False ID use, the Development of AUD, and Provision of Alcohol to Minors

未成年人饮酒仍然是一个主要的公共卫生问题，影响青少年，年轻人及其家庭的生活，并在社会和经济上对国家造成巨大损失。这个R 03应用程序解决了未成年人饮酒问题的两个重要但研究不足的方面，这两个方面都与酒精供应有关：使用假身份证和向未成年人提供酒精。拟议的研究涉及分析现有的数据收集的一部分，调查小组的纵向前瞻性研究的1253名年轻人谁最初抽样为即将到来的大学生。到大学三年级（19岁至21岁），60%的参与者使用伪造的身份证明（假身份证）获得酒精，两年后，44%的人认为向18岁至20岁的人提供酒精没有任何问题。这项研究有三个目的。首先，我们将确定预测在大学期间使用假身份证获得酒精的个人和环境风险因素。其次，由于酒精的广泛可用性，目前还不清楚使用假身份证可能会导致问题饮酒的额外风险（如果有的话）;因此，本研究的第二个目的是了解使用假身份证可能会在多大程度上加剧酒精使用障碍（AUD）的发展。具体来说，我们将尝试隔离饮酒模式，可归因于虚假身份证的使用，调整人口统计学，兄弟会/姐妹会的参与，以及其他已知的危险因素，有问题的饮酒在大学生。第三，我们将确定最近达到购买酒精的法律的年龄的同龄人向未成年人提供酒精的风险因素。在这里，我们将研究提供酒精给未成年人的法律的和健康风险的可能作用。显然，这群年轻的法定年龄的成年人是预防活动的潜在目标，本应用程序旨在提供可用于设计一套新的预防策略的信息，以减少未成年饮酒者通过其法定年龄的同龄人获得酒精。该应用程序独特地结合了尖端的统计方法（例如，潜在变量建模），实际重点是转化研究，可以导致政策建议，以减少未成年人饮酒。这项研究中获得的知识可能对父母有用，他们需要更好的信息来了解使用假身份证的可能性，并可以鼓励他们与法定年龄的孩子进行对话，了解为什么出于法律的和健康原因，不要向未成年人（包括他们年幼的兄弟姐妹）提供酒精是很重要的。重要的是，这项研究的影响超出了大学校园。大学和社区必须实施全面的战略，针对未成年人饮酒问题的不同方面，从筛选，识别和转介高风险饮酒者，以实施限制可用性的政策。为此，我们致力于通过与政策制定者，大学官员，家长和学生团体的持续合作来翻译我们的科学发现。 公共卫生相关性：拟议的研究将提高我们对未成年人饮酒问题的两个重要但研究不足的方面的理解，这两个方面都与酒精供应有关：使用假身份证和向未成年人提供酒精。使用现有的纵向数据，从一个大样本的年轻人，尖端的统计分析将确定风险因素，为假身份证的使用和提供酒精的未成年人，以及检查在何种程度上假身份证的使用可能会加剧酒精使用障碍的发展。这项研究将被转化为针对年轻人的创新预防战略的设计，以减少有问题的未成年人饮酒。

DESCRIPTION (provided by applicant): Underage drinking continues to be a major public health problem, affecting the lives of adolescents, young adults and their families, and exacting a huge toll on the nation socially and economically. This R03 application addresses two important, yet highly understudied aspects of the underage drinking problem, both of which are related to alcohol availability: false ID use and the provision of alcohol to minors. The proposed research involves analysis of existing data collected as part of the investigative team's longitudinal prospective study of 1253 young adults who were originally sampled as incoming college students. By their third year of college (ages 19 to 21), 60% of participants had used a falsified form of identification (false ID) to obtain alcohol, and, two years later, 44% did not see any problem with providing alcohol to someone between the ages of 18 to 20 years old. The study has three aims. First, we will identify personal and environmental risk factors that predict the use of a false ID to obtain alcohol during college. Second, because of the widespread availability of alcohol, it is unclear what (if any) additional risk for problematic drinking might be incurred by using a false ID; therefore, the second aim of this study will be to understand to what extent false ID use might exacerbate the development of an alcohol use disorder (AUD). Specifically, we will attempt to isolate the drinking patterns that can be attributed to false ID use, adjusting for demographics, fraternity/sorority involvement, and other known risk factors for problematic drinking in college students. Third, we will identify risk factors for the provision to alcohol to minors by peers who have recently attained legal age to purchase alcohol. Here we will examine the possible role of perceived legal and health risks of providing alcohol to a minor. Clearly, this group of young, legal-age adults is a potential target for prevention activities, and this application aims to provide information that could be used to design a new set of prevention strategies for reducing the availability of alcohol to underage drinkers via their legal-age peers. This application uniquely combines cutting-edge statistical methodology (e.g., latent variable modeling) with a practical focus on translational research that can lead to policy recommendations to reduce underage drinking. The knowledge gained in this study could be potentially useful for parents, who need better information about the potential for false ID use and could be encouraged to have conversations with their legal-age children about why it is important to refrain from supplying alcohol to minors-including their younger siblings-for both legal and health reasons. Importantly, the impact of this research extends beyond college campuses. Colleges and communities must implement comprehensive strategies that target different aspects of the underage drinking problem, from screening, identification, and referral of high-risk drinkers, to implementing policies that curb availability. To this end, we are committed to translating our scientific findings for that very purpose through our continued collaborations with policy makers, college officials, parents, and student groups. PUBLIC HEALTH RELEVANCE: The proposed research will improve our understanding of two important yet highly understudied aspects of the underage drinking problem that are both related to alcohol availability: false ID use and the provision of alcohol to minors. Using existing longitudinal data from a large sample of young adults, cutting-edge statistical analyses will identify risk factors for both false ID use and the provision of alcohol to minors, as well as examine the extent to which false ID use might exacerbate the development of an alcohol use disorder. The research will be translated to inform the design of innovative prevention strategies targeted at young adults to reduce problematic underage drinking.