Pathways to Health from Adolescence through Young Adulthood

从青春期到青年期的健康之路

• 批准号: 9968304
• 负责人: MARK Ethan FEINBERG
• 金额: $ 59.74万
• 依托单位: PENNSYLVANIA STATE UNIVERSITY, THE
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-12 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9968304
• 关键词: Adolescence; Adolescent; Adult; Age; Behavior; Child; Child Rearing; Childhood; Cluster randomized trial; Code; Collection; Communities; Competence; Conflict (Psychology); Cost-Benefit Analysis; Costs and Benefits; Data; Development; Dimensions; Economics; Environment; Epidemiology; Family; Family Relationship; Fathers; Foundations; Future; Generations; Genes; Health; Health behavior; Home visitation; Individual; Intervention; Intervention Studies; Investments; Knowledge; Lead; Life; Link; Long-Term Effects; Longitudinal prospective study; Measurement; Measures; Mental Depression; Mental Health; Modeling; Outcome; Outcome Study; Parents; Participant; Pathway interactions; Personal Satisfaction; Policies; Prevention; Prevention program; Process; Public Health; Randomized; Research; Risk Behaviors; Risk Factors; Rural; Sample Size; Sampling; Sampling Studies; Schools; Students; Surveys; System; Testing; Time; Update; Violence; Work; Youth; adolescent substance use; cohort; conduct problem; design; early childhood; emerging adult; emerging adulthood; evidence base; experience; follow-up; high risk; high school; improved; innovation; insight; intergenerational; intervention effect; junior high school; model building; next generation; novel; peer; peer networks; program dissemination; programs; protective factors; randomized trial; recruit; residence; risk stratification; school district; sixth grade; study population; substance use; substance use prevention; trait; twelfth grade; young adult

Project Summary/Abstract Several important studies have contributed to our understanding of the factors and mechanisms by which experiences, behaviors, and traits in adolescence and emerging adulthood forecast the capacity to be a competent parent and raise a healthy, prosocial child. We propose to build on this work by leveraging a large, longitudinal intervention study (PROSPER) to: (AIM 1) Assess a developmental model that links key adolescent risk and protective factors to three critical factors in emerging adulthood (relationship competence, mental health, and risky behavior including substance use). These emerging adult factors, measured at ages 19–22, are in turn hypothesized to predict the quality of the early childrearing environment, measured at ages 24–28. Finally, we trace these pathways forward to estimate the unique, relative, and combined influences of these adolescent-to-young-adulthood pathways on key domains of child adjustment. (AIM 2) Evaluate, with the model developed in AIM 1, whether previously demonstrated intervention effects on adolescents’ family relationships, peer network dynamics, and risky behaviors (substance use and conduct problems) in this sample lead to impact during the family formation period on the childrearing environment and early childhood adjustment. To pursue these aims, we will conduct home visits across three years with 350 young adult parents (and their families) whom we have followed since 6th grade in a randomized trial of PROSPER. The results of this project will yield insights into the adolescent and emerging adulthood factors that can be targeted to improve childrearing environments, as well as yield new information on the contribution of adolescent-focused substance use prevention to the adjustment and health of the next generation.

项目总结/摘要 几项重要的研究有助于我们了解导致这些疾病的因素和机制。 青春期和成年初显期的经历、行为和特征预测了成为一个有能力的人的能力。 有能力的父母养育一个健康亲社会的孩子我们建议在这项工作的基础上， 纵向干预研究（PROSPER）：（目的1）评估一个发展模型， 青少年的风险和保护因素，以三个关键因素，在新兴的成年（关系能力， 精神健康和危险行为，包括物质使用）。这些新兴的成人因素， 19-22岁，反过来又被假设来预测按年龄衡量的早期儿童抚养环境的质量 24-28.最后，我们跟踪这些途径，以估计独特的，相对的，和组合的影响， 这些关于儿童适应的关键领域。(AIM（2）评价，与 在AIM 1中开发的模型，是否先前证明了对青少年家庭的干预效果 关系，同伴网络动态和危险行为（物质使用和行为问题），在这方面 在家庭形成期间对儿童养育环境和幼儿期的影响 加强结构性改革 为了实现这些目标，我们将在三年内对350名年轻的成年父母进行家访（ 他们的家人），我们从六年级开始就在PROSPER的随机试验中跟踪他们。的结果 该项目将深入了解青少年和成年初显期的因素，这些因素可以有针对性地改善 儿童养育环境，以及产生新的信息的贡献， 物质使用预防对下一代的适应和健康的影响。