Family, Drug Use, and Disparities in Adverse Outcomes

家庭、吸毒和不良后果的差异

• 批准号: 6447360
• 负责人: DANIEL H KLEPINGER
• 金额: $ 19.75万
• 依托单位: BATTELLE CENTERS/PUB HLTH RES & EVALUATN
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-30 至 2004-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6447360
• 关键词: adolescence (12-20); behavioral /social science research tag; child behavior; clinical research; disease /disorder onset; drug abuse; early experience; family structure /dynamics; human data; longitudinal human study; outcomes research; racial /ethnic difference; sibling relations; socioeconomics; substance abuse epidemiology; substance abuse related behavior

DESCRIPTION: (provided by applicant) Although drug use has declined substantially over the past two decades, it remains a serious problem in the U.S., as almost twelve percent of the population still used illicit drugs during the past year. Moreover, prevalence rates for most groups have remained fairly stable over the past few years, and appear to be rising for young adults. Minority groups, tend to be over-represented among those who suffer from the adverse health and social consequences associated with drug use, although they report similar or lower levels of drug use, and differences in socio-economic status does not fully account for the differences in the adverse health and social outcomes. Much prior research has focused on the short-term effects of adolescent drug abuse rather than on the possible long-term effects of drug abuse, and has not devoted enough attention to the importance of childhood living arrangements and sibling behavior. There are important racial and ethnic differences in patterns of drug use and these family factors, and these differences may help account for observed racial and ethnic differences in the adverse health and social associated with drug abuse. The proposed study will use the National Longitudinal Survey of Youth, a large nationally representative longitudinal data set that has followed respondents for 18 years, to examine the timing pattern of the effects of drug use to determine whether detrimental effects of drug abuse only appear when there is persistent or long-term drug use. The proposed study will also examine whether the types of drugs used and their intensity of use matter. The NLSY also contains detailed information on childhood living arrangements and on older siblings' adverse health and social outcomes, including drug use, and the proposed research will employ these data to examine how these family factors are associated with drug use and adverse health and social outcomes. Throughout the proposed analysis, we will examine the extent to which family factors account for observed racial and ethnic differences in drug use, how differences in these factors and drug use account for differences in adverse outcomes, and estimate how the effects of each of these factors vary by race and ethnicity. We will also test and control for possible unobserved factors and reciprocal effects that may bias empirical estimates.

描述：（申请人提供） 尽管在过去的二十年中，吸毒的使用大幅下降，但 在美国仍然是一个严重的问题，因为几乎百分之十二 在过去的一年中，人口仍然使用非法药物。而且，流行率 在过去的几年中，大多数小组的费率保持稳定，并且 年轻人似乎正在上升。少数群体倾向于 在患有不利健康和社会的人中，人数过多 与吸毒相关的后果，尽管它们报告相似或较低 吸毒水平以及社会经济地位的差异并未完全 解释不利的健康和社会成果的差异。很多 先前的研究重点是青春期药物滥用的短期影响 而不是基于吸毒的长期影响，而不是 专注于童年生活安排的重要性和 兄弟姐妹行为。模式上存在重要的种族和种族差异 毒品使用和这些家庭因素，这些差异可能有助于说明 对于不利健康和社会的种族和种族差异 与吸毒有关。拟议的研究将使用国家 对青年的纵向调查，这是一项大型国家代表性纵向 跟踪受访者已有18年的数据集，检查时间表 药物使用作用的模式，以确定是否有害影响 毒品滥用只有在持续或长期使用毒品时才会出现。这 拟议的研究还将检查使用的药物类型及其是否 使用强度。 NLSY还包含有关 童年的生活安排以及老年兄弟姐妹的不利健康和社会 结果，包括吸毒，拟议的研究将采用这些数据 检查这些家庭因素如何与吸毒和不利有关 健康和社会成果。在整个提出的分析中，我们将检查 家庭因素在多大程度上解释了观察到的种族和种族 药物使用的差异，这些因素的差异和毒品使用情况如何 对于不良结果的差异，并估算了每种影响的影响 这些因素因种族和种族而异。我们还将测试和控制 可能的未观察到的因素和相互影响可能会偏向经验 估计。