Understanding Substance Use Risk among Sexual Minority Women

了解性少数女性的药物使用风险

基本信息

批准号：
10655318
负责人：
CHRISTINA DYAR
金额：
$ 16.85万
依托单位：
OHIO STATE UNIVERSITY
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：
2019-07-01 至 2025-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10655318
关键词：
Address Affect Age Alcohol consumption Award Bisexual Cannabis Communities Data Development Disclosure Discrimination Disparity Driving While Intoxicated Environment Evidence based intervention Feedback Foundations Funding Gays Gender Goals Heavy Drinking Heterosexuals High Risk Woman Intervention Interview Language Lesbian Link Mentors Methods Modeling Participant Perception Personal Satisfaction Persons Phase Population Predictive Factor Research Research Activity Research Methodology Research Personnel Resources Risk Risk Factors Sampling Scientist Severities Sexual and Gender Minorities Stereotyping Stress Subgroup Training Training Activity United States National Institutes of Health Universities Woman Writing alcohol consequences coping design disparity reduction emerging adult emerging adulthood experience gender minority health health disparity populations longitudinal design marijuana use method development minority stress minority stressor non-heterosexual pansexual peer peer influence queer reduced substance use risk sharing sexual identity sexual minority health research sexual minority women social stigma stressor substance use theories therapy development translational research program

项目摘要

Project Summary Sexual minority women (SMW; lesbian, bisexual, other non-heterosexual women) are at substantially increased risk for substance use (SU) compared to heterosexual women. This is particularly evident in emerging adulthood (ages 18-25), when SMW are at high risk for cannabis and heavy alcohol use. These robust disparities highlight the need to understand and reduce SU among SMW. However, the limitations of existing research hinder efforts to do so. First, research on SU among SMW has almost exclusively used cross-sectional and semi-annual longitudinal designs. While these studies provide a foundation for understanding SU risk among SMW, these methods are limited in the data they can provide about SU risk. Experience sampling methods (ESM) can advance our understanding by identifying temporally proximal risk factors for SU (e.g., factors predicting same/next-day SU) and disentangling risk factors from correlates — resulting in clearer intervention targets for SMW. Second, SMW are treated as a homogeneous group, so we know little about risk factors for subgroups of SMW (i.e., lesbian, bisexual, queer, pansexual). This is a critical problem because 1) preliminary evidence suggests that one factor (sexual identity disclosure) is linked to SU for bisexual, but not lesbian, women; 2) a subset of SMW—those with multi-gender attractions—experience unique stressors theorized to impact SU, and 3) shared risk factors (e.g. peer influences) may differentially impact subgroups of SMW. Despite their risk, there are no SU interventions tailored for SMW, highlighting the need to determine how to adapt SU interventions to address their unique risk factors. The goals of the proposed study are to: 1) identify risk factors for problematic cannabis and alcohol use among emerging adult SMW; 2) delineate common and unique risk factors for subgroups of SMW; and 3) determine how to adapt a SU intervention for SMW. These goals will be met using a mixed methods approach. Phase 1 will consist of a 30-day ESM study of self-identified lesbian, bisexual, queer, and pansexual emerging adult women (60 per identity) and will focus on identifying within- and between-person risk factors for SU and delineating common and unique risk factors for subgroups of SMW. In Phase 2, we will conduct qualitative interviews with 60 Phase 1 participants. Interviews will focus on perceived risk factors for SU, SMW’s interpretations of ESM findings, and ways to adapt a SU intervention for SMW. This award will provide the applicant with training in SU research, ESM, qualitative/mixed-methods, and intervention development at Northwestern University’s Institute for Sexual and Gender Minority Health and Wellbeing – a rich intellectual environment with abundant resources ideal for training scholars in sexual minority health research. The training and research activities funded by this K01 will facilitate the applicant’s transition to an independent investigator with a program of translational research focused on understanding and reducing SU disparities affecting SMW.

项目概要性少数女性（SMW；女同性恋、双性恋、其他非异性恋女性）基本上处于与异性恋女性相比，物质使用（SU）的风险增加，这一点在女性中尤为明显。成年初期（18-25 岁），此时 SMW 吸食大麻和酗酒的风险很高。巨大的差异凸显了了解和减少中小型工人的SU的必要性。然而，SU的局限性。现有的研究阻碍了这样做的努力，首先，对 SMW 的研究几乎完全使用了 SU。虽然这些研究为横截面和半年度纵向设计提供了基础。为了了解 SMW 中的 SU 风险，这些方法可以提供的有关 SU 风险的数据有限。经验抽样方法（ESM）可以通过识别时间上最近的风险来增进我们的理解 SU 的因素（例如，预测同一天/第二天 SU 的因素）以及将风险因素与相关因素分开 — 从而使法定最低工资的干预目标更加明确。其次，法定最低工资被视为同质群体，因此我们对 SMW 亚群体（即女同性恋、双性恋、酷儿、泛性恋）的风险因素知之甚少，这是一个关键问题。问题是因为 1) 初步证据表明一个因素（性别身份披露）与 SU 有关适用于双性恋女性，但不包括女同性恋；2) SMW 的一部分——具有多性别吸引力的女性——体验理论上影响 SU 的独特压力源，以及 3) 共同的风险因素（例如同伴影响）可能会有所不同尽管存在风险，但没有针对 SMW 的 SU 干预措施，这凸显了需要确定如何调整 SU 干预措施来解决其独特的风险因素。拟议的研究目的是：1）确定新兴成年人中大麻和酒精使用问题的风险因素 SMW；2) 描述 SMW 亚组的常见和独特风险因素；3) 确定如何调整 SU 对 SMW 的干预将通过混合方法来实现，第一阶段将包括一个项目。对自我认定的女同性恋、双性恋、酷儿和泛性恋新兴成年女性进行的为期 30 天的 ESM 研究（每 60 名女性）身份），并将重点关注确定 SU 的内部和人与人之间的风险因素，并描绘常见的风险因素以及 SMW 亚组的独特风险因素在第 2 阶段，我们将对 60 个阶段进行定性访谈。 1 参与者的访谈将重点关注 SU 的感知风险因素、SMW 对 ESM 调查结果的解释、以及针对 SMW 调整 SU 干预的方法该奖项将为申请人提供 SU 培训。西北大学研究所的研究、ESM、定性/混合方法和干预开发性和性别少数群体的健康和福祉——一个丰富的知识环境培训性少数群体健康研究学者的理想资源。培训和研究活动。由该 K01 资助的项目将有助于申请人过渡为独立调查员，其计划包括转化研究的重点是了解和减少影响 SMW 的 SU 差异。