Social Contexts and Patterns of Young Adult Smoking

本研究扩展了对新英格兰家庭研究（NEFS）中G2父母的765名青少年后代（G3）的初步评估。该研究将利用从父母和后代收集的独特和广泛的个人和家庭数据作为TTURC-1的一部分。该研究建议进行两次后续评估，以继续收集个人层面的数据，并扩大NEFS研究的跨学科重点，以包括社会背景信息。这将在三个时间提供信息 点前瞻性地检查中介和调解人的影响，邻里因素（如SES）对吸烟的进展，并结合酒精和其他药物的使用（ATOD）。主要目标包括：（a）。检查邻居对吸烟进展和ATOD不利的指数; B）.调查烟草获取作为邻里因素与吸烟进展和ATOD之间关系的中介; c）.探讨 家庭因素是邻里属性与吸烟进展和ATOD之间关系的调节因子。还将进行几项探索性分析，以检查例如易感性的个体差异（例如，精神病理学）作为调节剂。这项研究带来了TD的角度，以增加对以前不同领域的邻里，社会背景，家庭和个体差异以及吸烟和ATOD的进展之间的关系的机制的理解。这为TD团队中来自不同背景的科学家拓展经验提供了一个独特的机会 努力更好地理解背景、家庭和个人之间的相互关系。这是建立在令人兴奋的最近的工作，表明吸烟进展的一些关键决定因素包括社区环境。

This study extends an initial assessment of 765 adolescent offspring (G3s) of the G2 parents enrolled in the New England Family Study (NEFS). The study will capitalize on the unique and extensive individual and family data being collected from both parents and offspring as part of the TTURC-1. The study proposes to conduct follow-up assessments on two occasions to continue to collect individual level data and expands the transdisciplinary (TD) focus of the NEFS study to include information on social contexts. This will provide information at three time points to examine prospectively the mediators and moderators of the effects of neighborhood factors (e.g. SES) on smoking progression and on combined alcohol and other drug use (ATOD). Primary aims include: a). to examine indices of neighborhood disadvantage on smoking progression and ATOD; b). to investigate tobacco access as a mediator of the relationship between neighborhood factor and smoking progression and ATOD; c). to investigate family factors as moderators of the relationship between neighborhood attributes and smoking progression and ATOD. Several exploratory, analyses will also be conducted to examine, for example, individual differences in susceptibility, (e.g., psychopathology) as moderators. This study brings a TD perspective to increase the understanding of the mechanisms underlying the relationships among previously disparate domains of neighborhood, social context, family, and individual differences and the progression of smoking and ATOD. This provides a unique opportunity to expand the experiences of scientists from different backgounds in a TD team effort to better understand interrelationships among contextual, family and individual level. This builds on exciting recent work that suggests that some of the key determinants of smoking progression include community contexts.