—an essential step in designing and implementing effective strategies to prevent and reduce drinking problems within community systems. They make explicit those processes in which we might creatively intervene to reduce problems.