Alcohol-Involved Sexual Assault among Bisexual Women: Disentangling Mechanisms of Risk at Individual, Interpersonal, and Structural Levels Across the Lifespan

双性恋女性中与酒精有关的性侵犯：解开整个生命周期中个人、人际和结构层面的风险机制

• 批准号: 10478209
• 负责人: Jessie V Ford
• 金额: $ 17.37万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-01 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10478209
• 关键词: Address; Adolescence; Adult; Affect; Age; Alcohol consumption; Alcohols; Area; Attention; Bisexual; Chicago; Cross-Sectional Studies; Data; Data Collection; Data Set; Development; Development Plans; Discrimination; Educational workshop; Etiology; Exposure to; General Population; Goals; Greek; Health; Heterosexuals; Individual; Inequality; Institute of Medicine (U.S.); Interview; LGBT Health; Lead; Lesbian Gay Bisexual; Life; Life Experience; Literature; Longevity; Longitudinal cohort; Measurement; Measures; Mentored Research Scientist Development Award; Mentors; Mentorship; Methodology; Methods; Modeling; National Institute on Alcohol Abuse and Alcoholism; Outcome; Pathway interactions; Positioning Attribute; Production; Public Health; Reporting; Research; Research Methodology; Research Personnel; Risk; Risk Factors; Risk-Taking; Sampling; Sexual Health; Site; Statistical Methods; Surveys; Testing; Time; Training; Universities; Variant; Vulnerable Populations; Woman; Work; adverse outcome; alcohol risk; career; career development; college; data format; data structure; design; drinking; epidemiological model; experience; geographic difference; hazardous drinking; health data; health disparity; innovation; men; middle age; minority stress; novel; outcome prediction; prevent; prospective; protective factors; public health intervention; recruit; sexual assault; sexual identity; sexual minority; skills; social; symposium; young adult

PROJECT SUMMARY/ABSTRACT The purpose of this Mentored Research Scientist Development Award (K01) is to help the candidate, Dr. Jessie Ford, become an independent researcher focused on identifying modifiable multi-level factors that can explain and address the high rates of alcohol-involved sexual assault within bisexual women (BW) across the lifespan in the US. Today, as many as 8-14% of women identify as bisexual. Research shows that BW are over three times more likely to have experienced alcohol-facilitated sexual assault than heterosexual women (24.4% vs. 7.6%), and that rates of hazardous drinking are higher for BW than for heterosexual women. Thus, it is imperative to study how alcohol interacts with other social forces to create risk in order to prevent the high rates of sexual assault among this growing demographic group. In order to examine this topic, the candidate requires training in each of the following areas: 1) risk and protective factors for hazardous drinking; (2) lifespan research methods for alcohol use and sexual assault; (3) conceptualizing and measuring multi-level determinants of lesbian, gay and bisexual (LGB) alcohol use; and (4) mixed methods. Training will occur alongside a career development plan that includes specific seminars, workshops, coursework, conferences, hands-on practica, and tailored mentoring with a mentorship team comprised of experts in alcohol use, lifespan and longitudinal research methods, determinants of LGB health, minority stress, risk taking, sexual assault, mixed methods, bisexual health, and advanced statistical methods. The candidate will use this new training data to build a novel conceptual model describing BW's disproportionate risk for alcohol-involved sexual assault, with attention to the multi-level effects of individual, interpersonal, and structural factors across the lifespan. To test this model, I will utilize a multi-method design across 3 studies that draw on the methodological strengths of longitudinal cohort, multi-site cross-sectional, and mixed-methods data. These datasets include: 1) the Chicago Health and Life Experiences of Women Study (CHLEW), 21-year study of 181 BW (ages 18-84); 2) the Online College Social Life Survey (OCSLS), a multi-site study of 638 BW (ages 18-25) at 22 universities; and 3) my own primary data: The Bisexual Women, Alcohol and Sexual Health (BWASH) 2- wave survey of 800 BW in a US general population sample. Further, the candidate will conduct 30 in-depth interviews with BW recruited from the BWASH sample, integrating survey data with qualitative data to further elucidate mechanisms. This research will provide critical formative data that will be used to develop a NIAAA R01 proposal that will allow Dr. Ford to create a prospective dataset to identify multi-level etiologic pathways (all in 1 dataset) that affect alcohol use and sexual health for BW. The new skills acquired through this K01 will help the candidate achieve her career goal of becoming an independent investigator who conducts transformative, cross-disciplinary work that advances research on determinants of alcohol use and adverse sexual health outcomes.

项目概要/摘要 该导师研究科学家发展奖（K01）的目的是帮助候选人，博士。 杰西·福特 (Jessie Ford)，成为一名独立研究员，专注于识别可修改的多层次因素，这些因素可以 解释并解决全球双性恋女性 (BW) 中与酒精相关的性侵犯的高发生率 在美国的寿命。如今，多达 8-14% 的女性认为自己是双性恋。研究表明 BW 已经结束 遭受酒精性侵犯的可能性是异性恋女性的三倍（24.4%） vs. 7.6%），并且 BW 女性的危险饮酒率高于异性恋女性。因此，它是 必须研究酒精如何与其他社会力量相互作用以产生风险，以防止高风险 这个不断增长的人口群体中性侵犯的比例。为了研究这个话题，候选人 需要以下各方面的培训： 1) 危险饮酒的风险和防护因素； (2) 饮酒和性侵犯的寿命研究方法； (3) 多层次的概念化和测量 女同性恋、男同性恋和双性恋 (LGB) 饮酒的决定因素； (4)混合法。将会进行培训 除了职业发展计划外，还包括具体的研讨会、讲习班、课程作业、会议、 由酒精使用、寿命方面的专家组成的指导团队提供实践实践和量身定制的指导 纵向研究方法、LGB健康的决定因素、少数族裔压力、冒险、性侵犯、 混合方法、双性健康和先进的统计方法。候选人将使用这种新的培训 数据建立一个新颖的概念模型，描述 BW 与酒精相关的性行为的不成比例的风险 攻击，关注个人、人际和结构因素的多层次影响 寿命。为了测试这个模型，我将在 3 项研究中利用多方法设计，这些研究借鉴了 纵向队列、多站点横断面和混合方法数据的方法学优势。这些 数据集包括：1) 芝加哥女性健康和生活经历研究 (CHLEW)，对 181 名女性进行了 21 年的研究 BW（18-84 岁）； 2) 在线大学社会生活调查 (OCSLS)，一项针对 638 名 BW（18-25 岁）的多地点研究 22所大学； 3) 我自己的主要数据：双性恋女性、酒精和性健康 (BWASH) 2- 对美国一般人群样本中的 800 BW 进行了波浪调查。此外，候选人将进行 30 次深入 对从 BWASH 样本中招募的 BW 进行访谈，将调查数据与定性数据相结合，以进一步 阐明机制。这项研究将提供关键的形成性数据，用于制定 NIAAA R01 提案将允许 Ford 博士创建一个前瞻性数据集来识别多层次病因途径 （全部在 1 个数据集中）影响 BW 的饮酒和性健康。通过本次 K01 获得的新技能将 帮助候选人实现成为一名独立调查员的职业目标 变革性的跨学科工作，推进对酒精使用和不良反应的决定因素的研究 性健康结果。