Race, Socioeconomic Status/Trajectories of Substance Use

种族、社会经济地位/药物使用轨迹

• 批准号: 7039368
• 负责人: Stephen E Gilman
• 金额: $ 8.2万
• 依托单位: HARVARD SCHOOL OF PUBLIC HEALTH
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2007-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7039368
• 关键词: African American; Asian Americans; Hispanic Americans; Native Americans; behavioral /social science research tag; caucasian American; clinical research; disease /disorder onset; disease /disorder proneness /risk; family genetics; health disparity; health services research tag; human data; longitudinal human study; pathologic process; psychological models; psychometrics; psychopathology; racial /ethnic difference; socioeconomics; substance abuse epidemiology; substance abuse related disorder

DESCRIPTION (provided by applicant): Research has demonstrated consistent and wide variation in risk for substance use disorder by race/ethnicity, and socioeconomic status (SES). Until now insufficient samples of minority groups have made detailed investigations of subgroup differences in the initiation, progression, and maintenance of disorders impossible. The National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), with its large sample size and over sample of minorities, offers a unique opportunity to examine poorly understood subgroup differences in substance use disorder trajectories. The objective of this proposal is to advance the social epidemiology of substance use disorders by using data from the NESARC to describe the socioeconomic and racial/ethnic distribution in trajectories of substance use disorders, and to do so separately for males and females. We further propose to evaluate the contributions of psychiatric disorders and familial substance problems to social inequalities in substance disorder trajectories. This application is responsive to the programmatic objectives of focus area #1 of the National Institute on Drug Abuse Strategic Plan on Reducing Health Disparities, which called for additional research to "improve the knowledge base on the patterns of drug abuse and addiction in all racial/ethnic populations," and to programmatic initiative on women, gender, and drug abuse, and the epidemiology of drug abuse. 1 of the 2 goals of Healthy People 2010 is to eliminate health disparities among segments of the population, "including differences that occur by gender, race or ethnicity, and education or income." Descriptive, population-based research that can provide valid information on the emergence of health disparities throughout the natural history of disorders represents a critical first step towards achieving meaningful reductions in disparities. The primary objective of this application is to use data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) to investigate socioeconomic and racial/ethnic differences in the initiation, progression, and maintenance of substance use disorders.

描述（由申请人提供）：研究表明，种族/种族和社会经济地位（SES）的药物使用障碍风险持续且广泛差异。到目前为止，少数群体的样本还不足，已经对不可能的疾病的起始，进展和维持的亚组差异进行了详细研究。全国性酒精和相关条件的流行病学调查（NESARC）具有较大的样本量和过多的少数族裔样本，提供了一个独特的机会，可以检查对物质使用障碍轨迹的亚组差异的不足。该提案的目的是通过使用NESARC的数据来描述物质使用障碍的社会经济和种族/种族分布，以提高物质使用障碍的社会流行病学，并为男性和女性分别做到这一点。我们进一步建议评估精神疾病和家族性物质问题对物质障碍轨迹的社会不平等现象的贡献。该应用对降低健康差异的国家滥用战略计划的焦点区域＃1的编程目标有反应，该计划呼吁进行其他研究，以“改善所有种族/种族人群中药物滥用和成瘾模式的知识基础”，以及对妇女，性别滥用，药物滥用毒品学的计划促进，并滥用药物滥用。 2010年健康人的2个目标中有1个是消除人口细分市场之间的健康差异，“包括性别，种族，种族，种族以及教育或收入或收入的差异”。描述性，基于人群的研究可以提供有关在整个疾病自然史中出现健康差异的有效信息，这是实现有意义的差异降低的关键第一步。该应用的主要目的是使用有关酒精和相关条件的国家流行病学调查（NESARC）的数据，以调查对物质使用障碍的启动，发展和维持的社会经济和种族/种族差异。