Substance Use among Biracial Adolescents and Emerging Adults: The Double Jeopardy Hypothesis

混血青少年和新兴成年人的药物使用：双重危险假说

基本信息

批准号：
10033986
负责人：
Trenette Clark Goings
金额：
$ 34.63万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-30 至 2025-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10033986
关键词：
Adolescence Adolescent Adult Affect African American Age Age of Onset Alaska Native Alcohol or Other Drugs use Alcohols American American Indians Americas Asian Americans Asians Behavioral Buffers Categories Censuses Child Rearing Cigarette Clinical Communities Data Data Analyses Data Set Databases Development Discrimination Ethnic group Etiology Exhibits Exposure to Face Family Future General Population Growth Guide prevention Health High Prevalence Hispanics Individual Literature Longitudinal Studies Marijuana Measures Mental Health Minority Modeling Monitor National Institute of Drug Abuse Outcome Parent-Child Relations Pattern Peer Pressure Persons Phase Population Prevalence Prevention Prevention approach Prevention program Preventive Intervention Primary Prevention Principal Investigator Public Health Practice Research Risk Risk Behaviors Risk Factors Sample Size Sampling Schools Science Severities Socialization Speed Students Subgroup Testing Translating Translations Violence Work Youth adolescent substance use biracial black subgroup caucasian American clinically relevant deviant emerging adult emerging adulthood experience high risk high school improved insight intervention program junior high school peer physical conditioning programs protective factors racial and ethnic self esteem social health determinants sociodemographics substance use prevention

项目摘要

PROJECT SUMMARY The biracial population is the second-fastest growing demographic group in the US. Biracial adolescents also have higher risks of substance use as well as violent behavior, school problems, and poor physical and mental health than many of their monoracial peers. However, little is known about substance use prevention and interventions in this population. Historically, biracial youth have been either ignored in research or their many subgroups have been combined into a single “multiracial” category, potentially obscuring clinically relevant patterns. Moreover, no accepted model explains the factors that increase or decrease the risk of substance use among biracial youth. Discoveries made during the course of the proposed research will help accelerate the refinement of existing prevention and intervention programs for biracial adolescents and emerging adults, and will speed translation of its findings into public health practice. We propose to study the 4 subgroups of biracial youth that our prior research has shown to have the highest risk of substance use, namely biracial White-American Indian, White-Asian, White-Black, and White- Hispanic youth. In doing so, we will also test a newly developed model, the Double Jeopardy Hypothesis, that we propose to explain biracial substance use patterns. According to this model, biracial individuals experience not only the common risk factors for substance use, which are also experienced by monoracial youth but also a second set of risks unique to being biracial in America. This study takes advantage of existing data from two large, longitudinal and nationally representative databases that include adequate numbers of biracial persons to allow the sample to be divisible into subgroups, as well as multiple measures of social determinants of health (e.g., perceived discrimination, racial socialization), substance use, and other behavioral and physical outcomes. The first, Monitoring the Future, followed students from middle-/high-school through age 55 years. The second, the National Longitudinal Study of Adolescent and Adult Health, followed students from age 11 to 42 years. After integrating the two datasets using integrative data analysis to study adolescents and emerging adults ages 13-25 years old (Aim 1), we will determine the onset, prevalence, and developmental trajectories of substance use (i.e., cigarette, alcohol, marijuana, and polydrug use) from adolescence to emerging adulthood (ages 13-25) (Aim 2). Last, we will explore the relationships of common and unique risk and protective factors (in the individual, family, peer, school, and community domains) for substance use among biracial adolescents and emerging adults, examining evidence for the proposed Double Jeopardy Hypothesis (Aim 3). Findings will inform more effective and inclusive prevention approaches for an understudied but rapidly growing sector. If accurate, the Double Jeopardy Hypothesis will provide insight into the lived experience of biracial adolescents and emerging adults, forming a framework for future research on a range of outcomes.

项目概要混血人口是美国增长第二快的混血青少年人口群体。也有较高的药物使用风险以及暴力行为、学业问题以及身体和健康状况不佳的风险心理健康水平高于许多单一种族同龄人。然而，人们对药物滥用预防知之甚少。从历史上看，混血青年要么被研究忽视，要么被忽视。许多亚组已合并为一个“多种族”类别，这可能会掩盖临床意义此外，没有公认的模型可以解释增加或减少风险的因素。在拟议的研究过程中取得的发现将有助于减少混血青年的物质使用。加快完善针对混血青少年的现有预防和干预方案新兴成年人，并将加快将其研究结果转化为公共卫生实践。我们建议研究 4 个混血青年亚群，我们之前的研究表明，这些亚群具有物质使用风险最高，即混血儿白人-美洲印第安人、白人-亚洲人、白人-黑人和白人- 在此过程中，我们还将测试一个新开发的模型，即双重危险假说。我们建议根据这个模型解释混血儿的物质使用模式。不仅是单一种族青年也经历过的药物滥用的常见危险因素，而且美国混血儿所特有的第二组风险。本研究利用了两个大型纵向且具有全国代表性的现有数据数据库包含足够数量的混血儿，以便将样本分为亚组，以及健康问题社会决定因素的多种衡量标准（例如，感知到的歧视、种族第一个，监控未来，跟踪调查从初中/高中到 55 岁的学生。青少年和成人健康研究跟踪了 11 岁至 42 岁的学生。使用综合数据分析整合两个数据集来研究青少年和新兴人群后对于 13-25 岁的成年人（目标 1），我们将确定以下疾病的发病、患病率和发展轨迹：从青春期到成年初期的物质使用（即香烟、酒精、大麻和多种药物的使用）（13-25 岁）（目标 2）最后，我们将探讨常见和独特的风险与保护因素的关系。（在个人、家庭、同伴、学校和社区领域）混血青少年的药物使用和新兴成年人，检查拟议的双重危险假设（目标 3）的证据。研究结果将为研究不足但迅速发展的疾病提供更有效和更具包容性的预防方法如果准确的话，双重危险假说将提供对人们生活经历的深入了解。混血青少年和新兴成年人，为未来研究一系列结果奠定了框架。