Health Effects of Intersectional Stigma among Sexual Minority Women

性少数女性中交叉耻辱的健康影响

• 批准号: 10527248
• 负责人: Alison Cerezo
• 金额: $ 23.59万
• 依托单位: UNIVERSITY OF CALIFORNIA SANTA BARBARA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10527248
• 关键词: Age; Alcohol abuse; Alcohol consumption; Alcoholic beverage heavy drinker; Alcohols; Black race; California; Clinical; Communities; Community Developments; Community based prevention; County; Data; Development; Discrimination; Elements; Ensure; Environmental Risk Factor; Ethnic group; Face; Frequencies; Gender; Goals; Health; Heterosexuals; Institute of Medicine (U.S.); Intervention; Latina; Life Experience; Life Stress; Link; Literature; Los Angeles; Measures; Mental Health; Methodology; National Institute on Alcohol Abuse and Alcoholism; Outcome; Participant; Pathway interactions; Persons; Pilot Projects; Probability; Public Health; Race; Reporting; Research; Research Project Grants; Respondent; Review Literature; Risk; Risk Factors; Role; Sampling; Schedule; Severities; Sex Orientation; Sexuality; Social support; Strategic Planning; Stress; Time; United States National Institutes of Health; Woman; Work; alcohol misuse prevention; alcohol related consequences; alcohol use disorder; base; binge drinker; clinically relevant; community organizations; community-level factor; diaries; drinking; experience; feasibility testing; health disparity; improved; innovation; intersectionality; negative affect; peer; protective factors; racial and ethnic; racial diversity; racial health disparity; recruit; research study; sexual identity; sexual minority; sexual minority women; social; social culture; social stigma; socioeconomics; stressor; substance use; theories

Project Summary Sexual minority women (SMW) consistently report higher rates of alcohol use than heterosexual women. In fact, SMW are more likely to be current alcohol users, binge drinkers, and heavy drinkers than heterosexual women1 and are 11 times more likely to meet the threshold for alcohol use disorder.1-6 While research on SMW's alcohol use has grown in recent years, a scoping review of the literature from 2000-2017 showed severe underrepresentation of Black and Latina women.7 Probability data show that 1 in 4 Black women8 and 1 in 5 Latinos9 (across gender) in the US identify as sexual minority. Lack of racial diversity in sampling presumes that the types, severity and frequency of stressors impacting alcohol use among SMW is uniform across racial/ethnic groups. As a result, key sociocultural and/or community-level factors impacting alcohol use among Black and Latina SMW have been minimized or altogether unobserved. The Institute of Medicine (2011)10 and National Institutes of Health (2019, 2020)11,12 emphasized the need for research that considers how intersectional stigma across race and sexual orientation creates unique and synergistic experiences of stress linked to health disparities. Our previous work demonstrates that persistent, ongoing intersectional stigma among Black and Latina SMW drives negative affect and problematic alcohol use. The long-term goal of our research is to reduce alcohol-related health disparities in racially diverse SMW. Our team has the content and methodological expertise to carry out the proposed project, including successful implementation of daily diary studies and several community-based studies among Black and Latina SMW. Using baseline measures and a 14-day daily diary, the objective of this R21 application is to test the feasibility of a theory-driven pilot study that captures daily risk and protective factors associated with negative affect and problematic drinking among Black and Latina SMW. Levering ongoing research partnerships with several community organizations in Los Angeles County, the proposed study will sample 212 SMW (N=106 Black; N=106 Latina) ages 18-40. Respondent driven sampling will ensure successful recruitment of the target sample as well as appropriate representation across sexual orientation designation and socioeconomic background. This research study will pursue two specific aims: (1) examine the role of stress (race-based stigma, sexuality- based stigma, general life stress) on negative affect and problematic alcohol use among Black and Latina SMW, and (2) explore person-level (race, concealment) and community-level (peer drinking norms, social support) moderators in the association between daily stress and negative affect and problematic alcohol use. The proposed research is significant because of its potential to improve public health for SMW by deepening existing understandings of daily stress effects on alcohol-related health disparities among SMW, particularly the role of intersectional stigma across race and sexual orientation.

项目摘要 性少数妇女（SMW）始终报告的饮酒率比异性恋妇女更高。在 事实，与异性恋者相比，SMW更有可能是目前的酒精使用者，暴饮暴食者和饮酒者 女性1，达到饮酒障碍阈值的可能性要高11倍。1-6在对SMW的研究时 近年来，饮酒已经增长，对2000 - 2017年文献的范围审查显示出严重的 黑人和拉丁裔妇女的代表性不足。7概率数据显示，四分之一的黑人女性8和1分之一 在美国，拉丁美洲人（跨性别）认为是性少数群体。抽样假设缺乏种族多样性 在SMW中影响酒精使用的压力源的类型，严重性和频率在整个SMW中都是统一的 种族/族裔。结果，关键的社会文化和/或社区级别的因素影响饮酒 在黑色和拉丁裔SMW中，SMW已被最小化或完全观察到。医学研究所 （2011）10和国立卫生研究院（2019，2020）11,12强调了考虑研究的需求 种族和性取向之间的交叉污名如何创造独特而协同的经验 与健康差异有关的压力。我们以前的工作表明，持续的相交 黑色和拉丁裔SMW中的污名会引起负面影响和有问题的饮酒。 我们研究的长期目标是减少种族多样的SMW中与酒精相关的健康差异。我们的 团队具有完成拟议项目的内容和方法论专业知识，包括成功 日记研究的实施以及Black和Latina SMW中的几项基于社区的研究。 使用基线措施和每日14天的日记，此R21应用的目的是测试可行性 理论驱动的试点研究，该研究捕获了每日风险和与负面影响相关的保护因素 黑色和拉丁裔SMW中的饮酒有问题。利用正在进行的研究合作伙伴关系 拟议的研究将在洛杉矶县的社区组织采样212 SMW（n = 106黑色； n = 106 latina）18-40岁。受访者驱动的抽样将确保成功招募目标样本 以及跨性取向指定和社会经济背景的适当代表。 这项研究将追求两个具体目标：（1）检查压力的作用（基于种族的污名，性取向 - 基于污名，一般的生命压力）在黑人和拉丁裔SMW中的负面影响和有问题的酒精使用方面， （2）探索人级（种族，隐瞒）和社区级别（同伴饮酒规范，社会支持） 每日压力与负面影响与有问题的饮酒之间关联的主持人。这 拟议的研究很重要，因为它有可能通过加深改进SMW的公共卫生 现有对每日压力对酒精相关健康差异的影响的理解，特别是 跨种族和性取向的交叉污名的作用。