Socio-cultural and community risk and resilience for alcohol related problems in youth

项目总结/摘要。虽然酒精仍然是最广泛认可的物质， 青少年，和各种心理社会风险因素已被确定，未知的是潜在的起源， 西班牙裔/拉丁裔/x/o年轻人中酒精相关问题的差异如何出现 人口。将健康差异方法应用于青少年酒精使用（Au）预防研究是必要的 在青少年期出现Au相关问题之前，确定干预的高影响点， 成年鉴于健康差距可归因于从2000年开始的逆境的复合暴露， 儿童期，调查健康的社会决定因素（SDoH）和Au及相关 青春期的问题是关键。我们将考虑社会文化因素的风险和保护作用 (e.g.,歧视与家庭主义）的Au和心理健康在青春期使用生态发展 这是一个框架，重点是西班牙裔/拉丁裔/x/o青年。此外，理解SDoH（例如，学校和 邻里特征）与Au的关联以及相关问题将指导政策， 可以作为干预目标的决定因素，以实现减少健康差距的系统性变革。这 该提案将利用青少年大脑认知发展®（ABCD）研究，这是一项大型的综合性研究。 数据集，以推进Au预防研究的关键领域，重点是西班牙裔/拉丁裔/x/o青年， 交叉身份（例如，性别和代际地位）。定量分析将测试（1）社会文化 Au相关问题和心理健康的决定因素，以及（2）Au对心理（焦虑/抑郁）的影响 与西班牙裔/拉丁裔/x/o青少年认知和学校表现相关。本提案将使用ABCD 研究纵向数据以确定促进性社会文化因素（即，高度家庭主义和低歧视） 这可能会缓冲Au的风险以及受个人和更广泛的社会风险影响的相关问题， 文化背景（即，学校和邻里）。在心理健康方面可能共同出现的差异， 将对青年进行调查，以及心理健康（即，焦虑/抑郁）结果中等（即， 加剧）Au对青少年认知功能的影响。这项建议将延长 应用SDoH框架和社区参与研究方法进行定性研究 与西班牙裔/拉丁裔/x/o青年和父母的焦点小组进行讨论，并获得对ABCD研究的回应 定量研究结果，以确定西班牙裔/拉丁裔/x/o中Au相关问题的研究差距和优先事项 社区研究结果将为未来Au预防研究提供假设， 在未来的R 01中与西班牙裔/拉丁裔/x/o青年接触。总之，定量和定性研究 建议将调查潜在的共同出现的酒精使用差异的社会文化决定因素， 心理健康和随后对认知发展的影响，重点是西班牙裔/拉丁裔/x/o青年。 调查结果将告知未来的干预措施对Au预防的时间和社会文化背景的相互作用。

PROJECT SUMMARY/ABSTRACT. While alcohol remains the most widely endorsed substance during adolescence, and various psychosocial risk factors have been identified, unknown are the potential origins for how disparities in alcohol related problems emerge among young adults among Hispanic/Latina/x/o populations. Applying a health disparities approach to youth alcohol use (AU) prevention research is necessary to identify high impact points of intervention during adolescence before AU related problems emerge in adulthood. Given that health disparities are attributable to compounded exposure to adversity beginning in childhood, investigating relationships between the social determinants of health (SDoH) and AU and related problems in adolescence is critical. We will consider both the risk and protective role of socio-cultural factors (e.g., discrimination vs. familism) for AU and mental health during adolescence using the ecodevelopmental framework, with a focus on Hispanic/Latina/x/o youth. Further, understanding SDoH (e.g., school and neighborhood features) associations with AU and related problems will guide policy to identify upstream determinants that can be intervention targets to bring systemic change that reduces health disparities. This proposal will leverage the Adolescent Brain Cognitive Development® (ABCD) Study, a large comprehensive dataset, to advance critical areas of research in AU prevention with a focus on Hispanic/Latina/x/o youth and intersecting identities (e.g., gender and generational status). A quantitative analysis will test (1) socio-cultural determinants of AU related problems and mental health, and (2) AU influences on mental (anxiety/depression) in association with cognitive and school performance in Hispanic/Latina/x/o youth. This proposal will use ABCD study longitudinal data to identify promotive socio-cultural factors (i.e., high familism and low discrimination) that may buffer risk for AU and related problems influenced by both risk from individual and broader social- cultural contexts (i.e., school and neighborhood). Potential co-emerging disparities in mental health among youth will be investigated, and whether mental health (i.e., anxiety/depression) outcomes moderate (i.e., exacerbates) the influence of AU on adolescent cognitive functioning. This proposal will then extend the application of the SDoH framework with community-engaged research approach to conduct a qualitative study with focus groups with Hispanic/Latina/x/o youth and parents and obtain a response to the ABCD study quantitative findings to identify research gaps and priorities for AU related problems in the Hispanic/Latina/x/o community. Findings will inform hypotheses on future AU prevention research using community-engaged approaches with Hispanic/Latina/x/o youth in a future R01. In summary, the quantitative and qualitative studies proposed will investigate the socio-cultural determinants of potential co-emerging disparities in alcohol use and mental health and subsequent impact on cognitive development, with a focus on Hispanic/Latina/x/o youth. Findings will inform future interventions on AU prevention on timing and the interplay of socio-cultural contexts.