Rural Southern Contexts, COVID-19, and Black Men'Âs Alcohol Misuse

南方农村背景、COVID-19 和黑人男性酗酒

• 批准号: 10159413
• 负责人: STEVEN M KOGAN
• 金额: $ 14.84万
• 依托单位: UNIVERSITY OF GEORGIA
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-07-01 至 2023-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10159413
• 关键词: 2019-nCoV; Address; Affect; African American; Age; Alcohol abuse; Alcohol consumption; Alcohols; American; Animals; Anxiety; Area; Attenuated; Behavior; Behavioral; COVID-19; COVID-19 pandemic; Cessation of life; Cities; Climacteric; Communities; Conflict (Psychology); County; Data; Death Rate; Disease; Distress; Economics; Exposure to; Family; Feasibility Studies; Fostering; Friends; Fright; Funding; Handwashing; Health; Home environment; Individual; Industry; Infection; Informal Social Control; Judgment; Life; Low income; Measures; Modeling; Motivation; National Institute on Alcohol Abuse and Alcoholism; Nursing Homes; Parents; Participant; Plants; Population; Poverty; Process; Quarantine; Race; Reporting; Research; Resources; Risk; Risk Behaviors; Risk Factors; Rural; Rural Community; Shelter facility; Social Distance; Social Network; Social isolation; Stress; Surveys; Symptoms; Testing; Time; Transportation; Work; alcohol misuse; cohort; coping; density; experience; federal poverty level; follow-up; health disparity; immune function; indexing; men; pandemic disease; parent grant; protective factors; racial and ethnic disparities; racial discrimination; racial disparity; recruit; resilience; response; rural area; social; socioeconomics; stressor; transmission process; young adult

Project Summary/Abstract The young Black men who are the focus of the proposed Urgent Competitive Revision to R01AA026623 are from small towns and rural communities in Georgia, an area of persistent poverty for Black residents that coincides with the nation’s worst educational, economic, and health disparities by race. Black residents account for more than 50% of Georgia’s COVID-19 deaths, despite comprising less than 1/3 of the state’s population; the state’s rural areas have a death rate 1.5 times that of its large cities. NIAAA reports that alcohol use has increased since pandemic precautions (e.g., shelter in home, social distancing) have been implemented. Among rural Black men, we hypothesize that alcohol use may accelerate the spread of SARS CoV-2. In addition to effects on immune function, alcohol misuse undermines the judgement, self-regulation, and motivation to practice recommended disease mitigation behaviors (e.g., physical distancing, self- quarantine, hand washing). Alcohol misuse also encourages young adults’ presence in settings and interactions in which they may be likely to become infected or to infect others. We also propose to examine the predictors of alcohol use. Many low-income Black men live below or near the federal poverty level and have few financial resources, including economic assets to use during a protracted pandemic. Economic hardship is exacerbated by racial discrimination, family stress and conflict, fears of exposure to unsafe working conditions when work is available, and the greater likelihood that they, their families, or their friends will be affected directly by SARS Cov-2 infection. Pandemic-related stressors are expected to foster the onset of alcohol use problems and the amplification of existing problems. Importantly, many men will cope well, avoiding alcohol misuse by drawing on both personal and social coping resources to deal with stress without alcohol use. We propose to conduct 3 remote surveys at 3-month intervals with a subsample (N = 242) of rural Black men from an ongoing study who provided past year, pre-pandemic data for the parent study. We will document men’s face-to-face social network contacts, COVID-19 mitigation behaviors, pandemic-related stressors and coping resources, and alcohol use. Our aims are to (a) model alcohol misuse trajectories among rural Black men during the course of the pandemic, (b) investigate the influence of alcohol misuse, over time, on men’s SARS CoV-2 transmission risk, and (c) investigate risk and protective processes associated with change in alcohol use during the pandemic.

项目摘要/摘要 年轻的黑人是拟议中的紧急竞争修订的重点 来自佐治亚州的小镇和农村社区，这是黑人居民持续贫困的地区 恰逢该国划分的最严重的教育，经济和健康差异。黑人居民 占乔治亚州共同-19死亡的50％以上，拼命完成了该州的1/3 人口;该州的粗糙地区的死亡率是其大城市的1.5倍。 NIAAA报告了酒精 自从大流行预防措施（例如，家庭中的庇护所，社会距离）以来，使用有所增加 实施的。在粗糙的黑人中，我们假设饮酒可能会加速SARS的扩散 COV-2。除了对免疫功能的影响外，滥用酒精还会破坏判断，自我调节， 以及实践推荐疾病缓解行为的动机（例如，身体距离，自我 隔离，洗手）。酗酒的小姐还鼓励年轻人在环境中的存在和 它们可能被感染或感染他人的相互作用。我们还建议检查 饮酒的预测因素。许多低收入黑人生活在联邦贫困层面下方或附近 很少有财政资源，包括在大流行期间使用的经济资产。经济困难是 种族歧视，家庭压力和冲突加剧，对暴露于不安全工作条件的恐惧 当有工作可用时，他们，他们的家人或朋友的可能性更大 直接通过SARS COV-2感染。与大流行有关的压力源有望促进饮酒的发作 问题和现有问题的放大。重要的是，许多男人会很好地应对，避免喝酒 滥用个人和社会应对资源，以应对不使用酒精的压力。我们 提议以3个月的间隔进行3次远程调查，并用一个子样本（n = 242）对黑人的黑人（n = 242） 一项正在进行的研究，为父母研究提供了过去的一年，流行的数据。我们将记录男人 面对面的社交网络联系，共同的199缓解行为，与大流行有关的压力源和应对 资源和饮酒。我们的目的是（a）在农村黑人中建模滥用酒精的轨迹 在大流行期间，（b）研究滥用酒精的影响，随着时间的流逝，对男人的sars的影响 COV-2传输风险以及（c）调查与酒精变化相关的风险和受保护过程 大流行期间使用。