Etiology of Alcohol Use and Consequences Among Multi-Ethnic Urban Youth

多民族城市青年饮酒的病因及其后果

• 批准号: 7812232
• 负责人: KELLI Ann KOMRO
• 金额: $ 45.07万
• 依托单位: UNIVERSITY OF FLORIDA
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-05-10 至 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7812232
• 关键词: 18 year old; Adolescence; Adolescent; African American; Age; Age of Onset; Alcohol consumption; Alcohol dependence; Alcohols; Arts; Behavior; Chicago; Cities; Cohort Studies; Data; Data Set; Development; Distal; Effectiveness; Effectiveness of Interventions; Environmental Risk Factor; Ethnic Origin; Ethnic group; Etiology; Family; Funding; Gender; Goals; Health; Hispanics; Individual; Intervention; Intoxication; Knowledge; Latino; Low income; Mails; Mediating; Methods; Minority; Minority Groups; Modeling; Moods; Neighborhoods; Online Systems; Outcome; Parents; Pattern; Population; Population Heterogeneity; Prevalence; Prevention; Preventive Intervention; Project Northland; Research; Research Personnel; Risk; Schools; Students; Subgroup; Surveys; Theoretical model; Time; Violence; Youth; alcohol consequences; alcohol prevention; alcohol related problem; base; boys; cohort; cost; cost effective; depressive symptoms; design; drinking; early alcohol use; early onset; follow-up; girls; health disparity; improved; intervention effect; peer; public health relevance; randomized trial; social; theories; therapy design; underage drinking; young adult

DESCRIPTION (provided by applicant): The proposed project will examine trajectories, consequences, and multiple levels of influences on alcohol use among urban poor adolescents, explicitly comparing patterns of effects across ethnic and gender subgroups. The long-term outcome of the proposed project is improved preventive interventions with larger beneficial effects efficiently achieved across the diverse population of U.S. youth. Current integrative theoretical models propose that behavior is influenced by a wide array of macro/distal to micro/proximal personal, social and environmental factors, yet few studies to date have included variables at multiple levels and from multiple domains, as proposed here, permitting a comprehensive study of the etiology of onset and trajectories of alcohol use among multi-ethnic groups of adolescents. Study aims include: (1) improve understanding of multilevel factors on trajectories of alcohol use by ethnic and gender subgroups, (2) compare effects of age of onset of alcohol use and age of initial intoxication on alcohol use at age 18 across ethnic and gender subgroups, (3) identify similarities or differences in consequences of alcohol use across ethnic and gender subgroups, and (4) assess the long-term effectiveness of the Project Northland Chicago (PNC) intervention and its differential effectiveness across subgroups. Methods to achieve the study aims include: (1) cost- effective utilization of existing longitudinal student, parent, school, and neighborhood-level data, including repeated annual surveys from a large majority-minority cohort ages 11 to 14 that have already been collected by the investigators in a previous major alcohol prevention trial; (2) implementation of a mail and web-based follow-up survey of the study cohort when they are age 17-18; and (3) advanced, multilevel, longitudinal statistical analyses. The cohort includes adolescents who completed at least one previous PNC survey when they were in the beginning and end of 6th grade, end of 7th grade, and end of 8th grade (n = 5,812). The study cohort attend public schools in the city of Chicago, are mostly low SES (72 percent), and primarily Black (43 percent), Hispanic (28 percent), and White (13 percent). PUBLIC HEALTH RELEVANCE: Results will significantly improve understanding of alcohol use trajectories among Black and Hispanic youth, and will guide development of theory applicable to ethnic and gender subgroups. Most importantly, results will directly guide the development of further refined interventions of increased efficacy and effectiveness.

描述（由申请人提供）：拟议的项目将检查城市贫困青少年对酒精使用的轨迹，后果和多种层次的影响，并明确比较种族和性别亚组的影响模式。拟议项目的长期结果是改善了预防干预措施，在美国青年人群中有效地实现了更大的有益影响。当前的综合理论模型表明，行为受到微观/近端的微观/近端个人，社会和环境因素的影响，但迄今为止很少有研究包括多个层次和多个领域的变量，正如此处提出的那样，允许对多民族群体中酒精饮酒的病因和轨迹进行全面研究。研究目的包括：（1）提高对种族和性别亚组酒精使用轨迹的多层次因素的了解，（2）比较酒精使用年龄的影响以及初始中毒对跨种族和性别亚组的饮酒年龄对酒精使用的年龄的影响，（3）跨种族和跨性别的企业的相似性或差异，以及（4）跨越种族和差异。 （PNC）干预及其在亚组之间的差异效果。实现该研究目的的方法包括：（1）对现有的纵向学生，家长，学校和邻里级别的数据进行成本有效利用，包括来自大多数少数少数少数人群的重复年度调查，这些年龄是11至14岁，这些调查已经在先前的主要酒精预防试验中被调查人员收集到的。 （2）在17-18岁时对研究队列的基于邮件和基于Web的后续调查进行； （3）高级，多级，纵向统计分析。该队列包括青少年在六年级，7年级和八年级结束时完成至少一项PNC调查的青少年（n = 5,812）。该研究队列在芝加哥市就读于公立学校，主要是SES（72％），主要是黑人（43％），西班牙裔（28％）和怀特（13％）。公共卫生相关性：结果将显着提高对黑人和西班牙裔青年中酒精使用轨迹的理解，并将指导适用于种族和性别亚组的理论发展。最重要的是，结果将直接指导进一步的进一步精致干预措施，以提高功效和有效性。