Longitudinal Impacts of Pandemic-Induced Disruptions on Adolescent Siblings' and Parents' Alcohol Use: A Family Life Course Perspective

流行病引起的干扰对青少年兄弟姐妹和父母饮酒的纵向影响：家庭生活历程的视角

• 批准号: 10629339
• 负责人: Shawn David Whiteman
• 金额: $ 34.04万
• 依托单位: UTAH STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10629339
• 关键词: Acceleration; Acute; Address; Adolescent; Adult; Affect; Age; Alcohol consumption; Alcoholic beverage heavy drinker; Alcohols; Anxiety; COVID-19; COVID-19 pandemic; Child; Chronic; Chronology; Cognition; Cohort Studies; Communities; Conflict (Psychology); Data; Data Analyses; Data Collection; Development; Developmental Course; Disadvantaged; Disease remission; Economics; Emergency Situation; Epidemiology; Equation; Essential worker; Esthesia; Event; Family; Family Relationship; Family member; Financial Hardship; Frequencies; Friends; Gender; Health; Heavy Drinking; Home; Individual; Individual Differences; Institution; Interruption; Life; Life Cycle Stages; Link; Longitudinal Studies; Longitudinal trends; Modeling; Mothers; Natural Disasters; Parents; Pattern; Persons; Predisposition; Procedures; Public Health; Recovery; Recovery Support; Relapse; Risk; Risk Factors; Role; Schools; Shapes; Siblings; Site; Social Environment; Socialization; Stress and Coping; Structure; Surveys; Teenagers; Testing; Time; United States; Work; Youth; adolescent alcohol and drug use; cohort; coping; design; experience; falls; flexibility; follow-up; high school; longitudinal design; novel; pandemic disease; pandemic impact; parental involvement; parental monitoring; peer; pre-pandemic; prospective; protective factors; public health emergency; resilience; response; social disparities; stressor; substance use; theories; underage drinking; vaccine acceptance

PROJECT SUMMARY/ABSTRACT In March 2020, the COVID-19 pandemic abruptly disrupted the daily lives of adolescents and their families in the United States. Emergency school and community closures confined children and adults together in their homes with greatly limited access to other supportive adults and institutions. Adolescents' involvement in developmentally-normative contexts was interrupted. This crisis evolved into a chronic, relapsing and remitting state of life with intensities that varied dramatically between families and communities as well as across weeks, months, and now years. As such, there is a critical need to understand how these disruptions affected adolescents' and parents' short- and long-term health, and in particular, their alcohol and other substance use. The present study addresses this need through the combination of extant data analysis and prospective data collection. Rooted in life course developmental theory, we will explore the implications and developmental timing of pandemic-induced disruptions and stressors for adolescents' and parents' alcohol and other substance use in the ongoing accelerated longitudinal Parent and Adolescent Sibling Study (PASS). PASS includes 1364 adolescent siblings and their parents; adolescents ranged in age from 10 to 17 (grades 5-10) during the pre-pandemic period at Wave 1 (2019). Families in PASS provided/will provide survey data three times over two consecutive years during the pandemic (Wave 1.5, May-June 2020; Wave 2, Fall 2020; Wave 3, Fall 2021). With the proposed Wave 4 (Fall 2022), PASS's multi-wave (5 total assessments across four years), multi-family member longitudinal study will capture the entire arc of the COVID-19 pandemic. Testing the life course principle of linked lives, we will investigate the associations between multiple family members' alcohol and substance use patterns throughout the pandemic period. This focus on the family context is critical given its fundamental importance for youth's alcohol and other substance use was further amplified during shutdowns/restrictions as it has been the primary site in which pandemic stressors were experienced. Finally, we will identify risk and protective factors (both between-person and within-family) that moderate the influence of pandemic-related disruptions on youth's alcohol and other substance use patterns and trajectories. The aims will be tested using a structural equation (SEM) framework. This flexible analytic procedure is advantageous as it can model longitudinal data which are nested within individuals as well as data from siblings which are further nested within families. SEM permits modeling of individual differences in change patterns (including non-linear patterns), attributes those differences to both time-varying and time-invariant covariates, and efficiently accounts for missing data. Ultimately, understanding how adolescents and parents suffered, adapted, and coped with pandemic challenges is key for supporting recovery from this era, for understanding response to economic crises and natural disasters, and anticipating long-term trends in alcohol and other substance use among the current cohort of adolescents.

项目概要/摘要 2020 年 3 月，COVID-19 大流行突然扰乱了青少年及其家人的日常生活。 美国。学校和社区紧急关闭，将儿童和成人限制在他们的生活中 与其他成年人和机构提供支持的机会受到极大限制的家庭。青少年的参与 发展规范环境被打断。这场危机演变成一场慢性的、复发性和缓解性的危机 生活状态的强度在家庭和社区之间以及几周之间存在巨大差异， 几个月，现在是几年。因此，迫切需要了解这些中断如何影响 青少年和父母的短期和长期健康，特别是他们的酒精和其他药物的使用。 本研究通过结合现有数据分析和前瞻性数据来满足这一需求 收藏。植根于生命历程发展理论，我们将探讨其含义和发展 流行病对青少年和父母的酒精和其他疾病造成的干扰和压力的时机 正在进行的加速纵向父母和青少年兄弟姐妹研究 (PASS) 中的物质使用。经过 包括 1364 名青少年兄弟姐妹及其父母；青少年年龄范围为 10 至 17 岁（5-10 年级） 在第一波疫情大流行前（2019 年）。 PASS 中的家庭提供/将提供调查数据三 疫情期间连续两年出现次数（第 1.5 波，2020 年 5 月至 6 月；第 2 波，2020 年秋季；第 2 波，2020 年秋季） 3，2021 年秋季）。根据拟议的第 4 波（2022 年秋季），PASS 的多波（四个阶段共 5 次评估） 年），多家庭成员纵向研究将捕捉 COVID-19 大流行的整个过程。测试 生命相连的生命历程原理，我们将调查多个家庭成员之间的关联 整个大流行期间的酒精和药物使用模式。对家庭背景的关注至关重要 鉴于其对青少年酒精和其他物质使用的根本重要性，在 关闭/限制，因为它是经历大流行压力源的主要场所。最后， 我们将确定减轻影响的风险和保护因素（人与人之间以及家庭内部） 与流行病相关的对青少年酒精和其他物质使用模式和轨迹的干扰。这 将使用结构方程（SEM）框架来测试目标。这种灵活的分析过程是 有利的，因为它可以对嵌套在个体中的纵向数据以及来自的数据进行建模 进一步嵌套在家庭中的兄弟姐妹。 SEM 允许对变化中的个体差异进行建模 模式（包括非线性模式），将这些差异归因于时变和时不变 协变量，并有效地解释丢失的数据。最终，了解青少年和家长如何 遭受、适应和应对流行病挑战是支持从这个时代复苏的关键， 了解对经济危机和自然灾害的反应，并预测酒精的长期趋势 当前青少年群体中的其他物质使用情况。