Impact of supportive policies on minority stress, drinking and health among women

支持政策对女性少数民族压力、饮酒和健康的影响

• 批准号: 9198150
• 负责人: TONDA L HUGHES
• 金额: $ 24.76万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-03-15 至 2016-09-19
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9198150
• 关键词: Adult; Affect; Age; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcohol or Other Drugs use; Alcohols; Anxiety; Awareness; Bisexual; Book Chapters; Cardiovascular Diseases; Characteristics; Chicago; Childhood; Chronic; Color; Conscious; Data; Data Set; Development; Disclosure; Discrimination; Ethnic Origin; Exposure to; General Population; Health; Health Benefit; Heavy Drinking; Heterosexuals; Illinois; Individual; Institution; Intervention; Intoxication; Knowledge; Latina; Laws; Legal; Lesbian; Life; Life Experience; Link; Longitudinal Studies; Marital Relationships; Marital Status; Marriage; Mediating; Mediator of activation protein; Mental Depression; Mental Health; Minority; Minority Groups; Natural experiment; Outcome; Participant; Pattern; Phase; Policies; Prevention; Prevention strategy; Prospective Studies; Publishing; Race; Recruitment Activity; Reporting; Risk; Risk Factors; Running; Sampling; Sex Orientation; Societal Factors; Stress; Symptoms; Time; Victimization; Vulnerable Populations; Woman; Work; alcohol related problem; base; binge drinking; drinking; drinking behavior; experience; family support; follow-up; hazardous drinking; health disparity; help-seeking behavior; high risk; improved; indexing; journal article; meetings; minority health; peer support; physical conditioning; psychological distress; response; same-sex marriage; same-sex partnership; sexual minority; social; social stigma; stressor; theories

 DESCRIPTION (provided by applicant): This competitive renewal will build on the PI's 15-year prospective study, the Chicago Health and Life Experiences of Women (CHLEW) (K01 AA00266 & R01 AA013328-09), that focuses on understanding the mechanisms linking minority sexual orientation and hazardous drinking (HD). HD is operationalized as an index that includes heavy episodic drinking, intoxication, adverse drinking consequences and symptoms of potential alcohol dependence. Participants in the previous phase (W3) of the CHLEW study were 354 sexual minority women (SMW: lesbian, bisexual) from the 3-wave longitudinal sample (79% retention at 10-year follow-up) and 373 new participants including younger (age 18-25), and additional Black, Latina, and bisexual SMW (total N=727). The study has collected rich data on individual and interpersonal (micro-level) risk and protective factors for heavy/hazardous alcohol use and alcohol-related problems and has to date produced 45 journal articles or book chapters (published, in press, or under review) and 6 completed doctoral dissertations. Building on minority stress theory we propose to expand on our previous work by examining social- contextual (structural-level) risk and protective factors for HD and drinking-related health consequences among SMW. Specifically, we will capitalize on 2 historic opportunities to: 1) conduct a natural experiment to evaluate the impact of the June 1, 2014 Illinois Marriage Fairness Act on SMW's drinking and health; and 2) take advantage of a unique longitudinal dataset-that will include data on SMW's drinking spanning nearly 20 years-to examine the associations of long-term drinking trajectories with SMW's health. We expect that this supportive policy change will have beneficial effects for all SMW and that SMW who choose to marry will demonstrate many of the health benefits of marriage observed among women in the general population. Thus, we plan to use 3 waves of existing data (2000-01, 2004-05, 2010-12) and 2 proposed new waves (2016-17, 2017-18) to (1) examine the overall effect of legal recognition of same-sex marriage on drinking outcomes (volume of alcohol consumption and HD) and potential mediators of such changes among SMW; (2) examine potential moderators of the relationship between legal recognition of same-sex marriage and drinking outcomes; (3) compare drinking outcomes among SMW who marry their same-sex partner and those of SMW in other same-sex relationships (civil unions, cohabiting, committed/not living together); and (4) identify associations between long-term trajectories of alcohol consumption and HD and SMW's physical and mental health, as well as moderators of these associations. The CHLEW is the longest running and most comprehensive study of SMW's drinking and health in the U.S. or elsewhere. Its large subsamples of women fewer than 25 and over 50, and of Black, Latina, and bisexual women, add to its value by providing a rare opportunity to examine age, race/ethnicity and sexual identity differences in the relationships between marriage recognition and drinking, and between drinking and health.

 描述（由申请人提供）：本次竞争性更新将建立在 PI 的 15 年前瞻性研究芝加哥女性健康和生活经历 (CHLEW) (K01 AA00266 和 R01 AA013328-09) 的基础上，该研究侧重于了解少数族裔之间的联系机制性取向和危险饮酒 (HD) 作为一项指标进行操作，其中包括大量饮酒、中毒、不良饮酒后果和潜在症状。 CHLEW 研究前一阶段 (W3) 的参与者包括来自 3 波纵向样本的 354 名性少数女性（SMW：女同性恋、双性恋）（10 年随访时保留率为 79%）和 373 名新参与者。该研究收集了有关个人和人际（微观层面）风险和保护的丰富数据。迄今为止，我们已经发表了 45 篇期刊文章或书籍章节（已出版、正在出版或正在审阅）和 6 篇已完成的博士论文。通过检查 SMW 中 HD 和饮酒相关健康后果的社会背景（结构层面）风险和保护因素，我们将利用之前的工作：1）进行自然实验来评估 HD 的影响。 6月1日， 2014 年《伊利诺伊州婚姻公平法案》关于 SMW 饮酒与健康的规定；2）利用独特的纵向数据集（其中包括近 20 年 SMW 饮酒数据）来研究长期饮酒轨迹与 SMW 健康之间的关系。这一支持性政策变化将对所有 SMW 产生有益影响，并且选择结婚的 SMW 将展示在普通人群中观察到的婚姻对健康的许多好处。因此，我们计划使用 3。现有数据浪潮（2000-01、2004-05、2010-12）和拟议的 2 波新数据（2016-17、2017-18）旨在 (1) 研究法律承认同性婚姻对饮酒结果的总体影响（饮酒量和 HD）以及 SMW 中此类变化的潜在调节因素；（2）研究法律承认同性婚姻与饮酒结果之间关系的潜在调节因素； (3) 比较与同性伴侣结婚的 SMW 的饮酒结果和其他同性关系（民事结合、同居、承诺/不同居）的 SMW 的饮酒结果；以及 (4) 确定长期轨迹之间的关联； CHLEW 是针对美国或其他地方的 SMW 饮酒与健康状况进行的时间最长、最全面的研究。 25 岁以下和 50 岁以上的女性，以及黑人、拉丁裔和双性恋女性，通过提供难得的机会来检查婚姻认可和饮酒之间的关系中的年龄、种族/族裔和性别认同差异，从而增加了其价值。饮酒与健康。