Substance Use Disparities Among Sexual Minority Girls: A Longitudinal Study

性少数女孩的药物使用差异：一项纵向研究

• 批准号: 8325658
• 负责人: Michael P Marshal
• 金额: $ 22.04万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2013-09-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8325658
• 关键词: 8 year old; Address; Adolescence; Adolescent; Adult; African American; Age; Age of Onset; Alcohol or Other Drugs use; Alcohols; Behavior; Bisexual; Caucasians; Caucasoid Race; Cigarette; Communities; Cross-Sectional Studies; Data Analyses; Data Set; Development; Drug usage; Ethnic Origin; Frequencies; Future; Gays; Goals; Health; Health Personnel; Health Services; Heterosexuals; Illicit Drugs; Individual; Lesbian; Literature; Longitudinal Studies; Mediating; Mediator of activation protein; Mental Depression; Mental Health; Meta-Analysis; Minority; Monitor; National Institute of Drug Abuse; National Institute on Alcohol Abuse and Alcoholism; Outcome; Parent-Child Relations; Parental Consent; Pathway interactions; Pattern; Population; Prejudice; Preventive Intervention; Psychopathology; Psychosocial Factor; Public Health; Recruitment Activity; Reporting; Risk; Risk Factors; Risk Marker; Role; Sampling; Schools; Sex Behavior; Sex Orientation; Social support; Stress; Subgroup; Substance abuse problem; Theoretical model; Time; Victimization; Vulnerable Populations; Youth; adolescent substance use; age group; base; design; deviant; family structure; girls; health disparity; high risk; high risk sexual behavior; innovation; intervention program; longitudinal course; novel strategies; peer; peer victimization; prevent; psychosocial; research study; self esteem; sex; sexual minority; systematic review; theories; young adult

btract The central goal of this study is to describe and explain longitudinal patterns of adolescent substance use among sexual minority girls. Our meta-analysis of 18 cross-sectional studies showed that the odds of substance use for sexual minority girls were 400% higher than they were for heterosexual girls; However, few if any studies have examined longitudinal patterns of use, significant risk markers, mediators, or moderators of this disparity (Marshal et al., 2008). Only two studies to date have examined trajectories of substance use behavior among young sexual minority youth, and suggest that these disparities are maintained or increase over time as sexual minority youth approach young adulthood (Corliss et al., 2008; Marshal et al., 2009). Furthermore, cross-sectional evidence suggests that substance use among sexual minority girls is associated with other psychosocial health problems such as depression (Fergusson et al., 1999; Garofalo, et al., 1998). However no studies to date have examined the role of psychosocial risk factors in the long term patterns of substance use in this high risk population. We are proposing a developmental interpretation and application of Minority Stress Theory (MST; Hatzenbuehler, 2009; Meyer, 2003). Our new approach combines it with Developmental Psychopathology Theory (Cicchetti & Cohen, 2006) in order to articulate the unique needs and problems faced by sexual minority youth. Our Specific Aims are to: (1) Examine disparities between sexual minority girls and heterosexual girls in the age of onset and longitudinal course of substance use (quantity and frequency of cigarette, alcohol, and illicit drug use); (2) Determine whether the association between sexual minority status and trajectories of substance use is moderated or mediated by other psychosocial risk and protective factors (e.g., mental health, risky sexual behavior, deviant peer affiliation, victimization, social support, self-esteem, parent-child relationship quality); and (3) Explore whether the associations between sexual minority status, psychosocial factors, and substance use vary across demographic subgroups (e.g., age, ethnicity, family structure, SES). This proposal is innovative because: (1) it will be the first to characterize the onset, course, and long-term psychosocial correlates of substance use among sexual minority girls; (2) it will develop a new theoretical approach to describing and explaining risk for substance use among sexual minority youth; and we will (3) fill critical gaps in the health disparities and health services literatures, as well as provide important descriptive and explanatory information about longitudinal pathways of risk among this highly vulnerable group that will help inform future research, prevention, and intervention programs.

摘要 这项研究的中心目标是描述和解释青少年物质的纵向模式 在性少数女孩中使用。我们对 18 项横断面研究的荟萃分析表明， 性少数女孩的物质使用量比异性恋女孩高 400%；然而，很少有如果 任何研究都检验了使用的纵向模式、显着风险标记、调节因素或调节因素 这种差异（Marshal 等，2008）。迄今为止，只有两项研究考察了物质使用的轨迹 年轻性少数群体青年的行为，并表明这些差异得以维持或扩大 随着时间的推移，性少数青少年接近成年（Corliss 等人，2008 年；Marshal 等人，2009 年）。 此外，横截面证据表明，性少数女孩的药物使用与 与抑郁症等其他社会心理健康问题有关（Fergusson 等人，1999 年；Garofalo 等人，1998 年）。 然而，迄今为止还没有研究探讨心理社会风险因素在长期模式中的作用。 该高危人群中的物质使用。我们正在提出一种发展性的解释和应用 少数压力理论（MST；Hatzenbuehler，2009；Meyer，2003）。我们的新方法将其与 发展精神病理学理论（Cicchetti & Cohen，2006），以阐明独特的需求和 性少数青年面临的问题。我们的具体目标是： (1) 检查性别之间的差异 少数民族女孩和异性恋女孩的发病年龄和药物使用的纵向过程（数量和数量） 吸烟、饮酒和非法药物的使用频率）； (2) 判断性别之间是否存在关联 少数群体的地位和物质使用轨迹受到其他心理社会风险的调节或调节， 保护因素（例如，心理健康、危险的性行为、异常的同伴关系、受害、社会 支持、自尊、亲子关系质量）； (3) 探讨两者之间是否存在关联 性少数群体的状况、心理社会因素和药物使用因人口亚组而异（例如， 年龄、种族、家庭结构、社会经济地位）。该提案具有创新性，因为：（1）它将是第一个描述 性少数女孩物质使用的发生、过程和长期社会心理相关性； (2)它 将开发一种新的理论方法来描述和解释性行为中物质使用的风险 少数民族青年；我们将 (3) 填补健康差距和卫生服务文献中的关键空白，以及 提供关于这些高度风险的纵向路径的重要描述性和解释性信息 弱势群体将有助于为未来的研究、预防和干预计划提供信息。