While for most people gambling is just an enjoyable experience without major consequences, for approximately 5% of adults, gambling can result in significant problems such as family, interpersonal and financial problems. Existing evidence, including work supported by this application's parent grant (R01HD060072, PI: Martins), demonstrates that PG is multifactorial and that it is influenced by a broad range of variables. However, PG research has been seriously constrained by the absence of longitudinal data and of a theory-driven and empirically-supported etiological model that integrates an array of risk and associated factors. This study integrates a developmental model of PG, Blaszczynski and Nower's Pathways model (so far only examined cross-sectionally) with a context -and intervention-informed developmental model of other risk behaviors (Ecodevelopmental theory). We propose to collect new information about gambling behaviors and PG in two time-points on a high-risk population of 1,100 youth/young adults from two population-based samples of Puerto Rican (ages 17-25) from two sites: the South Bronx (SBx), NYC and San Juan, Puerto Rico (PR) by taking advantage of an ongoing study, the Boricua Youth Study (BYS-R01DA033172, PI: Duarte and R01MH09837, PIs: Alegria, Canino &Duarte), which has been following Puerto Rican individuals prospectively since 2001.
The specific aims of this study are to 1) Estimate: (1a) the prevalence (past year and past three- month) of any gambling, frequent gambling, and severity of PG during late adolescence/early adulthood;(1b) changes in the patterns of gambling and severity of PG over a two-year period when gambling behaviors are known to be undergoing the most changes;(1c) the characteristics of individuals who gamble (age, gender, age of onset of gambling and PG, and family history of PG), determining if PG estimates and characteristics differ between PR and SBx. 2) Examine developmental PG pathways from childhood to young adulthood, specifically (a) the relationship of externalizing, internalizing disorders and related risk factors with PG prevalence and change in late adolescence/young adulthood;(b) the influence of contextual factors (e.g. social support, neighborhood disadvantage) on PG pathways. 3) Understand how PG is related to other risk behaviors also being shaped during late adolescence/young adulthood, by determining different risk behavior clusters involving PG, HIV/STD risk behaviors, school drop-out, and antisocial behaviors. This innovative approach, using state of the art latent variable modeling, focuses on policy-modifiable risk factors within broader risk/resource contexts. By focusing on Puerto Ricans living in two settings we can also examine the important role of environment in PG in an ethnically homogeneous group. The proposed study, by building on existing and ongoing efforts, is a highly cost-effective way of generating unprecedented information about gambling behaviors among Puerto Ricans as well as examining the Pathways model longitudinally.

Public Health Relevance

This is the first study to propose to test a developmentally comprehensive model of the pathways that lead to PG. We propose to integrate a conceptual model of PG (Blaszczynski and Nower's Pathways Model, so far only examined cross-sectionally, that we plan to examine developmentally) with a context and intervention informed developmental model of other risk behaviors, the Ecodevelopmental Theory (ET), using a longitudinal design focusing on a high-risk minority group (Puerto Rican youth/young adults) in two different sites (south Bronx and Puerto Rico).

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Research Project (R01)
Project #
2R01HD060072-06A1
Application #
8727166
Study Section
Special Emphasis Panel (ZRG1)
Program Officer
Haverkos, Lynne
Project Start
2009-03-01
Project End
2019-03-31
Budget Start
2014-04-14
Budget End
2015-03-31
Support Year
6
Fiscal Year
2014
Total Cost
Indirect Cost
Name
Columbia University (N.Y.)
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
City
New York
State
NY
Country
United States
Zip Code
10032
Chen, Lian-Yu; Martins, Silvia S; Strain, Eric C et al. (2018) Sex and age differences in risk factors of marijuana involvement during adolescence. Addict Disord Their Treat 17:29-39
Okuda, Mayumi; Martins, Silvia S; Wall, Melanie M et al. (2018) Do parenting behaviors modify the way sensation seeking influences antisocial behaviors? J Child Psychol Psychiatry :
Scorza, Pamela; Duarte, Cristiane S; Hipwell, Alison E et al. (2018) Research Review: Intergenerational transmission of disadvantage: epigenetics and parents' childhoods as the first exposure. J Child Psychol Psychiatry :
Martins, Silvia S; Segura, Luis E; Santaella-Tenorio, Julian et al. (2017) Prescription opioid use disorder and heroin use among 12-34 year-olds in the United States from 2002 to 2014. Addict Behav 65:236-241
Wei, Chiaying; Eisenberg, Ruth E; Ramos-Olazagasti, María A et al. (2017) Developmental Psychopathology in a Racial/Ethnic Minority Group: Are Cultural Risks Relevant? J Am Acad Child Adolesc Psychiatry 56:1081-1088.e1
Santesteban-Echarri, Olga; Ramos-Olazagasti, María A; Eisenberg, Ruth E et al. (2017) Parental warmth and psychiatric disorders among Puerto Rican children in two different socio-cultural contexts. J Psychiatr Res 87:30-36
Posner, Jonathan; Amira, Leora; Algaze, Antonio et al. (2016) Reduced Functional Connectivity within the Mesocorticolimbic System in Substance Use Disorders: An fMRI Study of Puerto Rican Young Adults. Front Behav Neurosci 10:102
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Castaldelli-Maia, João Mauricio; Andrade, Laura H; Keyes, Katherine M et al. (2016) Exploring the latent trait of opioid use disorder criteria among frequent nonmedical prescription opioid users. J Psychiatr Res 80:79-86
Santesteban-Echarri, Olga; Eisenberg, Ruth E; Bird, Hector R et al. (2016) Family Structure, Transitions and Psychiatric Disorders Among Puerto Rican Children. J Child Fam Stud 25:3417-3429

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