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Ecological Momentary Assessment of Racial Microaggressions and Alcohol Use in African American Young Adults

非裔美国年轻人种族微侵犯和饮酒的生态瞬时评估

基本信息

批准号：
10592594
负责人：
Patricia A Cavazos-Rehg
金额：
$ 22.97万
依托单位：
WASHINGTON UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-27 至 2024-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10592594
关键词：
Address Adult African American African American population Age Alcohol abuse Alcohol consumption Alcohols Baseline Surveys Behavior Buffers Cellular Phone Coping Skills Data Data Collection Development Ecological momentary assessment Effectiveness Eligibility Determination Enrollment Event Exposure to Feedback Feeling Frequencies Future Goals Heavy Drinking Individual Injury Intervention Knowledge Lead Link Literature Low Prevalence Methods National Institute on Alcohol Abuse and Alcoholism Nature Outcome Participant Pattern Prevalence Prevention Public Health Published Comment Race Recording of previous events Reporting Research Risk Risk Factors Sampling Severities Socialization Source Strategic Planning Surveys Target Populations Test Result Testing Thinking Time Trauma Variant Work aged alcohol exposure alcohol measurement alcohol prevention alcohol research base design drinking drinking behavior ethnic minority population experience health equity promotion high risk high risk population innovation member microaggression multilevel analysis negative affect novel perceived discrimination perceived stress preventive intervention protective factors racial and ethnic racial discrimination racial minority racism recruit reduced alcohol use self esteem social social media socioeconomic disadvantage socioeconomics stressor substance use university student usability young adult

项目摘要

Project Summary African American adults are disproportionately exposed to stressors, such as racial discrimination, that increase risk for problem drinking and are more likely than White adults to experience alcohol-related illness, injuries, and negative social consequences. African Americans report experiencing everyday race-related discriminatory events involving intentional acts of racism or subtle degrading, excluding, or negating acts, known as racial microaggressions, as frequently as daily. Although the link between racial discrimination and drinking behaviors has been documented, the timing and modifiers of the effects remain largely unknown. In the proposed study, we will assess racial microaggressions as antecedents to alcohol use among African American young adults via ecological momentary assessment (EMA) to capture the association at a granular level during the peak developmental period of risk for heavy alcohol use. The study is built on two core premises: (1) More accurate understanding of African American young adults’ daily, real world experiences with racial microaggressions and their impact on drinking behaviors is critical to inform an R01 level, ecological momentary intervention to reduce alcohol use among this high-risk group; and (2) the effectiveness of such an intervention hinges on its usability and acceptability in the target population. To address Aim 1, establishment of the EMA design, we will recruit via social media [100] African American adults aged 18 to 25 who engage in regular alcohol use to complete surveys assessing the nature and frequency of racial microaggressions and alcohol use. Thirty survey participants (10 each from the lowest, middle, and highest thirds of the racial microaggression frequency distribution) will take part in usability testing to refine EMA design, including sampling periods, number of items, and frequency of prompts, and to establish the minimum frequency of racial microaggression experiences for valid use of the EMA. [In Aim 2, we will recruit a new sample of 100 participants] to complete a 21-day intensive, repeated, and brief smartphone-based EMA study to track alcohol use and instances of racial microaggressions. We will investigate both the within- and between- subject effects of racial microaggressions on alcohol use behaviors utilizing multilevel-modeling approaches to detect lagged (e.g., next day) as well as same day effects. For Exploratory Aim 3, we will investigate buffering and exacerbating effects of potential protective factors [assessed in Aim 2 baseline surveys] (e.g., adaptive coping strategies, racial socialization) and risk factors, (e.g., history of trauma, socioeconomic disadvantage) on alcohol use reported via EMAs. Achieving the study’s goal of identifying how racial microaggressions lead to drinking behaviors will uncover novel targets to spur the development of innovative focused prevention and intervention strategies for hazardous alcohol use among African American young adults, in keeping with NIAAA’s Strategic Plan for Fiscal Years 2022-2026 of promoting health equity.

项目概要非裔美国成年人不成比例地面临压力源，例如种族歧视，增加饮酒问题的风险，并且比白人成年人更有可能患上与酒精相关的疾病，伤害和负面社会后果。非裔美国人报告称每天都经历与种族相关的事情涉及故意种族主义行为或微妙的侮辱、排斥或否定行为的歧视事件，被称为种族微侵犯的现象每天都发生。尽管种族歧视与饮酒行为已被记录，但影响的时间和影响因素仍然很大程度上未知。在在拟议的研究中，我们将评估种族微侵犯作为非洲人饮酒的前因美国年轻人通过生态瞬时评估（EMA）来捕捉细粒度的关联重度饮酒风险的高峰发育期水平。该研究建立在两个核心基础上前提：（1）更准确地理解非裔美国年轻人的日常、现实世界经历种族微侵犯及其对饮酒行为的影响对于告知 R01 水平至关重要，生态瞬时干预，以减少这一高危人群的饮酒； (2) 有效性这种干预措施的有效性取决于其在目标人群中的可用性和可接受性。为了实现目标 1，建立 EMA 设计后，我们将通过社交媒体招募 [100] 18 至 25 岁的非洲裔美国成年人定期饮酒以完成评估种族歧视性质和频率的调查的人微攻击和饮酒。调查参与者 30 名（最低、中、最高各 10 名）种族微攻击频率分布的三分之一）将参加可用性测试以完善 EMA 设计，包括采样周期、项目数量和提示频率，并确定最小有效使用 EMA 的种族微侵犯经历的频率。 [在目标2中，我们将招募新的 100 名参与者的样本] 完成为期 21 天的密集、重复和简短的基于智能手机的 EMA 研究追踪酒精使用情况和种族微侵犯事件。我们将调查内部和之间利用多层次建模方法研究种族微侵犯对饮酒行为的主体影响检测滞后（例如，第二天）以及当天的影响。对于探索性目标 3，我们将研究缓冲以及加剧潜在保护因素的影响[在目标 2 基线调查中评估]（例如，适应性应对策略、种族社会化）和风险因素（例如创伤史、社会经济劣势）通过 EMA 报告饮酒情况。实现该研究的目标，即确定种族微侵犯如何导致饮酒行为将发现新的目标，促进创新型重点预防和治疗的发展针对非洲裔美国年轻人危险饮酒的干预策略， NIAAA 促进健康公平的 2022-2026 财年战略计划。