The impact of the COVID-19 pandemic on adolescent drinking in a longitudinal cohort spanning 21 U.S. cities

跨越美国 21 个城市的纵向队列研究了 COVID-19 大流行对青少年饮酒的影响

• 批准号: 10579328
• 负责人: William Ellerbe Pelham III
• 金额: $ 23.96万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-03-01 至 2025-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10579328
• 关键词: Address; Adolescent; Adult; Affect; Age; Alcohol consumption; Anxiety; Brain; Buffers; COVID-19; COVID-19 pandemic; COVID-19 pandemic effects; Cities; Cognitive; Communities; Complex; Conflict (Psychology); County; Data; Data Analyses; Data Sources; Decision Making; Drug usage; Economics; Education; Emotional; Environment; Ethnic Origin; Failure; Family; Family member; Friends; Future; Gender; Grain; Health; Home; Infection; Knowledge; Life; Link; Longitudinal cohort; Masks; Measures; National Institute on Alcohol Abuse and Alcoholism; Natural Disasters; Outcome; Parents; Participant; Pattern; Policies; Population; Predisposition; Psyche structure; Public Health; Publishing; Race; Reporting; Research Activity; Risk; Risk Behaviors; Risk Management; SARS-CoV-2 infection; SARS-CoV-2 positive; Sampling; Schools; Services; Site; Social Distance; Stress; Structure; Subgroup; Surveys; Symptoms; Teenagers; Testing; Time; United States; Vaccination; Vulnerable Populations; Youth; adolescent alcohol abuse; alcohol availability; alcohol policy information system; anxiety symptoms; burden of illness; cohort; coronavirus disease; depressive symptoms; drinking; drinking behavior; early drinking; experience; future pandemic; man-made disasters; pandemic disease; pandemic impact; parental monitoring; peer; permissiveness; physical conditioning; pre-pandemic; prospective; recruit; resilience factor; response; screening; severe COVID-19; sex; social contact; sociodemographics; socioeconomic disadvantage; stress symptom; substance use; surveillance data; time use; underage drinking

PROJECT SUMMARY/ABSTRACT Adolescent alcohol abuse conveys significant disease burden. The coronavirus disease 2019 (COVID-19) pandemic has wrought unprecedented changes to adolescents’ daily lives, affecting several domains with well- establish links to alcohol use (e.g., increased stress and family conflict). However, there is no published data the course of adolescent drinking across the duration of the pandemic; the specific effects of each pandemic-related change (e.g., social distancing, remote schooling, parents working from home) on adolescents’ drinking; risk/resiliency factors exacerbating or buffering against pandemic’s impact on drinking; or the relation of COVID- 19 infection/vaccination among youth and family members to pre-morbid or post-morbid drinking. Thus, we lack the time-sensitive information necessary to guide an effective public health strategy. We propose to address this urgent, time-sensitive need using secondary data analysis of the Adolescent Brain and Cognitive DevelopmentSM Study, a large (N=11,880), longitudinal, nationwide cohort of adolescents spanning 21 study sites across the United States. Participants had been followed prospectively for a median of 29 months before the beginning of the pandemic and were well-characterized across multiple assessments of alcohol and drug use, mental/physical health, and family/community environment. 9,031+ participants and their parents completed up to seven waves of surveys between May 2020 and May 2021, each measuring teen’s drinking and experiences during the COVID-19 pandemic. By combining a well-characterized, sociodemographically diverse, nationwide cohort recruited before the pandemic with serial assessments of that cohort across the first 14 months of the pandemic, the ABCD Study® has outstanding potential to study adolescent alcohol use during the pandemic. We pursue four specific aims. Aim 1: Describe adolescent drinking over the course of the COVID-19 pandemic and evaluate associations of drinking with (a) engagement in public health precautions (e.g., social distancing), (b) changes in schooling status and format, (c) disruptions to daily routines, (d) emotional health and stress/worry about COVID-19, (e) family stress/discord, and (f) parents’ drinking. Aim 2: Identify vulnerable groups of adolescents whose alcohol use has been impacted most severely by the COVID-19 pandemic to inform targeted screening and support, testing for differences by youth sex/gender/age/race/ethnicity, socioeconomic disadvantage, family and peer environment, or youth predisposition to early drinking. Aim 3: Evaluate the association of COVID-19 infection in adolescents and their family members with adolescents’ pre-morbid and post-morbid drinking. Aim 4: Determine the impact of youth vaccination on subsequent alcohol use patterns. Research activities are structured to produce findings rapidly and disseminate them widely, to best support the time-sensitive public health strategy.

项目摘要/摘要 青少年酒精滥用传达了严重的疾病伯恩。 2019年冠状病毒病（COVID-19） 大流行对青少年的日常生活失去了前所未有的变化，影响了几个领域 建立与饮酒的联系（例如，压力增加和家庭冲突）。但是，没有发布的数据 在整个大流行期间，青春期饮酒的过程；每个大流行有关的特定效果 改变青少年饮酒的变化（例如，社会疏远，偏远的教育，父母在家工作）； 风险/弹性因素加剧或缓冲大流行对饮酒的影响；或covid的关系 19年轻人和家庭成员的感染/疫苗接种，以便在周期前或饮用后饮酒。那我们缺乏 指导有效的公共卫生战略所需的时间敏感信息。我们建议解决这个问题 使用青少年大脑和认知发展的二级数据分析的紧急，时间敏感的需求 研究，一个大的（n = 11,880），纵向，全国青少年队列，跨越21个研究地点 美国。参与者在开始之前的中位数为29个月 大流行，在对酒精和药物使用的多次评估中进行了充分的特征，精神/身体 健康和家庭/社区环境。 9,031多个参与者及其父母最多完成了七波 在2020年5月至2021年5月之间的调查中，每个人都测量了青少年的饮酒和经验 2019冠状病毒病大流行。通过结合一个特征良好的社会人口统计学多元化，全国人群 在大流行的大流行的前14个月中，大流行之前招募了该队列的序列评估， ABCD研究®具有研究大流行期间青少年饮酒的杰出潜力。我们购买 四个具体目标。目的1：描述在COVID-19大流行过程中的青少年饮酒并评估 与（a）参与公共卫生预防措施（例如，社会疏远）的饮酒协会，（b）改变 在学校的状态和格式中，（c）日常工作中断，（d）情绪健康和压力/担心 Covid-19，（e）家庭压力/不和谐以及（f）父母的饮酒。目标2：确定脆弱的青少年群体 饮酒受到199大流行的影响最严重，以告知有针对性的筛查 和支持，测试青年性别/性别/年龄/种族/种族，社会经济障碍，家庭的差异 和同伴环境，或者青年倾向于早饮酒。 AIM 3：评估Covid-19的关联 青少年及其家庭成员感染青少年的饮酒前和饮酒后的感染。目的 4：确定青年疫苗接种对随后的饮酒方式的影响。研究活动是 结构迅速产生发现并广泛传播它们，以最好地支持时间敏感的公众 健康策略。