Informing Cultural Adaptation of a Parent-Based Intervention for African American Youth

 描述（由申请人提供）：酒精滥用和酒精相关的后果之间的新兴成年人继续是一个公共卫生问题在整个美国。流行病学数据表明，在生命的这一阶段，酒精的使用达到高峰，包括酗酒、酒精依赖和与酒精有关的问题的流行率。然而，种族群体的酒精使用和相关后果的发展模式的差异已被发现，这表明非洲裔美国人新兴的成年人成熟的高风险饮酒的速度比其他种族和族裔群体。此外，非洲裔美国青年更有可能因酗酒而经历负面后果，例如参与刑事司法系统和危险的性行为。尽管存在这些差异，但很少有预防性干预措施被开发出来，以针对与非洲裔美国新兴成年人中高风险酒精使用相关的文化特定风险和保护因素。拟议的研究通过病因学研究解决了这一差距，该研究将为非洲裔美国青年及其家庭的既定父母干预（PBI）的文化适应提供信息。在父母沟通的理论模型的指导下，我们将对家庭和社区健康研究（FACHS）的数据进行二次分析，该研究涵盖了10至25岁的年龄段，是迄今为止最大的非裔美国人家庭小组研究。将提出三个研究目标。目标1研究PBI的理论模型，以建立中介机制（例如，酒精相关态度的变化），通过这些行为和风格影响了非裔美国新兴成年人样本中的高风险饮酒模式和相关后果。目标2扩展了理论模型，以包括独特的风险和保护机制（例如，父母使用种族社会化策略，青年人对PRD的看法），这代表了未来扩大PBI的机会，以更有效地防止非洲裔美国人新兴成年人中的高风险饮酒。目标3将目标1和目标2的量化结果与PBI的具体内容相结合，并将指导我们未来关于如何最好地整合文化特定结构的决定，以使PBI适应非洲裔美国人家庭和青年。

 DESCRIPTION (provided by applicant): Alcohol abuse and alcohol-related consequences among emerging adults continue to be a public health concern throughout the United States. Epidemiological data indicate alcohol use peaks during this stage of life, including prevalence rates of heavy drinking, alcohol dependence, and alcohol-related problems. However, racial group differences in developmental patterns of alcohol use and related consequences have been found, indicating that African American emerging adults mature out of high-risk drinking at slower rates compared to other racial and ethnic groups. Moreover, African American youth are more likely to experience negative consequences due to heavy drinking, such as involvement with the criminal justice system and risky sexual behavior. Despite these disparities, few preventative interventions have been developed to target culturally specific risk and protective factors that are associated with high-risk alcohol use among African American emerging adults. The proposed research addresses this gap through an etiological study that will inform the cultural adaptation of an established parent-based intervention (PBI) to African American youth and their families. Guided by a theoretical model of parent communication, we will conduct secondary analyses on data from the Family and Community Health Study (FACHS), which covers the ages from 10 to 25 years and is the largest African American family panel study to date. Three research aims will be addressed. Aim 1 examines the theoretical model underlying the PBI in order to establish mediating mechanisms (e.g., changes in alcohol- related attitudes) through which parenting communication behaviors and style influence patterns of high-risk drinking and related consequences among a sample of African American emerging adults. Aim 2 extends the theoretical model to include unique risk and protective mechanisms (e.g., parents' use of racial socialization strategies, youths' perceptions of PRD) that represent future opportunities to expand the PBI to more effectively prevent high-risk drinking among African American emerging adults. Aim 3 aligns the quantitative results of Aims 1 and 2 with specific content of the PBI and will guide our future decisions about how to best integrate cultural-specific constructs in order to adapt the PBI for African American families and youth.