MODEL TO PREDICT SUBSTANCE USE IN PREGNANT ADOLESCENTS

拟议的科学家发展奖有两个组成部分， 临床医生：职业发展和研究计划。 这两个部分将 在卡罗尔·博伊德博士，副教授， 密歇根大学护理学院，劳埃德约翰斯顿博士，研究 社会发展研究所调查研究中心研究科学家 研究，密歇根大学，和博士詹姆斯杰克逊，教授 心理学，LSA，健康行为与健康教育教授，SPH， ISR & Faculty集团动力学研究中心研究科学家 密歇根大学老年学副研究所。 受其 导师职位，候选人将从事以下职业 发展活动：与实质性领域的专家合作 滥用地方和国家，并增加候选人的实质性 （a）完成相关课程作业， 研讨会; B）对约翰斯顿博士的《监测未来》的二次分析 数据，以探讨女性青少年的态度， 知识、行为、物质使用和滥用;以及（c）次要 对杰克逊医生的家庭转变到早育数据的分析 研究物质使用的代际模式及其 对青少年母亲的态度、知识和物质使用的影响， 虐待 理论上相关的调查结果、方法和分析 通过使用这些数据集获得的技能将用于指导和 完善K-20奖的拟议研究部分。 研究部分将审查怀孕少女滥用药物的情况。 最小样本量为200的前瞻性比较组设计 将使用青少年（100例妊娠和100例非妊娠女性）。 的 两组受试者将在种族、年龄和招募方面进行匹配 绝佳的价钱 这项研究的具体目的是描述怀孕少女的 药物滥用在三个时间点（16周，24周和6周） 产后一周访视），比较怀孕青少年的物质滥用情况 与非妊娠女性青少年的药物滥用，并描述 并将滥用药物的怀孕青少年与非滥用药物的青少年进行比较， 物质滥用者对社会压力物质滥用模型的预测 变量（社会因素、社会能力、社区资源和 应力）。 两个次要的目的是在非- 怀孕的青少年，并确定是否相同的社会压力， 物质滥用模型的预测变量与物质有关 在怀孕和未怀孕的青少年中使用。 最终目标是 构建孕妇和非孕妇使用药物的因果模型 青少年基于社会压力物质滥用模型。 很长的- 长期目标是促进科学知识基础和使用 该研究的结果，以指导发展有效的，年龄和性别 对怀孕少女采取适当的药物滥用干预措施。

There are two components to the proposed scientist development award for clinicians: career development and research plans. Both components will be under the preceptorship of Dr. Carol Boyd, Associate Professor, University of Michigan School of Nursing, Dr. Lloyd Johnston, Research Scientist, Research, Survey Research Center, Institute for Social Research, University of Michigan, and Dr. James Jackson, Professor of Psychology, LSA, Professor of Health Behavior & Health Education, SPH, Research Scientist, Research Center for Group Dynamics, ISR & Faculty Associate Institute of Gerontology, University of Michigan. Under their preceptorship, the candidate will engage in the following career development activities: collaborate with experts in the field of substance abuse both locally and nationally and increase the candidate's substantive and methodological knowledge by: a) completing relevant course work and seminars; b) secondary analysis of Dr. Johnston's Monitoring the Future data to examine the relationship among female adolescents' attitudes, knowledge, behavior, and substance use and misuse; and (c) secondary analyses of Dr. Jackson's Family Transitions to Early Child-Bearing data to examine the intergenerational patterns of substance use and their influence on teen mother's attitude, knowledge, and substance use and abuse. Theoretically relevant findings, methodological, and analytical skills acquired from using these data sets will be used to guide and to refine the proposed research component of the K-20 Award. The research component will examine pregnant adolescents' substance abuse. A prospective comparison panel design with a minimum sample of 200 adolescents (100 pregnant and 100 non-pregnant females) will be used. The subjects from the two groups will be matched on race, age and recruitment site. The study's specific aims are to describe pregnant adolescents' substance abuse at three points in time (16 weeks, 24 weeks and at the six week postpartum visit), to compare pregnant adolescents' substance abuse with non-pregnant female adolescents' substance abuse, and to characterize and compare pregnant adolescents who are substance abusers with non- substance abusers on the Social Stress Substance Abuse Model's predictor variables (social factors, social competency, community resources and stress). Two subsidiary aims are to make the same comparison among non- pregnant adolescents and to determine whether the same Social Stress Substance Abuse Model's predictor variables are associated with substance use among pregnant and non-pregnant adolescents. The final aim is to construct a causal model of substance use by pregnant and non-pregnant adolescents based on the Social Stress Substance Abuse Model. The long- term goals are to contribute to the scientific knowledge base and to use the study's findings to guide the development of effective, age and gender appropriate substance abuse interventions for pregnant adolescents.