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

项目总结 年轻人比其他年龄段的人有更高的饮酒率和更多与酒精相关的伤害 群体，但不太可能寻求治疗。此外，没有上过大学的年轻人更有可能 来自非白人种族/民族的人，在酒精筛查和 干预努力。因此，我们将酒精筛查策略扩大到非大学人群是至关重要的 年轻人，这是一个传统上代表性不足的群体。社交网站(SNS；如Twitter、Instagram) 是一个令人兴奋的平台，通过这个平台可以识别来自不同背景的高危年轻人，其中许多人 使用SNS。与自我展示理论一致的是，年轻人公开发布关于 与酒精有关的严重后果(例如，与酒精有关的停电)，这可能反映他们的实际饮酒情况 行为，因此发出需要干预的信号。尽管它们有可能被用于筛查，但SNS 很少被用于这一目的。因此，我们的广泛目标是确定最高灵敏度和 非大学年轻人的SNS帖子中可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提高基于SNS的筛选的可接受性 大量饮酒的非大学年轻人的样本。在目标1中，我们将确定公共SNS帖子的内容 在不同的非大学年轻人群体中，这是危险饮酒的标志 对800名支持在社交网络上发布关于酒精的帖子的年轻人进行了在线调查。参与者 将报告他们的饮酒情况、与酒精有关的后果以及他们是否符合危险标准 饮酒(通过酒精使用障碍鉴定测试；审计)。他们还将提供收集 他们上个月在SNS上发布的公开帖子。我们将在SNS帖子中识别与酒精相关的关键字/短语 在识别危险饮酒方面具有最高的敏感度和特异度(即，审计分数&8)。我们会 也要探索某些术语是否使用得更频繁，或者是危险的更敏感/更具体的指标 在不同性别/性别和种族/民族的受访者中，饮酒。在目标2中，我们将进行80- 对非大学青年进行了96次个人访谈(按种族/民族和性别/性别分层)，以 从潜在目标个人那里获得反馈，了解如何最大限度地提高接受度和参与度 基于SNS的联系人进行筛查和干预。通过实现这些目标，拟议的R21将提供 未来使用SNS识别并可能为危险饮酒者提供短暂干预的蓝图 自动化时尚。这种方法有很大的潜力通过减少酒精滥用来改善公众健康 以及在美国各地非大学年轻人中产生的负面后果，对那些 来自传统上代表性不足的种族和族裔群体。

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.