Developmental Pathways of Substance Use among Sexual Minority Women

性少数女性物质使用的发展途径

• 批准号: 9129447
• 负责人: Connor J McCabe
• 金额: $ 3.97万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-08-16 至 2018-08-15
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9129447
• 关键词: Accounting; Address; Adolescence; Adolescent; Affect; Age; Alcohol abuse; Alcohol or Other Drugs use; Bisexual; Buffers; Childhood; Data; Data Analyses; Data Set; Development; Disease; Drug abuse; Drug usage; Early identification; Elderly; Environmental Risk Factor; Epidemiologic Studies; Equation; Factor Analysis; Goals; Growth; Heterosexuals; Individual; Intervention; Lesbian; Lesbian Gay Bisexual; Life; Longevity; Measures; Mediating; Mediation; Mediator of activation protein; Mental Health; Minority; Modeling; National Institute of Drug Abuse; Parents; Pathway interactions; Population; Populations at Risk; Prevalence; Prevention program; Preventive Intervention; Preventive treatment; Process; Prospective Studies; Psyche structure; Public Health; Reporting; Research; Risk; Risk Factors; Sampling; Sex Orientation; Sexual abuse; Social support; Source; Stress; Substance Use Disorder; Targeted Research; Testing; Time; United States; Woman; Women Status; Youth; age related; coping; deter alcohol use; early childhood; emotion dysregulation; experience; girls; health disparity; inner city; innovation; intervention program; member; peer; physical abuse; physical assault; prospective; psychologic; public health relevance; resilience; response; sexual minority; stressor; theories; young adult

 DESCRIPTION (provided by applicant): Alcohol and drug abuse among sexual minority women (SMW) is an increasingly recognized public health concern in the United States. Across a multitude of nationally-representative samples, SMW populations report higher rates of substance use and disorder (SU/D) across the lifespan, and further report greater levels of adversity in both childhood and adolescence as members of a stigmatized group.1,2 Although minority stress models suggest that higher levels of adversity may explain mental health disparity among sexual minority populations,3,4 few studies have examined the impact of adversity across development among SMW in predicting SU/D in later life; none have examined psychological mediators of this proposed pathway; and none have examined moderators of this developmental pathway. The goal of the present proposal is to examine the impact of adversity on psychological risk factors of SU/D across development and address protective factors that reduce risk for later SU/D among SMW. Specifically, the proposed study will test whether adversity and subsequent increases in emotion dysregulation (ED) among SMW in childhood and adolescence account for higher levels of SU/D through young adulthood, and will examine whether social support from peers and parents within adolescence buffers this proposed risk pathway. Data will be drawn from 2,278 heterosexual and 173 sexual minority women who participated in the Pittsburgh Girls Study. The Pittsburgh Girls Study is a large, diverse sample of inner-city girls followed prospectively from age 5 to age 23, and contains a large longitudinal sample of SMW ideal for addressing the proposed study aims. Factor analysis, latent growth curve modeling (LGM), and multi-group structural equation modeling (SEM) will be used to test 1) whether ED and adversity experiences in childhood and adolescence predict increases and higher levels of SU/D through young adulthood; 2) whether ED mediates the effects of adversity and SMW status on SU/D, and whether ED moderates the impact of adolescent adversity on SU/D; and 3) whether social support moderates the effect of ED and early and adolescent adversity on later SU/D across sexual orientation groups. Addressing these questions will inform both preventative and treatment intervention efforts to reduce the prevalence of substance disorder among lesbian, gay, and bisexual populations by informing the early identification of environmental risk factors associated with sexual minority status across development; by identifying target psychological processes that have a direct impact on substance use and disorder among lesbian, gay, and bisexual individuals; and by addressing risk and resilience in the context of social support within this at-risk population.

 描述（申请人证明）：在美国的众多公共卫生方面，性少数族裔妇女（SMW）中的酒精和毒品在多种情况下是一个越来越多的公共卫生问题。整个生命周期中的疾病（SU/D），并作为污名化群体的成员进一步报告儿童和青春期的逆境。1，2 GH少数族裔压力模型表明，在性少数少数群体中，高度不利的心理健康健康疾病的偏见很高3,4个研究中有3,4个研究在预测中，该项目途径;关于SU/D的心理风险因素在开发中的心理风险因素，并解决降低SMW中TER SU/D的风险。匹兹堡女孩研究中的Su/d穿过青春期的年轻人。 SMW是解决拟议的AMS分析，潜在生长曲线建模（LGM）和多组结构建模（SEM）的理想选择。成年; 2）ED对SU/D RT的逆境和SMW状态是否适中ED和青少年对后来的SU/D的影响。在女同性恋，同性恋和双性恋中，通过在整个发展中识别与性心理学的性能相关的环境风险因素；这个处于危险的人口。