Socio-cultural and community risk and resilience for alcohol related problems in youth

青少年酒精相关问题的社会文化和社区风险及复原力

基本信息

批准号：
10664441
负责人：
Marybel Robledo Gonzalez
金额：
$ 4.79万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN DIEGO
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-05-01 至 2023-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10664441
关键词：
Accidents Adolescence Adolescent Adult Affect Age Alcohol abuse Alcohol consumption Alcohols Anxiety Area Brain Buffers Cause of Death Childhood Cognition Cognitive Communities Country Data Data Set Development Discrimination Disparity Environment Equation Ethnic Origin Exposure to Factor Analysis Family Feedback Focus Groups Future Gender Health Heavy Drinking Hispanic Homicide Individual Inequity Intervention Knowledge Latina Latino Latino Population Latinx Link Longitudinal Studies Mental Depression Mental Health Methods Modeling Neighborhoods Neurobiology Neurocognitive Outcome Parents Pathway interactions Performance Policies Prevention Prevention Research Problem behavior Process Psyche structure Race Reduce health disparities Research Research Methodology Resources Risk Risk Factors Role Sampling Studies Schools Shapes Site Social Change Social Identification Specificity Structure Suicide Testing Time Training Translations Youth adolescent substance use alcohol related problem alcohol risk alcohol use disorder cognitive development cognitive function community engaged research conduct problem cultural values depressive symptoms deter alcohol use emotional functioning ethnic identity experience health determinants health disparity high risk longitudinal design novel peer psychosocial recruit resilience response social culture social determinants social health determinants sociocultural determinant underage drinking young adult

项目摘要

PROJECT SUMMARY/ABSTRACT. While alcohol remains the most widely endorsed substance during adolescence, and various psychosocial risk factors have been identified, unknown are the potential origins for how disparities in alcohol related problems emerge among young adults among Hispanic/Latina/x/o populations. Applying a health disparities approach to youth alcohol use (AU) prevention research is necessary to identify high impact points of intervention during adolescence before AU related problems emerge in adulthood. Given that health disparities are attributable to compounded exposure to adversity beginning in childhood, investigating relationships between the social determinants of health (SDoH) and AU and related problems in adolescence is critical. We will consider both the risk and protective role of socio-cultural factors (e.g., discrimination vs. familism) for AU and mental health during adolescence using the ecodevelopmental framework, with a focus on Hispanic/Latina/x/o youth. Further, understanding SDoH (e.g., school and neighborhood features) associations with AU and related problems will guide policy to identify upstream determinants that can be intervention targets to bring systemic change that reduces health disparities. This proposal will leverage the Adolescent Brain Cognitive Development® (ABCD) Study, a large comprehensive dataset, to advance critical areas of research in AU prevention with a focus on Hispanic/Latina/x/o youth and intersecting identities (e.g., gender and generational status). A quantitative analysis will test (1) socio-cultural determinants of AU related problems and mental health, and (2) AU influences on mental (anxiety/depression) in association with cognitive and school performance in Hispanic/Latina/x/o youth. This proposal will use ABCD study longitudinal data to identify promotive socio-cultural factors (i.e., high familism and low discrimination) that may buffer risk for AU and related problems influenced by both risk from individual and broader social- cultural contexts (i.e., school and neighborhood). Potential co-emerging disparities in mental health among youth will be investigated, and whether mental health (i.e., anxiety/depression) outcomes moderate (i.e., exacerbates) the influence of AU on adolescent cognitive functioning. This proposal will then extend the application of the SDoH framework with community-engaged research approach to conduct a qualitative study with focus groups with Hispanic/Latina/x/o youth and parents and obtain a response to the ABCD study quantitative findings to identify research gaps and priorities for AU related problems in the Hispanic/Latina/x/o community. Findings will inform hypotheses on future AU prevention research using community-engaged approaches with Hispanic/Latina/x/o youth in a future R01. In summary, the quantitative and qualitative studies proposed will investigate the socio-cultural determinants of potential co-emerging disparities in alcohol use and mental health and subsequent impact on cognitive development, with a focus on Hispanic/Latina/x/o youth. Findings will inform future interventions on AU prevention on timing and the interplay of socio-cultural contexts.

项目摘要/摘要。虽然酒精仍然是最广泛认可的物质。青春期，各种社会心理危险因素已被确定，但其潜在根源尚不清楚西班牙裔/拉丁裔/x/o 年轻人中酒精相关问题的差异是如何出现的有必要将健康差异方法应用于青少年饮酒 (AU) 预防研究。在 AU 相关问题出现之前确定青春期干预的高影响点鉴于健康差异是由于从成年开始就经历了复杂的逆境。童年时期，调查健康的社会决定因素 (SDoH) 与 AU 及相关的关系我们将考虑社会文化因素的风险和保护作用。（例如，歧视与家庭主义）使用生态发展模型研究非盟和青春期心理健康框架，重点关注西班牙裔/拉丁裔/异族青年。此外，了解 SDoH（例如学校和社区）。邻里特征）与非盟的关联和相关问题将指导政策确定上游可以作为干预目标的决定因素，以带来减少健康差距的系统性变革。该提案将利用青少年大脑认知发展® (ABCD) 研究，这是一项大型综合性研究数据集，以推进 AU 预防关键领域的研究，重点关注西班牙裔/拉丁裔/x/o 青少年和交叉身份（例如性别和代际地位）。定量分析将测试（1）社会文化。 AU 相关问题和心理健康的决定因素，以及 (2) AU 对心理（焦虑/抑郁）的影响与西班牙裔/拉丁裔/X/O 青少年的认知和学校表现相关。该提案将使用 ABCD。研究纵向数据以确定促进性的社会文化因素（即高度家庭主义和低歧视）这可能会缓冲非盟的风险以及受个人和更广泛的社会风险影响的相关问题文化背景（即学校和社区）之间潜在的心理健康差异。将调查青少年的心理健康（即焦虑/抑郁）结果是否中等（即恶化）AU 对青少年认知功能的影响然后该提案将扩展 AU 对青少年认知功能的影响。应用 SDoH 框架和社区参与研究方法进行定性研究与西班牙裔/拉丁裔/异性恋青少年和家长进行焦点小组讨论，并获得对 ABCD 研究的回应定量研究结果以确定西班牙裔/拉丁裔/x/o 群体中非盟相关问题的研究差距和优先事项研究结果将为未来使用社区参与的 AU 预防研究提供假设。总而言之，定量和定性研究在未来的 R01 中与西班牙裔/拉丁裔/X/O 青年的接触。提议将调查酒精使用和饮酒方面潜在的同时出现的差异的社会文化决定因素心理健康及其对认知发展的后续影响，重点关注西班牙裔/拉丁裔/异性恋青年。研究结果将为未来针对非盟预防的干预措施提供信息，包括时间安排和社会文化背景的相互作用。