Environmental Drinking Contexts & Intimate Partner Violence

环境饮酒环境

基本信息

批准号：
9326884
负责人：
CAROL B CUNRADI
金额：
$ 64.06万
依托单位：
PACIFIC INSTITUTE FOR RES AND EVALUATION
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-09-21 至 2020-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9326884
关键词：
Accident and Emergency department Address Affect Aggressive behavior Alcohol abuse Alcohol consumption Alcohols Behavior California Censuses Characteristics Childhood County Couples Data Data Analyses Data Collection Development Disadvantaged Dose Ecology Emergency Department patient Emergency Medicine Emergency Situation Environment Environmental Risk Factor Epidemiologist Ethnography Exposure to Female Frequencies Goals Health system Heavy Drinking Home environment Hospitals Impulsivity Indigent Individual Intervention Interview Link Measures Mental Depression Modeling Neighborhoods Outcome Patient Recruitments Patients Physical aggression Physicians Policies Populations at Risk Prevention Measures Public Health Public Hospitals Recommendation Recruitment Activity Regulation Research Respondent Risk Risk Factors Sampling Social Environment Social Problems Spouses Structure Surveys Testing Underserved Population Violence Woman Work aggression prevention alcohol intervention alcohol-related injury base brief intervention comparative contextual factors cost data archive density density of AOD outlets distilled alcoholic beverage drinking effective intervention ethnic minority population experience gender difference high risk drinking high risk population inner city innovation insight intimate partner violence male men multidisciplinary neighborhood disadvantage patient population prevent public health relevance racial and ethnic response social theories therapy design trauma centers

项目摘要

DESCRIPTION (provided by applicant): A critical barrier to progress in preventing alcohol-related intimate partner violence (IPV) is that little is known about how an individual's specific drinking contexts (i.e., where, how often, and with whom one drinks) are related to IPV, or how these contexts are affected by environmental characteristics, such as alcohol outlet density and neighborhood disadvantage. The putative mechanism is the social environment in which drinking occurs that may promote or strengthen aggressive norms. Once these contexts are known, specific prevention measures can be put in place, including policy-oriented (e.g., regulating outlet density) and individually- oriented (e.g., brief interventions to reduce risk for spousal aggression) measures targeting at-risk populations, and reducing IPV-related disparities. Building on findings that link IPV risk with certain drinking venues (e.g., bars), and density of liquor stores and bars, the objective of this application is to identify how alcohol consumption and drinking contexts affect likelihood for IPV among an at-risk, underserved population of men and women recruited from an urban public hospital's Emergency Department (ED). Since ED patients have elevated rates of IPV, heavy drinking, depression, and other social problems, we purposefully seek to test study hypotheses among a sample recruited in this setting. The project's long-term goal is to develop strategies and policies that reduce alcohol-related IPV by targeting modifiable aspects of the drinking environment (e.g., venue utilization; alcohol outlet zoning regulations). The central hypotheses are that drinking contexts (where, how often, and with whom one drinks) will be associated with risk for IPV; that known IPV risk factors (e.g., adverse childhood experiences; impulsivity; depression) will be associated with drinking contexts, and risk for IPV; and that the associations between known IPV risk factors and drinking contexts will be moderated by density of off-premise outlets and bars and by neighborhood disadvantage. Guided by a multidisciplinary team of social epidemiologists, Emergency Medicine physicians, and alcohol-related injury experts, the project's objective will be addressed with three specific aims: (1) Identify aspects of alcohol consumption and drinking context that are associated with the occurrence and frequency of IPV; (2) Determine the extent that known IPV risk factors are associated with drinking contexts; and (3) Determine if the associations between known IPV risk factors and drinking contexts are moderated by density of off-premise outlets and bars and by neighborhood social disadvantage. As a secondary aim, gender differences will be explored for all drinking context-IPV outcomes. Project innovation includes a new application of social ecology theory and use of context-specific dose-response models that differentiate between the effects of the drinker's social environment (e.g., exposure to bars in respondent and adjacent neighborhoods) and amount of alcohol consumed in that environment. The proposed research is significant because it will advance understandings of how IPV is related to frequency of venue use and other contextual and environmental factors.

描述（通过应用程序提供）：针对酒精相关的亲密伴侣暴力（IPV）的关键障碍（IPV）知道个人的特定饮酒环境如何（即，在哪里，在哪里，与谁饮料）与IPV有关上下文是环境的特征，例如酒精植物的劣势。调节出口密度）和以个人为导向（例如富有侵略性的墨水场所（例如，酒吧）和酒店和酒吧的密度是确定酒精消耗和饮酒环境如何影响IPV的可能性，在城市公共招待所（ED）中招募的高风险，服务不足的男子和女性。 IPV，大量饮酒和其他社会问题的速度，我们故意试图在此环境中招募研究假设放大器。环境（例如，场地利用；酒精出口分区法规）是饮酒环境（其中，频率，与谁喝酒）将与IPV的风险相关与已知的IPV风险因素和饮酒环境之间的关联相关的饮酒环境将受到新的渠道和酒吧的密度，以及由社会表皮生理学专家的多学科团队的指导。具体目的：（1）确定饮酒和饮酒帽的各个方面与IPV的发生和自由相关；作为崇高的目标，所有所有创新都将探索性别差异。例如，暴露于响应和附带的酒吧和酒精含量的数量。拟议的研究很重要。