Indigenous Pathways of Substance Use and Mental Health through Early Adulthood

成年早期药物使用和心理健康的土著途径

• 批准号: 9985320
• 负责人: Melissa L. Walls
• 金额: $ 3.99万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-08-01 至 2021-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9985320
• 关键词: Address; Adolescence; Adolescent; Adult; Affect; Age-Years; Alcohol abuse; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; American; American Indians; Awareness; Childhood; Communities; Comorbidity; Computer Assisted; Data; Development; Diagnostic; Discrimination; Disease; Distal; Elderly; Ethnic group; Etiology; Family; Frequencies; Future; General Population; Goals; Health Status; Indigenous; Interview; Investigation; Life; Life Cycle Stages; Life Experience; Link; Longevity; Measurement; Mental Health; Mental disorders; Nature; Onset of illness; Outcome; Participant; Pathway interactions; Pattern; Personal Satisfaction; Population; Population Study; Predictive Factor; Prevalence; Prevention; Prevention program; Preventive Intervention; Public Health; Recovery; Reporting; Research; Reservations; Risk; Risk Factors; Role; Sampling; Schedule; Science; Source; Substance Use Disorder; Substance abuse problem; Surveys; Symptoms; Testing; Time; Translating; Tribal group; Universities; Well in self; Youth; aged; alcohol abstinence; alcohol consequences; attributable mortality; base; community based participatory research; critical period; deviant; early adolescence; early onset; emerging adult; epidemiology study; experience; healing; health disparity; indigenous community; intervention program; longitudinal dataset; non-Native; novel; outcome prediction; peer; prospective; protective factors; public health relevance; resilience; suicide rate; treatment program; tribal community; young adult

 DESCRIPTION (provided by applicant): Significant alcohol and substance abuse disorders and mental health disparities have had devastating impacts in many American Indian/First Nations (Indigenous) communities. Evidence from diverse tribal groups demonstrates early onset, high frequency substance use with substantial rates of co-occurring mental disorders among Indigenous youth throughout their adolescence. Yet, how these early life patterns affect trajectories and outcomes in adulthood for Indigenous people is unknown. General population studies have shown that early adulthood (20 - 30 years of age) is a critical period of transitions in roles, responsibilities, and relationships impacting patterns of substance use and mental health. Cultural norms and contexts may translate into potentially unique developmental pathways, risks, and protective factors for Indigenous substance use and mental health outcomes. We propose to investigate these possibilities in Indigenous early adulthood, a critical period for understanding transitions from adolescence to longer-term alcohol, substance use, and mental health problems and resilience. The project will link data from our 8-wave panel study of Indigenous adolescents with 3 years of proposed new data in early adulthood. Data will be collected via computer-assisted personal interviews. The result will be the only longitudinal data set spanning Indigenous childhood, adolescent, and early adult years of which we are aware. Three major aims guide this community- based participatory research: 1) Determine trajectories of Indigenous substance use and mental health problems from late childhood to early adulthood, 2) Identify early life-course predictors of substance use and mental health among Indigenous young adults, and 3) Describe culturally appropriate definitions of wellbeing in early adulthood and document the prevalence and predictors of these positive outcomes. Results of this research will increase awareness of the nature, etiology, and consequences of alcohol, substance use, mental health problems and their comorbidity in Indigenous reservation/reserve communities. Another outcome is enhanced understanding and novel measurement of protective factors and positive Indigenous development. The results of this project have potential to inform the timing of and risk/protective factors targeted by prevention programs in Indigenous communities.

 描述（由申请人提供）：严重的酒精和药物滥用障碍以及心理健康差异对许多美洲印第安人/原住民（土著）社区产生了毁灭性影响。来自不同部落群体的证据表明，药物使用早发、频率高，比例很高。然而，这些早期生活模式如何影响土著人成年后的轨迹和结果尚不清楚。年龄）是影响物质使用和心理健康模式的角色、责任和关系转变的关键时期，文化规范和背景可能转化为土著物质使用和心理健康结果的潜在独特的发展途径、风险和保护因素。我们建议在原住民成年早期调查这些可能性，这是了解从青春期到长期酗酒、物质使用以及心理健康问题和复原力的转变的关键时期，该项目将链接我们对原住民青少年的八波小组研究的数据。 3 年提议的新数据数据将通过计算机辅助个人访谈收集，这是我们所知的唯一涵盖原住民童年、青少年和成年早期的纵向数据集，指导这项基于社区的参与性研究： 1) 确定从儿童晚期到成年早期土著物质使用和心理健康问题的轨迹，2) 确定土著年轻人物质使用和心理健康的早期生命历程预测因素，以及 3) 描述成年早期福祉的文化上适当的定义并记录这项研究的结果将提高对酒精的性质、病因和后果、使用、心理健康问题及其合并症的认识。另一个成果是增强理解和新颖的测量方法。该项目的结果有可能为土著社区预防计划的时间安排和风险/保护因素提供信息。