Micro-Longitudinal Examination of the Association between Depression and Alcohol Misuse among Black Adults: Proximal Risk and Protective Factors

黑人成年人抑郁与酗酒之间关系的微观纵向研究：近端风险和保护因素

• 批准号: 10676382
• 负责人: Emmanuel Thomas
• 金额: $ 4.77万
• 依托单位: UNIVERSITY OF RHODE ISLAND
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-22 至 2025-05-21
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10676382
• 关键词: AODR mortality; Acute; Address; Adult; Alcohol abuse; Alcohol consumption; Alcohols; Area; Black Populations; Black race; Communities; Consumption; Cross-Sectional Studies; Dangerousness; Data; Data Analytics; Discrimination; Ecological momentary assessment; Environment; Etiology; Event; Feeling; Future; Goals; Grant; Individual; Interview; Investigation; Knowledge; Lead; Legal; Literature; Maintenance; Mental Depression; Methodology; Methods; Modeling; Morbidity - disease rate; Negative Reinforcements; Outcome; Participant; Perception; Population; Process; Public Health; Race; Reporting; Research; Resources; Risk Factors; Role; Sampling; Self Medication; Severities; Stress; Surveys; Symptoms; Techniques; Testing; Time; Training; alcohol consequences; alcohol intervention; alcohol misuse; alcohol risk; alcohol use disorder; associated symptom; clinically significant; comorbid depression; coping; depressive symptoms; experience; health disparity; high risk; knowledge integration; minority health; minority health disparity; minority stress; programs; protective factors; psychologic; recruit; research data dissemination; skills; social; stressor

Project Summary/Abstract Alcohol use is among the most prominent public health problems and contributors to health disparities for Black adults [48], which is reflected in the high rates of alcohol-related mortality and morbidity among Black populations [49]. Indeed, although Black adults tend to have equivalent or even lower rates of alcohol use compared to their white counterparts [3], Black adults experience higher rates of alcohol use disorders [4] as well as more alcohol-related social consequences [5] and legal issues [6-7]. These findings highlight the need for future research examining alcohol use and problems among Black adults. Depression symptoms are critical to study in this regard as they have consistently been found to be associated with alcohol use and problems in cross-sectional studies of Black adults [15, 53, 94]. Addressing important limitations in the extant research, the goal of the proposed study is to explicate the momentary associations between depression symptoms and alcohol use and problems as well as to consider the influence of culturally relevant factors in acute risk for alcohol use and problems among Black adults with varying severities of depression symptoms. Specifically, although not yet empirically tested among Black adults, the momentary relations between depression symptoms and alcohol use and problems among Black adults may be reciprocal, whereby depression symptoms serve as both an antecedent and a consequence of alcohol use and problems [10-12]. Moreover, racial stressors and symptoms are culturally relevant factors that may substantially increase proximal risk for alcohol use and problems among Black adults, and their influence may be stronger in those with greater severity of depression symptoms (i.e., moderation). To address these questions, the proposed study will recruit 60 Black adults in the community who report regular alcohol use in the past month. Participants will complete a baseline interview, following which they will take part in 14 days of ecological momentary assessment (three surveys per day). Micro-longitudinal methods are a rigorous and ecologically valid approach for capturing fluctuations in symptoms/experiences that increase risk for alcohol use and problems. This project will provide the Applicant with invaluable training to (1) bolster understanding of alcohol use disorders; (2) advance knowledge and conduct of research on the co-occurrence of depression symptoms and alcohol use among Black individuals; (3) acquire proficiency in utilizing micro-longitudinal methodology and data analytic techniques; (4) advance training in minority health and health disparities; and (5) build skills for grantsmanship and research dissemination. The ultimate goal of the project is to aid in further investigation of culturally relevant factors among historically underrepresented individuals in research, with the prospect of informing alcohol interventions for Black adults with depression.

项目概要/摘要 饮酒是最突出的公共卫生问题之一，也是造成健康差异的因素之一 黑人成年人[48]，这反映在黑人与酒精相关的死亡率和发病率较高 人口[49]。事实上，尽管黑人成年人的饮酒率往往相当甚至更低 与白人同行相比 [3]，黑人成年人患酒精使用障碍的比例更高 [4]，因为 以及更多与酒精相关的社会后果 [5] 和法律问题 [6-7]。这些发现凸显了需要 用于未来研究黑人成年人的酒精使用和问题。抑郁症症状很严重 在这方面进行研究，因为它们一直被发现与饮酒和问题有关 黑人成年人的横断面研究 [15,53,94]。为了解决现有研究中的重要局限性， 拟议研究的目标是解释抑郁症状与 酒精使用和问题，以及考虑文化相关因素对严重风险的影响 具有不同严重程度的抑郁症状的黑人成年人的饮酒和问题。具体来说， 尽管尚未在黑人成年人中进行实证检验，但抑郁症与抑郁症之间的暂时关系 黑人成年人的症状、饮酒和问题可能是相互影响的，即抑郁症 症状既是饮酒和问题的前因，也是后果[10-12]。而且， 种族压力源和症状是文化相关因素，可能会大大增加近期风险 黑人成年人的酒精使用和问题，其影响对那些黑人成年人的影响可能更大 抑郁症状的严重程度（即适度）。为了解决这些问题，拟议的研究将招募 社区中 60 名黑人成年人报告过去一个月经常饮酒。参与者将完成一个 基线访谈，随后他们将参加为期 14 天的生态瞬时评估（三 每天的调查）。微纵向方法是一种严格且生态有效的捕获方法 症状/经历的波动会增加饮酒和出现问题的风险。该项目将提供 申请人接受过宝贵的培训，以 (1) 加强对酒精使用障碍的理解； (2)预付 对抑郁症状和饮酒同时发生的研究的了解和进行 黑人个体； (3) 熟练运用微观纵向方法论和数据分析 技术； (4) 推进有关少数民族健康和健康差异的培训； (5) 培养资助技能 和研究传播。该项目的最终目标是帮助进一步调查文化 研究中历来代表性不足的个体中的相关因素，并有希望提供信息 对患有抑郁症的黑人成年人进行酒精干预。