Social Relationship Qualities as Predictors of Health & Aging from Adolescence through Early Midlife

项目摘要 旨在促进生命过程中身体健康的青少年公共卫生工作迄今为止几乎 专门针对生理风险因素和健康行为（例如，体重、吸烟等）。这 该提案审查了一个影响深远的假设，有可能为干预开辟新的途径： 在青少年时期建立的社会关系品质与生命历程有着整体的、长期的关系 身体健康和衰老过程。 本研究将阐明这两种具体关系的存在及其机制 敌对冲突的经历和缺乏支持性关系， 中年健康和老龄化的结果。它使用了关于同伴、浪漫伴侣和家庭的独特丰富的纵向数据 关系质量跨越25年的跨度，以解决四个首要目标：1）直接预测中年 从青少年社会关系质量的健康和老龄化; 2）评估中介与风化 解释从青春期到中年健康和老龄化结果的联系; 3）检查 通过心理健康和健康行为的中年-中年联系;和4）生物和 观察到的中年-中年联系的背景调解人和主持人。 拟议中的研究通过反复访谈的独特密集组合来解决这些目标中的每一个， 社会测量评估，以及与父母，同龄人和浪漫伴侣互动的直接观察， 随着中年时期一系列高度有效的健康和衰老生理指标的新增加， 从172个个体的社会人口统计学上多样化的最终样本中获得（97%的样本保留率为 日期），随访时间跨度为25年，从13岁到中年（33 - 37岁）。拟议的研究已 重要性在于允许：a.在青少年中发现了几个全新的潜力领域 促进终身健康和健康老龄化的干预措施; B.向目标暗示特定关系特征 在此期间进行筛查和预防干预; c.区分青少年的社会过程 直接预测加速老化（因此在青春期内解决至关重要）， 介导的风险链（这将表明多个有希望的干预点）;以及d.急剧 推进对早期关系困难与 可能会影响身体健康和衰老的结果，直到中年。

Project Summary Public health efforts in adolescence aimed at life course physical health promotion have to date focused almost exclusively on addressing physiological risk factors and health behaviors (e.g., weight, smoking, etc.). This proposal examines a far-reaching hypothesis with the potential to open up new venues for intervention: that social relationship qualities established in adolescence have an integral, long-term relationship to life course physical health and aging processes. The proposed study will clarify both the existence and the mechanisms by which two specific relationship qualities in adolescence—experience of hostile conflict and absence of supportive relationships—are linked to midlife health and aging outcomes. It uses uniquely rich longitudinal data on peer, romantic partner, and family relationship qualities across a 25-year span, to address four overarching aims: 1) direct prediction of midlife health & aging from adolescent social relationship qualities; 2) assessment of mediational vs. weathering explanations of links from adolescence to midlife health & aging outcomes; 3) examination of mediation of adolescent-midlife linkages via mental health and health behaviors; and 4) examination of biologic and contextual mediators and moderators of observed adolescent-midlife linkages. The proposed study addresses each of these Aims with a uniquely intense combination of repeated interviews, sociometric assessments, and direct observations of interactions with parents, peers, and romantic partners, with the new addition in midlife of an array of highly valid physiological indicators of health and aging—all obtained from a socio-demographically diverse final sample of 172 individuals (with 97% sample retention to date), followed across a 25-year span, from age 13 into midlife (ages 33 – 37). The proposed study has significance in allowing: a. identification of several entirely new arenas within adolescence for potential interventions to promote lifelong health and healthy aging; b. suggest specific relational characteristics to target across this period in screening and preventive interventions; c. distinguish social processes in adolescence that directly predict accelerated aging (and are thus critical to address within adolescence) from those that lead to mediated chains of risk (which would suggest multiple promising points of intervention); and d. dramatically advance overall theoretical understanding of the ways in which early relationship difficulties are linked to and potentially affect physical health and aging outcomes well into midlife.