A mixed-methods approach to understanding stress and hazardous drinking among same-sex female couples

了解同性女性伴侣的压力和危险饮酒的混合方法

基本信息

批准号：
10655846
负责人：
Cindy B Veldhuis
金额：
$ 24.88万
依托单位：
NORTHWESTERN UNIVERSITY AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-01 至 2025-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10655846
关键词：
Acceleration Address Affect Alcohol consumption Area Award Bisexual Buffers Characteristics Chronic Coping Behavior Coping Skills Couples Data Development Discrimination Event Exclusion Exposure to Faculty Female Frequencies Funding General Population Geography Goals Health Health Benefit Health behavior Heterosexuals Individual Institution Interview Laboratories Lead Lesbian Link Literature Marriage Measures Mentors Mentorship Methodology Methods Minority Monitor Motivation National Institute on Alcohol Abuse and Alcoholism National Research Service Awards New York City Outcome Pathway interactions Phase Populations at Risk Positioning Attribute Postdoctoral Fellow Psychologist Recording of previous events Research Research Activity Research Personnel Resources Risk Role Same-sex Sampling Scientist Secure Sex Orientation Source Stress Surveys Testing Theoretical model Time TimeLine Training Training Activity United States National Institutes of Health Universities Woman alcohol misuse alcohol research alcohol use disorder analytical method career career development drinking drinking behavior emotion regulation experience female couples hazardous drinking health disparity high risk innovation member minority stress minority stressor novel professor programs psychologic recruit response same-sex partnership satisfaction sexual minority health sexual minority women social stigma stress management stressor substance use symposium tenure track therapy development

项目摘要

PROJECT SUMMARY/ABSTRACT. Sexual minority women (SMW; e.g., lesbian, bisexual) are 6-7 times as likely as heterosexual women to meet criteria for alcohol use disorder, indicating a disproportionately high risk of hazardous drinking (HD) and associated negative health outcomes. SMW's elevated HD risk is believed to be caused, in large part, by lifetime exposure to multiple and chronic stressors. Although the association between stress and HD is well-established, little is known about how relationship characteristics influence stress and HD among SMW. Intimate relationships confer many benefits and are protective against stress-related negative health outcomes. Conversely, relationship stress may lead to unhealthy coping behaviors, such as HD. The proposed study aims to understand the role of HD within same-sex female couples using both qualitative and quantitative data at both the individual- and couple-levels. The specific aims for the K99 phase are to: 1) Explore associations among couple-level relationship factors, stressors, and HD; and 2) Identify individual-level experiences within same-sex female couples that influence drinking behaviors. The major goals of this Pathway to Independence Award are the acceleration and completion of Dr. Cindy Veldhuis' training in alcohol-related research and the launching of her career as an independent scientist with a tenure-track assistant professor position. Dr. Veldhuis is a psychologist and a postdoctoral fellow funded by an NIH/NIAAA F32 National Service Research Award (F32AA025816) at Columbia University. The two-year K99 phase will complete Dr. Veldhuis' training in sexual-orientation-related health disparities in HD. With mentorship, Dr. Veldhuis will: 1) recruit and interview a sample of same-sex female couples (N=50 couples) from the New York City area; 2) use a mixed-methods approach to examine HD and stress within couples to understand predictors of HD in this at-risk population; 3) attend courses, seminars, and conferences related to alcohol use and misuse, sexual minority health, mixed-methods and dyadic analyses, and professional development; 4) lead her own study on SMW's health; 5) disseminate her findings; and 6) secure a tenure-track faculty position at a research-intensive university. The proposed primary mentor Dr. John Pachankis, co-mentors Dr. LeBlanc and Dr. Hughes, and advisory panel members Drs. Stone, George, Keyes, and Schrimshaw are experts in key components of the proposed K99/R00 and collectively provide expertise ideally suited to facilitate the successful completion of the proposed training and research activities. Columbia University is one of the world's most respected research centers and a world-class institution, and thus has the resources needed for successful completion of the training (K99) phase of this proposed award. The three-year R00 phase will allow Dr. Veldhuis to: 1) recruit a geographically and demographically diverse national sample of same-sex female couples (N = 300 couples); 2) test a theoretical framework informed by the K99 findings using empirically validated individual- and couple-level measures; 3) establish her program of research and laboratory; and 4) submit an R01 to NIH/NIAAA. The proposed study extends findings from Dr. Veldhuis' F32 to understand how individual- and couple- level characteristics of same-sex relationships influence HD and will provide preliminary data for her R01 application.

项目摘要/摘要。性少数女性（SMW；例如女同性恋、双性恋）符合性取向标准的可能性是异性恋女性的 6-7 倍酒精使用障碍，表明危险饮酒 (HD) 和相关负面健康的风险过高结果。据信，SMW 的 HD 风险升高在很大程度上是由于终生接触多种慢性病造成的。压力源。尽管压力与 HD 之间的关联已得到充分证实，但人们对于这种关系如何发挥作用却知之甚少。特征影响 SMW 的压力和 HD。亲密关系可以带来很多好处并且具有保护作用对抗与压力相关的负面健康结果。相反，关系压力可能会导致不健康的应对行为，比如高清。拟议的研究旨在通过定性研究和定性研究来了解 HD 在同性女性伴侣中的作用个人和夫妻层面的定量数据。 K99 阶段的具体目标是： 1) 探索夫妻关系因素、压力源和 HD 之间的关联； 2) 确定个人层面的经历在影响饮酒行为的同性女性伴侣中。这条独立之路的主要目标奖励是加速并完成 Cindy Veldhuis 博士在酒精相关研究方面的培训以及启动她作为一名独立科学家和终身助理教授的职业生涯。 Veldhuis 博士是一位心理学家以及哥伦比亚大学 NIH/NIAAA F32 国家服务研究奖 (F32AA025816) 资助的博士后研究员大学。为期两年的 K99 阶段将完成 Veldhuis 博士关于性取向相关健康差异的培训高清。在指导下，Veldhuis 博士将：1）招募并采访同性女性伴侣样本（N=50 对）来自纽约市地区； 2）使用混合方法来检查夫妻之间的HD和压力，以了解该高危人群中 HD 的预测因素； 3) 参加与酒精使用和滥用相关的课程、研讨会和会议，性少数群体健康、混合方法和二元分析以及职业发展； 4）领导自己的研究南工人的健康； 5）传播她的发现； 6) 在研究密集型大学获得终身教职。拟议的主要导师 John Pachankis 博士、共同导师 LeBlanc 博士和 Hughes 博士以及顾问小组成员博士。 Stone、George、Keyes 和 Schrimshaw 是拟议 K99/R00 关键组件方面的专家，提供非常适合促进成功完成拟议培训和研究活动的专业知识。哥伦比亚大学是世界上最受尊敬的研究中心之一，也是世界一流的学府，因此拥有成功完成本拟议奖项的培训（K99）阶段所需的资源。三年R00阶段将使 Veldhuis 博士能够：1) 招募地理和人口结构多样化的全国同性女性样本情侣（N = 300 情侣）； 2) 使用经实证验证的 K99 研究结果来测试理论框架个人和夫妻层面的措施； 3）建立研究计划和实验室； 4) 提交 R01 至美国国立卫生研究院/NIAAA。拟议的研究扩展了 Veldhuis 博士的 F32 的研究结果，以了解个人和夫妇如何同性关系的水平特征影响HD，并将为她的R01申请提供初步数据。