Understanding Alcohol Use Over Time in Early Mid-Adulthood for At-Risk Men

描述(由申请人提供)：这项拟议的研究将审查与男性中年早期饮酒和AUDS的持续使用和停用过程有关的问题。这样的行为在经济上以及个人和家庭的痛苦中都会给社会带来高昂的代价。将利用目前涵盖儿童后期至31-32岁的现有纵向数据集，包括23项对酒精使用的年度评估，并在35-36岁和37-38岁增加两波新的数据收集，以审查这些问题。将这两个新波与29-30岁、30-31岁和31-32岁的现有数据相结合，将得出中年早期的总共5个波。行为问题和其他危险行为风险社区样本的多方法/多代理研究始于两个四年级男孩队列(总N=206)；最后一波的保留率为95%活着的受试者(N=191，年龄31-32岁)。这项研究基于社会学习模型，重点研究了背景、家庭和同伴风险因素，并提供了有关浪漫伴侣的数据。我们计划使用动态发展系统方法，基于过去和现在的社会背景影响，研究饮酒过程中的异质性和AUD，以及过程的预测因素，包括家庭、同伴、精神病理学领域中的一般和特定风险因素，以及早期到中年的风险和社会影响，包括浪漫伴侣行为。通过第一次饮酒的年龄和第一次醉酒的年龄来前瞻性地评估酒精使用的早期。酒精使用增长与异质性之间的关系也将与共病药物(烟草、大麻、其他非法药物、非处方药和非处方药)使用过程中的异质性以及赌博行为的异质性有关。此外，还将检验寻求治疗的预测模型。这两项新评估将包括自我报告、同行报告和记录数据(警察和车管所记录)。亲密伴侣的报告可以在一项同伴研究中找到。各种互补的发展建模和预测技术将被用来捕捉在多大程度上先前的家庭和背景因素，以及儿童和青少年的先前行为(例如，童年的反社会行为)，以及成年后类似的背景、社会关系和行为因素，可以解释整个成年期行为过程的变化。

DESCRIPTION (provided by applicant): The proposed study would examine issues related to the course, including persistence and desistance, of alcohol use and AUDs in early midadulthood for men. Such behaviors are costly to society both financially and in personal and family distress. These issues would be examined by utilizing an existing longitudinal data set currently spanning later childhood to ages 31-32 years, including 23 yearly assessments of alcohol use, and adding two new waves of data collection at ages 35-36 and 37-38 years. Combining these two new waves with existing data from ages 29-30, 30-31, and 31-32 will provide a total of 5 waves in the early midadult period. The multimethod/multiagent study of a community sample at risk for conduct problem and other risk behaviors began with two cohorts of fourth-grade boys (total N = 206); the retention rate at the last wave was 95% of living subjects (N = 191, ages 31-32 years). The study focused on contextual, family of origin, and peer risk factors based on a social learning model, and data are available on romantic partners. We plan to use a Dynamic Developmental Systems approach, based on aspects of past and current social- contextual influences, to study heterogeneity in the course of alcohol use and AUDs and predictors of the course, including general and specific risk factors within the realms of family, peer, psychopathology, and early to midadult risk and social influences, including romantic partner behaviors. Early onset of alcohol use was assessed prospectively by age at first drink and age at first drunken experience. Association of growth and heterogeneity in growth of alcohol use will be examined also in relation to heterogeneity in the course of co- morbid substance use (tobacco, marijuana, other illicit drugs, non-prescription and over-the-counter drugs), and gambling behavior. In addition, prediction models of treatment seeking will be examined. The two new assessments will include self-report, peer report, and records data (police and DMV records). Reports from intimate partners are available in a companion study. A variety of complementary developmental modeling and prediction techniques will be used to capture the degree to which prior family and contextual factors, and prior behaviors in childhood and adolescence (e.g., antisocial behavior in childhood) and similar contextual, social relationships, and behavioral factors in adulthood, can explain changes in the course of behaviors across the early adult period.