Macro-social & Parent Influence on Adolescents' Drug Use

宏观社会

• 批准号: 7283519
• 负责人: MATTHEW C FARRELLY
• 金额: $ 25.65万
• 依托单位: RESEARCH TRIANGLE INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7283519
• 关键词: Address; Adolescence; Adolescent; Adolescent Development; Affect; Age; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Americas; Antismoking; Attention; Characteristics; Child; Cigarette; Communication; Data; Databases; Development; Drug Delivery Systems; Drug Legislation; Drug usage; Environment; Family; Frequencies; Growth; Growth and Development function; Individual; Individual Differences; Inhalant dose form; Intervention; Investments; Law Enforcement; Laws; Life; Link; Marijuana; Measurement; Measures; Methods; Modeling; Nature; Outcome; Parenting behavior; Parents; Pharmaceutical Preparations; Policies; Policy Research; Prevention Research; Price; Research; Research Design; Research Personnel; Risk; Severities; Social Policies; Socialization; Specific qualifier value; Speed; Stress; Substance abuse problem; Surveys; Taxes; Testing; Tobacco; Tobacco use; Youth; adolescent drug use; adolescent substance use; insight; interest; model development; parental influence; parental monitoring; parental role; programs; restricting smoking; social; tobacco control; underage drinking

DESCRIPTION (provided by applicant): We propose to evaluate relationships among trajectories (initiation, progression, and speed of progression) for alcohol, tobacco, and marijuana use and how macro-social and parental factors and their interactions influence these trajectories. We also plan to investigate the trajectory of inhalant use and its relationship to other substances. Macro-social influences of interest include policy and programmatic interventions aimed at curbing tobacco use (e.g., cigarette excise taxes, antismoking campaigns, state tobacco control program investments), alcohol use (e.g., state alcohol taxes and control laws, stringency of law enforcement), and marijuana use (e.g., penalties for possession, enforcement of drug laws, drug prices). While some studies have examined the influence of these macro-social influences on alcohol and tobacco, and marijuana separately, few have examined how policies and programs aimed at tobacco and alcohol may not only curb the use of the targeted drug but may also have spillover effects for marijuana. Such analyses have important policy implications and can provide unique insights into how curbing potential "gateway" substances may affect initiation and progression of marijuana use. Parent-child communication about drugs has been suggested as a protective factor, but little direct evidence is available on this aspect of parenting. Much of the research measures the presence or absence of parent-child communication about drugs but does not address the content of such communication. Moreover, parent-child communication may vary in nature throughout adolescence, suggesting that the temporal nature of the discourse might be an important factor in understanding drug risk socialization. The age at which different types of communication occur (e.g., about rules, consequences and circumstances, media influences) may be important to understanding how parents socialize adolescents regarding drugs. We will assess the extent to which the influence of parent-child communications about drug use is moderated by (or interacts with) other parental characteristics (e.g., parental monitoring) and other levels of contextual influence, including macro-level policy changes and interventions. Specific aims are as follows: (1) Investigate how the initiation, progression, and intensity of alcohol and tobacco use influence the initiation, progression, and intensity of marijuana use. Determine how inhalant use relates to the use, progression, and severity of use of other substances. (2) Test the influence of alcohol, tobacco, and marijuana policies and intervention on the use of the targeted substance and related substances. (3) Investigate how the frequency and content of parent-child communication about drug use affects the development of adolescent drug use. (4) Explore how potential interactions between macro-social policies and interventions and parental communication influences the development of adolescent drug use. Generalized Growth Mixture Modeling will be used to test the study hypotheses.

描述（由申请人提供）： 我们建议评估酒精，烟草和大麻使用的轨迹（启动，进展和进展速度）之间的关系，以及宏观社会和父母因素及其相互作用如何影响这些轨迹。我们还计划调查吸入剂使用的轨迹及其与其他物质的关系。值得关注的宏观社会影响包括旨在遏制烟草使用的政策和方案干预措施（例如，香烟消费税、禁烟运动、州烟草控制计划投资），酒精使用（例如，州酒精税和控制法律，执法的严格性），和大麻使用（例如，对持有毒品的处罚、毒品法的执行、毒品价格）。虽然一些研究已经分别研究了这些宏观社会影响对酒精和烟草以及大麻的影响，但很少有人研究针对烟草和酒精的政策和计划如何不仅抑制目标药物的使用，而且还可能对大麻产生溢出效应。这种分析具有重要的政策意义，可以提供独特的见解，如何遏制潜在的“门户”物质可能会影响大麻使用的开始和进展。父母与孩子之间关于毒品的交流被认为是一个保护因素，但在这方面的养育方面几乎没有直接的证据。许多研究衡量了父母与子女之间是否存在关于毒品的交流，但没有涉及这种交流的内容。此外，在整个青少年时期，亲子沟通的性质可能会有所不同，这表明话语的时间性质可能是理解药物风险社会化的一个重要因素。不同类型的沟通发生的年龄（例如，关于规则、后果和环境、媒体影响）对于理解父母如何使青少年在毒品问题上社会化可能很重要。我们将评估父母与子女之间关于药物使用的沟通的影响在多大程度上受到其他父母特征（例如，父母监督）和其他层面的背景影响，包括宏观层面的政策变化和干预。具体目标如下：（1）调查酒精和烟草使用的开始，进展和强度如何影响大麻使用的开始，进展和强度。确定吸入剂的使用与其他物质的使用、进展和使用严重程度的关系。(2)测试酒精，烟草和大麻政策和干预对目标物质和相关物质使用的影响。(3)调查亲子间药物使用沟通的频率和内容如何影响青少年药物使用的发展。(4)探讨宏观社会政策和干预措施与父母沟通之间的潜在相互作用如何影响青少年吸毒的发展。广义增长混合模型将用于检验研究假设。

项目成果

Parent-child communication and marijuana initiation: evidence using discrete-time survival analysis.

亲子沟通和吸食大麻：使用离散时间生存分析的证据。

• DOI: 10.1016/j.addbeh.2012.07.006
• 发表时间: 2012
• 期刊: Addictive behaviors
• 影响因子: 4.4
• 作者: Nonnemaker,JamesM;Silber-Ashley,Olivia;Farrelly,MatthewC;Dench,Daniel
• 通讯作者: Dench,Daniel

Inhalant use initiation among U.S. adolescents: evidence from the National Survey of Parents and Youth using discrete-time survival analysis.

美国青少年开始使用吸入剂：来自使用离散时间生存分析的全国父母和青少年调查的证据。

• DOI: 10.1016/j.addbeh.2011.03.009
• 发表时间: 2011
• 期刊: Addictive behaviors
• 影响因子: 4.4
• 作者: Nonnemaker,JamesM;Crankshaw,ErikC;Shive,DanielR;Hussin,AltijaniH;Farrelly,MatthewC
• 通讯作者: Farrelly,MatthewC