Maternal Influences of Substance Use Among Urban Black Male Adolescents

城市黑人男性青少年药物使用的母亲影响

• 批准号: 8189549
• 负责人: Julie Anne Cederbaum
• 金额: $ 9.55万
• 依托单位: UNIVERSITY OF SOUTHERN CALIFORNIA
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-07-01 至 2013-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8189549
• 关键词: Address; Adolescent; African American; Age; Alcohol or Other Drugs use; Alcohols; Behavior; Behavior monitoring; Behavioral; Child health care; Cocaine; Cognitive; Collection; Communication; Communities; Control Groups; Data; Data Analyses; Development; Drug usage; Effectiveness; Equation; Family; HIV; Health; Health Promotion; Healthy People 2010; Intervention; Intervention Studies; Link; Literature; Male Adolescents; Marijuana; Mediating; Mediation; Mediator of activation protein; Modeling; Monitor; Mothers; Nicotine; Outcome; Parents; Participant; Patient Self-Report; Philadelphia; Population Heterogeneity; Prevention approach; Prevention program; Preventive Intervention; Process; Public Health; Public Housing; Randomized; Recruitment Activity; Reporting; Research; Risk Behaviors; Risk Reduction; Son; Teenagers; Testing; Time; Tobacco; Tobacco use; Use Effectiveness; base; cancer prevention; cost; cost effective; design; diet and exercise; drug abuse prevention; efficacy testing; family influence; high risk; inner city; innovation; interest; intervention effect; lens; novel; parental monitoring; programs; response; role model; secondary outcome; social; substance use prevention; theories; tobacco prevention; young adult

DESCRIPTION (provided by applicant): In the proposed project, we seek to examine the influence of urban African American mothers on the occurrence of health risk behaviors -tobacco, alcohol and other substance use (TAOS) - among their adolescent sons. The purposes of the project are to: 1) test family influences of urban adolescent males' TAOS use behaviors; 2) test whether a theory-based, culture-specific, parent-child health risk reduction intervention with urban African American mothers is effective in changing the TAOS use behaviors of their adolescent sons; and 3) test which key maternal outcome variables mediate these intervention effects. The study is framed within a family-based expansion of the Theory of Reasoned Action and based on a secondary analysis of data from a RCT mother-son HIV risk reduction intervention (R01 MH55742; L. Jemmott). The original study included 575 dyads of African American mothers and their adolescent sons (11-15 years), recruited from public housing in Philadelphia, PA. Participants were randomized to one of two structurally similar conditions: a) a HIV risk-reduction condition; or b) a health promotion/risk reduction condition focusing on changing health and substance use behaviors (served as control group in the original study). In the proposed study, the HIV risk reduction condition will serve as the control group and we will examine the effects of the health promotion intervention on sons' self-reported use of TAOS. Secondary outcomes of interest and potential mediators include mothers' intentions and actual attempts to influence their sons' behaviors through monitoring, parent- teen communication and role modeling of TAOS use. Data will be analyzed using generalized estimating equations (GEE), with specification of links that are appropriate to the level of the outcome variable. Mediation of intervention effects will also be examined using key variables from the theoretical framework and the existing literature. By utilizing existing data, the proposed study will be able to answer key questions regarding family influences of TAOS use among high risk urban adolescent males for a fraction of the cost involved in conducting another RCT study and collecting new data. The findings will contribute to the development of effective family-based programs to reduce TAOS use among high-risk urban, African American adolescent males and their families. PUBLIC HEALTH RELEVANCE: The reduction of substance use and tobacco behaviors among youth and adults is a primary objective of the Healthy People 2010. In this application we seek to understand how mother-son communication around tobacco, alcohol, and other substances (TAOS) may delay or decrease use of TAOS by African American adolescent males. Reduction of TAOS initiation, use, and abuse, are all important to public health. Few interventions have targeted TAOS risk reduction through a family lens. This unique perspective will help to inform public health prevention of TAOS use.

描述（由申请人提供）：在拟议的项目中，我们试图研究城市非洲裔美国母亲对健康风险行为的影响-烟草，酒精和其他物质的使用（TAOS）-在他们的青春期儿子。该项目的目的是：1）测试家庭对城市青少年男性TAOS使用行为的影响; 2）测试基于理论的，文化特定的，父母-子女健康风险降低干预是否有效地改变了他们青少年儿子的TAOS使用行为; 3）测试哪些关键的母亲结果变量介导了这些干预效果。该研究是在基于家庭的理性行动理论扩展框架内进行的，并基于对来自RCT母子艾滋病毒风险降低干预（R 01 MH 55742; L. Jemmott）。最初的研究包括575对非裔美国母亲和他们的青少年儿子（11-15岁），从费城的公共住房招募，宾夕法尼亚州。参与者被随机分配到两个结构相似的条件之一：a）艾滋病毒风险降低条件;或B）健康促进/风险降低条件，重点是改变健康和物质使用行为（在原始研究中作为对照组）。在拟议的研究中，艾滋病毒风险降低条件将作为对照组，我们将检查健康促进干预对儿子自我报告使用TAOS的影响。次要结果的利益和潜在的调解人包括母亲的意图和实际尝试，以影响他们的儿子的行为，通过监测，家长-青少年的沟通和角色建模的TAOS的使用。将使用广义估计方程（GEE）分析数据，并说明与结局变量水平相适应的联系。还将使用理论框架和现有文献中的关键变量来检查干预效果的中介作用。通过利用现有的数据，拟议的研究将能够回答关于TAOS使用在高风险城市青少年男性中的家庭影响的关键问题，而进行另一项RCT研究和收集新数据所涉及的成本仅为一小部分。这些发现将有助于制定有效的以家庭为基础的计划，以减少高风险城市，非洲裔美国青少年男性及其家庭中TAOS的使用。 公共卫生相关性：减少青少年和成年人的药物使用和烟草行为是《2010年健康人》的一个主要目标。在这个应用程序中，我们试图了解如何母亲-儿子周围的烟草，酒精和其他物质（TAOS）的沟通可能会延迟或减少使用TAOS的非洲裔美国青少年男性。减少TAOS的启动、使用和滥用对公共卫生都很重要。很少有干预措施通过家庭透镜来降低TAOS风险。这一独特的视角将有助于为公共卫生预防TAOS的使用提供信息。