Testing associations among sexual identity, race/ethnicity, relationship characteristics, and hazardous drinking

测试性别认同、种族/民族、关系特征和危险饮酒之间的关联

基本信息

批准号：
9763387
负责人：
Cindy B Veldhuis
金额：
$ 6.82万
依托单位：
COLUMBIA UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-09-01 至 2020-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9763387
关键词：
Address Adult African American Alcohol abuse Alcohol consumption Alcohol dependence Alcohols Applications Grants Behavior Bisexual Brain Diseases Buffers Characteristics Chicago Childhood Chronic Color Communities Complex Coping Behavior Couples Data Data Analyses Data Set Development Discrimination Distress Ethnic Origin Event Exposure to Faculty Female General Population Goals Health Health behavior Heart Diseases Heavy Drinking Heterosexuals High Risk Woman Homophobia Inequality Injury Intervention Intoxication Latina Lead Lesbian Lesbian Gay Bisexual Transgender Life Life Experience Light Link Literature Liver diseases Malignant Neoplasms Manuscripts Marriage Mediating Mediation Mental Health Mentorship Minority Modeling National Research Service Awards Outcome Population Heterogeneity Positioning Attribute Race Reporting Research Research Design Research Personnel Risk Risk Behaviors Risk Factors Role Same-sex Sampling Sex Bias Sex Orientation Source Stress Sum Supreme Court Decisions Symptoms Testing Time Training Training Programs United States Universities Victimization Vulnerable Populations Woman Women&apos s Group Writing alcohol measurement alcohol related problem alcohol research base binge drinking career contextual factors coping drinking ethnic difference ethnic identity ethnic minority population experience hazardous drinking health disparity help-seeking behavior high risk indexing interest intersectionality longitudinal dataset men physical conditioning programs protective factors racial and ethnic racial and ethnic disparities racism same-sex partnership sexual identity sexual minority social social stigma stress management stressor symposium theories therapy development

项目摘要

Abstract Sexual minority women (SMW; lesbian, bisexual) are 11 times as likely as heterosexual women to meet criteria for alcohol dependence, and 8 times as likely to report seeking help for alcohol-related problems, indicating a disproportionately high risk of hazardous drinking (HD) and associated health risks. HD is operationalized as an index that includes heavy episodic drinking, intoxication, adverse drinking consequences, and symptoms of alcohol dependence. SMW's high risk for HD has been linked to lifetime exposure to multiple and chronic stressors. Although the association between stress and alcohol use is well-established, little is known about the association between relationships, stress, and alcohol use among same-sex female couples. Intimate relationships confer many benefits, and are protective against stress-related negative health outcomes. Conversely, relationship stress may lead to unhealthy coping behaviors, such as HD. Although more than half of SMW in the United States are married or cohabiting, and estimates suggest that up to 50% of same-sex couples will marry within three years of the Supreme Court decision on marriage equality, there is a paucity of research on SMW's intimate relationships and health, and even less research on these associations among SMW of color. Given that hazardous drinking is among the most prominent sexual-orientation-related health disparities in women, there is a critical need to understand the role of alcohol in SMW's intimate relationships. This National Service Research Award (F32) application integrates training and research designed to develop the applicant's expertise in alcohol research and sexual-orientation-related health disparities, with the overarching aim of supporting the candidate in becoming an independent researcher with the ultimate goal of obtaining a faculty position at a major research university and conducting research on sexual-orientation-related health disparities. To accomplish her career and research goals, the applicant requires training in: (1) SMW's health with a focus on hazardous drinking, (2) racial/ethnic disparities and intersectionality, (3) complex data analysis, and (4) professional development, including competitive grant application and manuscript writing. This training program combines mentorship with coursework, seminars, and conferences to enable the applicant to build a strong and impactful program of research addressing critical interpersonal and contextual factors that contribute to SMW's hazardous drinking. In the proposed research, we will examine relationship characteristics and hazardous drinking by taking into account the larger context in which SMW relationships exist, including racial/ethnic and sexual identity differences in the potential effects of multiple stressors on drinking and drinking-related outcomes. We will use a rich dataset to address the following research aims: (1) Using a large, diverse sample of SMW, we will test two competing models—whether the effects of sexual identity and race/ethnicity are: a) additive or b) multiplicative in the associations between relationship status and hazardous drinking. (2). Cross-sectionally and longitudinally examine associations among relationship status, race/ethnicity, stress, and hazardous drinking.

抽象的性少数女性（SMW；女同性恋、双性恋）符合性取向标准的可能性是异性恋女性的 11 倍酒精依赖，并且报告因酒精相关问题寻求帮助的可能性是其他人的 8 倍，这表明危险饮酒 (HD) 的高风险和相关的健康风险被视为一种风险。指数，包括大量饮酒、中毒、饮酒不良后果和酒精症状 SMW 患 HD 的高风险与终生接触多种慢性压力源有关。压力和饮酒之间的联系已被确定，但人们对人际关系之间的联系知之甚少，同性女性伴侣之间的压力和饮酒带来许多好处，并且具有保护作用。线下，关系压力可能会导致不健康的应对行为，尽管美国一半以上的 SMW 已婚或同居，但估计表明多达 50% 的同性伴侣将在最高法院做出婚姻平等判决后三年内结婚，对SMW亲密关系与健康关系的研究甚少，对这些关系的研究更是少之又少。鉴于危险饮酒是与性取向相关的最突出的健康差异之一。对于女性来说，了解酒精在 SMW 亲密关系中的作用至关重要。研究奖（F32）申请整合了培训和研究，旨在培养申请人的酒精专业知识研究和与性取向相关的健康差异，总体目标是支持候选人成为一名独立研究员，最终目标是在主要研究型大学获得教职为了实现她的职业和研究目标，她进行了与性取向相关的健康差异的研究。申请人需要接受以下方面的培训：(1) SMW 的健康，重点是危险饮酒，(2) 种族/民族差异和交叉性，（3）复杂的数据分析，以及（4）专业发展，包括竞争性拨款申请和该培训计划将指导与课程作业、研讨会和会议相结合，以实现稿件写作。申请人建立一个强大且有影响力的研究计划，解决关键的人际关系和背景因素在拟议的研究中，我们将研究关系特征和影响 SMW 危险饮酒的因素。考虑到 SMW 关系存在的更大背景，包括种族/民族，从而确定危险饮酒多种压力因素对饮酒和饮酒相关结果的潜在影响的性别认同差异。将使用丰富的数据集来实现以下研究目标：（1）使用大量、多样化的 SMW 样本，我们将测试两个竞争模型——性别认同和种族/民族的影响是否是：a）加法或b）乘法 (2) 横断面和纵向检查。关系状况、种族/民族、压力和危险饮酒之间的关联。