Micro-Longitudinal Examination of the Association between Depression and Alcohol Misuse among Black Adults: Proximal Risk and Protective Factors

黑人成年人抑郁与酗酒之间关系的微观纵向研究：近端风险和保护因素

• 批准号: 10676382
• 负责人: Emmanuel Thomas
• 金额: $ 4.77万
• 依托单位: UNIVERSITY OF RHODE ISLAND
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-22 至 2025-05-21
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10676382
• 关键词: AODR mortality; Acute; Address; Adult; Alcohol abuse; Alcohol consumption; Alcohols; Area; Black Populations; Black race; Communities; Consumption; Cross-Sectional Studies; Dangerousness; Data; Data Analytics; Discrimination; Ecological momentary assessment; Environment; Etiology; Event; Feeling; Future; Goals; Grant; Individual; Interview; Investigation; Knowledge; Lead; Legal; Literature; Maintenance; Mental Depression; Methodology; Methods; Modeling; Morbidity - disease rate; Negative Reinforcements; Outcome; Participant; Perception; Population; Process; Public Health; Race; Reporting; Research; Resources; Risk Factors; Role; Sampling; Self Medication; Severities; Stress; Surveys; Symptoms; Techniques; Testing; Time; Training; alcohol consequences; alcohol intervention; alcohol misuse; alcohol risk; alcohol use disorder; associated symptom; clinically significant; comorbid depression; coping; depressive symptoms; experience; health disparity; high risk; knowledge integration; minority health; minority health disparity; minority stress; programs; protective factors; psychologic; recruit; research data dissemination; skills; social; stressor

Project Summary/Abstract Alcohol use is among the most prominent public health problems and contributors to health disparities for Black adults [48], which is reflected in the high rates of alcohol-related mortality and morbidity among Black populations [49]. Indeed, although Black adults tend to have equivalent or even lower rates of alcohol use compared to their white counterparts [3], Black adults experience higher rates of alcohol use disorders [4] as well as more alcohol-related social consequences [5] and legal issues [6-7]. These findings highlight the need for future research examining alcohol use and problems among Black adults. Depression symptoms are critical to study in this regard as they have consistently been found to be associated with alcohol use and problems in cross-sectional studies of Black adults [15, 53, 94]. Addressing important limitations in the extant research, the goal of the proposed study is to explicate the momentary associations between depression symptoms and alcohol use and problems as well as to consider the influence of culturally relevant factors in acute risk for alcohol use and problems among Black adults with varying severities of depression symptoms. Specifically, although not yet empirically tested among Black adults, the momentary relations between depression symptoms and alcohol use and problems among Black adults may be reciprocal, whereby depression symptoms serve as both an antecedent and a consequence of alcohol use and problems [10-12]. Moreover, racial stressors and symptoms are culturally relevant factors that may substantially increase proximal risk for alcohol use and problems among Black adults, and their influence may be stronger in those with greater severity of depression symptoms (i.e., moderation). To address these questions, the proposed study will recruit 60 Black adults in the community who report regular alcohol use in the past month. Participants will complete a baseline interview, following which they will take part in 14 days of ecological momentary assessment (three surveys per day). Micro-longitudinal methods are a rigorous and ecologically valid approach for capturing fluctuations in symptoms/experiences that increase risk for alcohol use and problems. This project will provide the Applicant with invaluable training to (1) bolster understanding of alcohol use disorders; (2) advance knowledge and conduct of research on the co-occurrence of depression symptoms and alcohol use among Black individuals; (3) acquire proficiency in utilizing micro-longitudinal methodology and data analytic techniques; (4) advance training in minority health and health disparities; and (5) build skills for grantsmanship and research dissemination. The ultimate goal of the project is to aid in further investigation of culturally relevant factors among historically underrepresented individuals in research, with the prospect of informing alcohol interventions for Black adults with depression.

项目摘要/摘要 饮酒是最杰出的公共卫生问题之一，也是健康差异的贡献者 黑人成人[48]，反映在黑人与酒精相关的死亡率和发病率的高率中 人群[49]。确实，尽管黑人成年人往往具有同等的甚至更低的酒精含量 与白色对应者[3]相比，黑人成年人的饮酒率较高[4] 以及更多与酒精有关的社会后果[5]和法律问题[6-7]。这些发现突出了需求 对于未来的研究，研究了黑人成年人的饮酒和问题。抑郁症状至关重要 在这方面进行研究，因为他们一直发现它们与饮酒和问题有关 黑人成年人的横断面研究[15，53，94]。解决现有研究中的重要局限性， 拟议的研究的目标是阐明抑郁症状与 饮酒和问题以及考虑文化相关因素在急性风险中的影响 黑人成年人的饮酒和抑郁症状严重程度不同的问题。具体来说， 尽管尚未在黑人成年人中经验测试，但抑郁症之间的瞬时关系 黑人成年人的症状和饮酒以及问题可能是互惠的，抑郁症 症状既是饮酒和问题的先决条件，也是问题的结果[10-12]。而且， 种族压力源和症状是具有文化相关因素，可能会大大增加近端风险 黑人成年人的饮酒和问题，并且他们的影响力可能会更强 抑郁症状的严重程度（即节制）。为了解决这些问题，拟议的研究将招募 社区中有60名黑人成年人在过去一个月中报告定期使用酒精。参与者将完成 基线访谈之后，他们将参加14天的生态瞬时评估（三个 每天调查）。微钟态方法是一种严格且生态上有效的捕获方法 症状/经历的波动会增加饮酒和问题的风险。这个项目将提供 接受（1）对酒精使用障碍的理解的宝贵培训的申请人； （2）进步 了解和进行有关抑郁症状和酒精使用的共同发生的研究 黑人个人； （3）获得利用微纵向方法和数据分析的熟练程度 技术； （4）在少数民族健康和健康差异方面进行预先培训； （5）建立授予技巧的技能 和研究传播。该项目的最终目标是帮助进一步研究文化 历史上代表性不足的研究中的相关因素，并告知 黑人成年人的酒精干预措施。