Trajectory Outcomes of Teens that Ride with Impaired Drivers & Drive Impaired

与残疾驾驶员一起乘坐的青少年的轨迹结果

• 批准号: 10678581
• 负责人: FEDERICO E VACA
• 金额: $ 48.48万
• 依托单位: UNIVERSITY OF CALIFORNIA-IRVINE
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10678581
• 关键词: Adolescent; Adolescent and Young Adult; Adult; Affect; Age; Alcohol consumption; Alcohols; American; Automobile Driving; Behavior; Cause of Death; Cessation of life; Development; Drunk driving; Education; Employment; Enrollment; Exposure to; Family; Future; Generations; Health; Health Status; Health behavior; Heavy Drinking; High School Student; Household; Impairment; Impulsivity; Individual; Injury; Intervention; Investigation; Knowledge; Lead; Marijuana; Methods; Modeling; Nature; Outcome; Participant; Pharmaceutical Preparations; Predictive Factor; Prevalence; Prevention; Process; Reporting; Research; Risk; Schools; Science; Shapes; Statutes and Laws; System; Teenagers; United States National Institutes of Health; Vehicle crash; Work; Youth; adolescent alcohol and drug use; adolescent health; alcohol consequences; base; behavioral impairment; behavioral outcome; binge drinking; college; disability; emerging adult; emerging adulthood; health data; high school; higher education; impaired driving performance; innovation; marijuana legalization; marijuana use; multilevel analysis; next generation; novel; parental monitoring; peer; social; substance use; theories; transportation access; trend; Adolescent; Adolescent and Young Adult; Adult; Affect; Age; Alcohol consumption; Alcohols; American; Automobile Driving; Behavior; Cause of Death; Cessation of life; Development; Drunk driving; Education; Employment; Enrollment; Exposure to; Family; Future; Generations; Health; Health Status; Health behavior; Heavy Drinking; High School Student; Household; Impairment; Impulsivity; Individual; Injury; Intervention; Investigation; Knowledge; Lead; Marijuana; Methods; Modeling; Nature; Outcome; Participant; Pharmaceutical Preparations; Predictive Factor; Prevalence; Prevention; Process; Reporting; Research; Risk; Schools; Science; Shapes; Statutes and Laws; System; Teenagers; United States National Institutes of Health; Vehicle crash; Work; Youth; adolescent alcohol and drug use; adolescent health; alcohol consequences; base; behavioral impairment; behavioral outcome; binge drinking; college; disability; emerging adult; emerging adulthood; health data; high school; higher education; impaired driving performance; innovation; marijuana legalization; marijuana use; multilevel analysis; next generation; novel; parental monitoring; peer; social; substance use; theories; transportation access; trend

7. PROJECT SUMMARY Riding with an Impaired (RWI) driver and Driving While Impaired (DWI) is prevalent among high school students. Motor vehicle crashes have remained the leading cause of death among adolescents for decades. In 2015, the U.S. encountered the largest percent increase in motor vehicle crash fatalities in 50 years. This included a significant increase in alcohol-impaired driving fatalities with 1 alcohol-impaired driving death occurring every 51 minutes and 1 in every 5 deaths occurring in passengers. Still, alcohol and marijuana continue as the drugs of choice for American youth and despite a slow secular decline in use during high school, annual prevalence remains high. Several factors predict future RWI/DWI in high school students, such as heavy episodic drinking, perceived peer norms of alcohol/substance use, low parental monitoring knowledge, and exposure to RWI. Recent studies also demonstrate the intimate relationship between RWI/DWI and household-adult exposure and behavior modeling. Extensive adolescent alcohol/drug use trajectory-related research has explored emerging adulthood outcomes (e.g. health, employment, college enrollment). However, despite the well-known relationship between transportation access and these domains, little is known about these outcomes as a direct result of exposure and engagement in RWI/DWI. Further, current studies largely do not explain how RWI/DWI exposure and participation develops. Given the complexity of the processes that may affect RWI/DWI, a social ecological theoretical framework is needed for systematic and full characterization of the relationships (multi-level influences), and interactions (social environmental) that shape emerging adulthood outcomes. We propose a highly novel multistage mixed methods study that employs the Ecodevelopmental Theoretical (ET) framework to characterize adolescent RWI/DWI behaviors and determine their association with health, employment, and higher education enrollment in emerging adulthood. First, we will analyze 7 waves of longitudinal adolescent health data (NIH's NEXT Generation Health Study - following U.S. 10th graders since Spring semester of the 2009-2010 academic year until the current date) in order to characterize RWI/DWI trajectory classes and their relationship to health, employment, and higher education enrollment in emerging adulthood. Next, we will use mixed methods to generate ET- driven hypotheses about how RWI/DWI exposure and participation develops and affects emerging adulthood outcomes within the context of peer, family, school, and environmental influences. Finally, we will use system dynamics modeling to build an explanatory model for observed outcome differences according to RWI/DWI trajectory classes. Our final theory driven explanatory model will advance the understanding of adolescent RWI/DWI behaviors and inform the subsequent development of an innovative and multi-level intervention focused on prevention of RWI/DWI and the enhancement of successful transitions of adolescents into emerging adulthood.

7。项目摘要 高中骑行（RWI）驾驶员（RWI）驾驶员（DWI）时骑行（RWI）和驾驶 学生。数十年来，汽车撞车一直是青少年死亡的主要原因。在 2015年，美国在50年内遇到汽车撞车死亡人数的百分比最大。这 包括大幅增加酒精造成的驾驶死亡人数，1次酒精障碍驾驶死亡 每51分钟发生每51分钟，每5例死亡中发生1例。仍然，酒精和大麻 继续作为美国青年的首选药物，尽管世俗使用缓慢下降 学校，年度患病率仍然很高。有几个因素可以预测高中学生的未来RWI/DWI，例如 作为大量的情节饮酒，可感知的酒精/药物使用的同伴规范，父母监测低 知识和接触RWI。最近的研究还证明了 RWI/DWI以及家庭成人的暴露和行为建模。广泛的青少年酒精/毒品使用 与轨迹相关的研究探索了新兴成年后果（例如，健康，就业，大学 注册）。但是，尽管运输访问与这些域之间存在众所周知的关系，但 对于这些结果的直接结果和参与RWI/DWI的直接结果知之甚少。更远， 当前的研究在很大程度上不能解释RWI/DWI暴露和参与是如何发展的。考虑到复杂性 在可能影响RWI/DWI的过程中，系统的社会生态理论框架是系统的 以及关系（多层影响）和互动（社会环境）的全面表征 形状新兴的成年结果。我们提出了一项高度新颖的多阶段混合方法研究 采用生态发育理论（ET）框架来表征青少年RWI/DWI行为 并确定他们与健康，就业和高等教育入学的联系 成年。首先，我们将分析7波纵向青少年健康数据（NIH的下一代 健康研究 - 自2009-2010学年春季学期以来，美国10年级的10年级学生 当前日期）为了表征RWI/DWI轨迹类及其与健康，就业的关系， 以及新兴成年的高等教育入学率。接下来，我们将使用混合方法生成ET- 关于RWI/DWI暴露和参与如何发展和影响新兴成年的驱动假设 在同伴，家庭，学校和环境影响的背景下的结果。最后，我们将使用系统 动态建模以根据RWI/DWI构建一个解释性模型，以观察到结果差异 轨迹类。我们最终理论驱动的解释模型将提高对青少年的理解 RWI/DWI行为，并告知随后的创新和多层次干预 专注于预防RWI/DWI，并增强青少年的成功过渡 新兴成年。