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，我们试图研究非裔美国人母亲对健康风险行为的影响 - 龙豆科，酒精和其他药物使用（TAOS）（TAOS） - 在其青春期儿子中。该项目的目的是：1）测试城市青少年男性陶斯使用行为的家庭影响； 2）测试基于理论的，特定于文化的，父母的健康风险降低与城市非洲裔美国母亲的干预是否有效改变其青春期儿子的陶斯使用行为； 3）测试哪种关键产妇变量介导这些干预效果。这项研究是在基于家庭的合理作用理论的基础扩展中构建的，并基于对RCT母子HIV艾滋病毒风险降低干预措施的数据的次要分析（R01 MH55742; L. Jemmott）。最初的研究包括575个非裔美国母亲及其青春期儿子（11 - 15年），这些二元是从宾夕法尼亚州费城的公共住房招募的。参与者被随机分为两个结构相似的条件之一：a）艾滋病毒风险减少条件；或b）健康促进/降低风险的状况，重点是改变健康和物质使用行为（在原始研究中充当对照组）。在拟议的研究中，艾滋病毒风险降低条件将作为对照组，我们将研究健康促进干预对儿子自我报告对陶斯的使用的影响。感兴趣的次要结果和潜在的调解人包括母亲的意图以及通过监视，青少年的沟通和对陶斯使用的榜样来影响其儿子行为的实际尝试。将使用通用估计方程（GEE）分析数据，并提供适合结果变量级别的链接的规范。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。通过利用现有数据，拟议的研究将能够回答有关高风险城市青春期男性家庭影响家庭影响的关键问题，其中涉及进行另一项RCT研究并收集新数据所涉及的一小部分。这些发现将有助于制定有效的家庭计划，以减少高风险的城市，非裔美国青少年男性及其家人的陶斯使用情况。 公共卫生相关性：减少青年和成年人中的物质使用和烟草行为是2010年健康人的主要目标。在本申请中，我们试图了解烟草，酒精和其他物质（TAOS）如何延迟或减少非裔美国青少年男性对Taos的使用。减少陶斯的启动，使用和滥用对公共卫生都很重要。很少有干预措施针对通过家庭视角降低陶斯风险。这种独特的观点将有助于为预防陶斯使用的公共卫生提供信息。