Alcohol Use among Asian American Adolescents & Young Adults: Do Subgroups Differ?

描述（由申请人提供）：尽管亚裔美国青少年重度饮酒的比例很高，并且在亚裔美国年轻人中酒精依赖和滥用的患病率越来越高，但关于亚裔美国青少年饮酒的预测因素及其成年后的后果的研究报道很少。本研究采用的以文化适应为重点的方法是有限的，因为对文化适应的关注，青少年和年轻人饮酒的预测因素被认为对其他人群很重要，但没有充分纳入。在预测因素和饮酒结果之间建立因果关系的纵向研究也很缺乏。尽管亚裔美国青少年和年轻人具有巨大的社会经济和文化多样性，但很少有研究调查他们饮酒的亚群体特定风险和保护因素，或文化和社会经济环境对他们饮酒的影响。为了填补这些空白，我们建议对从国家青少年健康纵向研究数据中提取的亚裔美国人纵向样本（N=1,425）进行二次分析。使用潜在增长曲线模型，我们将检验以下假设：对父母的依恋程度低、父母控制程度低、有更多饮酒的亲密朋友、学习成绩低、学校关系低和酒精可得性高，这些假设与青春期初始酒精使用水平较高以及随着时间的推移酒精使用增加有关。此外，我们将研究种族饮酒文化、代际地位和社区社会经济地位与亚裔美国青少年酒精使用轨迹的个人水平预测因素之间的相互作用。我们的工作还将包括确定亚裔美国青少年的高风险亚群，他们的饮酒模式在青春期更有问题，更有可能导致成年后的长期饮酒问题，以及揭示导致他们饮酒的风险因素。我们的研究结果将大大提高对亚裔美国青少年和年轻人饮酒的认识，并为有效的干预策略提供信息。

DESCRIPTION (provided by applicant): Despite high rates of heavy drinking among Asian American adolescents and increasing prevalence of alcohol dependence and abuse among Asian American young adults, little research has been reported on predictors of Asian American adolescent drinking and their outcomes in young adulthood. The acculturation-focused approach taken in this research is limiting in that, due to the preoccupation with acculturation, predictors of adolescent and young adult drinking identified as important for other populations have not been sufficiently incorporated. There is also a paucity of longitudinal research to establish causal relationships between predictors and drinking outcomes. Despite the great socioeconomic and cultural diversity among Asian American adolescents and young adults, few studies have investigated subgroup-specific risk and protective factors of their drinking or the effects of cultural and socioeconomic environments on their drinking. To fill these gaps, we propose a secondary analysis of a longitudinal Asian American sample (N=1,425) extracted from the National Longitudinal Study of Adolescent Health data. Using latent growth curve models, we will test hypotheses that low attachment to parents, low parental control, more close friends who drink, low academic performance, low school bonding, and high alcohol availability will be associated with higher initial levels of alcohol use in adolescence and with increases in alcohol use over time. In addition, we will examine interactions between ethnic drinking culture, generational status, and neighborhood SES with individual-level predictors of Asian American adolescents' trajectories of alcohol use. Our efforts will also include identifying high risk subgroups of Asian American adolescents whose drinking patterns are more problematic in adolescence and more likely to lead to long-term drinking problems in young adulthood, as well as uncovering the risk factors that drive their drinking. Our findings will greatly improve knowledge of Asian American adolescent and young adult drinking and inform effective intervention strategies.