Socio-Cultural Protective and Risk Factors of Alcohol Use among Non-Hispanic White and Hispanic Sexual Minority Youth

项目摘要/摘要： NIAAA将未成年人饮酒视为一个具有严重后果的公共健康问题。性少数族裔青年 (Smy)饮酒的人会有更糟糕的后果，比如癌症风险增加，性行为风险增加 行为，以及自杀企图，因为他们的身份被污名化。西班牙裔SMY可能面临更大的风险 出现酒精使用问题，因为可能会出现基于身份的附加歧视 性少数和种族少数。少数族裔压力理论认为，经历歧视的年轻人 事件通过饮酒来应对心理上的痛苦。到目前为止，人们对西班牙裔SMY的了解很少 应对社会压力来源或社会文化保护因素(即应对战略、社会支持)和 消极和积极的情绪可能在这些应激源对西班牙裔SMY饮酒的影响中起到中介作用。EMA是一种 独一无二的方法，可以实时评估少数民族压力理论、心理困扰和酒精使用情况， 然而，它还没有被用来评估与西班牙裔SMY的这种关系。与美国国立卫生研究院最近呼吁的 增加对性少数群体健康的研究，这一职业发展奖(K08)的研究目标是 评估少数民族应激、酒精和保护因素措施的可接受性和可行性。 西班牙裔和白人SMY之间的生态瞬时评估(EMA)；2)检查少数民族的影响 对SMY饮酒的压力和情感的中介作用；以及3)检查社会文化风险和 酒精使用的保护因素。这项研究将分三个阶段进行。在第一阶段，这些措施将是 通过对西班牙裔和白人SMY的认知访谈(N=20或直到达到饱和)来开发。阶段 2将包括对西班牙裔和白人SMY(N=20)的EMA进行试点-EMA测试，为期两周，并在- EMA认知访谈，以评估EMA的可行性和可接受性。在第三阶段，最终确定的EMA 将在30天内进行，以评估少数民族的压力、影响和社会文化保护因素 50名西班牙裔和50名白人SMY的酒精使用情况。K08建议的学习和指导计划将有助于 应聘者在1)青少年酒精使用的发展和进展方面培养专门知识；2)风险和 SMY中酒精使用的保护因素；3)生态瞬时评估方法；4) 密集的纵向数据分析，以分析EMA；以及5)措施和 对颜色SMY的干预。培训目标将建立在应聘者之前的积极培训基础上 有色人种青年的青年发展；2)歧视对物质使用的影响；3)质的 分析，以及4)高级统计分析。

PROJECT SUMMARY/ABSTRACT: NIAAA identifies underage drinking as a public health issue with serious consequences. Sexual minority youth (SMY) who use alcohol have even worse consequences, such as increased risk of cancer, risky sexual behavior, and suicidal attempts, due to their stigmatized identity. Hispanic SMY may be at even greater risk of developing alcohol use problems because of the additive status-based discrimination that may arise from being a sexual and ethnoracial minority. Minority stress theory posits that youth who experience discriminatory events cope with psychological distress by using alcohol. To date, little is known about how Hispanic SMY respond to social stressors or how socio-cultural protective factors (i.e., coping strategies, social support) and negative and positive affect may mediate these stressors’ effects on Hispanic SMY’s use of alcohol. EMA is a unique method that can assess minority stress theory, psychological distress, and alcohol use in real-time, however it has not been used to assess this relationship with Hispanic SMY. In line with NIH’s recent call for increased research on sexual minority health, the research aims of this Career Development Award (K08) are to: 1) Assess the acceptability and feasibility of the minority stress, alcohol, and protective factor measures in ecological momentary assessment (EMA) between Hispanic and white SMY; 2) Examine the effects of minority stress on SMY’s alcohol use and the mediating effects of affect; and 3) Examine the sociocultural risk and protective factors of alcohol use. This study will be conducted in 3 phases. In Phase 1, the measures will be developed using cognitive interviews with Hispanic and white SMY (N=20 or until saturation is reached). Phase 2 will consist of a pilot-EMA testing of the EMA with Hispanic and white SMY (N=20) over two-weeks and post- EMA cognitive interviews to assess the feasibility and acceptability of the EMA. In phase 3, the finalized EMA will be conducted over a 30-day period to assess minority stress, affect, and sociocultural protective factors of alcohol use among 50 Hispanic and 50 white SMY. This K08 proposed study and mentor plan will help the candidate develop expertise in 1) The development and progression of alcohol use in youth; 2) Risk and protective factors of alcohol use in SMY; 3) Ecological Momentary Assessment (EMA) methodologies; 4) Intensive longitudinal data analysis for analyzing EMA; and 5) cultural adaptation of measures and interventions for SMY of color. The training goals will build off of the candidate’s prior training in 1) Positive youth development among youth of color; 2) The effects of discrimination on substance use; 3) qualitative analysis, and 4) advanced statistical analysis.