A longitudinal investigation of intersectional discrimination, alcohol use outcomes, and underlying mechanisms among bisexual people of color

对有色人种双性恋者的交叉歧视、饮酒结果和潜在机制的纵向调查

• 批准号: 10823696
• 负责人: Roberto Renteria
• 金额: $ 7.36万
• 依托单位: ROSALIND FRANKLIN UNIV OF MEDICINE & SCI
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-30 至 2025-09-29
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10823696
• 关键词: Address; Adult; Affect; Alcohol consumption; Alcohols; Attention; Award; Bisexual; Buffers; Communities; Conflict (Psychology); Data; Data Collection; Discrimination; Disparity; Ethnic Origin; Future; Gays; Gender; Goals; Grant; Health; Heterosexuals; Intervention; Investigation; Lesbian; Lesbian Gay Bisexual Transgender Queer; Longitudinal Studies; Manuscripts; Measurement; Measures; Mediator; Outcome; Participant; Persons; Population; Public Health; Race; Research; Risk; Scientist; Sex Orientation; Statistical Data Interpretation; Subgroup; Surveys; Symptoms; Testing; Time; Training; Writing; alcohol risk; alcohol use disorder; binge drinking; career; coping; disparity reduction; drinking; ethnic discrimination; ethnic identity; experience; implementation intervention; insight; pansexual; people of color; perceived discrimination; person centered; prospective; protective factors; psychological distress; queer; racism; sexual minority group; theories

Project Summary Bisexual and other multi-gender attracted people (e.g., pansexual, queer; “bi+”) are disproportionately affected by adverse alcohol use outcomes (e.g., heavy episodic drinking, drinking consequences, alcohol use disorder [AUD] symptoms) compared to both heterosexual and gay/lesbian people, and discrimination has been implicated as a key driver of these disparities. People of color (POC) are especially likely to identify as bi+, and bi+ POC are subjected to unique forms of discrimination at the intersection of sexual orientation and race/ethnicity. Still, very few studies have examined risk for alcohol use outcomes among bi+ POC, leaving critical gaps in our understanding of risk in this population. In particular, there has been a lack of attention to the range of discriminatory experiences affecting bi+ POC (i.e., bi+, racial/ethnic, and intersectional discrimination, such as heterosexism within one’s racial/ethnic community and racism within the LGBTQ+ community) and their associations with alcohol use outcomes. Evidence indicates that bi+ discrimination is associated with heavy episodic drinking, drinking consequences, and AUD symptoms, but these studies have not attended to other forms of discrimination that affect bi+ POC and their effects on alcohol use outcomes over time. The proposed study will address these gaps by examining prospective associations between discrimination (bi+, racial/ethnic, and intersectional) and alcohol use outcomes among bi+ POC, testing theory- driven mediators and moderators of these associations, and identifying subgroups with the greatest risk based on similar discrimination profiles. To do so, the proposed study will use data from a longitudinal study of 500 bi+ adults, which includes 300 bi+ POC. Participants will complete 4 surveys at 6-month intervals, including measures of: heavy episodic drinking, drinking consequences, and AUD symptoms; bi+, racial/ethnic, and intersectional discrimination; coping motives and identity conflict; and bi+ and racial/ethnic identity affirmation. The primary goals of the proposed study are to: 1) examine prospective associations between discrimination, underlying mechanisms, and alcohol use outcomes among bi+ POC; 2) test identity-related protective factors as moderators of associations between discrimination and alcohol use outcomes; and 3) identify latent profiles based on shared discrimination experiences to identify subgroups of bi+ POC at greatest risk. Findings from this research will provide essential insights into risk for adverse alcohol use outcomes, underlying mechanisms, protective factors, and who is at greatest risk among bi+ POC and establish foundational longitudinal evidence to inform interventions to reduce disparities in this population. This award will also provide the applicant with training in intersectional bi+ health research, alcohol use research, advanced longitudinal statistical analysis, and grant writing necessary to launch his career as an independent scientist.

项目摘要 双性恋和其他多性的吸引人（例如，pansexual，Queer;“ Bi+”）是不成比例的 受酒精使用结果的影响（例如，大量的情节饮酒，饮酒后果，酒精使用 与异性恋和同性恋者相比，疾病[AUD]症状）和歧视 被认为是这些差异的关键驱动力。有色人种（POC）特别有可能确定为 BI+和BI+ POC在性取向和 种族/种族。尽管如此，很少有研究检查了BI+ POC中酒精使用结果的风险 我们对这一人群风险的理解的关键差距。特别是，缺乏关注 影响BI+ POC的歧视性经历的范围（即BI+，种族/种族和交叉 歧视，例如在一个人的种族/族裔社区中的异性恋和LGBTQ+内的种族主义 社区）及其与酒精使用成果的关联。证据表明BI+歧视是 与大量的饮酒，饮酒后果和AUD症状有关，但是这些研究已 不参加其他形式的歧视，这些歧视影响BI+ POC及其对酒精使用结果的影响 随着时间的推移。拟议的研究将通过检查前瞻性关联来解决这些差距 BI+ POC之间的歧视（BI+，种族/种族和交叉）和酒精使用结果，测试理论 - 这些关联的驱动调解人和主持人，并确定具有最大风险的亚组 在类似的歧视概况上。为此，拟议的研究将使用500的纵向研究中的数据 BI+成年人，其中包括300个BI+ POC。参与者将以6个月的间隔完成4项调查，包括 措施：大量的情节饮酒，饮酒后果和aud符号； Bi+，种族/种族，以及 交叉歧视；应对动机和身份冲突；和BI+以及种族/种族身份冲突。 拟议研究的主要目标是：1）检查歧视之间的前瞻性关联， BI+ POC之间的基本机制和酒精使用结果； 2）测试与身份相关的保护因素 作为歧视与酒精使用结果之间关联的主持人； 3）识别潜在概况 基于共同的歧视经验，以确定最大风险的BI+ POC子组。来自 这项研究将为广告饮酒结果的风险提供基本的见解，基础 机制，受保护因素以及BI+ POC和机构基础的最大风险 纵向证据，以告知干预措施以减少该人群的分布。该奖项也将 为申请人提供培训交叉培训+健康研究，酒精使用研究，高级 纵向统计分析和授予写作，以启动他作为独立科学家的职业。