Latinx Hazardous Drinkers: Evaluating Microaggressions

拉丁裔危险饮酒者：评估微侵犯

• 批准号: 10807529
• 负责人: Brooke Y Redmond
• 金额: $ 19.42万
• 依托单位: UNIVERSITY OF HOUSTON
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-20 至 2028-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10807529
• 关键词: Academic support; Adult; Affect; Alcohol consumption; Alcohols; Anxiety; Anxiety Disorders; Area; Caring; Chronic; Clinical Investigator; Complex; Development; Diagnostic; Discrimination; Disease; Distress; Ecological momentary assessment; Equipment and supply inventories; Esthesia; Ethnic Origin; Ethnic Population; Evaluation; Exposure to; Feeling; Female; Fostering; Frequencies; Funding Mechanisms; Future; Goals; Health; Health behavior; Individual; Intention; Intervention; Investigation; Knowledge; Latinx; Latinx population; Leadership; Link; Memory; Mental Health; Mentored Patient-Oriented Research Career Development Award; Mentorship; Methodology; Methods; Minor; Minority; Modeling; Motivation; Nature; Outcome; Participant; Pathway interactions; Persons; Prejudice; Prevention; Process; Public Health; Race; Reporting; Research; Research Design; Research Personnel; Risk Factors; Role; Sampling; Smoking; Smoking Behavior; Stress; Stressful Event; Subgroup; Symptoms; Testing; Thinking; Time; Training; Translational Research; United States; Work; advanced analytics; alcohol craving; alcohol misuse; alcohol use disorder; anxiety sensitivity; anxiety symptoms; career development; catalyst; clinical training; comorbidity; coping; design; drinking; ethnic identity; experience; hazardous drinking; health disparity; health disparity populations; health inequalities; improved; male; microaggression; minority stress; neglect; non-verbal; novel; personalized approach; prospective; racial discrimination; racial population; racism; research data dissemination; resilience; skills; stem; stressor; time use; verbal

PROJECT SUMMARY/ABSTRACT This is an application for a Mentored Patient-Oriented Research Career Development Award (K23) to support the academic career development of the applicant. The candidate's long-term goal is to become an independent clinical investigator and leader in the theoretical understanding, treatment, and intervention of hazardous drinking and anxiety among Latinx persons. The applicant has conducted research on transdiagnostic processes (predominantly anxiety sensitivity) and their association to health behavior research (predominately focused on smoking) among non-Latinx White individuals. More recently, the applicant has engaged in research focused on alcohol use among Latinx individuals as well as minority stress as it relates to smoking behaviors among Latinx persons. Thus, the applicant proposes to build on her past and more recent research experience, as well as her clinical training, in mental health and follows a logical, but novel, progression from prior research and training experiences to development of a new area of expertise in the design and evaluation of alcohol- and anxiety-related processes among Latinx persons who may be impacted by minority-related stressors. Mentorship will be provided by a group of exemplar senior investigators and will foster the candidate's development in this new area of research. The applicant proposes a comprehensive training plan that includes development in five areas: (1) theoretical and empirical knowledge relevant to minority stress models in the context of hazardous drinking and anxiety among Latinx adults, (2) advanced longitudinal research design through Ecological Momentary Assessments (EMA), (3) experiential avoidance (EA) as a transdiagnostic mechanism, (4) advanced analytic training, and (5) advanced research skills in research dissemination, leadership, and grantsmanship. Through this funding mechanism, the candidate’s proposed study aims to: (1) examine the influence of microaggressions (MAs) – brief, subtle forms of everyday discrimination due to racial/ethnic status – on alcohol use motivation and hazardous drinking, (2) examine the influence of MAs on anxiety experience, (3) explore the mechanisms underlying these relations by evaluating the indirect effects of MAs on alcohol- and anxiety-related processes via EA, and (4) explore moderators of alcohol- and anxiety-related processes, including cultural-specific constructs (e.g., ethnic identity, familisimo, acculturative stress among 200 Latinx adults who are hazardous drinkers. Moreover, we seek to elucidate if MAs are distinct from, and more impactful than, non-discriminatory daily stressors and overt racism on the proposed outcomes. This proposal is conceptualized as a prototypical example of translational research that can explicate mechanisms from a multi-method framework to enhance our understanding of complex minority stress and hazardous drinking and anxiety relations and serve as a catalyst for future work in this emerging domain among a health disparities group. The knowledge and experience gained from this proposal will equip the candidate with a unique set of skills to advance knowledge in this important but understudied area.

项目概要/摘要 这是一份以患者为导向的研究职业发展奖 (K23) 的申请，以支持 申请人的学术生涯发​​展。 独立临床研究者和理论理解、治疗和干预方面的领导者 申请人对拉丁裔人群中的危险饮酒和焦虑进行了研究。 跨诊断过程（主要是焦虑敏感性）及其与健康行为研究的关联 （主要集中在吸烟）非拉丁裔白人中 最近，申请人发现。 从事研究的重点是拉丁美洲人的酒精使用情况以及与少数民族压力有关的问题 因此，申请人建议以她过去和最近的吸烟行为为基础。 在心理健康方面的研究经验以及她的临床培训，并遵循逻辑但新颖的， 从之前的研究和培训经验到开发新的专业领域 设计和评估可能受影响的拉丁裔人群中与酒精和焦虑相关的过程 由少数族裔相关的压力源提供指导，并将由一组模范高级调查员提供指导。 促进候选人在这一新研究领域的发展申请人提出了全面的建议。 培训计划包括五个方面的发展：（1）相关的理论和经验知识 拉丁裔成年人危险饮酒和焦虑背景下的少数压力模型，(2) 高级 通过生态瞬时评估（EMA）进行纵向研究设计，（3）经验性回避 （EA）作为跨诊断机制，（4）高级分析培训，以及（5）高级研究技能 通过这种资助机制，候选人的研究传播、领导力和资助能力。 拟议的研究旨在：（1）检查微侵犯（MA）的影响——日常生活中简短、微妙的形式 由于种族/族裔身份而产生的歧视 – 关于饮酒动机和危险饮酒，(2) 检查 MA对焦虑体验的影响，（3）通过评估来探索这些关系背后的机制 MAs 通过 EA 对酒精和焦虑相关过程的间接影响，以及 (4) 探索调节因素 与酒精和焦虑相关的过程，包括特定文化的构建（例如，种族认同、熟悉感、 此外，我们试图阐明 200 名危险饮酒者的文化压力。 MA 不同于非歧视性的日常压力源和公开的种族主义，而且比它们更有影响力。 该提案被概念化为转化研究的典型例子。 可以从多方法框架中阐明机制，以增强我们对复杂少数群体的理解 压力、危险饮酒和焦虑关系，并作为这一新兴领域未来工作的催化剂 从该提案中获得的知识和经验将有助于健康差异群体的领域。 候选人拥有一套独特的技能，可以提升这一重要但尚未得到充分研究的领域的知识。