Sexual orientation, gender identity, and alcohol use: A multi-method analysis of developmental differences and key mechanisms

性取向、性别认同和饮酒：发育差异和关键机制的多方法分析

• 批准号: 10537263
• 负责人: Meg Bishop
• 金额: $ 6.84万
• 依托单位: UNIV OF MARYLAND, COLLEGE PARK
• 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 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10537263
• 关键词: Address; Adolescence; Adolescent; Age; Alcohol consumption; Alcohols; Area; Asian; Attenuated; Automobile Driving; Bisexual; Black race; California; Complex; Data; Data Collection; Data Set; Data Sources; Development; Environment; Ethnic Origin; Etiology; Family; Gays; Gender Identity; Generations; Goals; Heterosexuals; Hispanic; Interruption; Intervention; Interview; Lesbian; Life Cycle Stages; Mentored Research Scientist Development Award; Mentorship; Methods; Pathway interactions; Perception; Persons; Prevalence; Prevention; Public Health; Race; Reporting; Research; Research Personnel; Resources; Role; Scholarship; Sex Orientation; Sexual and Gender Minority Youth; Shapes; Social Identification; Source; Stress; Surveys; Teenagers; Time; Training; Translating; United States; Youth; alcohol epidemiology; alcohol misuse; alcohol risk; attenuation; base; binge drinking; bullying; career; children of color; cisgender; community organizations; critical period; diverse data; eleventh grade; experience; health inequalities; innovation; minority stress; peer; peer influence; population based; resilience; seventh grade; sex; skills; social norm; social stigma; stem; stressor; transgender; trend; underage drinking

Project Abstract: Over 95,000 people will die this year in the United States from excessive alcohol use and misuse (AU/M). Although alcohol is the substance most commonly used by teens, sexual and gender minority youth (SGMY) are more likely to engage in early and excessive AU/M than heterosexual and cisgender youth, placing them at greater risk for AU/M across the life course. The persistence of these disparities over the past several decades indicates an urgent need for research identifying critical periods for prevention. Yet, there remain pressing questions regarding the onset, progression, and mutable mechanisms that contribute to SGM-related disparities in AU/M during adolescence. The objective of the proposed research is twofold. First, I aim to examine developmental trends of AU/M across groups of youth defined by sexual orientation, gender identity, and race/ethnicity. Second, I will explore how normative mechanisms of alcohol use (e.g., social norms, peer influence) coincide and coexist with SGM-specific experiences (e.g., stigma) to influence SGMY alcohol use. The project will leverage the California Healthy Kids Survey, a unique population-based data source of more than one million adolescents, and primary mixed methods data collection to complete the following research aims: (Aim 1.1) Estimate developmental trends in the prevalence of AU/M across groups defined by (1.1a) sexual orientation, gender identity and (1.1b) the intersections of these identities with race/ethnicity; (Aim 1.2) Examine the extent to which bias-based bullying and perceived harm of alcohol use attenuate differences in developmental trends of AU/M across groups defined by (1.2a) sexual orientation, gender identity and (1.2b) the intersections of these identities with race/ethnicity; and (2) Explore how SGM-specific and normative adolescent factors collectively shape AU/M among SGMY. To accomplish these goals, I require additional training in SGM-specific and developmentally typical mechanisms of AU/M disparities, and complex quantitative and mixed methods approaches to investigating SGMY’s AU/M. The training plan combines tailored mentorship from sponsors and consultants with formal coursework and training seminars to provide me with the skills, resources, and mentorship needed to reach my long-term goal of becoming an independent researcher focused on understanding and eliminating AU/M inequities among SGMY. Elucidating the interplay of normative adolescent and SGMY-specific stressors implicated in SGMY AU/M will allow me to develop future research that contributes to developmentally appropriate and culturally relevant interventions to interrupt AU/M pathways and support resiliency in SGMY.

项目摘要： 今年，超过95,000人将因过度使用酒精和滥用（AU/m）而死亡。 尽管酒精是青少年最常用的物质，性别和性别少数族裔青年（SGMY） 比异性恋和cisgender Youth更有可能早期和过度的AU/M。 在过去的几十年中，跨生活的风险更大 表明迫切需要研究确定预防关键时期。 关于有助于SGM相关的发作，进展和可变机制的问题 青春期的AU/M的差异。 研究通过性取向，性别认同，性别认同定义的青年群体的AU/M的发展趋势 和种族/种族 影响）与SGM特异性经验（例如污名）共同存在，以影响SGMY饮酒。 该项目将利用加利福尼亚健康儿童调查，这是一个独特的基于人群的数据源 比一个毫秒和主要混合方法数据收集以完成以下研究 目的：（目标1.1）估计由（1.1a）定义的群体中Au/m的发展趋势 性取向，性别认同和（1.1b）这些身份与种族/种族的交集（目标1.2） 检查饮酒的基于偏见的欺凌和感知危害的程度减弱 （1.2a）性取向，性别认同和（1.2b）定义的群体的AU/M的发展趋势 这些身份与种族/种族的交集；（2）探索SGM特定和规范 青少年因素在SGMY中统一塑造Au/m。 在SGM特异性和开发中培训AU/M差异的典型机制和复杂的培训 定量和方法调查SGMY的AU/m。 赞助商和顾问的正式课程和培训研讨会的量身定制的指导 凭借技能，资源和指导，需要实现我的长期目标，即 研究人员倾向于理解和消除SGMY的AU/M不平等。 与SGMY AU/M有关的规范青少年和SGMY特定压力源将使我能够发展 未来的研究为发展提供了适当和文化相关的干预措施 AU/M途径和支持SGMY的弹性。