Cultural Stress, Stress Response, and Substance Use among Hispanic Adolescents

西班牙裔青少年的文化压力、压力反应和药物使用

基本信息

批准号：
10471853
负责人：
SETH J. SCHWARTZ
金额：
$ 68.98万
依托单位：
UNIVERSITY OF TEXAS AT AUSTIN
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-01 至 2026-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10471853
关键词：
Adolescent Adrenal Glands Age Alcohols Behavioral Biological Biological Assay Buffers Cardiovascular Diseases Chronic Chronic stress Climate Communities County Crime Data Collection Destinations Development Discrimination Documentation Drug usage Economics Exposure to Family Family member Feeling Friends Future Geographic Locations Health Hispanic Hispanic Populations Hostility Hydrocortisone Hypothalamic structure Immigration Individual Intervention Lead Life Link Longitudinal Studies Longitudinal cohort study Los Angeles Low income Measurement Measures Mediating Mediation Mental Depression Mood Disorders Obesity Outcome Parents Pathway interactions Patient Self-Report Pattern Persons Physiological Pituitary Gland Population Poverty Prevention Prevention program Problem behavior Reduce health disparities Research Design Resources Risk Behaviors Salivary Science Site Socialization Source Stress Technology Testing Time Violence Vulnerable Populations Work Youth adaptive intervention biological adaptation to stress cohort conduct problem design ethnic minority population evidence base experience food insecurity health disparity hypothalamic-pituitary-adrenal axis innovation longitudinal design ninth grade physical conditioning preservation preventive intervention psychosocial recruit response saliva sample sample collection seventh grade skills social stressor substance use

项目摘要

The proposed study will examine the extent to which, among Hispanic youth, the effects of culturally related stressors on alcohol/drug use and conduct problems are mediated by physiological stress responses. Prior work has established the psychosocial and biological pathways through which physiological stress responses potentiate alcohol/drug use and conduct problems. What is not known is the extent to which cultural stressors, over and above other sources of stress, predict physiological stress responses, and whether cultural stressors exert an indirect effect on alcohol/drug use and conduct problems through physiological stress responses. This question is important for prevention science because few interventions have been developed to offset the effects of cultural stressors, and our results will provide essential information regarding whether such interventions are needed – as well as the protective mechanisms on which such interventions should focus. We propose a 3-year accelerated longitudinal cohort study with two cohorts, one beginning in the seventh grade and one beginning in the ninth grade, to carry out the study aims and to test the study hypotheses. An accelerated longitudinal design includes multiple age cohorts, where each cohort starts at a different age and each is followed for the same amount of time. Such a design allows us to examine five years of development through only three years of data collection. We will recruit and follow 300 Hispanic 7th and 9th graders in Los Angeles and Miami-Dade counties. Adolescents will be followed for 3 years and assessed at both macro (longer measures administered every 6 months) and micro (daily measurement bursts using shorter measures and saliva sample collection for cortisol assays). We will examine the moderating effects of three evidence- based protective mechanisms – family functioning, life skills, cultural assets, and ethnic socialization – on the direct and mediated effects of cultural stress on physiological stress responses and on alcohol/drug use and conduct problems. These moderation and moderated mediation analyses will indicate the specific mechanisms that should be targeted within prevention programs. This information is critical to decreasing disparities in conduct problems and alcohol/drug use among Hispanic adolescents.

支撑研究将研究在西班牙裔青年中的文化相关影响的程度对酒精/药物使用和结合问题的压力是由生理压力反应介导的工作已经建立了thysolololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololololo情况的应力反应。增强酒精/药物使用并进行问题。与其他压力的压力源相比，预测生理压力反应，以及培养物和压力源通过生理压力反应对酒精/药物的使用和强制性问题产生间接影响问题对于预防科学很重要，因为很少开发干预措施来抵消您文化压力源的影响，我们的结果将提供有关是否这样的基本信息需要干预措施 - 以及这种干预措施集中的保护机制。我们提出了一项为期3年的加速纵向队列研究，其中有两个队列，一个从第七次开始从九年级开始的一年级，是为了进行研究的目标并测试了研究假设加速的纵向设计包括多个年龄群，每个队列在不同的年龄开始，并且每个设计都遵循相同的时间。通过数据收集仅三年。 Angeles和Miami-Dade县将遵循3年（每6个月进行一次更长的措施）和微观（使用较短措施的每日测量爆发和皮质醇测定的唾液样品收集）。基于的保护机制 - 家庭功能，生活技能，文化资产和种族社会化 - 对您培养基应力应力应力应力应力应力应激对酒精/药物使用和进行这些适度的问题和中等程度分析将指示特定机制这应该在预防计划中进行。在西班牙裔青少年中进行问题和饮酒。