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

描述(申请人提供)：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，并给国家的社会和经济造成巨大的损失。这个R03应用程序解决了未成年人饮酒问题的两个重要方面，但研究程度很低，这两个方面都与酒精供应有关：使用虚假身份证和向未成年人提供酒精。这项拟议的研究涉及对现有数据的分析，这是调查团队对1253名年轻人进行的纵向前瞻性研究的一部分，这些年轻人最初是作为大学新生抽样的。到了大学三年级(19岁至21岁)，60%的参与者使用伪造的身份证明(虚假身份)来获得酒精，两年后，44%的参与者认为向18岁至20岁的人提供酒精没有任何问题。这项研究有三个目标。首先，我们将确定预测在大学期间使用虚假身份证饮酒的个人和环境风险因素。其次，由于酒精的普遍存在，目前尚不清楚使用虚假身份证可能会带来什么(如果有的话)饮酒问题的额外风险；因此，这项研究的第二个目标将是了解使用虚假身份证可能在多大程度上加剧酒精使用障碍(AUD)的发展。具体地说，我们将试图隔离可归因于虚假身份证使用的饮酒模式，调整人口统计学、兄弟会/女生联谊会的参与，以及其他已知的大学生饮酒问题风险因素。第三，我们将确定最近达到购买酒精的法定年龄的同龄人向未成年人提供酒精的风险因素。在这里，我们将研究向未成年人提供酒精可能产生的法律和健康风险的可能作用。显然，这群年轻的合法年龄成年人是预防活动的潜在目标，该应用程序旨在提供信息，可用于设计一套新的预防策略，以减少未成年饮酒者通过其合法年龄同龄人获得酒精的机会。这一应用程序独特地将尖端统计方法(例如，潜变量建模)与对翻译研究的实际关注结合在一起，可以得出减少未成年人饮酒的政策建议。从这项研究中获得的知识可能对父母有潜在的帮助，他们需要更好地了解使用虚假身份证的可能性，并可以鼓励他们与合法年龄的孩子对话，了解为什么出于法律和健康原因，禁止向未成年人-包括他们的弟弟妹妹-提供酒精是很重要的。重要的是，这项研究的影响超越了大学校园。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，从筛查、识别和转介高风险饮酒者，到实施限制供应的政策。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，将我们的科学发现转化为这一目的。

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.