Obesity and substance use: Identifying pathways and processes in adolescence

肥胖和物质使用：确定青春期的途径和过程

• 批准号: 8542809
• 负责人: Haydee Isabella Lanza
• 金额: $ 5.96万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-15 至 2015-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8542809
• 关键词: Address; Adolescence; Adolescent; Adult; Alcohol or Other Drugs use; Alcohols; Body Size; Body mass index; Cardiovascular system; Child; Data; Decision Making; Feeling; Frequencies; Gender; Goals; Health; Health Status; Health behavior; Healthcare Systems; Heterogeneity; Individual; Influentials; Link; Literature; Longitudinal Studies; Marijuana; Modeling; Non obese; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Pathway interactions; Pattern; Prevalence; Preventive Intervention; Problem behavior; Process; Public Health; Research; Risk; Risk Behaviors; Risk-Taking; Role; Sampling; Services; Severities; Sex Characteristics; Social Identification; Social status; Stigmatization; Subgroup; Tobacco; biopsychosocial; depressive symptoms; deviant; emerging adult; ethnic difference; experience; high risk; improved; mortality; obesity in children; peer; peer victimization; physical conditioning; prospective; psychologic; psychological outcomes; psychosocial; social; substance use prevention; theories; young adult

DESCRIPTION (provided by applicant): The increasing prevalence of childhood obesity in recent decades has raised serious concerns over impaired physical health, psychosocial maladjustment, and higher mortality rates. Despite growing concerns, substance use, a serious health-risk behavior, has not been largely studied in conjunction with obesity. The proposed project is a prospective longitudinal study that examines relations between adolescent obesity and substance use in young adulthood, and attempts to identify the underlying pathways and processes by which obesity may increase risk for substance use. Taking a biopsychosocial perspective on risk-taking, the proposed study will utilize the sample derived from Waves 1-3 of The National Longitudinal Study of Adolescent Health (Add Health). Data have been obtained on body mass index (BMI) and obesity status; social standing (victimization, peer rejection, feelings of social stigmatization); deviant peer affiliation; psychosocial maladjustment (depressive symptoms) and substance use (alcohol, tobacco, and marijuana) on 11,083 adolescents between 11- 19 years at Wave 1 and 18-26 years at Wave 3. The overarching goal of this research is to determine whether poor social status, deviant peer affiliation and/or psychosocial maladjustment among obese adolescents increase risk of more frequent and severe substance use in young adulthood. Furthermore, ethnic and gender disparities in obesity prevalence and ethnic- and gender-specific associations between body size and social status may influence engagement in substance use. The study's specific aims are to (1) identify whether BMI percentile of obese and non-obese adolescents predicts frequency, severity, and type of substance use in young adulthood; (2) assess whether heterogeneity in social status, deviant peer affiliation, and psychosocial maladjustment among obese adolescents informs the role of adolescent obesity on more frequent and severe substance use in young adulthood; and (3) identify ethnic and gender differences from the above aims to determine whether belonging to groups with higher BMI and obesity rates decreases risk of substance use engagement. As both obesity and substance use are severe burdens on the health care system, identifying the pathways by which adolescent obesity is related to substance use in young adulthood may have significant implications for prevention and intervention efforts aimed at mitigating frequency and severity of substance use.

描述（由申请人提供）：近几十年来，儿童肥胖症患病率的增加引起了人们对身体健康受损，社会心理不良和死亡率更高的严重关注。尽管人们越来越担心，但药物使用，一种严重的健康风险行为，并未与肥胖症结合研究。拟议的项目是一项前瞻性纵向研究，研究了青少年肥胖和成年期药物使用之间的关系，并试图识别肥胖可能增加药物使用风险的潜在途径和过程。拟议的研究将对冒险的生物心理社会观点视为风险，将利用来自国家青少年健康纵向研究（Add Health）的波浪1-3的样本。已经获得了体重指数（BMI）和肥胖状态的数据；社会地位（受害，拒绝，社会污名化的感觉）；异常的同伴隶属关系； psychosocial maladjustment (depressive symptoms) and substance use (alcohol, tobacco, and marijuana) on 11,083 adolescents between 11- 19 years at Wave 1 and 18-26 years at Wave 3. The overarching goal of this research is to determine whether poor social status, deviant peer affiliation and/or psychosocial maladjustment among obese adolescents increase risk of more frequent and severe substance use in young成年。此外，肥胖症患病率以及身体大小与社会地位之间的种族差异以及种族和性别特定的关联可能会影响参与物质使用的参与。该研究的具体目的是（1）确定肥胖和非肥胖青少年的BMI百分位是否可以预测成年年轻人的频率，严重程度和类型； （2）评估肥胖青少年的社会地位，偏差同伴隶属关系和社会心理不当的异质性是否会为青少年肥胖症在年轻人中更频繁和严重的药物使用中的作用； （3）确定上述种族和性别差异的目的是确定属于BMI和肥胖率较高的群体是否会降低吸毒参与的风险。由于肥胖症和物质使用都对医疗保健系统负担很大，因此确定青少年肥胖与年轻成年的药物使用相关的途径可能对预防和干预努力产生重大影响，旨在减轻使用物质使用的频率和严重性。