Family, Alcohol, and Disparities in Adverse Outcomes

家庭、酒精和不良后果的差异

• 批准号: 6555094
• 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: 2002
• 资助国家: 美国
• 起止时间: 2002-09-27 至 2004-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6555094
• 关键词: adolescence (12-20); alcoholic beverage consumption; alcoholism /alcohol abuse; behavioral /social science research tag; clinical research; depression; employment /unemployment; family; family structure /dynamics; health; human data; income; longitudinal human study; racial /ethnic difference; siblings; socioeconomics; substance abuse epidemiology; substance abuse related behavior; training level

DESCRIPTION (provided by applicant): Although alcohol use has declined substantially over the past two decades, it remains a serious problem in the U.S.; twenty percent of the population had at least one episode of binge drinking during the past year and one in eight drinkers drank heavily. Moreover, prevalence rates for youth and young adults have remained fairly stable over the past few years. Minority groups tend to be over-represented among those who suffer from the adverse health and social consequences associated with alcohol, although they report similar or lower levels of alcohol use, and differences in socio-economic status do not fully account for the differences in the adverse health and social outcomes. Much prior research has focused on short-term effects or on adolescent drinking, rather than on the possible long-term effects of alcohol abuse, and has not devoted enough attention to the importance of childhood living arrangements, alcohol use by adult relatives, and sibling behavior. There are important racial and ethnic differences in patterns of alcohol use and in these family factors, and these differences may help account for observed racial and ethnic differences in the adverse health and social outcomes associated with alcohol. 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 whether detrimental effects of alcohol abuse only appear when there is intensive, persistent or long-term use. The NLSY also contains detailed information on childhood living arrangements, alcohol use by adult relatives, and on older siblings' adverse health and social outcomes, including alcohol use. The proposed research will employ the NLSY to examine how these family factors are associated with alcohol 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 alcohol use, how differences in these factors and alcohol use account for differences in adverse outcomes, and examine 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（由申请人提供）：尽管过去二十年来饮酒量大幅下降，但它在美国仍然是一个严重的问题；百分之二十的人口在过去一年中至少有过一次酗酒经历，八分之一的饮酒者酗酒。此外，过去几年青少年和年轻人的患病率保持相当稳定。少数群体在遭受与酒精相关的不良健康和社会后果的人群中所占比例往往过高，尽管他们报告的饮酒水平相似或较低，而且社会经济地位的差异并不能完全解释酒精使用水平的差异。不良的健康和社会后果。先前的许多研究都集中在短期影响或青少年饮酒上，而不是酒精滥用可能产生的长期影响，并且没有对童年生活安排、成年亲属和兄弟姐妹饮酒的重要性给予足够的重视。行为。饮酒模式和这些家庭因素存在重要的种族和民族差异，这些差异可能有助于解释与酒精相关的不良健康和社会后果中观察到的种族和民族差异。 拟议的研究将使用全国青年纵向调查（一个具有全国代表性的大型纵向数据集，对受访者进行了 18 年的跟踪）来检验酗酒的有害影响是否仅在大量、持续或长期饮酒时才会出现。 NLSY 还包含有关童年生活安排、成年亲属饮酒以及年长兄弟姐妹的不良健康和社会后果（包括饮酒）的详细信息。拟议的研究将利用 NLSY 来研究这些家庭因素与饮酒以及不良健康和社会后果之间的关系。 在整个分析过程中，我们将研究家庭因素在多大程度上解释了观察到的饮酒方面的种族和民族差异，这些因素和饮酒的差异如何解释不良结果的差异，并研究每个因素的影响如何因种族和民族而异。我们还将测试和控制可能的未观察到的因素以及可能使经验估计产生偏差的相互影响。