Alcohol and Tobacco Use and Desistance Among Asian Americans: A Lifecourse Examination of Critical Periods and Subgroup Disparities

亚裔美国人的酒精和烟草使用和戒烟：关键时期和亚群体差异的生命历程检查

• 批准号: 10187468
• 负责人: Christina Tam
• 金额: $ 19.04万
• 依托单位: PUBLIC HEALTH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-06-10 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10187468
• 关键词: Abstinence; Acculturation; Address; Adolescence; Adolescent; Adult; Affect; Age; Alcohol consumption; Alcohols; Applications Grants; Asian Americans; Buffers; Chinese People; Communities; Data Analyses; Development; Discrimination; Elements; Epidemiology; Ethnic Origin; Ethnic group; Family; Filipino; Future; Gender; Goals; Health; Heavy Drinking; Heterogeneity; Hispanics; Individual; Intervention; Investigation; Japanese Population; Knowledge; Koreans; Longitudinal Studies; Longitudinal trends; Mediating; Mediation; Mental Depression; Mental Health; Mentorship; Methodology; Modeling; NIH Program Announcements; National Institute on Alcohol Abuse and Alcoholism; Neighborhoods; Not Hispanic or Latino; Parents; Pathway interactions; Pattern; Population; Prevention; Research; Risk; Risk Factors; Sampling; Science; Smoking; Social Development; Social Environment; Strategic Planning; Subgroup; Time; Tobacco; Tobacco use; Translating; United States National Institutes of Health; Variant; alcohol abstinence; alcohol research; base; behavior influence; community engagement; critical period; density; design; emerging adulthood; expectation; experience; health disparity; high risk; high risk drinking; innovation; knowledge base; mortality; novel; preventive intervention; protective factors; racial and ethnic; resilience; secondary analysis; social culture; therapy development; tobacco abstinence; trend; young adult

This grant application responds to the program announcement for studies of Epidemiology and Prevention in Alcohol Research (PA-18-391) calling for exploratory and developmental research issued by the National Institute on Alcohol Abuse and Alcoholism. The application proposes a secondary analysis of data from the National Longitudinal Study of Adolescent to Adult Health (Add Health) to examine when and why Asian Americans engage in heavy alcohol and tobacco use and co-use across the lifecourse (from ages 12-43). In addition to exploring patterns of alcohol and tobacco co-use, we will extend the investigation of alcohol and tobacco use into adulthood with a focus on risk and resiliency factors relevant to the Asian American experience. First, the study will provide descriptions of longitudinal trends of elevated and sustained alcohol and tobacco use and co-use from adolescence to adulthood. Then, we will identify risk and resiliency predictors at multiple levels (i.e., individual, family, interpersonal, and neighborhood) for Asian Americans that are associated with sustained alcohol and tobacco use and co-use over time. We innovate by employing time-varying effect modeling to determine specific ages and developmental periods for informing preventive interventions, setting us apart from extant developmental research. The third analyses will use moderated mediation to address how contextual risks may influence behavior by ascertaining whether depression helps to explain associations of risk exposures on alcohol and tobacco use and co-use. We will examine whether protective factors at multiple levels buffer the deleterious effects of the contexts with which individuals interact. Finally, we replicate key analyses to: 1) compare Asian Americans to major US racial/ethnic groups (non-Hispanics Whites, Hispanics, and Blacks) to determine whether mechanisms are unique to this population or common across groups, and 2) assess for Asian American subgroup differences (by gender, nativity, and ethnicity) to address within-group heterogeneity in alcohol and tobacco use patterns. The objectives of this project are directly relevant to the NIH’s current strategic plan to generate knowledge for intervention development to reduce health disparities related to alcohol and tobacco. This exploratory study will inform prevention science by permitting the identification of specific contexts and mechanisms within certain developmental periods relevant to sustained alcohol and tobacco use and co-use among Asian Americans. The study will also build on prior research by extending the lifecourse examination of heavy alcohol and tobacco use into adulthood and by focusing on co-use in Asian Americans. As noted in the program announcement, this research is critical for establishing a knowledge base in developing culturally relevant preventive interventions to address use and misuse in diverse communities. Future projects will be designed to help translate the study findings into community-based, multilevel interventions for at-risk Asian Americans within specific contexts.

该拨款申请是对流行病学和预防研究计划公告的回应 酒精研究 (PA-18-391) 呼吁国家发布的探索性和发展性研究 该应用程序建议对酒精滥用和酒精中毒研究所的数据进行二次分析。 国家青少年至成人健康纵向研究（Add Health）旨在调查亚洲人的时间和原因 美国人在整个生命周期（从 12 岁到 43 岁）都有大量饮酒和吸烟以及共同使用酒精和烟草的情况。 除了探索酒精和烟草共同使用的模式外，我们还将扩大对酒精的调查 和成年后的烟草使用，重点关注与亚裔美国人相关的风险和弹性因素 首先，该研究将提供酒精含量升高和持续的纵向趋势的描述。 然后，我们将确定从青春期到成年的烟草使用和共同使用的风险和弹性预测因素。 与亚裔美国人相关的多个层面（即个人、家庭、人际和邻里） 随着时间的推移，持续饮酒和吸烟以及共同使用我们通过采用时变效应进行创新。 建模以确定特定年龄和发育时期，为预防干预措施提供信息，设置 除了现有的发展研究之外，第三个分析将使用有调节的中介来解决如何解决这一问题。 情境风险可能通过确定抑郁是否有助于解释风险关联来影响行为 我们将研究是否存在多个层面的保护因素。 缓冲个人互动环境的有害影响最后，我们重复关键分析。 1）将亚裔美国人与美国主要种族/族裔群体（非西班牙裔白人、西班牙裔和黑人）进行比较 确定机制是该人群独有的还是跨群体共有的，2) 评估 亚裔美国人亚群体差异（按性别、出生地和种族）以解决群体内异质性 酒精和烟草的使用模式。 该项目的目标与 NIH 当前的知识生成战略计划直接相关 这项探索性研究旨在制定干预措施，以减少与酒精和烟草相关的健康差异。 将通过允许在某些范围内识别特定背景和机制来为预防科学提供信息 与亚裔美国人持续饮酒、吸烟和共同使用相关的发育时期。 研究还将建立在先前研究的基础上，扩大对酗酒和吸烟的生命全程检查 正如计划公告中所指出的，通过关注亚裔美国人的共同使用，这可以帮助他们进入成年期。 研究对于建立知识库以制定与文化相关的预防干预措施至关重要 未来的项目将旨在帮助转化该研究，以解决不同社区的使用和滥用问题。 针对特定背景下的高危亚裔美国人进行基于社区的多层次干预的研究结果。