MODEL TO PREDICT SUBSTANCE USE IN PREGNANT ADOLESCENTS

拟议的科学家发展奖有两个组成部分 临床医生：职业发展和研究计划。两个组件都将 接受副教授卡罗尔·博伊德博士的指导， 密歇根大学护理学院劳埃德·约翰斯顿博士，研究 社会研究所调查研究中心科学家 密歇根大学研究部教授詹姆斯·杰克逊博士 心理学，LSA，SPH健康行为和健康教育教授， ISR和教职员工群体动力学研究中心研究科学家 密歇根大学老年学副所长。在他们的 担任教职后，候选人将从事以下职业 发展活动：与物质领域的专家合作 在当地和全国范围内滥用职权，增加候选人的实质性 和方法知识：a)完成相关的课程工作和 研讨会；b)对约翰斯顿博士的《监测未来》的二次分析 数据来检验女性青少年的态度之间的关系， 知识、行为、物质使用和滥用；以及(C)次要的 杰克逊博士的家庭过渡到早期生育数据的分析 考察物质使用的代际模式及其 对青少年母亲态度、知识和物质使用的影响 虐待。理论上相关的发现、方法和分析 通过使用这些数据集获得的技能将用于指导和 完善K-20奖的拟议研究部分。 研究部分将审查怀孕青少年的药物滥用情况。 最小样本为200个样本的前瞻性比较面板设计 将使用青少年(100名怀孕和100名非怀孕女性)。这个 来自两组的受试者将在种族、年龄和招募方面进行匹配 地点。这项研究的具体目的是描述怀孕的青少年 三个时间点(16周、24周和6周)的药物滥用 产后一周访问)，比较怀孕青少年的药物滥用情况 非孕期女性青少年物质滥用的特点 并比较滥用药物的怀孕青少年和不滥用药物的怀孕青少年 物质滥用者对社会应激性物质滥用模型的预测作用 变量(社会因素、社会能力、社区资源和 压力)。两个附属目标是在非 并确定是否有同样的社会压力 物质滥用模型的预测变量与物质相关 在怀孕和未怀孕的青少年中使用。最终的目标是 构建孕期与非孕期物质使用因果关系模型 基于社会压力物质滥用模型的青少年。长的- 学期目标是为科学知识库做出贡献，并使用 这项研究的发现有助于指导有效性、年龄和性别的发展 对怀孕青少年进行适当的药物滥用干预。

There are two components to the proposed scientist development award for clinicians: career development and research plans. Both components will be under the preceptorship of Dr. Carol Boyd, Associate Professor, University of Michigan School of Nursing, Dr. Lloyd Johnston, Research Scientist, Research, Survey Research Center, Institute for Social Research, University of Michigan, and Dr. James Jackson, Professor of Psychology, LSA, Professor of Health Behavior & Health Education, SPH, Research Scientist, Research Center for Group Dynamics, ISR & Faculty Associate Institute of Gerontology, University of Michigan. Under their preceptorship, the candidate will engage in the following career development activities: collaborate with experts in the field of substance abuse both locally and nationally and increase the candidate's substantive and methodological knowledge by: a) completing relevant course work and seminars; b) secondary analysis of Dr. Johnston's Monitoring the Future data to examine the relationship among female adolescents' attitudes, knowledge, behavior, and substance use and misuse; and (c) secondary analyses of Dr. Jackson's Family Transitions to Early Child-Bearing data to examine the intergenerational patterns of substance use and their influence on teen mother's attitude, knowledge, and substance use and abuse. Theoretically relevant findings, methodological, and analytical skills acquired from using these data sets will be used to guide and to refine the proposed research component of the K-20 Award. The research component will examine pregnant adolescents' substance abuse. A prospective comparison panel design with a minimum sample of 200 adolescents (100 pregnant and 100 non-pregnant females) will be used. The subjects from the two groups will be matched on race, age and recruitment site. The study's specific aims are to describe pregnant adolescents' substance abuse at three points in time (16 weeks, 24 weeks and at the six week postpartum visit), to compare pregnant adolescents' substance abuse with non-pregnant female adolescents' substance abuse, and to characterize and compare pregnant adolescents who are substance abusers with non- substance abusers on the Social Stress Substance Abuse Model's predictor variables (social factors, social competency, community resources and stress). Two subsidiary aims are to make the same comparison among non- pregnant adolescents and to determine whether the same Social Stress Substance Abuse Model's predictor variables are associated with substance use among pregnant and non-pregnant adolescents. The final aim is to construct a causal model of substance use by pregnant and non-pregnant adolescents based on the Social Stress Substance Abuse Model. The long- term goals are to contribute to the scientific knowledge base and to use the study's findings to guide the development of effective, age and gender appropriate substance abuse interventions for pregnant adolescents.