Life Course Perspective on Alcohol and Drug Use Trajectories from Adolescence into Adulthood

从青春期到成年的酒精和毒品使用轨迹的生命历程视角

• 批准号: 10293235
• 负责人: ELIZABETH J. D'AMICO
• 金额: $ 63.2万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-01 至 2026-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10293235
• 关键词: Address; Adolescence; Adult; Advertising; Affect; Age; Age Factors; Alcohol consumption; Alcohols; Area; Asians; California; Cannabis; Characteristics; Child Rearing; Data; Databases; Development; Drug Use Disorder; Drug usage; Economics; Employment; Environment; Environmental Risk Factor; Epidemiology; Ethnic Origin; Exposure to; Face; Family; Female; Gender; Generations; Health; Heavy Drinking; Hispanics; Individual; Intervention; Knowledge; Life; Life Cycle Stages; Link; Longitudinal Studies; Measures; Medical Marijuana; Mental Health; Neighborhoods; Pattern; Play; Positioning Attribute; Prevention; Psyche structure; Public Policy; Race; Resistance; Risk Behaviors; Risk Factors; Role; Sampling; Self Efficacy; Shapes; Social Development; Structure; Students; Subgroup; Surveys; Time; Tobacco; Work; Youth; age group; alcohol and other drug; alcohol consequences; alcohol research; alcohol use disorder; career; cohort; college; density; driving under influence; emerging adulthood; ethnic diversity; functional independence; health related quality of life; high risk drinking; high risk sexual behavior; junior high school; misuse of prescription only drugs; multi-ethnic; outcome prediction; peer; physical conditioning; protective factors; racial and ethnic; racial and ethnic disparities; racial diversity; recruit; retention rate; satisfaction; school district; sleep quality; social; social media; social stressor; university student; vaping nicotine; young adult

Summary/Abstract Young adulthood is a challenging time focused on making important decisions that can either facilitate or hinder independence across a variety of domains. The CHOICE-STRATA Study (CHOICE STudy of Racial diversity in AOD use during the Transition to Adulthood) has assessed alcohol and other drug (AOD) use and functioning in numerous domains (e.g., social, economic, health) across 13 waves of data in youth from age 10 to age 24 (R01AA016577, R01AA020883, R01AA025848), with retention rates averaging 84% across the 12 waves completed to date, and 91% from age 18 (waves 8-12). The proposed study, STRATA-XP (eXPanded), provides an important opportunity to follow this large and racially/ethnically diverse cohort into young adulthood (ages 25-28), a unique developmental period for which there are few contemporary longitudinal studies of AOD use. This application responds to NOT-AA-20-017: Epidemiology and Prevention in Alcohol Research, focused on understanding the developmental trajectories of alcohol use, risky drinking, and alcohol use disorders and the correlates of "maturing out" of heavy drinking. We propose to conduct 4 additional annual surveys from age 25- 28 (N=2,500) and address the following aims: Aim 1a: Identify trajectories of alcohol use (as well as tobacco, cannabis, and other drug use) from age 10 into young adulthood. 1b.Examine effects of individual factors (e.g., resistance self-efficacy), peer factors (e.g., time spent around peers who use) and neighborhood factors (both subjective and objective, including alcohol and cannabis outlet density) on AOD use trajectories. Aim 2: Examine how AOD use trajectories across adolescence and emerging adulthood predict outcomes through age 28 in three core domains: 1) risk behaviors (e.g., AOD use and disorder, risky sexual behavior, delinquency), 2) health-related quality of life (e.g., mental, physical, social), and 3) adult role functioning and transitions (e.g., employment, relationships and family formation, life satisfaction). Aim 3:Examine how adult role functioning and transitions, such as pursuing a career and parenting, longitudinally predict subsequent changes in AOD use and other risk behaviors, as well as health-related quality of life, in young adulthood. Aim 4: Provide an understanding of potential across race/ethnicity, gender, and educational attainment that may occur across the AOD trajectories and the factors associated with these trajectories. Continuing this work will move the field forward by providing a better understanding of developmental patterns, antecedents, and consequences of AOD use among today's young people as they transition into young adulthood.

摘要/摘要 年轻成年是一个充满挑战的时期，专注于做出重要的决定，可以促进或阻碍 跨多种领域的独立性。选择 - 层研究（种族多样性的选择研究 过渡到成年期间的AOD使用）评估了酒精和其他药物（AOD）的使用和功能 从10岁到年龄的年轻人中，众多的域名（例如，社会，经济，健康）24岁的青年数据浪潮 （R01AA016577，R01AA020833，R01AA025848），在12波中的保留率平均为84％ 迄今已完成，从18岁起（波8-12），为91％。拟议的研究层 - XP（扩展）提供了 遵循这个大型和种族/种族多元化的队列进入年轻成年的重要机会（年龄 25-28），这是一个独特的发展时期，当代使用AOD的纵向研究很少。 该申请对非AA-20-017的反应：酒精研究中的流行病学和预防，重点是 了解酒精使用，危险饮酒和酒精使用障碍的发展轨迹以及 大量饮酒的“成熟”相关。我们建议从25岁开始进行4次额外的年度调查 28（n = 2,500）并解决以下目的：目标1A：确定酒精使用的轨迹（以及烟草， 从10岁到成年的大麻和其他吸毒）。 1B。单个因素的述例影响（例如， 抵抗自我效能感），同伴因素（例如，使用的同行周围花费的时间）和邻里因素（都 主观和客观，包括AOD使用轨迹的酒精和大麻出口密度）。目标2： 检查如何在青春期和新兴的成年期间使用AOD轨迹来预测年龄的结果 28在三个核心领域中：1）风险行为（例如AOD使用和混乱，风险性行为，犯罪），2） 与健康相关的生活质量（例如，精神，身体，社会）和3）成人角色功能和过渡（例如， 就业，人际关系和家庭形成，生活满意度）。目标3：检查成人角色的功能 和过渡，例如追求职业和育儿，纵向预测AOD使用的随后变化 以及成年后的其他风险行为以及与健康相关的生活质量。目标4：提供 了解跨种族/种族，性别和教育成就的潜力 AOD轨迹和与这些轨迹相关的因素。继续这项工作将移动该领域 通过更好地了解AOD的发展模式，前因和后果，向前迈进 在今天的年轻人过渡到年轻成年时，使用。