Stress, hazardous drinking and intimate partner aggression in a diverse sample of women and their partners

不同女性及其伴侣样本中的压力、危险饮酒和亲密伴侣攻击行为

基本信息

批准号：
10205946
负责人：
TONDA L HUGHES
金额：
$ 51.01万
依托单位：
COLUMBIA UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-10 至 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10205946
关键词：
Address Affect Age Aggressive behavior Alcohol consumption Alcohols Anger Area Bisexual Chicago Child Abuse Conflict (Psychology)Cost Savings Couples Data Development Enrollment Ethnic Origin Female Funding Gender Health Heavy Drinking Heterosexuals Individual Intervention Interview Intoxication Knowledge Latina Lead Length Lesbian Life Experience Link Longitudinal Studies Mediating Mediator of activation protein Mental Depression Minority Modeling Participant Pathway interactions Pattern Perception Play Population Principal Investigator Process Prospective Studies Public Health Race Reporting Research Resources Risk Risk Factors Role Sampling Sex Orientation Social support Stigmatization Stress Testing United States Victimization Vulnerable Populations Woman base binge drinking cohort coping drinking emotion regulation experience hazardous drinking health disparity interest lens male member men negative affect partner aggression perpetrators preventive intervention programs protective factors psychologic psychosocial public health relevance recruit sexual identity sexual minority social exclusion social stigma sociodemographic variables sociodemographics stressor trait

项目摘要

PROJECT SUMMARY Intimate partner aggression (IPA; physical, sexual, psychological) is a serious public health problem that affects more than one in three women in the United States. Although research on IPA among sexual minority women (SMW; lesbian, bisexual) is relatively new, research suggests that they may be at greater risk than heterosexual women. Given that alcohol use is a major contributing factor to IPA in heterosexual couples, and given findings (ours and others') demonstrating that SMW are substantially more likely than heterosexual women to drink alcohol, drink heavily, and to experience drinking- related problems, it is likely that alcohol plays an important role in IPA in SMW's relationships. However, there are large gaps in research on alcohol use and IPA among SMW. IPA research has historically taken a gendered perspective (women as victims/men as perpetrators) and for the most part has concentrated on either victims or perpetrators, not both. Research focused simultaneously on SMW and their partners can illuminate how individual- and couple-level factors operate outside the individualistic and gendered lens in this understudied and vulnerable population—and ultimately lead to culturally tailored interventions. Guided by a recent extension of the minority stress model to include the relational (couple-level) context of sexual minority stress, as well as the I3 (I-Cubed) theoretical perspective on IPA perpetration, we propose to collect individual and dyadic data to better characterize the links between hazardous drinking (HD) and IPA among SMW and their partners. The proposed project will draw from large and diverse cohort of SMW currently enrolled the Chicago Health and Life Experiences of Women (CHLEW)—a 19-year prospective study. The CHLEW focuses on understanding mechanisms linking minority sexual orientation and HD, defined in this study using several indicators such as heavy drinking, heavy episodic drinking, and intoxication. Specifically, we will recruit CHLEW participants and their partners to participate in the CHLEW Couples study. Thus, the proposed study offers an efficient and cost-saving opportunity to recruit a diverse sample that will contribute to understanding and ultimately reducing health disparities between SMW and heterosexual women. The aims of the project are to (1) examine associations among minority stress, HD and IPA in SMW and their partners; (2) examine potential mediators and moderators of the associations between minority stress and HD and IPA; and (3) guided by the I3 (I-cubed) theoretical perspective, test models that include effects of instigating factors (e.g., relationship conflict), impelling factors (e.g., minority stress, negative affect, trait anger), and inhibiting (e.g., relationship commitment, emotion regulation) or dis-inhibiting (e.g., HD) factors on IPA perpetration. This study builds on the Principal Investigator's unprecedented longitudinal study of SMW's alcohol use and its diverse sample and expands this unique program of research to explore the links between HD and IPA. Achieving the proposed aims will help fill important gaps in knowledge and will provide the basis for future research aimed at clarifying the causal pathways linking HD and IPA—which will, in turn, support the development of culturally appropriate individual and dyadic prevention and intervention strategies tailored to the needs of SMW.

项目概要亲密伴侣攻击行为（IPA；身体、性、心理）是一个严重的公共卫生问题，影响超过尽管对性少数女性（SMW；女同性恋、双性恋）相对较新，研究表明，鉴于酒精，她们可能比异性恋女性面临更大的风险。使用是异性伴侣中 IPA 的一个主要影响因素，并且鉴于（我们和其他人的）研究结果表明，与异性恋女性相比，SMW 更有可能饮酒、酗酒和经历饮酒—— 相关问题，酒精很可能在 SMW 的 IPA 中发挥着重要作用。 SMW 中酒精使用和 IPA 研究方面的差距 IPA 研究历来采取性别视角（女性）。研究同时关注 SMW 及其合作伙伴可以阐明个人和夫妻层面的因素如何在外部运作在这个未被充分研究的弱势群体中，个人主义和性别视角——并最终导致文化上的以最近少数群体压力模型的扩展为指导，将关系（夫妻层面）纳入其中。考虑到性少数压力的背景，以及 I3 (I-Cubed) 对 IPA 实施的理论视角，我们建议收集个人和二元数据，以更好地描述 SMW 中有害饮酒 (HD) 和 IPA 之间的联系拟议的项目将来自目前在芝加哥注册的大量且多样化的 SMW 群体。女性健康和生活经历 (CHLEW)——一项为期 19 年的前瞻性研究，重点在于了解。少数群体性取向与 HD 之间的联系机制，在本研究中使用了多个指标来定义，例如重具体来说，我们将招募 CHLEW 参与者及其伴侣来参与。因此，拟议的研究提供了一个高效且节省成本的机会。招募多样化的样本，这将有助于了解并最终减少 SMW 和 SMW 之间的健康差异该项目的目的是 (1) 研究 SMW 中少数族裔压力、HD 和 IPA 之间的关联。及其合作伙伴；（2）检查少数群体压力与 HD 之间关联的潜在调节因素和调节因素； IPA；(3) 以 I3（I 立方）理论视角为指导，测试模型，其中包括刺激因素的影响（例如，关系冲突）、推动因素（例如少数群体压力、负面情绪、特质愤怒）和抑制因素（例如关系冲突）承诺、情绪调节）或去抑制（例如 HD）因素对 IPA 实施的影响。首席研究员对 SMW 的饮酒情况及其多样化样本进行了前所未有的纵向研究，并扩展了这一研究探索 HD 和 IPA 之间联系的独特研究计划将有助于实现所提出的目标。知识差距，并将为未来的研究奠定基础，旨在阐明 HD 与 HD 之间的因果关系。 IPA——反过来，它将支持发展文化上适当的个人和二元预防和适合 SMW 需求的干预策略。