Low-socioeconomic status (SES) Black men experience more negative consequences per ounce of alcohol consumed than do their White peers, including alcohol use disorders and alcohol-related injuries, social, legal, criminal justice, and work difficulties; and chronic disease risk. Notably, heavy drinking is not a prerequisite for negative outcomes; heightened consequences can occur at modest drinking levels. The decade after high school is a developmental inflection point for alcohol use among Black men. Alcohol use is low during adolescence, with steep increases during the young adult years. ?Late onset? drinking is typically associated with declining use during ages 25-30 and reduced risk for chronic problems: an emerging adult limited pattern. In contrast, low SES Black men, despite a late onset, are at risk for escalating use and long-term consequences: an alcohol use proliferation pattern. To date, no prospective studies have been conducted with low-SES Black men that investigate the psychosocial processes that amplify, sustain, or mitigate alcohol use and its consequences across the adult transition. We propose to collect two waves of data from 400 participants in the African American Men's Project (AMP). AMP participants live in rural Georgia, a region of persistent poverty and racial disparities in health. Men provided data (M ages 20.3, 21.9, and 23.6) on their use of alcohol and other drugs, psychological functioning, and contextual and developmental risk and protective processes; follow-up data will be collected when men are approximately ages 26.5 and 28.5. This will permit an investigation of risk and resilience across the decade after high school when escalating alcohol use rates and consequences manifest. We expect that scarce resources make the transition to the workforce and to adult roles a difficult process. Some men who see no pathway to attainment of future goals, withdraw from conventional institutions and relationships that deter alcohol use and minimize its consequences. Among socially and economically marginalized young men, chronic stress and major negative life events proliferate, taxing men's emotional and cognitive resources, increasing the attractiveness of alcohol use, and promoting maladaptive decision making. Despite the toll that resource-poor rural environments exact, many will avoid heavy drinking and alcohol use consequences. We thus also propose to investigate factors associated with family relationships, religiosity, coping strategies, and racial identity that attenuate of alcohol use vulnerabilities.

Public Health Relevance

Black men in the rural South experience increasing rates of alcohol use during the young adult years. Their use leads to disproportionate economic, social, and health consequences. In this study we investigate the risk and protective processes that explain why some young Black men develop vulnerabilities to alcohol use and others do not.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
1R01AA026623-01
Application #
9499585
Study Section
Social Psychology, Personality and Interpersonal Processes Study Section (SPIP)
Program Officer
Scott, Marcia S
Project Start
2018-07-01
Project End
2023-03-31
Budget Start
2018-07-01
Budget End
2019-03-31
Support Year
1
Fiscal Year
2018
Total Cost
Indirect Cost
Name
University of Georgia
Department
Type
Organized Research Units
DUNS #
004315578
City
Athens
State
GA
Country
United States
Zip Code
30602
Kogan, Steven M; Cho, Junhan; Beach, Steven R H et al. (2018) Oxytocin receptor gene methylation and substance use problems among young African American men. Drug Alcohol Depend 192:309-315
Kogan, Steven M; Cho, Junhan; Barnum, Stacey et al. (2017) Pathways to HIV-Related Behavior Among Heterosexual, Rural Black Men: A Person-Centered Analysis. Arch Sex Behav 46:913-924
Kogan, Steven M; Cho, Junhan; Barton, Allen W et al. (2017) The Influence of Community Disadvantage and Masculinity Ideology on Number of Sexual Partners: A Prospective Analysis of Young Adult, Rural Black Men. J Sex Res 54:795-801