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.

抽象的性少数族裔妇女（SMW；女同性恋，双性恋）的可能性是异性恋妇女的11倍酒精依赖，报告寻求与酒精有关的问题的帮助的可能性是危险饮酒（HD）和相关健康风险的高度高风险。高清被运行为包括大量饮酒，醉酒，不良饮酒后果和酒精症状的指数依赖。 SMW的高清高风险与终身暴露于多个和慢性应激源有关。虽然压力与饮酒之间的关联是完善的，对关系之间的关联知之甚少同性雌性夫妇中的压力和饮酒。亲密关系会议会议许多好处，并受到保护反对与压力相关的负面健康结果。相反，关系压力可能导致不健康的应对行为，例如高清。尽管在美国，超过一半的SMW已婚或同居，并且估计表明在最高法院关于婚姻平等的决定后的三年内，多达50％的同性夫妇将结婚对SMW的亲密关系和健康的研究很少，甚至对这些关联的研究甚至更少 SMW颜色。鉴于危险饮酒是与性方向相关的最突出的饮酒之一妇女，迫切需要了解酒精在SMW的亲密关系中的作用。这项国民服务研究奖（F32）应用程序综合培训和研究旨在发展该应用程序的酒精专业知识研究和与性方向相关的健康分配，总体目的是支持候选人成为一名独立研究人员，其最终目标是在一所主要的研究中获得教师职位并研究与性方向相关的健康差异。为了实现她的职业和研究目标，申请人需要培训：（1）SMW的健康，重点是危险饮酒，（2）种族/种族差异和交叉口，（3）复杂的数据分析和（4）专业发展，包括竞争性赠款应用和手稿写作。该培训计划将Mentalship与课程工作，半手级和会议相结合，以实现申请人建立一个强大而有影响力的研究，以解决关键人际关系和上下文因素的研究这导致了SMW的危险饮酒。在拟议的研究中，我们将研究关系特征和考虑到SMW关系的较大背景，包括种族/种族，危害饮酒以及多种压力源对饮酒和饮酒相关结果的潜在影响的性认同差异。我们将使用丰富的数据集来解决以下研究的目的：（1）使用SMW的大型潜水员样本，我们将测试两个竞争模型 - 性别身份和种族/种族的影响是：a）加法或b）在关系状况与危险饮酒之间的关联。（2）。横截面和纵向检查关系状况，种族/种族，压力和危险饮酒之间的关联。