Acculturation, Social Context, Loneliness, and the Development of Alcohol Problems in Latinx Individuals

拉丁裔个体的文化适应、社会背景、孤独感和酒精问题的发展

• 批准号: 10651527
• 负责人: JAYE L DERRICK
• 金额: $ 51.85万
• 依托单位: UNIVERSITY OF HOUSTON
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-01 至 2028-02-29
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10651527
• 关键词: Acceleration; Acculturation; Alcohol abuse; Alcohol consumption; Alcohols; Area; Attention; Back; Behavioral; Cognitive; Communities; Conflict (Psychology); Consumption; Crowding; Cues; Data; Development; Disparity; Ecological momentary assessment; Feeling; First Generation College Students; Gender Identity; Health; Heterosexuals; Hispanic Populations; Individual; Latinx; Latinx population; Lead; Link; Location; Loneliness; Mainstreaming; Mental Health; Modeling; Monitor; National Institute on Alcohol Abuse and Alcoholism; Not Hispanic or Latino; Participant; Patient Self-Report; Personal Satisfaction; Persons; Population; Process; Recovery; Research; Risk Factors; Sampling; Sexual and Gender Minorities; Social Environment; Source; Structure; Testing; Time; United States Substance Abuse and Mental Health Services Administration; alcohol consequences; cisgender; college; contextual factors; coping; design; drinking; experience; gender minority group; hazardous drinking; health disparity populations; improved; innovation; loved ones; novel; physical conditioning; population health; psychologic; sensor; sexual identity; social; social factors; substance misuse

PROJECT SUMMARY Loneliness is a psychological state arising from a discrepancy between perceived and desired social connection. It is a significant risk factor for health concerns, including problematic alcohol use. Crucially, Latinx individuals in the US experience greater loneliness than non-Latinx White individuals, and those who drink engage in more problematic alcohol use. However, the initial precursors of loneliness and Latinx disparities in loneliness are not well-understood. Moreover, it is unclear if loneliness is a cause of alcohol problems, a consequence of alcohol problems, or a barrier to recovery. The objective of this application is to identify predictors of loneliness in Latinx individuals and explain the link between loneliness and the development of problem drinking in this population. We will evaluate a novel process model that explains loneliness and the development of alcohol problems in Latinx individuals. The ALMA Process Model states that social contextual factors interact with Acculturative Processes to predict Loneliness, Drinking Motives, and Alcohol Problems. The central hypothesis of this research, guided by the ALMA Process Model, is that conflicts between Latinx individuals' cultural orientation and the cultural orientation of those around them contribute to decreases in perceived social connection, leading to loneliness. When feeling lonely, some people increase solitary drinking to cope with loneliness. Drinking to avoid an aversive state will lead people to focus more on that state, exacerbating people's feelings of loneliness. Over time, more solitary drinking will feed back into the experience of loneliness, leading to escalations in problematic alcohol use. Three specific aims will provide structure for evaluating this model: (1) To identify short- term predictors of loneliness and alcohol use in hazardous-drinking Latinx individuals; (2) To determine how loneliness and hazardous drinking lead to the longitudinal development of alcohol problems in Latinx individuals; and (3) To test the reciprocal influence of hazardous drinking and the development of alcohol problems on loneliness trajectories over time in Latinx individuals. Aims will be accomplished using a longitudinal ecological momentary assessment (EMA) “burst” design among 200 hazardous-drinking Latinx individuals from the community. The EMA bursts will occur semi-annually at 0, 6, 12, 18, and 24 months. Data will be collected via self-report, cognitive-behavioral task, wearable alcohol sensor, and geotagging. This project is expected to contribute detailed conceptual information about the mechanisms, processes, and trajectories involved in social connectedness and isolation. By evaluating the innovative ALMA process model, this research will provide a formal explanation for Latinx disparities in loneliness and alcohol problems. Furthermore, this model is expected to have broad impact because it is applicable to many health disparity populations (e.g., first-generation college students, sexual and gender minority individuals). Explaining the source of loneliness in these diverse groups will be a critical step toward mitigating loneliness and improving population health.

项目总结 孤独感是一种心理状态，产生于感知的社会关系和期望的社会关系之间的差异。 它是健康问题的一个重要风险因素，包括有问题的酒精使用。至关重要的是，拉美裔美国人 美国人比非拉丁裔白人经历更多的孤独，饮酒的人参与更多 有问题的酒精使用。然而，孤独的最初先兆和孤独中的拉丁裔差异并不是 很好理解。此外，目前还不清楚孤独是否是酒精问题的原因，也就是酒精的后果 问题，或复苏的障碍。这个应用程序的目标是确定拉丁语中孤独的预测因素 并解释孤独与这一人群中问题饮酒发展之间的联系。 我们将评估一个新的过程模型，该模型解释了孤独和酒精问题的发展 拉丁裔个体。ALMA过程模型指出，社会语境因素与培养 预测孤独、饮酒动机和酒精问题的过程。这一点的中心假设是 在ALMA过程模型的指导下，研究表明拉丁裔个体的文化取向之间的冲突 而他们周围人的文化取向会导致人们对社会关系的感知减少，从而导致 为孤独干杯。当感到孤独时，一些人会增加独自饮酒来应对孤独。饮酒为 避免一种令人厌恶的状态会导致人们更多地关注这种状态，加剧人们的孤独感。 随着时间的推移，更多的独自饮酒将反馈到孤独的经历中，导致 有问题的酒精使用。三个具体目标将为评估该模型提供结构：(1)识别短期- 危险饮酒的拉丁裔人孤独和饮酒的术语预测；(2)确定如何 孤独和危险饮酒导致拉丁裔个体酒精问题的纵向发展； 以及(3)检验危险饮酒和酒精问题的发展对 拉丁裔个体的孤独随着时间的推移而变化。目标将通过纵向生态来实现 瞬间评估(EMA)在200名危险饮酒拉丁裔个体中的“爆发”设计 社区。均线爆发每半年发生一次，时间分别为0、6、12、18和24个月。数据将通过以下方式收集 自我报告、认知行为任务、可穿戴式酒精传感器和地理标记。该项目预计将 提供有关社交网络中涉及的机制、流程和轨迹的详细概念信息 连通性和隔离性。通过评估创新的ALMA过程模型，本研究将提供一个 拉丁裔在孤独和酒精问题上的差异的正式解释。此外，该模型也是可以预期的 产生广泛影响，因为它适用于许多健康差距人群(例如，第一代大学 学生、性少数人和性别少数人)。解释这些不同群体中孤独的来源 将是缓解孤独和改善人口健康的关键一步。