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Rural Southern Contexts and Pathways to Black Men's Alcohol Use and Abuse: A Ten-Year Prospective Analysis

南方农村背景和黑人男性酗酒和滥用的途径：十年前瞻性分析

基本信息

批准号：
10380699
负责人：
STEVEN M KOGAN
金额：
$ 49.5万
依托单位：
UNIVERSITY OF GEORGIA
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-07-01 至 2024-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10380699
关键词：
Acute Adolescence Adult Affect African American Age Alcohol abuse Alcohol consumption Alcohols American Attenuated Biological Assay Biological Markers Cardiovascular system Chronic Chronic Disease Chronic stress Clinical Research Cognitive Coping Skills Criminal Justice Data Decision Making Development Economics Emotional Employment Ethanol Metabolism Event Family Family Relationship Future Goals Health Heavy Drinking Institution Intervention Investigation Legal Life Life Cycle Stages Mediating Outcome Participant Pathway interactions Pattern Persons Poverty Prevention program Process Proliferating Prospective Studies Public Health Research Resources Risk Role Rural Stress Taxes Testing Time Unemployment Work alcohol and other drug alcohol consequences alcohol related consequences alcohol risk alcohol use disorder alcohol-related injury black men cardiometabolism design deter alcohol use disorder risk drinking drinking onset early life adversity emerging adult epidemiologic data evidence base experience follow-up high school intervention program low socioeconomic status men peer pre-clinical research prospective psychologic psychosocial racial health disparity racial identity resilience rural environment social social defeat stressor university student young adult young man

项目摘要

PROJECT SUMMARY Low-socioeconomic status (SES) Black men experience more negative consequences per ounce of alcohol consumed than do their White peers, including alcohol use disorders and alcohol-related injuries, social, legal, criminal justice, and work difficulties; and chronic disease risk. Notably, heavy drinking is not a prerequisite for negative outcomes; heightened consequences can occur at modest drinking levels. The decade after high school is a developmental inflection point for alcohol use among Black men. Alcohol use is low during adolescence, with steep increases during the young adult years. “Late onset” drinking is typically associated with declining use during ages 25-30 and reduced risk for chronic problems: an emerging adult limited pattern. In contrast, low SES Black men, despite a late onset, are at risk for escalating use and long-term consequences: an alcohol use proliferation pattern. To date, no prospective studies have been conducted with low-SES Black men that investigate the psychosocial processes that amplify, sustain, or mitigate alcohol use and its consequences across the adult transition. We propose to collect two waves of data from 400 participants in the African American Men's Project (AMP). AMP participants live in rural Georgia, a region of persistent poverty and racial disparities in health. Men provided data (M ages 20.3, 21.9, and 23.6) on their use of alcohol and other drugs, psychological functioning, and contextual and developmental risk and protective processes; follow-up data will be collected when men are approximately ages 26.5 and 28.5. This will permit an investigation of risk and resilience across the decade after high school when escalating alcohol use rates and consequences manifest. We expect that scarce resources make the transition to the workforce and to adult roles a difficult process. Some men who see no pathway to attainment of future goals, withdraw from conventional institutions and relationships that deter alcohol use and minimize its consequences. Among socially and economically marginalized young men, chronic stress and major negative life events proliferate, taxing men's emotional and cognitive resources, increasing the attractiveness of alcohol use, and promoting maladaptive decision making. Despite the toll that resource-poor rural environments exact, many will avoid heavy drinking and alcohol use consequences. We thus also propose to investigate factors associated with family relationships, religiosity, coping strategies, and racial identity that attenuate of alcohol use vulnerabilities.

项目总结低社会经济地位(SES)黑人男性每盎司饮酒会经历更多负面后果比他们的白人同龄人消费，包括酒精使用障碍和酒精相关伤害，社会，法律，刑事司法和工作困难；以及慢性病风险。值得注意的是，大量饮酒并不是负面结果；适量饮酒可能会导致严重后果。HIGH之后的十年学校是黑人男性饮酒的发展拐点。酒精使用量在以下时间较低青春期，在青年时期急剧增加。“迟发性”饮酒通常与在25-30岁期间使用减少，慢性问题的风险降低：一种新兴的成人限制模式。相比之下，低SES黑人男性，尽管发病较晚，但有不断增加的使用和长期服用的风险后果：酒精使用的扩散模式。到目前为止，还没有进行过前瞻性研究低SES黑人男性，研究放大、维持或减轻酒精使用的心理社会过程以及它在成人过渡过程中的后果。我们建议从400个数据中收集两波数据非裔美国人男子项目(AMP)的参与者。AMP参与者生活在佐治亚州的农村，这是一个持续的贫困和健康方面的种族差距。男性提供了使用数据(男性年龄分别为20.3岁、21.9岁和23.6岁) 酒精和其他药物、心理功能、背景和发育风险和保护性过程；后续数据将在男子大约26.5岁和28.5岁时收集。这将允许一项关于高中毕业后十年饮酒率上升时的风险和弹性的调查后果是显而易见的。我们预计稀缺的资源将向劳动力过渡，并成人角色扮演是一个艰难的过程。一些看不到实现未来目标的途径的男性退出阻止饮酒并将其后果降至最低的传统机构和关系。其中被社会和经济边缘化的年轻人，长期的压力和重大的负面生活事件激增，对男性的情感和认知资源征税，增加饮酒的吸引力，并促进不适应的决策。尽管资源匮乏的农村环境造成了确切的损失，但许多人将避免酗酒和酗酒的后果。因此，我们还建议调查与以下因素相关的因素减少饮酒的家庭关系、宗教信仰、应对策略和种族认同漏洞。