DRUG USE IN RURAL KENTUCKY--A CONTEXTUAL ANALYSIS

肯塔基州农村地区的毒品使用——背景分析

• 批准号: 6378712
• 负责人: RICHARD R CLAYTON
• 金额: $ 46.54万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-01 至 2004-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6378712
• 关键词: adolescence (12-20); behavioral /social science research tag; clinical research; community; drug abuse; human subject; interpersonal relations; longitudinal human study; questionnaires; rural area; schools; social group process; social psychology; socioenvironment; statistics /biometry; substance abuse epidemiology; urban area

This application is submitted in response to PA-95-060, Drug and Alcohol Use and Abuse in Rural American. Overall objective is to develop/test multilevel social control model of adolescent drug use, integrating macro/micro theoretical perspectives. Drug use and individual level social control processes that lead to drug use will be embedded within school and community contexts along the rural-urban continuum. Conditional influences of school and community on drug use and individual level processes leading to drug use can be determined and modeled and the heterogeneity for contextual effects can be examined across communities. Specific Aim 1: to measure incidence/prevalence of drug use in a cohort of 7th graders, 1999-00 AY baseline (followed through 10th grade) in schools and communities in Kentucky across the rural-urban continuum; Specific Aim 2: to examine the impact of individual level social control/bonding variables in predicting adolescent drug use, and to determine whether drug use/social bonding effects are similar or different across schools and communities in Kentucky; Specific Aim 3: to examine impact of school and community level factors on drug use and the individual level effects on drug use across schools and communities in Kentucky; Specific Aim 4: to compare multilevel models of rural drug use and urban drug use to determine: a) the extent of rural heterogeneity; b) the utility (or futility) in conceptualizing "rural and urban" as dichotomous; Specific Aim 5: to determine the extent to which individual, school and community factors affect variation over time in adolescent drug use. Recognition/examination of heterogeneity across rural contexts in particular (in contrast to heterogenous urban contexts) is necessary if we are to understand patterns of Drug and Alcohol Use and Abuse in Rural America. This is a prospective longitudinal study of one cohort (7th graders, 1999-00 AY, n=10,000) attending 66 middle schools in a stratified, random sample of 30 counties, 4 by population size of county), and a sample of teachers from same schools. Cohort will be followed for 4 years through 10th grade into 45 high schools. HLM and latent growth curve modeling techniques will be used to test the theoretical models driving the research.

该申请是针对PA-95-060，美国农村地区的毒品和饮酒以及滥用的响应。 总体目标是开发/测试青少年药物使用的多层次社会控制模型，并整合宏观/微理论观点。 导致吸毒的毒品使用和个人层面的社会控制过程将嵌入到农村城市连续体沿学校和社区环境中。 可以确定和建模学校和社区对导致吸毒的毒品使用和个人水平过程的有条件影响，并且可以在各个社区中检查上下文效应的异质性。 具体目的1：衡量七年级学生队列中毒品使用的发生率/流行率，1999 - 00 AY基线（随后是10年级）在肯塔基州的肯塔基州的乡村城市连续体中的学校和社区中；具体目的2：检查个人级别的社会控制/纽带变量对预测青少年毒品使用的影响，并确定肯塔基州的学校和社区的毒品使用/社会结合效应是相似的还是不同的；特定目的3：检查学校和社区层面因素对毒品使用以及肯塔基州学校和社区毒品使用的影响的影响；特定目的4：比较农村药物使用和城市药物使用的多级模型以确定：a）农村异质性的程度； b）将“农村和城市”概念化为二分法时的效用（或徒劳）；具体目标5：确定个人，学校和社区因素在青少年使用药物使用的程度上影响随着时间的变化。如果我们要了解美国农村地区的毒品和酒精使用和滥用模式，则必须对农村环境中的异质性进行认可/检查（与异质城市环境相反）。 这是一项对一个队列的前瞻性纵向研究（七年级学生，1999-00 ay，n = 10,000），在66所中学中就读于一个分层的，随机的30个县，4个县人口规模）和同一学校的老师样本。 在45年级的高中，将跟踪队列4年至10年级。 HLM和潜在生长曲线建模技术将用于测试推动研究的理论模型。