Testing cross-national similarities and differences in adolescent and early adult individual and environmental predictors of adult alcohol use and related problems

测试青少年和早期成年个体以及成人饮酒及相关问题的环境预测因素的跨国相似性和差异

• 批准号: 9900687
• 负责人: JENNIFER A BAILEY
• 金额: $ 43.3万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-04-10 至 2022-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9900687
• 关键词: Address; Adolescence; Adolescent; Adopted; Adult; Age; Age-Years; Alcohol abuse; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Australia; Automobile Driving; Child Rearing; Cohort Studies; Communities; Data; Dependence; Development; Disease; Drug Use Disorder; Drug usage; Economics; Education; Failure; Family; Funding; Gender; Grant; Health; Heavy Drinking; Illicit Drugs; Individual; International; Intervention; Interview; Lead; Letters; Lifestyle-related condition; Marijuana; Marriage; Measures; Mediating; Mental Health; Methods; Modeling; Morbidity - disease rate; National Institute of Drug Abuse; National Institute on Alcohol Abuse and Alcoholism; Nicotine; Occupations; Participant; Pathway interactions; Pattern; Policies; Population; Predictive Factor; Prevalence; Prevention; Problem behavior; Process; Recreation; Research; Risk Factors; Role; Sampling; Schools; Smoking; Social Development; Students; Testing; Time; Tobacco; Universities; Variant; Washington; Workplace; Youth; alcohol and other drug; alcohol misuse; alcohol research; antisocial behavior; base; cohort; comparative; cost; design; emerging adulthood; environmental change; follow-up; marijuana legalization; marijuana use; misuse of prescription only drugs; model development; mortality; peer; protective factors; public policy on alcohol; social; social relationships; theories; trend; young adult; young adult alcohol use

Harmful alcohol use (heavy use, abuse, and dependence) in adulthood is a leading cause of morbidity and mortality in the US. Longitudinal data indicate that rates of heavy alcohol use, marijuana use, and daily smoking peak in the 20s and decline slowly thereafter. Rates of abuse and dependence on alcohol and illicit drugs follow a similar trend. However, there is a substantial portion of the population whose substance use persists or even escalates through young adulthood. Sustained alcohol, nicotine, and marijuana misuse can progress to dependence and contribute to failure to successfully adopt adult roles and to the emergence of social, health, and mental health problems. The proposed study uses data from the longitudinal International Youth Development Study (IYDS) to examine the persistence and desistence of alcohol use and related harms in adulthood. The current proposal seeks support to follow-up the Washington State (WA) IYDS cohort at ages 29 and 31 years. Support to follow up the Victoria, Australia (VIC) cohort is being provided separately. The IYDS is a gender-balanced, multiethnic, representative sample that used matched assessments and methods in the two states (WA and VIC). The panel of 1556 participants was previously interviewed 4 times at ages 13, 14, 15, (2002-04, funded by NIDA) and 25 (in 2014-15 with Australian research funding). Sample retention at age 25 was over 87% in both states. IYDS measures have been designed from a theoretically guided approach to identify varied patterns of substance use and risk and protective factors at the family, school, community, peer and individual levels. The study aims to: 1) compare patterns of persistence and desistence of alcohol use and related harms, 2) identify adolescent and concurrent adult risk and protective factors that predict alcohol use and related harms, and 3) pull together adolescent, young adult, and adult risk and protective factors into lifecourse mediational models. Cross-national comparisons are an integral part of all three aims. Understanding how adult influences lead to reductions in alcohol and other drug use is important in the current historical context where adult roles (e.g. marriage, child rearing, and education) are being progressively delayed. The proposed project will contribute to scientific understanding of modifiable factors that influence adult alcohol problems and will more precisely identify the processes that influence whether and why adults persist or desist in alcohol use and related harms during adulthood. The use of a cross-national design provides a unique and important opportunity for testing existing theories and prevention models of harmful alcohol use. Results will inform the development of effective prevention and treatment interventions aimed at reducing harmful adult alcohol use and related problem behaviors.

成年期有害的酒精使用（大量使用，滥用和依赖）是发病的主要原因， 死亡率在美国。纵向数据表明，大量饮酒、吸食大麻和每日 吸烟在20多岁时达到高峰，此后慢慢下降。滥用和依赖酒精和非法药物的比率 毒品也有类似的趋势。然而，有相当一部分人口的物质使用 在青年期持续甚至升级。持续的酒精，尼古丁和大麻滥用可以 发展到依赖性，并导致未能成功地采取成人角色，并出现 社会、健康和心理健康问题。这项拟议的研究使用的数据来自纵向国际 青年发展研究（IYDS），以检查酒精使用的持续性和停止性以及相关危害 在成年期。目前的提案寻求支持，以跟踪华盛顿州（WA）IYDS队列的年龄 29岁和31岁。对澳大利亚维多利亚（维克）队列的后续行动的支助是单独提供的。的 IYDS是一个性别平衡，多种族，具有代表性的样本，使用匹配的评估和方法 在两个州（WA和维克）。1556名参与者在13岁时接受了4次采访， 14，15，（2002-04，由NIDA资助）和25（2014-15，由澳大利亚研究基金资助）。样品保留时间 在这两个州，25岁的人超过87%。IYDS措施是从理论上指导的 确定家庭、学校、学校和社区中各种药物使用模式以及风险和保护因素的方法， 社区、同侪和个人层面。本研究的目的是：1）比较坚持和停止的模式 酒精使用和相关危害，2）确定青少年和并发成年人的风险和保护因素， 预测酒精使用和相关危害，3）将青少年，年轻人和成年人的风险结合起来， 保护性因素纳入生命过程中介模型。跨国比较是所有 三个目标。了解成年人的影响如何导致酒精和其他药物使用的减少是重要的， 当前的历史背景下，成人的角色（如婚姻，抚养孩子和教育）正在被 逐渐延迟。拟议的项目将有助于科学地了解可改变的因素， 影响成人酒精问题，并将更精确地确定影响是否以及为什么的过程 成年人在成年期坚持或停止饮酒及相关危害。使用跨国设计 提供了一个独特的和重要的机会，以测试现有的理论和预防模式的有害 饮酒研究结果将为制定有效的预防和治疗干预措施提供信息， 减少有害的成人酒精使用和相关的问题行为。