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

社会关系质量作为健康的预测因素

• 批准号: 10189669
• 负责人: JOSEPH Patrick ALLEN
• 金额: $ 61.08万
• 依托单位: UNIVERSITY OF VIRGINIA
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-07-10 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10189669
• 关键词: Address; Adolescence; Adolescent; Adult; Affect; Age; Aging; Biological; Biological Factors; Biological Markers; Body Weight; Characteristics; Child Rearing; Chronic; Conflict (Psychology); Data; Demographic Factors; Epigenetic Process; Ethnic Origin; Family; Family Relationship; Future; Health; Health Promotion; Health behavior; Hostility; Individual; Interruption; Intervention; Interview; Knowledge; Lead; Life; Life Cycle Stages; Link; Measures; Mediating; Mediation; Mediator of activation protein; Mental Health; Metabolic; Nature; Outcome; Parents; Participant; Pattern; Physiological; Plant Roots; Preventive; Process; Public Health; Race; Risk; Risk Behaviors; Risk Factors; Sampling; Smoking; Social Processes; Social support; Symptoms; Time; Weather; Weight; Work; age effect; cardiovascular disorder risk; contextual factors; density; early childhood; emerging adult; experience; follow-up; healthy aging; middle age; peer; physical conditioning; preventive intervention; routine screening; screening; sex; social; social interventions; social metrics; social relationships; sociodemographics; stressor

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.

项目摘要 青少年的公共卫生努力针对生活课程的身体健康促进几乎必须关注 专门针对身体危险因素和健康行为（例如体重，吸烟等）。这 提案考试有一个深远的假设，有可能为干预开放新的企业： 在青少年建立的社会关系素质与生活课程具有不可或缺的长期关系 身体健康和衰老过程。 拟议的研究将阐明存在两个特定关系的存在和机制 青少年的素质 - 敌对冲突的经验和缺乏支持性关系 - 与 中年的健康和衰老成果。它使用有关同伴，浪漫伴侣和家人的独特富有的纵向数据 在25年间的关系质量，以解决四个总体目的：1）直接预测中年 青少年社会关系素质的健康与衰老； 2）评估中介与风化 从青春期到中年健康与衰老成果的联系的解释； 3）检查调解 通过心理健康和健康行为进行青少年中间的联系； 4）生物学和 观察到的青少年中间生活联系的上下文调解人和主持人。 拟议的研究通过重复访谈的独特结合来解决这些目标， 社会计量评估以及直接观察与父母，同龄人和浪漫伴侣的互动， 随着中年的新增加，有一系列高度有效的健康和衰老的生理指标 从172个人的社会人口统计学上不同的最终样本中获得（有97％的样本保留为 日期），随后跨越了25年，从13岁到中年（33 - 37岁）。拟议的研究有 允许的意义：识别青春期内几个全新的竞技场的潜力 促进终身健康和健康衰老的干预措施； b。为目标提出特定的关系特征 在此期间进行筛查和预防干预措施； c。区分青少年的社会过程 直接预测从领导者那里的加速衰老（因此对于在青少年内解决至关重要） 介导的风险链（这将暗示多个承诺的干预点）；和d。急剧 对早期关系困难与与之相关的方式的总体理论理解和 潜在地影响身体健康状况和衰老成果。