Socio-cultural and community risk and resilience for alcohol related problems in youth

青少年酒精相关问题的社会文化和社区风险及复原力

• 批准号: 10664441
• 负责人: Marybel Robledo Gonzalez
• 金额: $ 4.79万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN DIEGO
• 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 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10664441
• 关键词: Accidents; Adolescence; Adolescent; Adult; Affect; Age; Alcohol abuse; Alcohol consumption; Alcohols; Anxiety; Area; Brain; Buffers; Cause of Death; Childhood; Cognition; Cognitive; Communities; Country; Data; Data Set; Development; Discrimination; Disparity; Environment; Equation; Ethnic Origin; Exposure to; Factor Analysis; Family; Feedback; Focus Groups; Future; Gender; Health; Heavy Drinking; Hispanic; Homicide; Individual; Inequity; Intervention; Knowledge; Latina; Latino; Latino Population; Latinx; Link; Longitudinal Studies; Mental Depression; Mental Health; Methods; Modeling; Neighborhoods; Neurobiology; Neurocognitive; Outcome; Parents; Pathway interactions; Performance; Policies; Prevention; Prevention Research; Problem behavior; Process; Psyche structure; Race; Reduce health disparities; Research; Research Methodology; Resources; Risk; Risk Factors; Role; Sampling Studies; Schools; Shapes; Site; Social Change; Social Identification; Specificity; Structure; Suicide; Testing; Time; Training; Translations; Youth; adolescent substance use; alcohol related problem; alcohol risk; alcohol use disorder; cognitive development; cognitive function; community engaged research; conduct problem; cultural values; depressive symptoms; deter alcohol use; emotional functioning; ethnic identity; experience; health determinants; health disparity; high risk; longitudinal design; novel; peer; psychosocial; recruit; resilience; response; social culture; social determinants; social health determinants; sociocultural determinant; underage drinking; young adult

PROJECT SUMMARY/ABSTRACT. While alcohol remains the most widely endorsed substance during adolescence, and various psychosocial risk factors have been identified, unknown are the potential origins for how disparities in alcohol related problems emerge among young adults among Hispanic/Latina/x/o populations. Applying a health disparities approach to youth alcohol use (AU) prevention research is necessary to identify high impact points of intervention during adolescence before AU related problems emerge in adulthood. Given that health disparities are attributable to compounded exposure to adversity beginning in childhood, investigating relationships between the social determinants of health (SDoH) and AU and related problems in adolescence is critical. We will consider both the risk and protective role of socio-cultural factors (e.g., discrimination vs. familism) for AU and mental health during adolescence using the ecodevelopmental framework, with a focus on Hispanic/Latina/x/o youth. Further, understanding SDoH (e.g., school and neighborhood features) associations with AU and related problems will guide policy to identify upstream determinants that can be intervention targets to bring systemic change that reduces health disparities. This proposal will leverage the Adolescent Brain Cognitive Development® (ABCD) Study, a large comprehensive dataset, to advance critical areas of research in AU prevention with a focus on Hispanic/Latina/x/o youth and intersecting identities (e.g., gender and generational status). A quantitative analysis will test (1) socio-cultural determinants of AU related problems and mental health, and (2) AU influences on mental (anxiety/depression) in association with cognitive and school performance in Hispanic/Latina/x/o youth. This proposal will use ABCD study longitudinal data to identify promotive socio-cultural factors (i.e., high familism and low discrimination) that may buffer risk for AU and related problems influenced by both risk from individual and broader social- cultural contexts (i.e., school and neighborhood). Potential co-emerging disparities in mental health among youth will be investigated, and whether mental health (i.e., anxiety/depression) outcomes moderate (i.e., exacerbates) the influence of AU on adolescent cognitive functioning. This proposal will then extend the application of the SDoH framework with community-engaged research approach to conduct a qualitative study with focus groups with Hispanic/Latina/x/o youth and parents and obtain a response to the ABCD study quantitative findings to identify research gaps and priorities for AU related problems in the Hispanic/Latina/x/o community. Findings will inform hypotheses on future AU prevention research using community-engaged approaches with Hispanic/Latina/x/o youth in a future R01. In summary, the quantitative and qualitative studies proposed will investigate the socio-cultural determinants of potential co-emerging disparities in alcohol use and mental health and subsequent impact on cognitive development, with a focus on Hispanic/Latina/x/o youth. Findings will inform future interventions on AU prevention on timing and the interplay of socio-cultural contexts.

项目摘要/摘要。虽然酒精仍然是最广泛认可的物质 已经确定了青少年和各种心理社会风险因素，未知是未知的起源 西班牙裔/拉丁/X/O中年轻人中与酒精相关问题的分布如何出现 人群。必须将健康差异方法应用于青年饮酒（AU）预防研究是必要的 在AU相关问题之前，在青少年期间确定高干预点 成年。鉴于健康差异是归因于从事广告的复合暴露 童年时期，调查卫生社会决定者（SDOH）与AU与相关的关系 青少年问题至关重要。我们将考虑社会文化因素的风险和保护作用 （例如，歧视与熟悉的歧视）对于青春期期间的AU和心理健康 框架，重点是西班牙裔/拉丁/X/O青年。此外，了解SDOH（例如，学校和 社区功能）与AU和相关问题的关联将指导策略以识别上游 可以是干预目标的决定因素，以带来降低健康差异的系统性变化。这 提案将利用青少年脑认知发展®（ABCD）研究，这是一项庞大的全面 数据集，促进预防AU的关键研究领域，重点是西班牙裔/Latina/X/O青年 相交的身份（例如性别和世代状况）。定量分析将测试（1）社会文化 确定与AU相关的问题和心理健康，以及（2）AU对心理（焦虑/抑郁）的影响 与西班牙裔/拉丁/X/O青年的认知和学校表现相关。该建议将使用ABCD 研究纵向数据以识别促进的社会文化因素（即高度熟悉和低歧视） 这可能会缓冲对AU的风险以及受个人和更广泛社会风险影响的相关问题 - 文化背景（即学校和社区）。在心理健康方面的潜在共同出现分配 年轻人将被调查，以及心理健康（即焦虑/抑郁）结果是否适中（即， 加剧）AU对青少年认知功能的影响。然后，该建议将扩展 SDOH框架与社区参与研究方法的应用来进行定性研究 与西班牙裔/拉丁裔/X/O青年和父母的焦点小组，并获得了对ABCD研究的回应 定量发现，以确定西班牙裔/latina/x/o中与AU相关问题的研究差距和优先级 社区。调查结果将使用社区参与的未来预防AU预防研究的假设 在未来的R01中，与西班牙裔/拉丁/X/O年轻人接近。总之，定量和定性研究 拟议的将调查饮酒中潜在共同出现分布的社会文化决定者和 心理健康和随后对认知发展的影响，重点是西班牙裔/拉丁/X/O青年。 调查结果将为未来关于预防定时和社会文化背景相互作用的干预措施。