Life Course Perspective on Alcohol and Drug Use Trajectories from Adolescence into Adulthood

从青春期到成年的酒精和毒品使用轨迹的生命历程视角

• 批准号: 10616521
• 负责人: ELIZABETH J. D'AMICO
• 金额: $ 60.76万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-01 至 2026-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10616521
• 关键词: Address; Adolescence; Adult; Advertising; Affect; Age; Age Factors; Alcohol consumption; Alcohols; Area; Asian; Asian population; Black race; California; Cannabis; Characteristics; Child Rearing; Data; Databases; Development; Disease; Disparity; Drug usage; Economics; Education; Employment; Environment; Environmental Risk Factor; Epidemiology; Ethnic Origin; Exposure to; Face; Family; Female; Gender; Generations; Health; Heavy Drinking; Hispanic; Hispanic Populations; Individual; Intervention; Knowledge; Life; Life Cycle Stages; Link; Longitudinal Studies; Measures; Medical Marijuana; Mental Health; Neighborhoods; Pattern; Persons; Play; Policies; Positioning Attribute; Prevention; Psyche structure; Public Policy; Race; Resistance; Risk Behaviors; Risk Factors; Role; Sampling; Self Efficacy; Shapes; Social Development; Structure; Students; Subgroup; Surveys; Time; Tobacco; Vocation; Work; Youth; age group; alcohol and other drug; alcohol consequences; alcohol research; alcohol use disorder; career; cohort; college; density; driving under influence; emerging adulthood; ethnic disparity; ethnic diversity; functional independence; health related quality of life; high risk drinking; high risk sexual behavior; junior high school; misuse of prescription only drugs; multi-ethnic; outcome prediction; peer; physical conditioning; protective factors; racial disparity; racial diversity; recruit; retention rate; satisfaction; school district; sleep quality; social; social media; social stressor; university student; vaping nicotine; young adult

Summary/Abstract Young adulthood is a challenging time focused on making important decisions that can either facilitate or hinder independence across a variety of domains. The CHOICE-STRATA Study (CHOICE STudy of Racial diversity in AOD use during the Transition to Adulthood) has assessed alcohol and other drug (AOD) use and functioning in numerous domains (e.g., social, economic, health) across 13 waves of data in youth from age 10 to age 24 (R01AA016577, R01AA020883, R01AA025848), with retention rates averaging 84% across the 12 waves completed to date, and 91% from age 18 (waves 8-12). The proposed study, STRATA-XP (eXPanded), provides an important opportunity to follow this large and racially/ethnically diverse cohort into young adulthood (ages 25-28), a unique developmental period for which there are few contemporary longitudinal studies of AOD use. This application responds to NOT-AA-20-017: Epidemiology and Prevention in Alcohol Research, focused on understanding the developmental trajectories of alcohol use, risky drinking, and alcohol use disorders and the correlates of "maturing out" of heavy drinking. We propose to conduct 4 additional annual surveys from age 25- 28 (N=2,500) and address the following aims: Aim 1a: Identify trajectories of alcohol use (as well as tobacco, cannabis, and other drug use) from age 10 into young adulthood. 1b.Examine effects of individual factors (e.g., resistance self-efficacy), peer factors (e.g., time spent around peers who use) and neighborhood factors (both subjective and objective, including alcohol and cannabis outlet density) on AOD use trajectories. Aim 2: Examine how AOD use trajectories across adolescence and emerging adulthood predict outcomes through age 28 in three core domains: 1) risk behaviors (e.g., AOD use and disorder, risky sexual behavior, delinquency), 2) health-related quality of life (e.g., mental, physical, social), and 3) adult role functioning and transitions (e.g., employment, relationships and family formation, life satisfaction). Aim 3:Examine how adult role functioning and transitions, such as pursuing a career and parenting, longitudinally predict subsequent changes in AOD use and other risk behaviors, as well as health-related quality of life, in young adulthood. Aim 4: Provide an understanding of potential across race/ethnicity, gender, and educational attainment that may occur across the AOD trajectories and the factors associated with these trajectories. Continuing this work will move the field forward by providing a better understanding of developmental patterns, antecedents, and consequences of AOD use among today's young people as they transition into young adulthood.

摘要/摘要 青年时期是一个充满挑战的时期，专注于做出可能促进或阻碍的重要决定 跨多个领域的独立性。 CHOICE-STRATA 研究（CHOICE 研究种族多样性） 成年过渡期间 AOD 的使用）评估了酒精和其他药物 (AOD) 的使用和功能 涵盖 10 岁至 24 岁青少年 13 波数据的众多领域（例如社会、经济、健康） （R01AA016577、R01AA020883、R01AA025848），12 个波次的平均保留率为 84% 迄今为止已完成，其中 91% 从 18 岁开始（第 8-12 波）。拟议的研究 STRATA-XP (eXPanded) 提供了 这是一个重要的机会，可以跟踪这个庞大且种族/民族多样化的群体进入青年期（年龄 25-28），这是一个独特的发展时期，当代对 AOD 使用的纵向研究很少。 此应用程序响应 NOT-AA-20-017：酒精研究中的流行病学和预防，重点关注 了解酒精使用、危险饮酒和酒精使用障碍的发展轨迹以及 与大量饮酒“成熟”相关。我们建议从 25 岁起再进行 4 次年度调查 28 (N=2,500) 并实现以下目标： 目标 1a：确定酒精使用轨迹（以及烟草、 大麻和其他药物的使用）从 10 岁到成年早期。 1b.检查个别因素的影响（例如， 抵抗自我效能）、同伴因素（例如，在使用的同伴周围度过的时间）和邻里因素（两者都 主观和客观，包括酒精和大麻出口密度）对 AOD 使用轨迹的影响。目标 2： 检查 AOD 如何在青春期和成年初期使用轨迹来预测随年龄变化的结果 28 涉及三个核心领域：1) 危险行为（例如，AOD 使用和紊乱、危险性行为、犯罪），2) 与健康相关的生活质量（例如心理、身体、社交），以及 3) 成人角色功能和转变（例如， 就业、人际关系和家庭形成、生活满意度）。目标 3：检查成人角色如何发挥作用 和过渡，例如追求职业和养育子女，纵向预测 AOD 使用的后续变化 和其他危险行为，以及成年早期与健康相关的生活质量。目标 4：提供 了解跨种族/民族、性别和教育程度的潜力 AOD 轨迹以及与这些轨迹相关的因素。继续这项工作将推动该领域的发展 通过更好地理解 AOD 的发展模式、前因和后果来推进 当今年轻人在进入青年期时使用。