Ecological Momentary Assessment of Racial Microaggressions and Alcohol Use in African American Young Adults

非裔美国年轻人种族微侵犯和酒精使用的生态瞬时评估

基本信息

批准号：
10710412
负责人：
Patricia A Cavazos-Rehg
金额：
$ 23.9万
依托单位：
WASHINGTON UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-27 至 2024-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10710412
关键词：
Address Adult African American African American population Age Alcohol abuse Alcohol consumption Alcohols Baseline Surveys Behavior Buffers Cellular Phone Coping Skills Data Data Collection Development Disparity Ecological momentary assessment Effectiveness Eligibility Determination Enrollment Environment Event Exclusion Exposure to Feedback Feeling Frequencies Future Goals Heavy Drinking Individual Injury Intervention Knowledge Lead Link Literature Low Prevalence Methods National Institute on Alcohol Abuse and Alcoholism Nature Outcome Participant Pattern Prevalence Prevention Prevention strategy Public Health Published Comment Race Recording of previous events Reporting Research Risk Risk Factors Risk Reduction Sampling Severities Socialization Socioeconomic Status Source Strategic Planning Surveys Target Populations Test Result Testing Thinking Time Trauma Variant Work aged alcohol exposure alcohol measurement alcohol prevention alcohol research alcohol use disorder design drinking drinking behavior ethnic minority population experience health equity promotion high risk high risk population innovation member microaggression multilevel analysis negative affect novel perceived discrimination perceived stress protective factors racial discrimination racial minority population racism recruit reduced alcohol use self esteem social social media socioeconomic disadvantage stressor substance use traumatic event university student usability young adult

项目摘要

Project Summary African American adults are disproportionately exposed to stressors, such as racial discrimination, that increase risk for problem drinking and are more likely than White adults to experience alcohol-related illness, injuries, and negative social consequences. African Americans report experiencing everyday race-related discriminatory events involving intentional acts of racism or subtle degrading, excluding, or negating acts, known as racial microaggressions, as frequently as daily. Although the link between racial discrimination and drinking behaviors has been documented, the timing and modifiers of the effects remain largely unknown. In the proposed study, we will assess racial microaggressions as antecedents to alcohol use among African American young adults via ecological momentary assessment (EMA) to capture the association at a granular level during the peak developmental period of risk for heavy alcohol use. The study is built on two core premises: (1) More accurate understanding of African American young adults’ daily, real world experiences with racial microaggressions and their impact on drinking behaviors is critical to inform an R01 level, ecological momentary intervention to reduce alcohol use among this high-risk group; and (2) the effectiveness of such an intervention hinges on its usability and acceptability in the target population. To address Aim 1, establishment of the EMA design, we will recruit via social media [100] African American adults aged 18 to 25 who engage in regular alcohol use to complete surveys assessing the nature and frequency of racial microaggressions and alcohol use. Thirty survey participants (10 each from the lowest, middle, and highest thirds of the racial microaggression frequency distribution) will take part in usability testing to refine EMA design, including sampling periods, number of items, and frequency of prompts, and to establish the minimum frequency of racial microaggression experiences for valid use of the EMA. [In Aim 2, we will recruit a new sample of 100 participants] to complete a 21-day intensive, repeated, and brief smartphone-based EMA study to track alcohol use and instances of racial microaggressions. We will investigate both the within- and between- subject effects of racial microaggressions on alcohol use behaviors utilizing multilevel-modeling approaches to detect lagged (e.g., next day) as well as same day effects. For Exploratory Aim 3, we will investigate buffering and exacerbating effects of potential protective factors [assessed in Aim 2 baseline surveys] (e.g., adaptive coping strategies, racial socialization) and risk factors, (e.g., history of trauma, socioeconomic disadvantage) on alcohol use reported via EMAs. Achieving the study’s goal of identifying how racial microaggressions lead to drinking behaviors will uncover novel targets to spur the development of innovative focused prevention and intervention strategies for hazardous alcohol use among African American young adults, in keeping with NIAAA’s Strategic Plan for Fiscal Years 2022-2026 of promoting health equity.

项目摘要非洲裔美国成年人不成比例地承受着压力源，例如种族歧视，增加饮酒问题的风险，比白人成年人更有可能患有酒精有关的疾病，伤害和负面的社会后果。非裔美国人报告每天都有与种族有关的经历涉及有意的种族主义行为或微妙的贬低，排除或否定行为的歧视性事件，每天都被称为种族微侵略。尽管种族歧视和饮酒行为已被证明，影响的时间和修饰符在很大程度上未知。在拟议的研究，我们将评估种族微侵略性作为非洲饮酒的先例通过生态瞬时评估（EMA）以颗粒状捕获关联的美国年轻人在大量饮酒风险的高峰发展期间的水平。该研究建立在两个核心上前提：（1）更准确地了解非裔美国人年轻人的每日现实世界经验种族微侵略及其对饮酒行为的影响对于告知R01水平至关重要，生态瞬间干预以减少这一高风险群体中的酒精使用；（2）有效性这种干预措施取决于其目标人群中其可用性和可接受性。解决目标1，建立EMA设计，我们将通过社交媒体[100] 18至25岁的非洲裔美国成年人招募谁进行定期饮酒以完成评估种族的性质和频率的调查微侵入和饮酒。 30名调查参与者（每个来自最低，中和最高的10个种族微侵略频率分布的三分之一）将参加可用性测试以完善EMA 设计，包括抽样期，项目数和提示频率，并确定最小值种族微攻击经验的频率用于有效使用EMA。 [在AIM 2中，我们将招募新的 100名参与者的样本]完成21天的密集，重复和简短的基于智能手机的EMA研究跟踪酒精使用和种族微侵略的实例。我们将研究内部和之间种族微侵略对酒精使用行为的影响，利用多级模型方法检测滞后（例如，第二天）以及同一天的效果。对于探索目标3，我们将调查缓冲并加剧潜在受保护因素的影响[在AIM 2基线调查中评估]（例如，自适应应对策略，种族社会化）和风险因素（例如创伤历史，社会经济障碍）通过EMAS报告的酒精使用。实现研究的目标是确定种族微侵略性如何导致饮酒行为将发现新的目标，以刺激创新的预防和非洲裔美国年轻人对危险饮酒的干预策略与 NIAAA的战略计划2022 - 2026财年促进健康公平。