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

• 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
• 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

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.

项目摘要 混血儿人口是美国第二快的人口群体。混血青少年 还具有较高的药物使用风险以及暴力行为，学校问题，身体不良，并且 心理健康比许多单身同龄人。但是，关于预防药物的知识知之甚少 和干预该人群。从历史上看，混血青年在研究中被忽略了 许多亚组已被合并为一个“多种族”类别，可能在临床上掩盖 相关模式。此外，没有接受模型解释了增加或降低风险的因素 混血青年的药物使用。在拟议的研究过程中发现的发现将有助于 加快为混血儿青少年的现有预防和干预计划的改进 新兴的成年人，并将其发现转化为公共卫生实践。 我们建议研究我们先前的研究表明的混血青年的四个亚组 使用物质的最高风险，即混血白人印第安人，白色，白色和白色 - 西班牙裔青年。为此，我们还将测试新开发的模型，即双重危险假设，该假设是 我们建议解释混血儿的使用模式。根据这种模式，混血儿的经验 不仅是使用物质的常见危险因素，这也是单种族青年的经历 第二组风险在美国是混血儿所特有的。 这项研究利用了两个大型，纵向和全国代表的现有数据 包含足够数量的混血儿的数据库，使样本可以分为亚组， 以及社会决定者的多种衡量标准（例如，感知的歧视，种族歧视 社会化），物质使用以及其他行为和身体结果。首先，监视未来， 跟随来自中/高中的学生到55岁。第二个国家纵向 研究青少年和成人健康的研究，跟踪了11至42岁的学生。 在使用集成数据分析集成了两个数据集之后，以研究青少年和新兴 成年人13-25岁（AIM 1），我们将确定 从青春期到新兴的成年 （13-25岁）（目标2）。最后，我们将探索常见和独特风险和受保护因素的关系 （在个人，家庭，同伴，学校和社区领域），供混血儿青少年使用物质 和新兴的成年人，检查了拟议的双重危害假设的证据（AIM 3）。 调查结果将为理解但迅速的预防方法提供更有效和包容性的预防方法 成长领域。如果正确的话，双重危险假设将为现场体验提供见识 混血儿青少年和新兴的成年人，为未来的一系列结果研究构成了一个框架。