Racial Differences in Developmental and Daily Sleep-Alcohol Associations in Youth

青少年发育和日常睡眠-酒精关联的种族差异

• 批准号: 10219942
• 负责人: Aesoon Park
• 金额: $ 33.94万
• 依托单位: SYRACUSE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-08-15 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10219942
• 关键词: Abstinence; Achievement; Address; Adolescence; Adolescent and Young Adult; Alcohol abuse; Alcohol consumption; Alcohols; American; Asians; Behavioral; Cognitive; Data; Development; Disadvantaged; Discrimination; Disease; Drowsiness; Emotional; Environment; Exhibits; Exposure to; Goals; Hour; Knowledge; Link; Literature; Mediating; Modeling; Neighborhoods; Outcome; Pathway interactions; Pattern; Polysomnography; Prevention; Prevention strategy; Process; Prospective Studies; Public Health; Race; Reporting; Research; Risk; Risk Assessment; Risk Factors; Role; Severities; Sleep; Sleep Deprivation; Sleep Disorders; Sleep disturbances; Sleeplessness; Stress; Stress and Coping; Surveys; Testing; Time; Wrist; Youth; alcohol consequences; alcohol effect; alcohol involvement; base; binge drinking; critical developmental period; critical period; design; drinking; experience; health disparity; low socioeconomic status; multi-racial; negative affect; novel; poor sleep; prospective; racial difference; racial disparity; racial diversity; racial minority; response; school district; sleep pattern; sleep quality; social; social engagement; stressor; substance use; theories; treatment strategy; underage drinking

Project Summary/Abstract Striking parallels exist in alcohol use/consequences and sleep deficiency among youth. That is, both alcohol use/consequences and sleep deficiency are highly prevalent in youth, and racial minority youth are disproportionately burdened with sleep deficits and alcohol use/consequences. Further, sleep deficiencies and alcohol use/consequences frequently co-occur in youth. Prospective research consistently indicates sleep deficiency predicts subsequent alcohol use/consequences. While findings for the prospective effect of alcohol use/consequences on subsequent sleep deficiency are less consistent in youth, alcohol administration studies have shown that alcohol use leads to subsequent sleep deficits among late adolescent and young adult drinkers. These bi-directional sleep-alcohol associations have significant implications such that sleep deficiency and alcohol use/consequences feed into each other in a vicious downward cycle by which they exacerbate over time. However, what is yet to be tested is (a) whether sleep-alcohol prospective associations differ across racial groups and (b) if so, what racially-specific mechanisms underlie the bi-directional sleep- alcohol associations in youth. This proposed study seeks to address the troubling racial disparities in the co- occurrence of the two prevalent and serious public health problems in American youth. The drastic initiation and escalation in alcohol use/consequences along with sleep deficiencies occurring in mid-adolescence make it an optimal developmental period to characterize risk processes involving alcohol use/consequences and sleep deficiencies over time. Specifically, we aim to test (1) racial differences in the prospective bi-directional sleep-alcohol associations over time, and (2) racial differences in a theory-based risk pathway linking sleep deficiency and alcohol use/consequences, which involves long-term and short-term social adversity exposures and subsequent stress-coping responses. Achievement of this proposed study's aims will enhance knowledge about the mechanisms underlying sleep-alcohol disparities during the critical developmental period of adolescence. This knowledge will also inform targeted, racially-sensitive prevention and treatment strategies to curtail sleep-alcohol problems among racial minority youth. Ultimately, these targeted and racially-sensitive prevention/treatment endeavors will contribute to reducing health disparities among racially minority youth.

项目摘要/摘要 在饮酒/后果和年轻人的睡眠不足中存在惊人的相似之处。也就是说，都酒精 在青年中，使用/后果和睡眠不足非常普遍，少数族裔青年是 睡眠不足和饮酒/后果负担不成比例。此外，睡眠不足和 饮酒/后果经常在青年中同时发生。前瞻性研究始终表明睡眠 缺陷预测随后的酒精使用/后果。同时发现酒精的预期作用 在年轻人，酒精管理研究中，对随后睡眠不足的使用/后果不那么一致 已经表明，饮酒会导致青少年晚期和年轻人的随后睡眠不足 饮酒者。这些双向睡眠相关性具有重大影响，以便睡眠 缺乏症和酒精使用/后果在恶性的下降周期中相互融合 随着时间的流逝而加剧。但是，尚待测试的是（a）睡眠期前期关联是否存在 在种族群体之间有所不同，（b）如果是的，则是双向睡眠的基础的种族特异性机制 青年的酒精协会。这项拟议的研究旨在解决共同体中令人困扰的种族差异 美国青年的两个普遍和严重的公共卫生问题发生。激烈的开始 饮酒/后果的升级以及在青春期中发生的睡眠不足使得 表征涉及酒精使用/后果的风险过程的最佳发展时期 随着时间的流逝，睡眠不足。具体而言，我们旨在测试（1）前瞻性双向的种族差异 随着时间的流逝，酒精酒精协会以及（2）基于理论的风险途径的种族差异 缺乏和饮酒/后果，涉及长期和短期社会逆境暴露 以及随后的压力反应。实现这一拟议研究的目标将增强知识 关于在关键发育期间的睡眠 - 酒精差异的基础机制 青春期。这些知识还将为有针对性的，对种族敏感的预防和治疗策略提供信息 种族少数青年的降低睡眠 - 酒精问题。最终，这些针对性和种族敏感 预防/治疗努力将有助于减少种族少数青年的健康差异。