Event-level Antecedents of Heavy Drinking Among Bisexual and Heterosexual Women with and without Histories of Sexual Assault

有或没有性侵犯史的双性恋和异性恋女性酗酒的事件级前因

• 批准号: 10429066
• 负责人: Gabriela López
• 金额: $ 17.97万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10429066
• 关键词: Age; Alcohol abuse; Alcohol consumption; Anxiety; Area; Bisexual; Characteristics; Chronic; Clinical; Communities; Data; Data Analyses; Development; Discrimination; Ecological momentary assessment; Event; Exposure to; Gays; Goals; Heavy Drinking; Heterosexuals; Individual; Intervention; Interview; Investigation; Knowledge; Lead; Lesbian; Life; Measures; Mediating; Mental Depression; Mentors; Methods; Minority Women; Modeling; Motivation; Occupational; Outcome; Pathway interactions; Persons; Phase; Play; Protocols documentation; Public Health; Publishing; Qualitative Methods; Recording of previous events; Reporting; Research; Research Training; Risk; Risk Factors; Role; Sample Size; Sampling; Scientist; Stress; Structure; Surveys; Testing; Time; Training; Woman; Women' s Group; Work; alcohol intervention; assault; binge drinking; coping; depressive symptoms; drinking; evidence base; experience; high risk population; improved; informant; microaggression; minority stress; minority stressor; neglect; perceived discrimination; post-traumatic stress; programs; psychologic; psychological distress; sexual assault; sexual identity; sexual minority; sexual minority men; sexual minority women; skill acquisition; social stigma; stressor; therapy development

PROJECT SUMMARY Heavy drinking and sexual assault co-occur, and bisexual women are at elevated risk for both. Approximately 25% of bisexual women relative to 11% of heterosexual women report engaging in heavy episodic drinking (HED; 4+ drinks on one occasion). Bisexual women’s elevated risk for HED is believed to be driven largely by lifetime exposure to multiple and chronic stressors, including sexual assault. Further, bisexual women’s elevated risk for sexual assault is in part driven by alcohol use, making it even more critical to understand and ultimately intervene upon heavy drinking in this group. Despite that bisexual women have the highest rates of heavy drinking and lifetime sexual assault, there is no published research on event-level antecedents of heavy drinking among bisexual women. Theoretically important antecedents of heavy drinking among bisexual women with sexual assault histories include psychological distress, coping motives, and microaggressions. To examine event-level influences of these constructs, a mixed-methods approach will be employed across four aims. The specific aims of the K99 phase of this MOSAIC K99/R00 are to 1) gain an in-depth understanding of antecedents of heavy drinking and how they differ between bisexual and heterosexual women who have been sexually assaulted and 2) refine measures and methods for studying event-level predictors of heavy drinking among bisexual and heterosexual women. To accomplish these aims, a qualitative approach (individual interviews with 40 either bisexual or heterosexual women; exit interviews with 16 women who complete a pilot ecological momentary assessment (EMA) study) will be used to develop and refine a full EMA study. The R00 phase will include a larger-scale EMA study that will assess heavy drinking antecedents among bisexual women with (n = 50) and without (n = 50) histories of sexual assault and heterosexual women with (n = 50) and without (n = 50) histories of sexual assault. The specific aims of the R00 phase include to 3) characterize the extent to which heavier event-level drinking occurs as a result of psychological distress, coping motives, and microaggression among bisexual versus heterosexual women and 4) examine how SA history further increases risk of heavier drinking at the event level for bisexual women. The PI, Dr. López, will work with an experienced and knowledgeable team of mentors (Drs. Jennifer Merrill, Kristina Jackson, Lindsay Orchowski) to develop expertise in five areas of training: (1) EMA methods, (2) longitudinal data analysis, (3) qualitative methods (4) intervention development, and (5) professional development skills. Successful completion of the research and training detailed in this proposal will prepare the PI to become an independent clinical scientist and develop a program of research on alcohol use disparities among bisexual women with histories of sexual assault. Findings will inform an understanding of the most proximal risk factors for heavy drinking at the event- level among bisexual and heterosexual women. Identifying risk factors will be the first step in the development of just-in-time intervention to decrease heavy drinking.

项目摘要 大量饮酒和性侵犯同时发生，双性恋女性两者的风险都很高。约 25%的双性恋女性和11%的异性恋女性报告偶尔大量饮酒 (HED 4+饮料（一次）双性恋女性患HED的风险增加被认为主要是由 终生暴露于多种和慢性压力源，包括性侵犯。此外，双性恋女性的 性侵犯的风险增加部分是由饮酒造成的，这使得了解和 最终干预这个群体的酗酒行为。尽管双性恋的女性有最高的 大量饮酒和终身性侵犯，没有发表的研究事件水平的前因， 双性恋女人喝酒双性恋者大量饮酒的重要理论前因 有性侵犯史的妇女包括心理困扰、应对动机和微攻击。到 为了检查这些结构的事件级影响，将在四个方面采用混合方法 目标。本次MOSAIC K99/R 00的K99阶段的具体目标是：1）深入了解 大量饮酒的前因以及他们在双性恋和异性恋女性之间的差异， 性侵犯和2）改进研究大量饮酒事件水平预测因素的措施和方法 在双性恋和异性恋女性中。为了实现这些目标，采用定性方法（个人 与40名双性恋或异性恋女性的访谈;与16名完成试点的女性的离职访谈 生态瞬时评估（EMA）研究）将用于开发和完善完整的EMA研究。R00 第一阶段将包括一项更大规模的EMA研究，该研究将评估双性恋者中大量饮酒的前因。 有（n = 50）和无（n = 50）性侵犯史的女性和有（n = 50）性侵犯史的异性恋女性 无性侵犯史（n = 50）。R 00阶段的具体目标包括：3）表征 在何种程度上，更重的事件水平饮酒发生的结果，心理困扰，应对动机， 和微侵略之间的双性恋与异性恋妇女和4）研究如何SA历史进一步 增加了双性恋女性在活动中酗酒的风险。私家侦探洛佩斯博士将与 经验丰富、知识渊博的导师团队（Jennifer梅里尔博士、Kristina杰克逊博士、林赛Orchowski博士） 在五个培训领域发展专业知识：（1）EMA方法，（2）纵向数据分析，（3）定性 方法（4）干预发展;（5）专业发展技能。成功完成 本建议书中详述的研究和培训将使PI成为独立的临床科学家 并制定一项研究计划，研究有性行为史的双性恋女性之间的酒精使用差异。 人身攻击调查结果将有助于了解在活动中大量饮酒的最接近的风险因素- 双性恋和异性恋妇女的性别比例。确定风险因素将是发展的第一步 及时干预以减少大量饮酒。