Sexual Orientation, Substance Use and Mental Health

性取向、药物滥用和心理健康

基本信息

批准号：
7501921
负责人：
SEAN ESTEBAN MCCABE
金额：
$ 17.05万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-09-30 至 2011-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7501921
关键词：
18 year old Accounting Address Adult Age Alcohol or Other Drugs use Alcohols Anxiety Disorders Behavior Bisexual Condition DSM-IV Data Data Set Development Diagnosis Dimensions Discrimination Disease Drug abuse Epidemiology Ethnic Origin Gays Gender Health Heterosexuals Individual Knowledge Lesbian Literature Manuscripts Marijuana Measures Mental Health Mental disorders Minority Minority Groups Moods National Institute of Drug Abuse Numbers Outcome Pattern Peer Review Pharmaceutical Preparations Plague Population Population Group Population Heterogeneity Populations at Risk Prevalence Prevention Prevention intervention Probability Samples Public Health Race Research Research Design Research Priority Respondent Risk Risk Factors Role Sampling Sex Behavior Sex Functioning Sex Orientation Substance Abuse, Other Substance Use Disorder Substance abuse problem Surveys United States United States National Institutes of Health Variant Woman Work base comparison group design emotional abuse experience health care service utilization health disparity improved men prevent response treatment program

项目摘要

DESCRIPTION (provided by applicant): In response to PA-06-329, Epidemiology of Drug Abuse, this exploratory project proposes to use an existing nationally representative dataset to assess the relationships among sexual orientation, perceived discrimination, substance abuse, mental health, and treatment utilization in the United States. Past research has generally found lesbian, gay and bisexual (LGB) individuals are at heightened risk for substance use and mental health disorders but these studies have been plagued by methodological limitations, including small, non-representative samples and lack of heterosexual comparison groups. To date, no large-scale nationally representative studies have examined the epidemiology of substance use and mental health disorders among self-identified LGB individuals and almost no data on treatment utilization among sexual minorities exists. Thus, we propose to conduct a secondary analysis of the 2004-2005 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), a nationally representative sample of 34,653 U.S. adults 18 years and older in the United States. The specific aims are to: (1) assess the prevalence and co-occurrence of substance use behaviors, DSM-IV substance use, mood and anxiety disorders based on sexual orientation; (2) estimate substance abuse and mental health treatment utilization based on sexual orientation among respondents with and without DSM-IV diagnoses; and (3) examine the association between perceived discrimination and substance use and mental health outcomes among sexual minorities. The proposed project will take advantage of the unique opportunities afforded by the 2004-2005 NESARC: the availability of an ample and ethnically diverse sample with large numbers of sexual minority women and men; the inclusion of multiple measures of sexual orientation; and the wealth of data on DSM-IV substance use, mood and anxiety disorders, and treatment utilization. Findings from this project will enhance understanding of the epidemiology of substance use and mental health disorders among both heterosexuals and sexual minorities in the United States, and will provide information to improve the assessment, prevention and treatment of these disorders. 7. PROJECT NARRATIVE Understanding patterns and distributions of substance abuse and mental health disorders across sub-groups based on dimensions of sexual orientation is critical for designing effective public health prevention, intervention and treatment programs. This project will examine several unexplored research questions related to the epidemiology of substance use and mental health disorders across dimensions of sexual orientation, treatment utilization among those groups and the impact of perceived discrimination on the substance use behaviors and mental health of sexual minority groups.

描述（由申请人提供）：响应PA-06-329，《药物滥用流行病学》，该探索性项目建议使用现有的全国代表性数据集来评估美国性取向，可感知的歧视，药物滥用，心理健康和治疗利用的关系。过去的研究通常发现女同性恋，同性恋和双性恋（LGB）个体的使用和精神健康障碍的风险增加，但是这些研究受到方法论上的局限性，包括小的，非代表性的样本以及缺乏异性恋比较组。迄今为止，尚无大规模的全国代表性研究研究自识别的LGB个体中药物使用和心理健康障碍的流行病学，并且几乎没有关于性少数群体中有关治疗利用的数据。因此，我们建议对2004 - 2005年的《酒精和相关条件》国家流行病学调查（NESARC）进行次要分析，这是美国34,653名美国成年人18岁以上的全国代表性样本。具体目的是：（1）评估基于性取向的物质使用行为，DSM-IV药物使用，情绪和焦虑症的患病率和同时存在；（2）根据有或没有DSM-IV诊断的受访者的性取向估算药物滥用和心理健康治疗利用；（3）检查性少数群体之间感知的歧视与使用物质的使用与心理健康结果之间的关联。拟议的项目将利用2004-2005 NESARC提供的独特机会：提供大量和种族多样的样本，以及大量的性少数族裔男女；包括多种性取向措施；以及有关DSM-IV药物使用，情绪和焦虑症以及治疗利用的大量数据。该项目的发现将增强对美国异性恋和性少数群体中物质使用和心理健康障碍流行病学的理解，并将提供信息以改善这些疾病的评估，预防和治疗。 7.基于性取向的维度，基于性取向的范围的项目叙事理解模式和药物滥用和心理健康障碍的分布对于设计有效的公共卫生预防，干预和治疗计划至关重要。该项目将研究与性取向跨性取向，这些群体之间的治疗利用以及感知歧视对物质使用行为和性少数群体心理健康的影响有关的几个未开发的研究问题。