A novel social media approach to #identification and #screening for hazardous drinking among diverse non-college young adults

项目摘要 与其他年龄段相比，年轻人的酒精使用率更高，并且经历了更多与酒精相关的伤害 但不太可能寻求治疗。此外，没有上大学的年轻人更有可能 来自非白人种族/族裔群体，在酒精筛查方面可能特别缺乏服务， 干预努力。因此，至关重要的是，我们扩大酒精筛查策略，以达到非大学 年轻人，传统上代表性不足的群体。社交网站（SNS;例如，Twitter、Instagram） 是令人兴奋的平台，通过它可以识别来自不同背景的高危年轻人，其中许多人 使用SNS。与自我呈现理论相一致，年轻人公开发布关于 严重的酒精相关后果（例如，酒精相关的停电），这可能反映了他们的实际饮酒 行为，因此需要进行干预。尽管它们有可能用于筛选，但SNS 很少被用于这一目的。因此，我们的广泛目标是确定最敏感和 在非大学年轻人的SNS帖子中可以用于自动监控的特定关键字 和/或筛选工作，并确定如何最大限度地接受基于SNS的筛选， 大量饮酒的未上大学的年轻人的样本。在目标1中，我们将确定公共SNS帖子的内容 作为危险饮酒的标志，在一个不同的非大学年轻人群体中， 对800名支持在SNS上发布酒精信息的年轻人进行在线调查。参与者 将报告他们的酒精使用，酒精相关的后果，以及他们是否符合危险标准， 饮酒（通过酒精使用障碍识别测试;审计）。他们还将允许收集 他们上个月在社交网络上发布的公开帖子。我们将识别SNS帖子中与酒精相关的关键词/短语 在识别危险饮酒方面具有最高的灵敏度和特异性（即，AUDIT评分>8）。我们将 还探讨某些术语是否更经常使用，或者是危险的更敏感/具体的指标。 饮酒，在不同性别/性别和种族/民族群体的受访者。在目标2中，我们将进行80- 对96名非大学年轻人进行了单独访谈（按种族/民族和性别/性别分层）， 从潜在目标个人那里获得反馈，了解如何最大限度地提高 基于SNS的筛查和干预联系。通过实现这些目标，拟议的R21将提供一个 未来使用SNS的蓝图，以确定并可能为危险饮酒者提供短暂干预， 自动化的方式。这些方法通过减少酒精滥用而具有改善公共健康的巨大潜力 在美国各地的非大学年轻人中， 来自传统上代表性不足的种族和民族群体。

PROJECT SUMMARY Young adults have higher rates of alcohol use and experience more alcohol-related harms than other age groups, but are less likely to seek treatment. Further, young adults not attending college, who are more likely to be from non-White racial/ethnic groups, may be particularly underserved with respect to alcohol screening and intervention efforts. As such, it is critical that we expand alcohol screening strategies to reach non-college young adults, a traditionally underrepresented group. Social Networking Sites (SNS; e.g., Twitter, Instagram) are exciting platforms through which to identify at-risk young adults from diverse backgrounds, many of whom use SNS. Consistent with Self-Presentation Theory, it is common for young adults to publicly post about serious alcohol-related consequences (e.g., alcohol-related blackouts), which may reflect their actual drinking behavior and therefore signal the need for intervention. Despite their potential to be used for screening, SNS have rarely been leveraged for this purpose. Thus, our broad goals are to determine maximally sensitive and specific keywords within non-college young adults’ SNS posts that can be used in automated surveillance and/or screening efforts, and to determine how to maximize acceptability of SNS-based screening for diverse samples of heavy drinking non-college young adults. In Aim 1, we will determine content of public SNS posts that serves as a marker of hazardous drinking across a diverse group of non-college young adults by conducting online surveys with n=800 young adults who endorse posting about alcohol on SNS. Participants will report on their alcohol use, alcohol-related consequences, and whether they meet criteria for hazardous drinking (via the Alcohol Use Disorder Identification Test; AUDIT). They will also provide permission to collect their public SNS posts from the prior month. We will identify alcohol-related keywords/phrases in SNS posts that have the highest sensitivity and specificity in identifying hazardous drinking (i.e., AUDIT score >8). We will also explore whether certain terms are used more often, or are more sensitive/specific indicators of hazardous drinking, among respondents from different sex/gender and racial/ethnic groups. In Aim 2, we will conduct 80- 96 individual interviews with non-college young adults (stratified by racial/ethnic group and sex/gender) to obtain feedback from potential target individuals on how to maximize acceptability of and engagement with SNS-based contact for screening and intervention. By addressing these aims, the proposed R21 will provide a blueprint for future use of SNS to identify and potentially provide brief intervention for hazardous drinkers in an automated fashion. Such methods have great potential to improve public health by reducing alcohol misuse and negative consequences among non-college young adults across the US, with particular value for those from traditionally underrepresented racial and ethnic groups.