Determining the causal pathways of social and environmental predictors of high-risk alcohol drinking among college students

确定大学生高风险饮酒的社会和环境预测因子的因果路径

• 批准号: 10438453
• 负责人: Marie-Claude Couture
• 金额: $ 35.94万
• 依托单位: UNIVERSITY OF SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-15 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10438453
• 关键词: Address; Adolescent and Young Adult; Alcohol abuse; Alcohol consumption; Alcohols; Anxiety; Behavior; Cessation of life; Cognitive; Complex; Crime; Data; Data Collection; Development; Discrimination; Disease; Ecological momentary assessment; Emotional; Environment; Equation; Ethnic Origin; Fright; Gender; Geography; Goals; Health; Heavy Drinking; Intervention; Knowledge; Lead; Mediation; Mediator of activation protein; Mental Depression; Methods; Modeling; Outcome; Pathway interactions; Population; Post-Traumatic Stress Disorders; Problem Solving; Psychosocial Factor; Race; Reporting; Research; Research Design; Research Infrastructure; Research Project Grants; Research Training; Social Environment; Students; Techniques; Time; Victimization; Violence; alcohol outlet density; alcohol risk; base; binge drinking; bullying; college; college drinking; drinking behavior; effective intervention; ethnic difference; experience; gender difference; high risk; innovation; multilevel analysis; novel; racial and ethnic; social; social deficits; substance use; theories; training opportunity; underage drinking; university student

Project Summary The purpose of this R15 application is to characterize the broader environmental and social context in which the experience of victimization leads to high-risk alcohol drinking in college populations. The proposed study will allow for a better understanding of the causal pathways between contextual environmental and social exposures and high-risk alcohol use among college students. High-risk alcohol consumption is a serious health problem among college students that leads to many physical, emotional, social, and cognitive consequences, including death. Recently, 38% of college students reported engaging in binge drinking in the last month and 11.4% reporting heavy alcohol use. Alcohol use has been associated with violent victimization, bullying, and discrimination, all of which are contextual social exposures. However, most studies have used study designs and methods that are more vulnerable to bias and few have examined the specific environment or “activity space” in which alcohol use occurs. Since it is likely that the association between the contextual environmental and social exposures and high-risk alcohol drinking varies within certain demographic groups, we will assess whether these relationships differ by gender and by race/ethnicity. Analyses will be performed to better understand the causal pathways between contextual environmental and social predictors and high-risk alcohol use among college students, more specifically mediation by psychosocial factors. To address previous gaps in knowledge the proposed study will use a social-ecological approach that uses innovative methods to collect more accurate temporal and spatial contextual information combined with existing and novel causal inference techniques. We propose the following specific aims: 1) Characterize the activity spaces of college students and examine how they are correlated with contextual environmental and social exposures, and alcohol use behaviors; 2) Examine the direct associations between (a) environmental (i.e., place-based exposures including physical disorder, crime/violence, alcohol outlets, social disorder) and (b) social contexts (i.e., violent victimization, bullying, and discrimination) and high-risk alcohol drinking among college students; and 3) Assess moderation by gender and race/ethnicity and mediation by potential psychosocial variables in the relationship between contextual (a) environmental and (b) social exposures and high-risk alcohol drinking. This research will add to the understanding of the causal pathways between contextual environmental and social predictors and high-risk alcohol drinking among college students and will help elucidate differences by gender and race/ethnicity. This new knowledge will provide information needed to develop appropriate and effective interventions aimed at reducing high-risk alcohol drinking among college students.

项目摘要 该R15应用的目的是表征在更广泛的环境和社会背景下 胜利的经历导致大学人口中的高风险饮酒。提议 研究将使对上下文环境与社会之间的因果途径有更好的了解 大学生的暴露和高风险酒精使用。 高危饮酒是大学生的严重健康问题 身体，情感，社会和认知后果，包括死亡。最近，有38％的大学生 据报道，上个月从事暴饮暴食，报告了11.4％的饮酒。酒精使用 与暴力欺诈，欺凌和歧视有关，所有这些都是上下文的社会 暴露。但是，大多数研究使用的研究设计和方法更容易受到偏见的影响 很少有人检查了发生饮酒的特定环境或“活动空间”。因为它可能是 环境环境与社会暴露与高风险饮酒之间的关联 在某些人群群体中的多样性，我们将评估这些关系是否因性别和 种族/种族。将进行分析以更好地了解上下文之间的因果途径 大学生的环境和社会预测指标和高风险酒精使用，更具体地说 通过社会心理因素进行调解。为了解决知识的先前差距，拟议的研究将使用 社会生态学方法，使用创新方法来收集更准确的临时和空间 上下文信息与现有和新颖的因果推理技术相结合。 我们提出以下具体目的：1）表征大学生的活动空间和 检查它们与上下文环境和社会暴露以及饮酒的相关性 行为； 2）检查（a）环境之间的直接关联（即基于位置的暴露 包括身体障碍，犯罪/暴力，酒精渠道，社会障碍）和（b）社会背景（即暴力 大学生的胜利，欺凌和歧视）和高危饮酒； 3） 通过性别和种族/种族和调解来评估潜在的社会心理变量 上下文（a）环境与（b）社会暴露与高风险饮酒之间的关系。 这项研究将增加对上下文环境之间因果途径的理解 和社会预测者和大学生的高风险饮酒，将有助于阐明差异 通过性别和种族/种族。这些新知识将提供开发适当和的信息 有效的干预措施旨在减少大学生的高风险饮酒。