Risk and resilience pathways linking community adversity, decision making, and alcohol misuse: A prospective study of Appalachian adolescents

将社区逆境、决策和酒精滥用联系起来的风险和复原力途径：对阿巴拉契亚青少年的前瞻性研究

• 批准号: 10662291
• 负责人: Alfgeir Kristjansson
• 金额: $ 33.56万
• 依托单位: WEST VIRGINIA UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-10 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10662291
• 关键词: Address; Adolescence; Adolescent; Adolescent Development; Adult; Affective; Alcohol consumption; Alcohols; American; Appalachian Region; Area; Arousal; Attention; Attenuated; Behavior Therapy; Behavioral Mechanisms; Behavioral inhibition; Beverages; Caffeine; Censuses; Child; Child Rearing; Chronic; Cities; Communities; Consumption; Data; Data Collection; Decision Making; Development; Dose; Drowsiness; Drug usage; Emotional; Emotions; Ensure; Environment; Epidemic; Failure; Family; Fatigue; Frustration; Future; Growth; Headache; Health Promotion; Health behavior; Impairment; Individual Differences; Investigation; Learning; Link; Literature; Marijuana; Mental Health; Methods; Middle School Student; Modeling; Motor; Nausea; Neighborhoods; Neurocognitive; Nicotine; Pathway interactions; Patient Self-Report; Poverty; Prevalence; Process; Program Effectiveness; Proliferating; Property; Prospective Studies; Reporting; Research; Resources; Rewards; Risk; Risk Factors; Rural; Rural Community; Schools; Sleep; Sleep Disorders; Sleeplessness; Societies; Specific qualifier value; Stress; Students; Substance abuse problem; Symptoms; System; Task Performances; Testing; US State; Well in self; West Virginia; Youth; affective disturbance; alcohol and other drug; alcohol misuse; alcohol use disorder; cognitive control; contextual factors; discounting; drug abuse vulnerability; early alcohol use; educational atmosphere; eighth grade; emotion regulation; junior high school; lifestyle factors; marginalization; neighborhood disadvantage; novel; opioid abuse; peer; prospective; protective factors; psychosocial; psychostimulant; resilience; rural area; rural poverty; rural setting; school environment; social; social determinants; substance use; teacher; underage drinking; urban setting; virtual

Abstract: Early adolescent alcohol use impairs psychosocial and neurocognitive development and increases vulnerabilities to drug abuse, academic failure, and mental health problems. The proposed research focuses on youth alcohol use in rural areas of West Virginia (WV), within the Appalachian region. Marginalized in American society, many Appalachian communities suffer chronic poverty and epidemic levels of opioid abuse. Emerging neurocognitive research stresses the maturation and integration of reward-salience and cognitive control systems asso- ciated with adolescent emotion regulation and healthy decision-making abilities. Development in decision making systems forecasts alcohol misuse, however, the factors that contribute to differ- ences in decision making trajectories are poorly understood. Also, accumulating research by our team and others links widespread use of caffeinated beverages by rural youth to alcohol use vulnerabilities. A psychostimulant possessing arousal, motor activation, and reinforcing proper- ties, even moderate doses of caffeine produce symptoms in children and adolescents, including headache, nausea, drowsiness, fatigue, mood disturbances, and sleeplessness. Despite these dangers, prospective investigations of routine caffeine use and the mechanisms through which it confers alcohol use vulnerability are virtually non-existent. We propose to investigate contextual protective factors hypothesized to attenuate the influence of community disadvantage on nega- tive emotionality, maladaptive health behavior, and decision-making trajectories. These factors include regulated, affectively positive family environments, health promoting classroom and school environments, and collective efficacy in local communities. We propose to address these issues in a prospective study of ~2,400 middle school youth from a range of rural, small town, and small city (< 30k) public schools in WV. Our specific aims are: 1. To test pathways linking community disadvantage to alcohol misuse. We expect community disadvantage to forecast slower growth in decision making processes directly and indirectly via negative emotionality which is reinforced by use of caffeine and attendant problems with sleep. In turn, we expect negative emotionality and decision making trajectories to forecast alcohol misuse via proximal vulnerability factors (affiliation with risky peers, academic disengagement). 2. To test hypotheses of contextual factors that protect youth from community disadvantage. We expect contextual protective factors to attenuate the influence of community disadvantage on (a) negative emotionality, (b) caffeine use, sleep problems, and (c) decision making. 3. To explore these alcohol antecedents in the onset of nicotine, marijuana, and other drug use.

摘要：青少年早期饮酒损害心理社会和神经认知发展

项目成果

Risk and Resilience Pathways, Community Adversity, Decision-making, and Alcohol Use Among Appalachian Adolescents: Protocol for the Longitudinal Young Mountaineer Health Study Cohort.

• DOI: 10.2196/40451
• 发表时间: 2022-08-05
• 期刊: JMIR RESEARCH PROTOCOLS
• 影响因子: 1.7
• 作者: Kristjansson, Alfgeir L.;Santilli, Annette M.;Mills, Rosalina;Layman, Hannah M.;Smith, Megan L.;Mann, Michael J.;MacKillop, James;James, Jack E.;Lilly, Christa L.;Kogan, Steven M.
• 通讯作者: Kogan, Steven M.

Social Support and Perceptions of COVID-19-related Emotional Impact on Mental Health Among Early Adolescents in Appalachia.

• DOI: 10.1111/josh.13296
• 发表时间: 2023-05
• 期刊: JOURNAL OF SCHOOL HEALTH
• 影响因子: 2.2
• 作者: Layman, Hannah M. M.;Mann, Michael J. J.;Smith, Megan L. L.;Kogan, Steven M. M.;Kristjansson, Alfgeir L. L.
• 通讯作者: Kristjansson, Alfgeir L. L.

Caffeine consumption and onset of alcohol use among early adolescents.

• DOI: 10.1016/j.ypmed.2022.107208
• 发表时间: 2022-10
• 期刊: PREVENTIVE MEDICINE
• 影响因子: 5.1
• 作者: Kristjansson, Alfgeir L.;Mann, Michael J.;Smith, Megan L.;Kogan, Steven M.;Lilly, Christa L.;James, Jack E.
• 通讯作者: James, Jack E.

Possible role of caffeine in nicotine use onset among early adolescents: Evidence from the Young Mountaineer Health Study Cohort.

• DOI: 10.1371/journal.pone.0285682
• 发表时间: 2023
• 期刊: PLOS ONE
• 影响因子: 3.7
• 作者: Kristjansson, Alfgeir L. E.;Kogan, Steven M.;Mann, Michael J.;Smith, Megan L.;Lilly, Christa L.;James, Jack E.
• 通讯作者: James, Jack E.