Classes and Stages of Adolescent Alcohol Involvement

青少年酗酒的类别和阶段

• 批准号: 7316650
• 负责人: John E. Donovan
• 金额: $ 20.05万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-05 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7316650
• 关键词: Abstinence; Achievement; Address; Adolescence; Adolescent; Age; Alcohol abuse; Alcohol consumption; Alcoholic Intoxication; Alcohols; Appendix; Area; Class; Confusion; Data; Data Set; Development; Dimensions; Ethnic Origin; Etiology; Frequencies; Gender; Goals; Health; Health behavior; Heavy Drinking; Intake; Intervention; Literature; Longitudinal Studies; Measures; Movement; Natural History; Numbers; Pattern; Population; Prevention intervention; Principal Investigator; Problem behavior; Proteinase 3; Race; Research; Research Personnel; Risk Factors; Sampling; Sex Characteristics; Staging; Structure; Surveys; Testing; Time; Typology; alcohol behavior; cohort; comparison group; cost efficient; design; drinking; expectation; programs; psychologic; psychosocial; racial/ethnic difference; social; theories; underage drinking

DESCRIPTION (provided by applicant): This is a revised application to support secondary analyses of 5 data sets collected to test Problem Behavior Theory (PBT) as well as a sixth data set, the National Longitudinal Study of Adolescent Health (Add Health). The goal of the proposed analyses is to establish empirically the stages of adolescent involvement with alcohol and to investigate antecedent psychosocial risk factors for transitions between the resultant stages. Stages of alcohol involvement in adolescence, such as experimental drinking or heavy drinking, have been arbitrarily defined rather than empirically determined. The variety of operational definitions of each stage has led to confusion in the field. These 6 data sets employed a consistent set of alcohol behavior questions assessing ever use, frequency of drinking, usual intake, high-volume drinking, drunkenness, and negative consequences of drinking. Proposed analyses address the following 8 aims. Aim 1: Latent Class Analysis (LCA) will be employed to determine the empirical latent classes of adolescent involvement with alcohol in the most recent data set. Aim 2: Resultant latent classes of alcohol involvement will be cross-validated using the other PBT data sets collected earlier. Aim 3: Gender, age, and ethnic-racial differences in the structure of the latent classes of adolescent alcohol involvement will be examined using data from the five PBT data sets. Aim 4: Two 4-wave PBT data sets collected 20 years apart will be examined to describe the natural history of adolescent involvement in these stages. Aim 5: The two 4-wave PBT data sets will be further analyzed using Latent Transition Analysis (LTA) to investigate the antecedent risk factors for transitions from one stage to another. Aim 6: Gender differences in the antecedent risk factors for these stages will be examined in the two longitudinal PBT data sets. Aim 7: Data from the national Add Health study will be used to further test the replicability of the classes and stages of change in adolescent involvement with alcohol. Aim 8: Add Health data will be used to investigate racial/ethnic differences in these classes and in the risk factors for transitions among the stages. Establishing the stages of adolescent alcohol involvement and the risk factors for transitions among these stages should facilitate the design of more effective prevention and intervention efforts in this population.

描述（由申请人提供）：这是一个修订后的应用程序，用于支持对收集的 5 个数据集进行二次分析，以测试问题行为理论 (PBT) 以及第六个数据集，即国家青少年健康纵向研究 (Add Health)。拟议分析的目的是根据经验确定青少年酗酒的阶段，并调查各阶段之间过渡的先行心理社会风险因素。青春期酒精参与的阶段，例如实验性饮酒或大量饮酒，是任意定义的，而不是凭经验确定的。每个阶段的操作定义多种多样，导致了该领域的混乱。这 6 个数据集采用了一组一致的酒精行为问题，评估曾经使用过、饮酒的频率、通常的摄入量、大量饮酒、醉酒和饮酒的负面后果。拟议的分析涉及以下 8 个目标。目标 1：潜在类别分析 (LCA) 将用于确定最新数据集中青少年酗酒的经验潜在类别。目标 2：将使用之前收集的其他 PBT 数据集交叉验证由此产生的潜在酒精参与类别。目标 3：将使用五个 PBT 数据集的数据来检查青少年酗酒潜在类别结构中的性别、年龄和种族差异。目标 4：将检查相隔 20 年收集的两个 4 波 PBT 数据集，以描述青少年参与这些阶段的自然史。目标 5：将使用潜在转变分析 (LTA) 进一步分析两个 4 波 PBT 数据集，以调查从一个阶段转变到另一阶段的先行风险因素。目标 6：将在两个纵向 PBT 数据集中检查这些阶段的先行风险因素的性别差异。目标 7：国家 Add Health 研究的数据将用于进一步测试青少年酗酒的类别和变化阶段的可复制性。目标 8：添加健康数据将用于调查这些类别中的种族/民族差异以及阶段之间过渡的风险因素。确定青少年酗酒的阶段以及这些阶段之间转变的风险因素应有助于针对该人群设计更有效的预防和干预措施。