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Parental Influences on Tobacco Use among Sexual Minority Young Adults in a New Market and Policy Landscape

新市场和政策环境下父母对性少数年轻人烟草使用的影响

基本信息

批准号：
10386193
负责人：
Katelyn Romm
金额：
$ 1.2万
依托单位：
GEORGE WASHINGTON UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-05-13 至 2022-09-14
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10386193
关键词：
Accounting Achievement Address Adolescent Adolescent and Young Adult Age Anxiety Behavior Behavioral Bisexual Child Rearing Chronic stress Cigar Cigarette Communities Complex Coping Skills Coupled Data Collection Development Discrimination Electronic cigarette Evolution Exhibits Family Family dynamics Female Gays Goals Grant Health Health behavior Heterosexuals High Prevalence Intervention Intervention Studies Interview Lesbian Life Style Literature Longevity Longitudinal Studies Longitudinal Surveys Mediating Mediator of activation protein Mental Health Mentors Methods Minority Groups National Institute of Drug Abuse Outcome Parents Pattern Persons Policies Population Positioning Attribute Prevalence Process Reduce health disparities Reporting Research Research Methodology Research Personnel Research Training Resources Risk Behaviors Role Sex Orientation Smokeless Tobacco Social Environment Social Impacts Social support Strategic Planning Stress Structure Subgroup Surveys Time Tobacco Tobacco Industry Tobacco use Training Vulnerable Populations Woman Work age group base career cigarette smoking critical period depressive symptoms design emotion regulation experience health disparity hookah innovation male men minority stress non-cigarette tobacco product novel parent-child communication parental influence peer polytobacco use prevent programs public policy on tobacco recruit reduce tobacco use resilience sexual minority sexual minority female sexual minority group sexual minority male sexual minority youth skills social cognitive theory social influence social media social relationships stressor substance use theories tobacco products vulnerable adolescent young adult

项目摘要

PROJECT SUMMARY/ABSTRACT Young adulthood (YA) is a critical period for engaging in risk behaviors, including tobacco use, and establishing lifestyles with long-term health implications. The landscape of tobacco use in the US has changed in recent decades, with decreases in cigarette use coupled with increases in the use of alternative tobacco products (ATPs; electronic cigarettes, cigars, smokeless tobacco, hookah). These complexities are further compounded by an evolving tobacco policy context and increases in polytobacco use. The use of these products disproportionately impacts vulnerable subgroups, including sexual minority YAs. Identifying mechanisms accounting for sexual orientation disparities in traditional and ATP use is critical for informing interventions to reduce use and disparities. However, there is a substantial gap regarding the mechanisms that explain these disparities. Important predictors of YA tobacco use are parenting behaviors and mental health problems, which may have particularly strong influences for sexual minority YAs, given the multitude of community and social impacts on tobacco use during this time. This F32 application aims to catalyze Dr. Romm’s achievement of her career goal – to establish an independent research program devoted to elucidating multilevel determinants of health-risk behaviors among vulnerable adolescent and YA populations and inform interventions to prevent and reduce such behaviors. This proposal capitalizes on Dr. Romm’s existing skills and experience, and provides 1) training in advanced multilevel behavioral theories, health disparities, and intervention research; 2) mentored support for her professional development; and 3) resources for mentored and independent research to advance novel research at the intersection of: a) a particularly vulnerable population – sexual minority YAs; b) multilevel mechanisms that explain sexual orientation disparities in YA tobacco use; and c) use of both traditional and ATPs, highly relevant within today’s evolving tobacco context. More specifically, the training will directly enhance the skills and expertise Dr. Romm requires to execute the 3 research aims, to: 1) examine sexual orientation (distinguishing heterosexual, bisexual, and gay/lesbian) in relation to changes in use of traditional and ATPs among YA men and women; 2) document differential associations between parenting behaviors and tobacco use among male and female sexual minority versus heterosexual YAs; and 3) identify mediators and moderators of the impact of parenting behaviors on tobacco use behaviors among sexual minority versus heterosexual YAs. The proposed research leverages a developmental framework, sociocognitive theory and minority stress theory, and multiple research methods, including a 1-year longitudinal survey design and qualitative interviews. Ultimately, this proposal will advance a high-impact career of a promising young investigator and inform family-based interventions to reduce sexual orientation disparities in YA tobacco use within the rapidly evolving tobacco landscape.

项目概要/摘要成年早期 (YA) 是从事危险行为（包括吸烟和建立生活方式）的关键时期具有长期的健康影响。近几十年来，美国的烟草使用情况发生了变化，烟草使用量有所下降卷烟使用量的增加以及替代烟草产品（ATP、电子烟、雪茄、无烟烟草、水烟）。不断变化的烟草政策环境进一步加剧了这些复杂性，多种烟草的使用增加。这些产品的使用对弱势群体产生了不成比例的影响，包括性群体少数民族青年。确定传统和 ATP 使用中性取向差异的机制至关重要为减少使用和差异的干预措施提供信息。但机制上还存在很大差距这解释了这些差异。青少年吸烟的重要预测因素是养育行为和心理健康问题，鉴于社区和社会的众多因素，这可能对性少数青少年产生特别强烈的影响在此期间对烟草使用的影响。此 F32 应用程序旨在促进 Romm 博士取得职业成就目标——建立一个独立的研究计划，致力于阐明健康风险的多层次决定因素弱势青少年和青少年群体的行为，并为预防和减少此类行为的干预措施提供信息行为。该提案利用了 Romm 博士现有的技能和经验，并提供 1) 高级培训多层次行为理论、健康差异和干预研究； 2）为她的专业提供指导支持发展; 3) 用于指导和独立研究的资源，以推进以下交叉点的新颖研究：特别弱势群体——性少数青少年； b）解释性取向的多层次机制青少年烟草使用的差异； c) 传统烟草和 ATP 的使用，与当今不断发展的烟草高度相关语境。更具体地说，培训将直接增强 Romm 博士执行 3 个任务所需的技能和专业知识研究目的是：1）检查性取向（区分异性恋、双性恋和男同性恋/女同性恋）与青年男女使用传统和 ATP 的变化； 2）记录之间的差异关联男性和女性性少数群体与异性恋青年群体的养育行为和吸烟情况； 3) 识别养育行为对性少数群体和性少数群体烟草使用行为影响的中介变量和调节变量异性恋YA。拟议的研究利用了发展框架、社会认知理论和少数群体压力理论和多种研究方法，包括为期一年的纵向调查设计和定性访谈。最终，该提案将促进一位有前途的年轻研究者的高影响力职业生涯，并为以家庭为基础的研究人员提供信息在快速发展的烟草格局中减少青少年烟草使用中性取向差异的干预措施。