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

项目摘要/摘要。虽然酒精仍然是被广泛认可的物质，但在 青春期，以及各种心理社会危险因素已经被确定，未知是潜在的原因 西班牙裔/拉丁裔/x/o年轻人在与酒精有关的问题上如何出现差异 人口。将健康差异方法应用于青少年饮酒(AU)预防研究是必要的 在与AU相关的问题出现之前，确定青春期干预的高影响点 成人期。鉴于健康差异可归因于从#年开始的复合暴露于逆境 儿童时期，调查健康的社会决定因素(SDoH)与AU及相关因素之间的关系 青春期的问题是至关重要的。我们将同时考虑社会文化因素的风险和保护作用。 (例如，歧视与家庭主义)对青春期的AU和心理健康的影响 框架，重点是西班牙裔/拉丁裔/x/o青年。此外，了解SDoH(例如，学校和 邻域要素)与AU和相关问题的关联将指导政策识别上游 可作为干预目标的决定因素，以带来减少健康差距的系统性变化。这 提案将利用青少年大脑认知发展®(ABCD)研究，这是一项大型综合 数据集，以促进预防非盟的关键领域的研究，重点是西班牙裔/拉丁裔/x/o青年和 相互交错的身份(例如，性别和代际地位)。定量分析将检验(1)社会文化 与AU相关的问题和心理健康的决定因素，以及(2)AU对心理(焦虑/抑郁)的影响 与西班牙裔/拉丁裔/x/o青年的认知和学校表现有关。此建议书将使用abc cn 研究纵向数据以确定促进社会文化因素(即高度家庭主义和低歧视) 这可能会缓冲非盟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)。潜在的共同显现的心理健康差距 将对青年进行调查，以及心理健康(即焦虑/抑郁)结果是否适度(即， 加剧了AU对青少年认知功能的影响。这项提案随后将延长 应用SDoH框架和社区参与的研究方法进行定性研究 与西班牙裔/拉丁裔/x/o青年和父母组成的焦点小组，并获得对ABCD研究的回应 确定拉美裔/拉丁裔/x/o非盟相关问题的研究差距和优先事项的量化结果 社区。研究结果将为未来使用社区参与的非典预防研究提供假设 在未来的R01中与西班牙裔/拉丁裔/x/o青年的方法。综上所述，定量和定性研究 建议将调查潜在的共同出现的酒精使用差距的社会文化决定因素 心理健康及其对认知发展的影响，重点是西班牙裔/拉丁裔/x/o青年。 调查结果将为今后关于预防非盟的干预措施提供有关社会文化背景的时机和相互作用的信息。

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.