Comorbidity Between Body Dissatisfaction and Substance Use: A Daily Diary Study of Alcohol, Nicotine Vaping, and Cigarette Use Among Young Adults

身体不满意与物质使用之间的共病：年轻人酒精、尼古丁电子烟和香烟使用的每日日记研究

• 批准号: 10066606
• 负责人: Anna K Hochgraf
• 金额: $ 3.62万
• 依托单位: PENNSYLVANIA STATE UNIVERSITY, THE
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-08-01 至 2022-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10066606
• 关键词: Address; Adolescence; Affect; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Baseline Surveys; Behavior; Body mass index; Characteristics; Cigarette; Complex; Coupled; Data; Development; Diet; Eating Disorders; Electronic Nicotine Delivery Systems; Environment; Epidemic; Equation; Etiology; Evaluation; Event; Exercise; Female; Fright; Gender; Glean; Health; Impulsivity; Individual; Intervention; Knowledge; Link; Measures; Mediating; Mediator of activation protein; Mentors; Methods; Modeling; Motivation; National Institute of Drug Abuse; Nicotine; Outcome; Overweight; Participant; Pathway interactions; Persons; Population; Positioning Attribute; Prevalence; Process; Prospective Studies; Public Health; Regression Analysis; Research; Research Personnel; Research Priority; Risk; Role; Scientific Advances and Accomplishments; Self-Examination; Shapes; Signal Transduction; Statistical Data Interpretation; Statistical Methods; Structure; Students; Testing; Time; Training; Variant; Vulnerable Populations; Weight; Weight maintenance regimen; Woman; Youth; alcohol intervention; binge drinking; body dissatisfaction; career; cigarette smoking; college; comorbidity; depressive symptoms; design; diaries; drinking; emotion regulation; experience; gender difference; health disparity; high school; innovation; mHealth; male; men; multilevel analysis; negative affect; nicotine use; prospective; psychologic; research and development; research data dissemination; responsible research conduct; self esteem; social; stressor; substance misuse; substance use prevention; theories; trait; university student; vaping nicotine; young adult

PROJECT SUMMARY/ABSTRACT The developmental transition from adolescence to young adulthood is characterized by escalations in both substance use and body dissatisfaction (BD; negative, subjective evaluation of one's shape and weight). BD predicts onset of multiple adverse developmental outcomes. By young adulthood BD affects the majority of women and men, although prevalence and intensity of concern with overweight is higher among women. Substance use and BD are typically studied independently, but elevated rates of problematic drinking and cigarette use among youth with BD suggest the need for research on pathways to substance use and differential approaches to preventing substance use for young adults with BD. This study aims to capture the temporal sequencing of BD and alcohol and nicotine use on a daily time scale, test potential mechanisms linking BD to alcohol and nicotine use, and examine person and day characteristics that moderate these associations. This study addresses two NIDA research priorities: gender-related differences in pathways to substance use and mechanisms of comorbidity between substance use and other health concerns. This study will yield rich data on nicotine vaping/electronic nicotine delivery system use, which has recently emerged as a significant public health concern among youth. Aim 1 is to investigate links between trait BD and weekly alcohol and nicotine use and person-level characteristics that moderate these links. Aim 2 is to investigate within-person prospective links between daily BD and same- and next-day alcohol and nicotine use and day- level characteristics that moderate these links. Aim 3 is to examine daily negative affect and weight control motivations as mediators of within-person links between daily BD and same- and next-day alcohol and nicotine use, respectively. To achieve these aims, the applicant will conduct a 14-day daily diary study of 125 college students, yielding up to 1,750 daily observations and 125 baseline surveys. The analytic approach will include regression analyses (Aim 1), multilevel modeling (Aim 2) and multilevel structural equation modeling (Aim 3). This study will advance scientific knowledge on the co-occurrence of BD and alcohol and nicotine use among young adults and inform development of real-time interventions for a vulnerable population. The applicant's exceptional mentor team has expertise in statistical analysis and intensive longitudinal methods (Stephanie Lanza), young adult development, gender, and gendered health disparities (Susan McHale), substance use and implementation of daily diary studies (Gregory Fosco), and BD (Alison Field) and will guide the applicant's development into an independent researcher. The applicant seeks training in the etiology of alcohol and nicotine use, BD and gender, intensive longitudinal methods, professional development and research dissemination, and the responsible conduct of research. This training and research will position the applicant to make substantial contributions to our understanding of the comorbidity between BD and substance use as well as gender differences in pathways to substance misuse throughout her career.

项目概要/摘要 从青春期到青年期的发展过渡的特点是两个方面的升级 物质使用和身体不满意（BD；对一个人的体形和体重的消极、主观评价）。 BD 预测多种不良发育结果的发生。到了成年早期，BD 影响了大多数人 女性和男性，尽管女性对超重的关注程度和关注程度更高。 物质使用和双相情感障碍通常是独立研究的，但酗酒和酗酒问题的比例升高 患有双相情感障碍的青少年中吸烟的情况表明需要研究物质使用和 防止患有 BD 的年轻人使用药物的不同方法。本研究旨在捕捉 每日时间范围内 BD 以及酒精和尼古丁使用的时间序列，测试潜在机制 将 BD 与酒精和尼古丁的使用联系起来，并检查调节这些的人和日特征 协会。本研究涉及 NIDA 的两个研究重点： 物质使用以及物质使用与其他健康问题之间的共病机制。这项研究 将产生有关尼古丁电子烟/电子尼古丁输送系统使用的丰富数据，该系统最近已成为 青年人的重大公共卫生问题。目标 1 是调查特质 BD 和每周之间的联系 酒精和尼古丁的使用以及调节这些联系的个人特征。目标2是调查 每日 BD 与当天和第二天的酒精和尼古丁使用以及日间饮酒之间的人内前瞻性联系 调节这些链接的级别特征。目标 3 是检查日常负面情绪和体重控制 动机作为每日 BD 与当日和次日酒精和尼古丁之间的人内联系的中介 分别使用。为了实现这些目标，申请人将对125所大学进行为期14天的日常日记学习 学生，产生多达 1,750 项日常观察和 125 项基线调查。分析方法将包括 回归分析（目标 1）、多级建模（目标 2）和多级结构方程建模（目标 3）。 这项研究将增进关于 BD 与酒精和尼古丁使用同时发生的科学知识 年轻人并为弱势群体制定实时干预措施提供信息。申请人的 杰出的导师团队拥有统计分析和强化纵向方法方面的专业知识（Stephanie Lanza）、青少年发展、性别和性别健康差异（Susan McHale）、物质使用 日常日记研究的实施（Gregory Fosco）和 BD（Alison Field），并将指导申请人的 发展成为一名独立研究员。申请人寻求酒精病因学方面的培训 尼古丁使用、BD 和性别、强化纵向方法、专业发展和研究 传播和负责任的研究行为。这种培训和研究将使申请人能够 也为我们理解 BD 和物质使用之间的共存病做出了重大贡献 在她的整个职业生涯中，性别差异导致药物滥用。