Experiences of Rural Sexual and Gender Minority Couples: Does Alcohol Use Explain the Link Between Minority Stress and Intimate Partner Discord and Violence

农村性和性别少数群体夫妇的经历：饮酒能否解释少数群体压力与亲密伴侣不和谐和暴力之间的联系

• 批准号: 10566746
• 负责人: Rebecca L Brock
• 金额: $ 48.2万
• 依托单位: UNIVERSITY OF NEBRASKA LINCOLN
• 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 2027-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10566746
• 关键词: Alcohol abuse; Alcohol consumption; Alcoholic Intoxication; Alcohols; Communities; Conflict (Psychology); Consumption; Couples; Data; Discrimination; Distal; Distress; Exposure to; Feeling; Frequencies; Fright; Heavy Drinking; Heterosexuals; High Prevalence; Homophobia; Individual; Interpersonal Relations; Interruption; Intervention; Lesbian Gay Bisexual Transgender; Lesbian Gay Bisexual Transgender Queer; Link; Literature; Methods; Midwestern United States; Modeling; Neighborhoods; Outcome; Participant; Pathway interactions; Pattern; Population; Process; Public Health; Reduce health disparities; Registries; Research; Residencies; Resources; Risk; Rural; Rural Community; Sampling; Severities; Sexual and Gender Minorities; Social support; Source; Stigmatization; Stress; Testing; Underrepresented Populations; Violence; Work; alcohol misuse; alcohol myopia; cisgender; coping; diaries; drinking; experience; gender minority group; health disparity; intimate partner violence; minority stress; novel; peer; perceived discrimination; protective factors; psychologic; psychological distress; queer; recruit; resilience; resilience factor; response; risk mitigation; rural area; rural residence; sexual encounter; social; social stigma; stressor; theories; transphobia; urban area

PROJECT SUMMARY/ABSTRACT Alcohol use and destructive couple conflict, including intimate partner violence (IPV), represent dual public health threats for sexual and gender minorities (SGM), who experience higher rates of these problems than their cisgender, heterosexual counterparts. Although a broader literature links alcohol use to increased rates of destructive couple conflict, very little work has examined these associations in SGM couples. Here, we draw on alcohol myopia theory and propose that increased daily alcohol use will be associated with higher same-day levels of destructive conflict among SGM couples. Further, we predict that greater drinking to cope motives and higher levels of internalized minority stress (i.e., fear of rejection, worry about concealment, internalized homophobia/transphobia) assessed at baseline will exacerbate the effects of daily minority stress (exposure to discrimination, harassment, and stigmatization) on alcohol use and subsequent destructive conflict. Importantly, these processes will be examined in a sample of SGM couples residing in the rural Midwest—a population that is critical to study because of the increased types and frequency of stigma encountered by SGM individuals living in rural areas as compared to more urban locations. Finally, we test the hypothesis that the detrimental impact of minority stress on alcohol use and destructive couple conflict will be mitigated by greater (a) social support from interpersonal relationships, (b) psychological sense of connection with the LGBTQ+ community, and (c) psychological sense of community with one's rural Midwestern neighborhood. Participants will be 200 SGM couples (i.e., both individuals identify as lesbian, gay, bisexual, transgender, and/or queer, and are in a committed intimate relationship). Couples will be recruited from the Midwestern LGBTQ+ Research Registry, established by the MPIs. Our proposed models will be tested using intensive daily diary methods employed over 60 days to track daily experiences of minority stress, alcohol use, and destructive conflict. Findings from this project will provide novel data about the conditions under which daily minority stress contribute to elevated levels of destructive couple conflict via increased alcohol use by rural SGM couples. Our examination of support and community-based resiliency factors will highlight potential points of intervention that can be targeted to interrupt the harmful effects of minority stress on alcohol use and subsequent intimate partner conflict and violence.

项目概要/摘要 酗酒和破坏性的夫妻冲突，包括亲密伴侣暴力（IPV），代表了双重公共 性少数群体 (SGM) 面临健康威胁，他们遇到这些问题的比例高于 尽管更广泛的文献将饮酒与饮酒率增加联系起来。 破坏性的夫妻冲突，很少有研究研究 SGM 夫妻中的这些关联。在这里，我们借鉴一下。 酒精近视理论并提出每日饮酒量增加与当天饮酒量增加有关 此外，我们预测，SGM 夫妇之间的破坏性冲突会增加，以应对动机和行为。 更高水平的内在少数压力（即害怕被拒绝、担心隐瞒、内在的压力） 在基线评估的恐同症/跨性别者恐惧症将恶化日常少数族裔压力（暴露于 歧视、骚扰和污名）与酗酒和随后的破坏性冲突有关。 重要的是，这些过程将在居住在中西部农村的 SGM 夫妇样本中进行检验—— 由于耻辱的类型和频率增加，因此对研究至关重要的人群 与生活在城市地区的 SGM 个体相比，我们最后检验了以下假设： 少数群体压力对饮酒和破坏性夫妻冲突的影响劣势将通过以下方式得到缓解： 更大的（a）来自人际关系的社会支持，（b）与他人的心理联系感 LGBTQ+ 社区，以及 (c) 与中西部农村社区的社区心理意识。 参与者将是 200 名 SGM 夫妇（即双方均认同为女同性恋、男同性恋、双性恋、跨性别者、 和/或酷儿，并且处于忠诚的亲密关系中的夫妇将从中西部招募。 由 MPI 建立的 LGBTQ+ 研究注册中心将使用密集测试来测试我们提出的模型。 采用每日日记法超过 60 天来跟踪少数群体的压力、饮酒和健康状况的日常经历 该项目的调查结果将提供有关每天发生破坏性冲突的条件的新数据。 少数群体的压力通过农村地区饮酒的增加而导致破坏性夫妻冲突的加剧 SGM 夫妇对支持和基于社区的弹性因素的检查将突出潜在的潜力。 可以有针对性地中断少数群体压力对饮酒的有害影响的干预措施 随后的亲密伴侣冲突和暴力。