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The NC Life Study

ORIGINS, CHALLENGES, FUTURE DIRECTIONS

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Outline

  • Background: the Context study
  • The NC Life Study
  • Recruitment challenges
  • Current research projects:
    • Interracial violence in schools
    • The spatial scale of structural racism and discrimination
  • Lessons learned

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Background: �The Context of Adolescent Substance Use Study

  • Susan Ennett, PI: initially proposed R01 doing secondary analysis of AddHealth, rejected
  • Received R01 for new data collection, largely modeled on AddHealth
  • Data collection every 6 months starting in Spring of 2002 through wave 6 in Fall of 2004, plus one-year followup in Fall 2005 (7 waves)
  • Sample: all 6th, 7th, and 8th graders attending public school in three NC counties
  • Total eligible: 8,201
  • Total participants: 7,173
    • New cohort entrants included
  • Random parent subsample of >1,000 parents

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Data Collection Wave

1

2

3

4

5

6a

7a

Bio-specimen collection

Date

Spr ‘02

Fall ‘02

Spr ‘03

Fall ‘03

Spr ‘04

Fall ‘04

Fall ‘05

Fall ‘09-Spr ‘12

School system N

3

3

3

3

3

2

2

Grades included

6, 7, 8

7, 8, 9

7, 8, 9

8, 9, 10

8, 9, 10

9, 10, 11

10, 11, 12

School N

(middle/high/alternative)

13

(10/0/3)

19

(10/6/3)

19

(10/6/3)

19

(10/6/3)

19

(10/6/3)

5

(0/3/2)

5

(0/3/2)

Peer network Nc

33

29

29

19

19

5

5

Adolescent N

(response rate)

5220 (88.4%)

5060

(81.3%)

5059

(80.9%)

5017

(79.1%)

4676

(76.0%)

2419 (75.1%)

2131 (72.8%)

1519b

(39.6%)

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Topic areas (# items)

  • Substance use
    • Anticipated use (6)
    • Current & Lifetime use (20)
    • Alcohol & nicotine dependence (12)
    • Alcohol & nicotine motives for use (6)
    • Alcohol consequences (5)
    • Parent & Sibling Use
    • Perceived Peer use (6)
  • Delinquency (15)

  • School attachment (3)
  • Extracurricular activities (6)
  • Academic performance (4)
  • Religious life (3)
  • Conventional beliefs (3)
  • Values / goals (6)
  • Body image (3)
  • Pubertal development (9)
  • Home life / parents / siblings (63)
  • Neighborhood characteristics (9)
  • Residential Geocodes

  • Mental health
    • Anxiety (10)
    • Depression (3)
    • Suicide (3)
    • Anger (3)
    • Thrill seeking (3)
  • Peer Violence
    • perpetration & victimization (12)
  • Dating Violence (30)

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Friendship Networks

  • Name up to five of your best friends
  • Relationship characteristics:
  • Interaction frequency (been to each other’s homes, hung out outside school)
  • Parental closure (met each other’s parents, parents met each other)
  • Emotional closeness

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Aggression Networks

  • Name up to five students who “picked on you or were mean to you” in past three months
  • Name up to five students you “picked on or were mean to” in past three months
    • Instructed to disregard friendly teasing and only consider serious acts of cruelty
  • Type of aggression: (verbal abuse, indirect aggression, physical violence)
  • Frequency
  • Networks combined such that A 🡪 B if A nominated B as a victim or B nominated A as a bully

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Context research

  • ~$12m in grants (CDC, NIH, NSF)
  • ~50 papers
  • Rich data
  • But it is getting old

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The NC Life Study

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The NC Life Study

  • 20 year followup to Context; participants now in mid- to late-30’s
  • R01 funded by NIDA program on Structural Racism and Discrimination. MPIs Tamara Taggart (GWU / Rutgers) and Nisha Gottfredson (UNC / RTI)
  • Funded new wave (wave 8) of data collection from Context participants to understand short and long-term effects of exposure to structural racism during adolescence

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Study Team

Nisha O’Shea, PhD

MPI

Tamara Taggart, PhD

MPI

Bob Faris, PhD

Co-I

Dorothy Espelage, PhD

Co-I

John Hipp, PhD

Co-I

Marina Pearsall

Project Manager

Liann Tucker, PhD

Researcher

Alberto Valido, PhD

Researcher

Emily Hutchens

PhD candidate

Connor Mitchell

PhD candidate

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New Data: Wave 8 online survey topics (#items)

  • Neighborhood cohesion & efficacy (16)
  • Religious life (14)
  • Demographics (21)
  • Children (3)
  • Addresses, past and present (4)
  • Education and employment (4)
  • Income (2)
  • Substance use (32)
  • Mental health (7)

  • Physical health (10)
  • Family history (11)
  • Pregnancies (16)
  • Health care access (6)
  • HIV (13)
  • Adverse Childhood Experiences (8)
  • Discrimination experiences (11)
  • Intimate Partner Violence (4)

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Wave 8 network items

  • Below are people you listed as friends while you were in high school. Are you still friends? (Yes, still friends / No, we’re no longer friends / I don’t remember this person)
    • If no, falling out follow-up questions
  • Romantic relationships during HS, with HS classmates after HS
  • Bullying—name HS classmates who were mean to you or picked on you; who you were mean to or picked on
  • Current egonetwork data; name people you feel closest to outside the household
    • Category (friend/neighbor/relative/classmate/coworker
    • How long known
    • Demographics (age, gender, race, education, employment
    • Criminal justice history

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Recruitment

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Four Domains for Successful Panel Retention: �

  • Tracing
    • Collecting contact information for subjects, plus family members
  • Barrier reduction
    • Flexibility in data collection, language interpretation/translation, etc.
  • Community building
    • Study logo, website, newsletters, birthday gifts, study participant meetups
    • Conveying significance of study research
  • Follow-up/reminders
    • Multiple forms of communication (text, calls, letters); gift cards/vouchers

S. Teague, G.J. Youssef, J.A. Macdonald, E. Sciberras, A. Shatte, M. Fuller- Tyszkiewicz, et al., Retention strategies in longitudinal cohort studies: a systematic review and meta-analysis, BMC Med. Res. Methodol. 18 (1) (2018) 151."

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Four Domains for Successful Panel Retention: �

  • Tracing
    • Collecting contact information for subjects, plus family members
  • Barrier reduction
    • Flexibility in data collection, language interpretation/translation, etc.
  • Community building
    • Study logo, website, newsletters, birthday gifts, study participant meetups
    • Conveying significance of study research
  • Follow-up/reminders
    • Multiple forms of communication (text, calls, letters); gift cards/vouchers

S. Teague, G.J. Youssef, J.A. Macdonald, E. Sciberras, A. Shatte, M. Fuller- Tyszkiewicz, et al., Retention strategies in longitudinal cohort studies: a systematic review and meta-analysis, BMC Med. Res. Methodol. 18 (1) (2018) 151."

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Tracing

  • Army of volunteer RAs successfully traced 7,533 (92%) of 8,201 eligibles (93% of participants)
  • 68% with medium to high confidence (subsequent verification in survey)
  • Majority never left NC, ~ 2/3rd reside in or near the original counties
  • 668 could not be traced, despite having full names, addresses, etc.
  • Who disappeared from public view?
  • Controlling for name frequency, disproportionately Latinx youth (followed by White youth) with lower indegree and who did not participate in many survey waves. Residential moves increased risk
  • More frequently resided in less rural, less poor block groups

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Survey participation

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Approach

  • Offered $50 gift card incentive, plus incentives for referrals
  • Website, with screener
  • Texting, calling, postcards, social media ads, spotify ads, radio ads
    • 69% have received direct phone calls, all have received postcards
    • Postcards also sent to parents of subjects
    • Flyers posted in communities
  • In-person networking at community hubs
    • Hospitals, clinics, churches, schools, football games, community events
  • Community ambassadors program
  • Participation by tracing confidence score:
    • 4: 13%
    • 3: 11%
    • 2: 9%
    • 1: 4%
    • 0: 7%

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  • Virtually no respondents came from ads, passive outreach
  • Email, texts, calls, in-person
  • Only 11% response rate
  • Fortunately, we have other data…

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Administrative Records & �Archival Data

  • Complete individual-level school records from NC Educational Research Data Center
    • Transcripts, test scores, disciplinary records
  • Expanded geocoded neighborhood data for all known addresses
    • Multi-dimensional measures of SRD at block group level & higher
  • Criminal justice contact histories
    • Arrests (NC), convictions, sentences etc.
  • Other public records
  • Yearbooks
    • Photos, extracurriculars, status indicators

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Current Research

INTERRACIAL VIOLENCE IN SCHOOLS

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Interracial Violence in Schools� Faris, Tucker, Forest-Hutchens, Espelage, Hipp, Gottfredson, and Taggart

  • Is interracial violence more or less likely than intraracial violence after accounting for exposure?
  • Is interracial violence and aggression more consequential for victims than intraracial victimization?
    • Internalizing problems
    • Substance abuse
    • School attachment
    • GPA changes
  • 10 school networks, n ~100 to 1,000

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No strong patterns of mixed race dyads * social distance

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Mixed race friendships, however…

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Consequences

  • Fixed effects models with decomposed aggression indegree (by aggressor race, gender, and social distance)
  • Net of intraracial victimization, interracial victimization generally has no significant pernicious effect on internalizing problems, substance abuse, or school attachment for either Black or White students.
  • Only two significant effects of interracial victimization: 1) Black and White youth distressed by bullying from Latinx and other racial groups; 2) White youth experience GPA decline after bullying by Black schoolmates
  • Decomposed by gender & social distance

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Interracial Violence

  • Paradoxical results:
  • Interracial aggression (and physical violence) is: a) highly unlikely, even after accounting for social distance; and b) largely inconsequential
  • Partly anticipated by Gould’s arguments about collective conflicts

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Consequences

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Consequences

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Current Research

MEASURING THE SPATIAL SCALE OF STRUCTURAL RACISM AND DISCRIMINATION: CONSEQUENCES FOR LIFE EXPECTANCY

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Measuring the spatial scale of structural racism and discrimination: Consequences for estimated life expectancy�

  • John R. Hipp*
  • Yuqing Wang
  • Nisha Gottfredson O’Shea
  • Robert W. Faris
  • Dorothy L. Espelage
  • Alberto Valido
  • Tamara Taggart

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Measures of SRD

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Lessons learned

  • Don’t wait twenty years
  • Don’t try to call people for a survey in a swing state during an election cycle
  • Don’t waste money on social media ads, consultants
  • Get community leaders involved directly
  • Be prepared for fraud:
    • Screener stage—fraudulent enrollment, bots
    • Survey stage—made it through screener but answered test questions incorrectly
  • Thank goodness for NC Records
  • Reach out with ideas for collaboration!
  • Reconsider ”old” data

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Extra slides

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Notfound

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Context Research: Grants & Pubs

  • NIH (National Institute on Minority Health and Health Disparities): A community driven modeling approach for identifying community & policy-level interventions to address the impact of structural racism and discrimination on adolescent substance use and mental health (R01 MD019763) 7/1/2024 – 6/30/2029. PI Tamara Taggart. Amount Awarded $3,589,223 (Direct)
  • NIH (National Institute on Drug Abuse): Measuring the impact of structural racism and discrimination during adolescence on substance use, psychological distress, and criminal justice outcomes in adulthood (R01 DA056264-01) 5/15/2022 – 2/28/2026. MPI: Nisha Gottfredson and Tamara Taggart. Amount Awarded: $2,612,515
  • NSF: “BIGDATA F: Critical Visualization Technologies for Analyzing and Understanding Big Network Data: (Award #1741536) 9/1/2017 – 8/31/2020 PI: Kwan-Liu Ma. Amount Awarded: $560,000
  • NIH (National Institute on Drug Abuse): Peer Mechanisms in the Internalizing Pathway to Substance Abuse (1R01DA037215) 9/15/2014 – 9/31/2017 PI: Andrea Hussong. Amount Awarded: $689,930
  • UC Davis Research Investments in the Sciences and Engineering Grant: Center of Excellence for Visualization 7/1/2012 – 7/1/2015. PI: Kwan-Liu Ma) Amount Awarded: $550,000

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Bauman, K. E., Faris, R., Ennett, S. T., Hussong, A., & Foshee, V. A. (2007). Adding valued data to social network measures: Does it add to associations with adolescent substance use? Social Networks, 29(1), 1–10.

Chang, L.-Y., Foshee, V. A., Reyes, H. L. M., Ennett, S. T., & Halpern, C. T. (2015). Direct and indirect effects of neighborhood characteristics on the perpetration of dating violence across adolescence. Journal of Youth and Adolescence, 44(3), 727–744. https://doi.org/10.1007/s10964-014-0190-z

Cole, V. T., Hussong, A. M., McNeish, D. M., Ennett, S. T., Rothenberg, W. A., Gottfredson, N. C., & Faris, R. W. (2022). The role of social position within peer groups in distress-motivated smoking among adolescents. Journal of Studies on Alcohol and Drugs, 83(3), 420–429.

Cole, V. T., Hussong, A. M., Faris, R. W., Rothenberg, W. A., Gottfredson, N. C., & Ennett, S. T. (2020). A latent variable approach to measuring social dynamics in adolescence. Journal of Research on Adolescence, 30(1), 238–254.

Eastman, M., Foshee, V. A., Ennett, S. T., Sotres-Alvarez, D., McNaughton Reyes, H. L., Faris, R., & North, K. (2018). Profiles of internalizing and externalizing symptoms associated with bullying victimization. Journal of Adolescence, 65, 101–110.

Ennett, S. T., Bauman, K. E., Hussong, A., Faris, R., Foshee, V. A., Cai, L., & DuRant, R. H. (2006). The peer context of adolescent substance use: Findings from social network analysis. Journal of Research on Adolescence, 16(2), 159–186. https://doi.org/10.1111/j.1532-7795.2006.00127.x

Ennett, S. T., Faris, R. W., Hipp, J., Foshee, V. A., Bauman, K. E., Hussong, A., & Cai, L. (2008). Peer smoking, other peer attributes, and adolescent cigarette smoking: A social network analysis. Prevention Science, 9(2), 88–98.

Ennett, S. T., Faris, R. W., Hussong, A. M., Gottfredson, N., & Cole, V. (2018). Depressive symptomology as a moderator of friend selection and influence on substance use involvement: Estimates from grades 6 to 12 in six longitudinal school-based social networks. Journal of Youth and Adolescence, 47(11), 2337–2352. https://doi.org/10.1007/s10964-018-0915-5

Ennett, S. T., Foshee, V. A., Bauman, K. E., Hussong, A., Faris, R., Hipp, J., & Cai, L. (2010). A social contextual analysis of youth cigarette smoking development. Nicotine & Tobacco Research, 12(9), 950–962.

Ennett, S. T., Foshee, V. A., Bauman, K. E., Hussong, A., Faris, R., Hipp, J., Cai, L., DuRant, R. H., & Reyes, H. L. (2008). The social ecology of adolescent alcohol misuse. Child Development, 79(6), 1777–1791.

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Faris, R., & Felmlee, D. (2011). Status struggles: Network centrality and gender segregation in same- and cross-gender aggression. American Sociological Review, 76(1), 48–73.

Faris, R., & Felmlee, D. (2014). Casualties of social combat: School networks of peer victimization and their consequences. American Sociological Review, 79(2), 228–257.

Faris, R., Felmlee, D., & McMillan, C. (2020). With friends like these: Aggression from amity and equivalence. American Journal of Sociology, 126(3), 673–713.

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Foshee, V. A., Benefield, T. S., McNaughton Reyes, H. L., Ennett, S. T., Faris, R., Chang, L.-Y., Hussong, A., & Suchindran, C. M. (2013). The peer context and the development of the perpetration of adolescent dating violence. Journal of Youth and Adolescence, 42(4), 471–486. https://doi.org/10.1007/s10964-013-9915-7

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