Familial and Environmental Determinants of Alcohol Use Trajectories: Examining 25 Years of Follow-up Data in a Nationally Representative Cohort of Youth

酒精使用轨迹的家庭和环境决定因素：检查全国代表性青年群体 25 年的跟踪数据

基本信息

批准号：
10786918
负责人：
Lynsie Ranker
金额：
$ 8.25万
依托单位：
BOSTON UNIVERSITY MEDICAL CAMPUS
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：
2023-09-20 至 2025-08-31
项目状态：
未结题

项目摘要

Project Summary/Abstract Drinking use behaviors occur within a social-ecological environment where individuals are influenced by personal, interpersonal, community, societal and political factors. Adolescence is a developmentally sensitive time period where such factors may influence how frequently and consistently individuals use alcohol. While drinking patterns for young people in the US tend to be typified by escalating frequency of consumption with age, up until a decrease in use starting in the mid- to late-20s, drinking patterns across these ages are more heterogeneous than the group average would suggest. Instead, subgroups of individuals may follow a subset of drinking patterns with variations in the timing of drinking initiation, frequency of consumption, and binge drinking behaviors. While prior research has documented heterogeneous drinking trajectories within samples of young people in the US, no literature has modeled parallel trajectory groups incorporating both drinking frequency and binge drinking simultaneously. Fewer have modeled how adolescent exposures and experiences may influence trajectory membership. The proposed study advances our current understanding of alcohol use trajectories by modeling parallel trajectories of alcohol use as well as binge drinking behaviors. For aim 1, we will use dual trajectory Latent Growth Mixture Modeling (LGMM) to identify and describe trajectories of alcohol use and binge drinking from age 15 through 40 in a nationally representative sample of US adolescents followed longitudinally into adulthood. In aim 2, we will use multinomial regression approaches to investigate the independent and interactive influences of familial and environmental factors experienced in adolescence on the identified individual alcohol use trajectories. A deeper understanding of long-term alcohol use patterns and their influences into adulthood may inform future harm reduction messaging and programming. In addition, examining dual (sometimes referred to as parallel process) trajectories between frequency of drinking overall and binge drinking will help identify variations in drinking behaviors that may be masked when looking at only one behavioral outcome in isolation.

项目摘要/摘要饮酒行为发生在社会生态环境中，个人受到个人影响个人，人际，社区，社会和政治因素。青春期是一种发育敏感的这些因素可能会影响个人使用酒精的时间段。尽管美国年轻人的饮酒模式往往是通过与年龄，直到从20年代中期到后期开始使用降低，这些年龄段的饮酒方式更多异质性比集体平均水平所暗示的。相反，个体的子组可能会遵循子集饮酒模式的饮酒时间，消费频率和暴饮暴食的变化饮酒行为。虽然先前的研究已经记录了样品中的异质饮酒轨迹在美国的年轻人，没有文献对既有饮酒的平行轨迹群体进行建模频率和暴饮暴食同时喝酒。更少的建模是青少年的暴露方式和经验可能会影响轨迹会员资格。拟议的研究提高了我们当前对通过对酒精使用的平行轨迹以及暴饮暴食行为进行平行轨迹来建模饮酒轨迹。为了 AIM 1，我们将使用双轨迹潜在生长混合物建模（LGMM）来识别和描述轨迹在我们的全国代表性样本中，从15至40岁开始的酒精使用和暴饮暴食青少年纵向跟随成年。在AIM 2中，我们将使用多项式回归方法研究家族和环境因素的独立和互动影响青少年在确定的单个酒精使用轨迹上。对长期酒精的深入了解使用模式及其对成年的影响可能会导致未来的减少伤害消息传递和编程。此外，检查双重（有时称为平行过程）轨迹整体饮酒和暴饮暴食的频率将有助于确定饮酒行为的变化隔离时仅查看一个行为结果时被掩盖。