Social Relationship Qualities as Predictors of Health & Aging from Adolescence through Early Midlife

项目摘要 到目前为止，旨在促进青春期身体健康的青春期公共卫生努力几乎集中在 专门针对生理风险因素和健康行为(例如，体重、吸烟等)。这 Proposal研究了一个影响深远的假设，有可能为干预开辟新的场所： 青春期形成的社会关系品质与人生历程有着不可分割的、长期的关系 身体健康和衰老过程。 拟议的研究将澄清这两种特定关系的存在和机制 青春期的特质--经历敌对冲突和缺乏支持性关系--与 中年健康和老龄化结果。它使用了关于同伴、恋人和家庭的独特丰富的纵向数据 25年期间的关系质量，以解决四个首要目标：1)直接预测中年 青少年社会关系品质对健康与老龄化的影响；2)中介与风化的评估 解释从青春期到中年健康和老龄化结果的联系；3)研究调解 通过心理健康和健康行为将青春期与中年联系起来；以及4)对 观察到的青春期-中年联系的背景调解人和调解人。 这项拟议的研究通过反复采访的独特密集组合解决了每个目标， 社会测量学评估，以及与父母、同龄人和浪漫伴侣互动的直接观察， 随着中年时期一系列高度有效的健康和衰老生理指标的新增-所有 从社会人口统计学上不同的172个人的最终样本中获得(97%的样本保留到 从13岁到中年(33-37岁)，跨度为25年。拟议的研究已经 允许的意义：a.确定青春期内几个全新的潜力领域 促进终身健康和健康老龄化的干预措施；B.针对目标提出具体的关系特征 在这一时期进行筛查和预防干预；C.区分青春期的社会过程 直接预测衰老加速(因此在青春期内解决问题至关重要) 到中介的风险链(这将意味着多个有希望的干预点)；以及D.戏剧性地 对早期关系困难的关联方式和 可能会影响身体健康和衰老结果，直到中年。

Project Summary Public health efforts in adolescence aimed at life course physical health promotion have to date focused almost exclusively on addressing physiological risk factors and health behaviors (e.g., weight, smoking, etc.). This proposal examines a far-reaching hypothesis with the potential to open up new venues for intervention: that social relationship qualities established in adolescence have an integral, long-term relationship to life course physical health and aging processes. The proposed study will clarify both the existence and the mechanisms by which two specific relationship qualities in adolescence—experience of hostile conflict and absence of supportive relationships—are linked to midlife health and aging outcomes. It uses uniquely rich longitudinal data on peer, romantic partner, and family relationship qualities across a 25-year span, to address four overarching aims: 1) direct prediction of midlife health & aging from adolescent social relationship qualities; 2) assessment of mediational vs. weathering explanations of links from adolescence to midlife health & aging outcomes; 3) examination of mediation of adolescent-midlife linkages via mental health and health behaviors; and 4) examination of biologic and contextual mediators and moderators of observed adolescent-midlife linkages. The proposed study addresses each of these Aims with a uniquely intense combination of repeated interviews, sociometric assessments, and direct observations of interactions with parents, peers, and romantic partners, with the new addition in midlife of an array of highly valid physiological indicators of health and aging—all obtained from a socio-demographically diverse final sample of 172 individuals (with 97% sample retention to date), followed across a 25-year span, from age 13 into midlife (ages 33 – 37). The proposed study has significance in allowing: a. identification of several entirely new arenas within adolescence for potential interventions to promote lifelong health and healthy aging; b. suggest specific relational characteristics to target across this period in screening and preventive interventions; c. distinguish social processes in adolescence that directly predict accelerated aging (and are thus critical to address within adolescence) from those that lead to mediated chains of risk (which would suggest multiple promising points of intervention); and d. dramatically advance overall theoretical understanding of the ways in which early relationship difficulties are linked to and potentially affect physical health and aging outcomes well into midlife.