National Alcohol Surveys: Advancing Epidemiologic Analyses of 21st Century Drinking

全国酒精调查：推进 21 世纪饮酒的流行病学分析

• 批准号: 10056010
• 负责人: Priscilla Martinez
• 金额: $ 27.45万
• 依托单位: PUBLIC HEALTH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 1981
• 资助国家: 美国
• 起止时间: 1981-07-01 至 2026-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10056010
• 关键词: Address; Adult; Age; Alcohol abuse; Alcohol consumption; Alcoholic beverage heavy drinker; Alcohols; Anxiety; Archives; Area; Back; Beverages; Biological; Blood; Blood Tests; Cannabis; Censuses; Cessation of life; Characteristics; Collection; Communities; Consumption; Data; Data Analyses; Data Collection; Educational Background; Elderly; Epidemiology; Ethnic Origin; Ethnic group; Future; Gender; Health; Heavy Drinking; Individual; Inflammation; Interdisciplinary Study; Internet; Knowledge; Latino; Learning; Legal; Link; Longitudinal trends; Marijuana; Measures; Mediator of activation protein; Mental Depression; Mental Health; Methodology; Methods; Modeling; Modernization; Monitor; Morbidity - disease rate; NR4A1 gene; Neighborhoods; Online Systems; Opioid; Outcome; Pattern; Pharmaceutical Preparations; Policies; Population; Positioning Attribute; Probability; Race; Research; Research Personnel; Respondent; Risk; Risk Factors; Sales; Sampling; Series; Source; Spottings; Standardization; Subgroup; Survey Methodology; Surveys; Symptoms; Taxes; Techniques; Testing; Time; Weight; Woman; alcohol effect; alcohol epidemiology; alcohol measurement; alcohol related problem; alcohol research; alcohol risk; alcohol use disorder; base; burden of illness; cohort; design; drinking; falls; gender difference; group intervention; hazardous drinking; improved; inflammatory marker; innovation; low socioeconomic status; marijuana legalization; marijuana use; middle age; mortality; neighborhood disadvantage; opioid epidemic; perceived stress; population survey; preventive intervention; psychological distress; public health relevance; public policy on alcohol; racial and ethnic; racial and ethnic disparities; recruit; sociodemographics; socioeconomic disparity; socioeconomics; trend; trend analysis

ABSTRACT: National Alcohol Surveys: Advancing Epidemiologic Analyses of 21st Century Drinking Hazardous alcohol use remains one of the most common preventable causes of morbidity and mortality in the US and it manifests major racial/ethnic and other disparities. Nationally representative surveys repeated over time provide a means to advance survey methods, monitor trends in alcohol use overall and in sub-groups, and investigate timely health topics related to alcohol use. The Alcohol Research Group and its Center have conducted a series of National Alcohol Surveys (NAS) for forty years, and are proposing in this Project to conduct the 15th edition of the NAS in 2023-2024 (termed N15). Through the implementation of the N15 we will respond to challenges to modern-day survey research by employing a multi-mode, adaptive survey design. This will include a fully web-based survey using address-based sampling, and probability and non-probability web panels. Further, this will be the first NAS to include biosample collection using dried blood spots (DBS). Including an additional NAS in the series will expand the trend data available for framing recent changes in alcohol consumption patterns, which is also essential for age-period-cohort models for understanding components of these trends. With NAS series data from 2000-2020 we propose to evaluate racial/ethnic and socioeconomic disparities in alcohol use and alcohol problems, and risk relationships between alcohol use patterns and problems using causal inference methods including instrumental variables based on alcohol tax estimates and other policy measures. Such methods have yet to be applied to the study of disparities in alcohol-related problems. Capitalizing on the expanded trends data, we propose to examine trends for total and beverage- specific alcohol volume, alcohol use disorder, and co-use of alcohol with marijuana and other drugs from 1979 or 1984, dependent on the availability of measures, to 2024 with age-period-cohort decompositions. Alcohol and drug co-use, particularly cannabis, is especially timely given the legalization of recreational marijuana use in many states and the ongoing opioid crisis. Psychological distress (PD) is a likely driver of the opioid crisis and “deaths of despair”. Recent NAS editions have included measures of PD, a common problem for which alcohol use is a known risk factor. However, less well understood are the individual- and environmental-level moderators and biological mediators of this relationship. Collecting DBS samples will enable the study of inflammation as a biological mediator of the relationship between alcohol use and PD, which could inform future research and prevention interventions. Further, a better understanding of the moderators of the relationship between alcohol use and PD, from individual- to community-level characteristics, could help to prioritize groups to receive prevention interventions. In summary, this project proposes data collection and analyses that can advance both methodological issues and substantive research questions with the aim of better understanding and addressing 21st century drinking and its trends, correlates and consequences.

摘要：全国酒精调查：推进21世纪饮酒流行病学分析