A Multidimensional Community-Based Strategy for Preventing Underage Drinking

预防未成年人饮酒的多维社区策略

基本信息

批准号：
9305758
负责人：
Anthony Biglan
金额：
$ 69.28万
依托单位：
OREGON RESEARCH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-09-15 至 2019-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9305758
关键词：
Accidental Injury Address Adolescent Adoption Alcohol abuse Alcohol consumption Alcoholism Alcohols Automobile Driving Burn injury Cessation of life Child Communication Communities Community Practice Community of Practice Conflict (Psychology)Consumption Data Dependence Development Drowning Elements Evaluation Family Future Heavy Drinking Homicide Injury Institutes Intervention Intervention Studies Interview Law Enforcement Legal Life Mediating Minor Monitor National Institute on Alcohol Abuse and Alcoholism Oregon Outcome Parents Pattern Persons Pharmaceutical Preparations Policies Prevention strategy Preventive Process Randomized Records Reporting Research Research Infrastructure Rewards Risk Factors Safety Sales Sexually Transmitted Diseases Social Perception Spices Students Suicide Surveys Testing Time United States Vehicle crash Violent injury Youth adolescent alcohol alcohol availability alcohol expectancy alcohol related problem base behavioral outcome binge drinking community intervention cost design deter alcohol use drinking drinking onset driving under influence early onset eleventh grade expectation falls intervention effect novel parental influence peer influence prevent programs psychosocial public health priorities public health relevance randomized trial reduce adolescent alcohol sex skills social therapy design twelfth grade underage drinker underage drinking underage drinking prevention underage drinking reduction unintended pregnancy youth access to alcohol

Accidental Injury Address Adolescent Adoption Alcohol abuse Alcohol consumption Alcoholism Alcohols Automobile Driving Burn injury Cessation of life Child Communication Communities Community Practice Community of Practice Conflict (Psychology)Consumption Data Dependence Development Drowning Elements Evaluation Family Future Heavy Drinking Homicide Injury Institutes Intervention Intervention Studies Interview Law Enforcement Legal Life Mediating Minor Monitor National Institute on Alcohol Abuse and Alcoholism Oregon Outcome Parents Pattern Persons Pharmaceutical Preparations Policies Prevention strategy Preventive Process Randomized Records Reporting Research Research Infrastructure Rewards Risk Factors Safety Sales Sexually Transmitted Diseases Social Perception Spices Students Suicide Surveys Testing Time United States Vehicle crash Violent injury Youth adolescent alcohol alcohol availability alcohol expectancy alcohol related problem base behavioral outcome binge drinking community intervention cost design deter alcohol use drinking drinking onset driving under influence early onset eleventh grade expectation falls intervention effect novel parental influence peer influence prevent programs psychosocial public health priorities public health relevance randomized trial reduce adolescent alcohol sex skills social therapy design twelfth grade underage drinker underage drinking underage drinking prevention underage drinking reduction unintended pregnancy youth access to alcohol

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项目摘要

DESCRIPTION (provided by applicant): Preventing drinking among youth is a major public health priority. The estimated cost of underage drinking in the U.S. is $61.9 billion annually (Miller, Levy, Spicer, & Taylor, 2006). Alcohol is the most commonly used and abused drug in the U.S., with 41% reporting use in the past 30 days (Johnston, O'Malley, Bachman, & Schulenberg, 2012). Underage persons who drink are likely to drink large amounts (Flewelling, Paschall, & Ringwalt, 2004). Drinking by young people results in as many as 5,000 deaths from motor vehicle crashes, homicides, suicide, and other injuries (Hingson & Kenkel, 2004; National Highway Traffic Safety Administration, 2008; National Institute on Alcoholism and Alcohol Abuse, 2007). This project will build on a just-completed experimental evaluation of a community intervention to reduce adolescent access to alcohol (Flewelling et al., 2012). In that study, 36 Oregon communities were randomly assigned to receive or not receive stepped up enforcement of laws regarding sale of alcohol to minors plus a program for rewarding clerks for not selling to minors. The intervention reduced youth access to alcohol. Also, communities that achieved high levels of enforcement and rewards had lower rates of youth use. However, the intervention did little to alter social influences to drink. We believe that the addition of interventions designed to mobilize peer and parent influences would alter risk factors for alcohol use that are not adequately addressed by policy interventions. Therefore, the project would evaluate a strengthened intervention that (a) increases the level of enforcement and rewards for not selling and (b) adds youth activities and family communications that have been shown to enhance social influences. Based on recent research on the value of associating not smoking with social acceptance (Gordon, Biglan, & Smolkowski, 2008), we believe that a novel peer influence intervention that associates not drinking with social acceptance can have a greater deterrent effect than interventions using more traditional harm-related and refusal skills approaches. In addition, our research has identified a brief, positive parent communication activity that does not require significant classroom time, minimizes parent-child conflict, and effectively conveys parental expectations (Biglan et al., 1996). We propose to evaluate the intervention in a randomized trial involving 36 communities. We will assess the impact of the intervention through purchase surveys, surveys of 8th- and 11th-grade students, and law enforcement records.

描述（由申请人提供）：防止青年饮酒是主要的公共卫生优先事项。美国估计的未成年饮酒成本每年为619亿美元（Miller，Levy，Spicer和Taylor，2006年）。酒精是美国最常用和滥用的药物，在过去30天内报告使用了41％的报告（Johnston，O'Malley，Bachman和Schulenberg，2012年）。喝酒的未成年人可能会喝大量（Flywelling，Paschall和Ringwalt，2004年）。年轻人的饮酒导致汽车撞车，凶杀，自杀和其他伤害导致多达5,000人死亡（Hingson＆Kenkel，2004；国家公路交通安全管理局，2008年；国家酒精中毒与酒精滥用研究所，2007年）。该项目将基于对社区干预措施的完整实验评估，以减少青少年获得酒精的机会（Flewelling等，2012）。在这项研究中，将36个俄勒冈社区随机分配或不接受有关向未成年人出售酒精出售的法律的加强执行，以及一项奖励秘书的计划，以不向未成年人出售。干预减少了青年获得酒精的机会。同样，获得高水平的执法和奖励的社区的青年使用率较低。但是，干预并没有改变社会影响力。我们认为，增加旨在动员同伴和父母影响的干预措施会改变利用饮酒的风险因素，而政策干预措施无法充分解决。因此，该项目将评估一种加强的干预措施，该干预措施（a）提高了不出售的执法和奖励水平，并且（b）添加了青年活动和家庭沟通，这些活动和家庭沟通已被证明增强了社会影响力。基于对不吸烟与社会接受的价值的最新研究（Gordon，Biglan和Smolkowski，2008年），我们认为，与使用更传统的危害和抑制技能方法相比，与社会接受的新型同伴影响不与社会接受的效果相比，与社会接受的效果更大。此外，我们的研究已经确定了短暂的积极的父母沟通活动，不需要大量的课堂时间，可以最大程度地减少亲子冲突，并有效地传达了父母的期望（Biglan等，1996）。我们建议评估涉及36个社区的随机试验中的干预措施。我们将通过购买调查，8年级和11年级学生的调查以及执法记录来评估干预措施的影响。