Microaggressions and Hazardous Drinking among non-Latinx Black Individuals with Chronic Pain

患有慢性疼痛的非拉丁裔黑人的微攻击和危险饮酒

• 批准号: 10641739
• 负责人: Tanya Smit
• 金额: $ 3.84万
• 依托单位: UNIVERSITY OF HOUSTON
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-01 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10641739
• 关键词: Accounting; Adult; Affect; Alcohol consumption; Alcohol dependence; Alcohols; American; Area; Black Populations; Black race; Crime; Data; Disparity; Ethnic Origin; Etiology; Female; Frequencies; Future; Goals; Healthcare Systems; Individual; Individual Differences; Intention; Intervention; Link; Maintenance; Mental Health; Methodology; Minority; Modeling; Motivation; National Institute on Alcohol Abuse and Alcoholism; Nature; Neighborhoods; Outcome; Pain; Pain intensity; Pain interference; Participant; Patients; Pattern; Persons; Population; Populations at Risk; Poverty; Prevalence; Prevention; Process; Provider; Public Health; Race; Recurrence; Religiosity; Reporting; Research; Research Project Grants; Research Support; Risk; Role; Sampling; Strategic Planning; Stress; Symptoms; Testing; Thinking; United States National Institutes of Health; Work; alcohol craving; alcohol misuse; alcohol misuse prevention; alcohol related consequences; alcohol related problem; alcohol use disorder; binge drinking; chronic pain; comorbidity; comparative; coping; demographics; disability; distress tolerance; drinking; emotional symptom; ethnic identity; experience; hazardous drinking; health disparity; health disparity populations; health equity; high risk drinking; improved; male; marginalized population; microaggression; minority health; minority stress; neglect; non-verbal; perceived discrimination; physical conditioning; poor health outcome; preventable death; psychologic; racial discrimination; racism; resilience factor; social; stressor; substance use; time use; verbal

PROJECT SUMMARY/ABSTRACT Hazardous drinking and chronic pain are both highly prevalent and frequently comorbid public health conditions that exact a significant burden on patients, providers, and health care systems.1,2 Indeed, non-Latinx Black adults with chronic pain are more likely to report greater pain intensity, increased avoidance of activities due to pain, greater fearful thinking related to pain, and greater physical and psychological disability in the context of their chronic pain experience when compared their non-Latinx White counterparts.3-6 Despite there being lower rates of drinking among non-Latinx Black adults, they experience greater negative consequences (e.g., alcohol dependence symptoms and social consequences) for drinking than non-Latinx White adults.7 Additionally, compared to their non-Latinx White counterparts, alcohol-dependent non-Latinx Black adults have an increased likelihood of experiencing recurrent and persistent alcohol dependence.8 Minority stress-based models of substance use and mental health outcomes posit that marginalized groups, such as non-Latinx Black adults, are vulnerable to problematic substance use via common racial/ethnic microaggressions (MAs), defined as verbal or non-verbal indignities that insult or put down people because of their race/ethnicity.9 Extant work among non-Latinx Black individuals has only initially documented the negative impact of MAs on alcohol use.10 There is a need to understand the longitudinal nature of MAs and alcohol use motivation (i.e., greater alcohol craving, intention to drink, and coping-oriented motives for alcohol use) and drinking (i.e., greater alcohol consumption, greater frequency of drinking, and more negative consequences from drinking) among non-Latinx Black adults who are hazardous drinkers with chronic pain. The proposed research project supports the 2017-2021 strategic plan of the National Institute on Alcohol Abuse and Alcoholism (NIAAA) by advancing research in two of the key areas. First, the current proposal has the goal of improving strategies to prevent alcohol misuse, alcohol use disorder, and alcohol-related consequences among an ‘at-risk’ population for these conditions (goal 3). Second, it enhances the public health impact of NIAAA-supported research, by focusing on one of the largest demographics in the US who demonstrate disparities in hazardous drinking (goal 5). Further, the proposal contributes to research on health disparities and comorbidities, which represent two of the cross-cutting research themes of NIAAA. 2

项目摘要/摘要 危险饮酒和慢性疼痛都非常普遍，并且经常合并公共卫生 对患者，提供者和医疗保健系统的严重燃烧的条件。1,2确实，非LATINX 慢性疼痛的黑人成年人更有可能报告更大的疼痛强度，增加活动的避免 由于疼痛，与疼痛有关的更大的恐惧思维以及更大的身体和心理残疾 当他们的非latinx白色对应物比较时，他们的慢性疼痛经历的背景是3-6 在非LATINX黑人成年人中饮酒率较低，他们会遭受更大的负面影响 （例如，酒精依赖症状和社会后果）与非latinx白人成人相比。7 此外，与非LATINX白色对应物相比，酒精依赖性的非LATINX黑人成年人具有 经验经验的可能性增加了，依赖性和持续性酒精依赖性。8少数基于压力 物质使用和精神健康结果的模型，将分支的群体（例如非LATINX） 黑人成年人很容易通过常见的种族/种族微侵略（MAS）遭受有问题的物质使用（MAS） 定义为由于种族/民族而侮辱或放下人的口头或非语言侮辱。9 非Latinx黑人个人中现有的工作最初仅记录了MAS对 10需要了解MAS和酒精使用动机的纵向性质（即， 更渴望酒精，喝酒的意图以及以饮酒为导向的动机）和饮酒（即 更大的酒精消耗，更大的饮酒频率以及饮酒的负面影响更多） 在非LATINX黑人成年人中，他们是慢性疼痛的危险饮酒者。拟议的研究项目 支持美国国家酒精滥用与酒精中毒研究所（NIAAA）的2017 - 2021年战略计划 推进两个关键领域的研究。首先，当前的提议的目的是改善策略 防止滥用酒精，酒精使用障碍和与酒精相关的后果 对于这些条件（目标3）。其次，它增强了NIAAA支持研究的公共卫生影响， 专注于美国最大的人口统计师之一，他们展示了危险饮酒的分布（目标 5）。此外，该提案有助于研究健康差异和合并症，这代表了其中两个 NIAAA的横切研究主题。 2