The impact of the COVID-19 pandemic on adolescent drinking in a longitudinal cohort spanning 21 U.S. cities

跨越美国 21 个城市的纵向队列研究了 COVID-19 大流行对青少年饮酒的影响

基本信息

批准号：
10471042
负责人：
William Ellerbe Pelham III
金额：
$ 20.75万
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：
2022
资助国家：
美国
起止时间：
2022-03-01 至 2024-02-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10471042
关键词：
Address Adolescent Adult Affect Alcohol consumption Anxiety Brain Buffers COVID-19 COVID-19 pandemic COVID-19 pandemic effects Centers for Disease Control and Prevention (U.S.)Cities Cognitive Communities Complex Conflict (Psychology)County Data Data Analyses Data Sources Decision Making Disasters Drug usage Economics Education Emotional Environment Ethnic Origin Failure Family Family member Friends Future Gender Grain Health Home Infection Knowledge Life Link Longitudinal cohort Masks Measures National Institute on Alcohol Abuse and Alcoholism Natural Disasters Outcome Parents Participant Pattern Policies Population Predisposition Psyche structure Public Health Publishing Race Reporting Research Activity Risk Risk Behaviors Risk Management SARS-CoV-2 infection SARS-CoV-2 positive Sampling Schools Site Social Distance Stress Structure Subgroup Surveys Symptoms Teenagers Testing Time United States Vaccination Vulnerable Populations Youth adolescent alcohol abuse alcohol availability anxiety symptoms burden of illness cohort coronavirus disease depressive symptoms drinking drinking behavior early drinking experience pandemic disease parental monitoring peer permissiveness physical conditioning preadolescence prospective public policy on alcohol recruit resilience response screening severe COVID-19 sex social contact sociodemographics socioeconomic disadvantage stress symptom substance use time use underage drinking

项目摘要

PROJECT SUMMARY/ABSTRACT Adolescent alcohol abuse conveys significant disease burden. The coronavirus disease 2019 (COVID-19) pandemic has wrought unprecedented changes to adolescents’ daily lives, affecting several domains with well- establish links to alcohol use (e.g., increased stress and family conflict). However, there is no published data the course of adolescent drinking across the duration of the pandemic; the specific effects of each pandemic-related change (e.g., social distancing, remote schooling, parents working from home) on adolescents’ drinking; risk/resiliency factors exacerbating or buffering against pandemic’s impact on drinking; or the relation of COVID- 19 infection/vaccination among youth and family members to pre-morbid or post-morbid drinking. Thus, we lack the time-sensitive information necessary to guide an effective public health strategy. We propose to address this urgent, time-sensitive need using secondary data analysis of the Adolescent Brain and Cognitive DevelopmentSM Study, a large (N=11,880), longitudinal, nationwide cohort of adolescents spanning 21 study sites across the United States. Participants had been followed prospectively for a median of 29 months before the beginning of the pandemic and were well-characterized across multiple assessments of alcohol and drug use, mental/physical health, and family/community environment. 9,031+ participants and their parents completed up to seven waves of surveys between May 2020 and May 2021, each measuring teen’s drinking and experiences during the COVID-19 pandemic. By combining a well-characterized, sociodemographically diverse, nationwide cohort recruited before the pandemic with serial assessments of that cohort across the first 14 months of the pandemic, the ABCD Study® has outstanding potential to study adolescent alcohol use during the pandemic. We pursue four specific aims. Aim 1: Describe adolescent drinking over the course of the COVID-19 pandemic and evaluate associations of drinking with (a) engagement in public health precautions (e.g., social distancing), (b) changes in schooling status and format, (c) disruptions to daily routines, (d) emotional health and stress/worry about COVID-19, (e) family stress/discord, and (f) parents’ drinking. Aim 2: Identify vulnerable groups of adolescents whose alcohol use has been impacted most severely by the COVID-19 pandemic to inform targeted screening and support, testing for differences by youth sex/gender/age/race/ethnicity, socioeconomic disadvantage, family and peer environment, or youth predisposition to early drinking. Aim 3: Evaluate the association of COVID-19 infection in adolescents and their family members with adolescents’ pre-morbid and post-morbid drinking. Aim 4: Determine the impact of youth vaccination on subsequent alcohol use patterns. Research activities are structured to produce findings rapidly and disseminate them widely, to best support the time-sensitive public health strategy.

项目概要/摘要青少年酗酒会带来严重的疾病负担 2019 年冠状病毒病 (COVID-19)。大流行给青少年的日常生活带来了前所未有的变化，影响了多个领域建立与饮酒的联系（例如，压力增加和家庭冲突）。但是，没有公开的数据。整个大流行期间青少年饮酒的过程；每种大流行相关的具体影响；青少年饮酒的变化（例如社交距离、远程教育、父母在家工作）；加剧或缓冲流行病对饮酒或新冠病毒关系的影响的风险/弹性因素； 19 青少年和家庭成员感染/接种疫苗以预防病前或病后饮酒。我们建议解决这一问题所需的时间敏感信息。利用青少年大脑和认知发展的二次数据分析满足紧急、时间敏感的需求该研究是一项大型（N = 11,880）全国性纵向青少年队列研究，涵盖全国 21 个研究中心美国。在研究开始前对参与者进行了中位随访 29 个月。这一流行病，并在对酒精和药物使用、精神/身体的多项评估中得到了很好的描述。健康、家庭/社区环境超过 9,031 名参与者及其父母完成了多达七波。 2020 年 5 月至 2021 年 5 月期间进行的多项调查，每项调查均测量青少年在此期间的饮酒情况和经历 COVID-19 大流行将特征明确、社会人口统计多样化的全国群体结合起来。在大流行之前招募，并在大流行的前 14 个月内对该群体进行了系列评估， ABCD 研究® 在研究大流行期间青少年饮酒方面具有巨大潜力。目标 1：描述 COVID-19 大流行期间的青少年饮酒情况并进行评估。饮酒与 (a) 参与公共卫生预防措施（例如保持社交距离）、(b) 变化之间的关联学校教育状况和形式，(c) 日常生活受到干扰，(d) 情绪健康和压力/担忧 COVID-19，(e) 家庭压力/不和，以及 (f) 父母饮酒目标 2：识别青少年的弱势群体。其饮酒行为受 COVID-19 大流行影响最严重，为有针对性的筛查提供信息和支持，测试青少年性别/性别/年龄/种族/民族、社会经济劣势、家庭的差异目标 3：评估与 COVID-19 的关联。青少年病前和病后饮酒导致青少年及其家庭成员感染。 4：确定青少年疫苗接种对后续饮酒模式的影响研究活动如下。旨在快速产生调查结果并广泛传播，以最好地支持对时间敏感的公众健康策略。