Alcohol Use Trajectories and Prevention: A US-Sweden Comparison

酒精使用轨迹和预防：美国与瑞典的比较

• 批准号: 8278021
• 负责人: MARY E. LARIMER
• 金额: $ 48.52万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-05-05 至 2015-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8278021
• 关键词: Address; Adolescence; Advertisements; Age; Alcohol consumption; Alcohols; Behavioral; Country; County; Dependence; Development; Distal; Etiology; Evaluation; Event; Exhibits; Expectancy; Family history of; Feedback; Frequencies; Friends; Goals; Growth; Haemophilus influenzae type b bacteria; Heavy Drinking; Individual; Instruction; International; Intervention; Life; Longitudinal Studies; Mediating; Mediator of activation protein; Modeling; Online Systems; Parents; Participant; Pattern; Perception; Pharmaceutical Preparations; Population; Prevention; Preventive Intervention; Principal Investigator; Public Health; Readiness; Recruitment Activity; Relative (related person); Research; Risk; Sampling; Self Efficacy; Site; Students; Subgroup; Surveys; Sweden; Teenagers; Time; Treatment Efficacy; Washington; alcohol consequences; alcohol exposure; alcohol misuse; base; cohort; college; design; deter alcohol use; drinking; drinking behavior; emerging adulthood; experience; follow-up; high school; legal drinking age; non-drug; parental monitoring; peer; prevent; reduced alcohol use; risk perception; sex; skills; social; theories; young adult

DESCRIPTION (provided by applicant): Research suggests late adolescence and emerging adulthood (EA; roughly encompassing ages 18-25) are associated with increased risk for development of substance misuse, abuse, and dependence. Despite increased risk overall during this period, there is considerable variability in drinking trajectories during young adulthood (Schulenberg et al., 1996; Tucker et al., 2005). Much of the research on alcohol use and prevention during EA has focused on students who matriculate into college during this period (Larimer & Cronce, 2002), with relatively little research focused on etiology and prevention of alcohol use among individuals who do not immediately matriculate to college (White et al., 2005). Further, little research has compared trajectories of alcohol use and consequences in international samples, including the individual, social, and environmental/cultural factors influencing trajectories and transitions in alcohol use patterns. Finally, almost no research has systematically evaluated efficacy of preventive interventions offered prior to the transition from high school as a means of altering trajectories during EA. The current research is designed to address these gaps, through a longitudinal study of a cohort of high school students in both the US and Sweden, and the evaluation of web-based interventions offered to a random subset (n=400 per country) at the end of high school as a means of reducing or preventing excessive alcohol consumption and related consequences. Specific aims of the current application are: 1) Evaluate intrapersonal, peer, parental, environmental, and cultural predictors of alcohol use trajectories upon the transition from high school in US and Swedish populations, guided by the Theory of Triadic Influence; 2) Evaluate the efficacy of a web-based interactive feedback and skills intervention in reducing alcohol use and negative consequences over a four- year follow-up period; 3) Evaluate moderators of intervention efficacy, including individual-level and cultural factors; and 4) Evaluate mediators of intervention efficacy. Aims will be achieved through a longitudinal follow-up survey of 2400 teens across 2 sites: the King Country region of Washington State and the Skane region of Sweden. Teens will be recruited during their senior year in high school and assessed twice per year for 4 years. RELEVANCE (See instructions); Alcohol misuse during emerging adulthood is an international public health problem. This research evaluates trajectories and prevention of alcohol use, using the framework of the Theory of Triadic Influence to evaluate transitions into and out of heavy drinking across emerging adulthood. The international comparison allows for disentangling of effects of development from other factors including matriculation into college and attaining legal drinking age, and impacts of distal cultural factors which vary between the US and Sweden.

描述（由申请人提供）： 研究表明，青春期和新兴成年（EA；大致包含18-25岁）与增加滥用药物，滥用和依赖的风险增加有关。尽管在此期间总体上增加了风险，但成年期间的饮酒轨迹差异很大（Schulenberg等，1996； Tucker等，2005）。 EA期间关于酒精使用和预防的大部分研究都集中在此期间入学上大学的学生（Larimer＆Cronce，2002年），相对较少的研究集中在病因学和预防不立即入学的个人中（White等人，2005年，2005年）。此外，很少的研究比较了酒精使用的轨迹和国际样本中的后果，包括影响饮酒模式的轨迹和过渡的个人，社会和环境/文化因素。最后，几乎没有研究能够系统地评估从高中过渡之前提供的预防干预措施的功效，以此作为改变EA期间轨迹的一种手段。当前的研究旨在通过对美国和瑞典的一组高中生的纵向研究来解决这些差距，以及在高中结束时对随机子集（N = 400）提供的基于Web的干预措施的评估，作为减少或预防过量酒精消耗和相关后果的一种手段。当前应用的具体目的是：1）评估在美国和瑞典人口的过渡时，以三合一影响理论为指导，对酒精使用轨迹的人际，父母，环境和文化预测指标； 2）评估基于Web的交互式反馈和技能干预措施在减少酒精使用和负面后果的功效； 3）评估干预功效的主持人，包括个人级别和文化因素； 4）评估干预功效的调解人。将通过对两个地点的2400名青少年进行纵向随访：华盛顿州国王国家和瑞典的斯凯恩地区。青少年将在高中时期招募，并每年两次评估4年。相关性（请参阅说明）；在成年后，滥用酗酒是国际公共卫生问题。这项研究使用三元影响理论的框架来评估轨迹和预防饮酒的方法，以评估整个新兴成年的大量饮酒的过渡。国际比较允许从其他因素中解散发展的影响，包括入学到大学和达到法律饮酒年龄，以及美国和瑞典之间远端文化因素的影响。