Disparities of Drug Use in Emerging Adults

青少年中药物使用的差异

• 批准号: 7372170
• 负责人: Kevin P Haggerty
• 金额: $ 58.99万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-02-01 至 2013-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7372170
• 关键词: AIDS/HIV problem; Accounting; Address; Adolescence; Adolescent; Adrenal Glands; Adult; African American; Age; Aggressive behavior; Alcohol or Other Drugs use; Alcohols; American; Behavior; Biological; Caring; Code; Condition; Conflict (Psychology); Data; Data Collection; Data Reporting; Data Sources; Drug abuse; Drug usage; Effectiveness of Interventions; European; Exposure to; Family; Family Process; Funding; Future; Health behavior outcomes; Human; Hydrocortisone; Hypothalamic structure; Institutes; Intervention; Link; Long-Term Effects; Longitudinal Surveys; Marijuana; Measures; Methods; Modeling; Monitor; National Institute of Drug Abuse; Neighborhoods; Object Attachment; Outcome; Parenting behavior; Parents; Patient Self-Report; Pattern; Personal Satisfaction; Pharmaceutical Preparations; Pituitary Gland; Prevention program; Process; Public Health; Race; Randomized Controlled Trials; Regulation; Religion and Spirituality; Reporting; Research; Rewards; Risk; Risk Factors; Role; Sampling; Schools; Self-Administered; Services; Social Development; Source; Stress; Substance abuse problem; Teenagers; Time; United States Dept. of Health and Human Services; Videotape; Violence; Youth; base; contextual factors; cost; criminal behavior; critical developmental period; day; early experience; health disparity; high risk behavior; high risk sexual behavior; high school; hypothalamic-pituitary-adrenal axis; peer; protective behavior; psychologic; racial difference; sex; skills; stressor; teenage parents

DESCRIPTION (provided by applicant): This proposal seeks five years of funding to examine family and contextual factors contributing to drug use disparites among African American (AA) and European American (EA) emerging adults (age 20/21-22/23). This proposal builds on a previously funded study (NIDA, DA12645-04), Examining the Efficacy of Parents Who Care. Thus, this study capitalizes on data already collected in the 8th, 9th, and 10th grades. The longitudinal data provide multi-method, multi-rater information on a sample of 163 AA and 168 EA youth during the critical middle school to high school transition. In combination with self-reported data from parents and teens, coded videotaped observations will provide a valuable asset for discovering micro-processes of teen-parent interaction and are a rare data source on African American adolescents and their parents. Guided by the Social Development Model, this proposal extends our research into the emerging adulthood period, a period critical to understanding the origins of race based disparities in substance use patterns and consequences. Additionally, the existing sample is well suited to exploring race differences in regulation of the hypothalamic-pituitary- adrenal (HPA) axis, which may place African Americans at higher risk for substance abuse and its consequences. Specifically we propose to examine the similarities and differences between AA and EA youth in patterns of substance use and the level of exposure to and impact of specific family and broader contextual influences on substance use patterns from middle school into emerging adulthood. Second, because we have seen signifcant effects of the intervention on reducing high risk behaviors (drug, alcohol, and sex initiation, violence) and on protective behaviors (observed positive parenting) we will continue to examine race differences in the long-term effects of the self-administered intervention and the parent and teen skills group intervention compared to a no-treatment control condition on drug use and misuse, criminal behavior, and risky sexual behavior through late adolescence and emerging adulthood. Finally, we will examine risk factors for HPA axis dysregulation measured by basal and diurnal cortisol and it's relationship to current and later drug use. This study fills important gaps in the research on health disparities in patterns of substance use, and will contribute to our ability to address and eliminate race based disparities in the consequences of drug use.This study fills important gaps in public health research on health disparities in patterns of substance use and will contribute to our ability to address and eliminate race-based disparities in the consequences of drug use.

描述（由申请人提供）：该提案寻求五年的资助，以研究导致非洲裔美国人 (AA) 和欧洲裔美国人 (EA) 新兴成年人（20/21-22/23）吸毒差异的家庭和背景因素。该提案建立在之前资助的一项研究（NIDA，DA12645-04）的基础上，该研究名为“检查关心的父母的功效”。因此，本研究利用了八年级、九年级和十年级收集的数据。纵向数据提供了 163 名 AA 和 168 名 EA 青少年在关键的初中到高中过渡期间的样本的多方法、多评估者信息。结合父母和青少年的自我报告数据，编码录像观察将为发现青少年与父母互动的微观过程提供宝贵的资产，并且是非裔美国青少年及其父母的稀有数据源。在社会发展模型的指导下，该提案将我们的研究扩展到新兴成年时期，这一时期对于理解基于种族的物质使用模式和后果差异的起源至关重要。此外，现有样本非常适合探索下丘脑-垂体-肾上腺（HPA）轴调节方面的种族差异，这可能使非裔美国人面临更高的药物滥用及其后果风险。具体来说，我们建议研究 AA 和 EA 青少年在物质使用模式、接触特定家庭的程度和影响程度以及从中学到成年初期对物质使用模式的更广泛背景影响方面的异同。其次，由于我们已经看到干预措施对减少高危行为（吸毒、酗酒、性行为、暴力）和保护行为（观察到的积极养育）产生了显着影响，因此我们将继续研究自我管理干预措施以及家长和青少年技能组干预措施与不治疗控制条件下对青春期后期和青少年时期吸毒和滥用、犯罪行为和危险性行为的长期影响的种族差异。 成年期。最后，我们将检查通过基础和昼间皮质醇测量的 HPA 轴失调的危险因素及其与当前和以后药物使用的关系。这项研究填补了药物使用模式健康差异研究的重要空白，并将有助于我们解决和消除药物使用后果中基于种族的差异的能力。这项研究填补了药物使用模式健康差异公共卫生研究的重要空白，并将有助于我们解决和消除药物使用后果中基于种族差异的能力。