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：（由申请人提供） 尽管过去二十年来吸毒人数大幅减少，但 在美国仍然是一个严重的问题，因为近 12% 的人 去年，人们仍然使用非法药物。此外，流行 大多数群体的比率在过去几年中保持相当稳定，并且 年轻人的比例似乎正在上升。少数群体往往是 遭受健康和社会不良影响的人比例过高 与吸毒相关的后果，尽管他们报告相似或更低 吸毒水平和社会经济地位的差异并不能完全 解释不良健康和社会结果的差异。很多 先前的研究侧重于青少年药物滥用的短期影响 而不是药物滥用可能产生的长期影响，而且还没有 对童年生活安排的重要性给予足够的重视 兄弟姐妹的行为。图案存在重要的种族和民族差异 吸毒和这些家庭因素的影响，这些差异可能有助于解释 观察到种族和民族差异对健康和社会的不利影响 与药物滥用有关。拟议的研究将使用国家 青年纵向调查，一项具有全国代表性的大型纵向调查 跟踪受访者 18 年的数据集，以检查时间安排 药物使用的影响模式，以确定药物是否产生有害影响 药物滥用只有在持续或长期使用药物时才会出现。这 拟议的研究还将检查所使用的药物类型及其作用是否 使用强度问题。 NLSY 还包含以下详细信息 童年生活安排以及年长兄弟姐妹的不良健康和社交 结果，包括药物使用，拟议的研究将利用这些数据 研究这些家庭因素与吸毒和不良反应之间的关系 健康和社会成果。在整个拟议的分析中，我们将检查 家庭因素对观察到的种族和民族的影响程度 药物使用的差异，这些因素和药物使用的差异如何解释 不良后果的差异，并估计每种后果的影响 这些因素因种族和民族而异。我们还将测试和控制 可能的未观察到的因素和可能导致经验偏差的相互影响 估计。