Alcohol-Involved Sexual Assault among Bisexual Women: Disentangling Mechanisms of Risk at Individual, Interpersonal, and Structural Levels Across the Lifespan

项目摘要/摘要 这个指导研究科学家发展奖(K01)的目的是为了帮助候选人Dr。 杰西·福特，成为一名独立研究员，专注于识别可修改的多水平因素， 解释和解决全国范围内双性恋女性(BW)中与酒精有关的性侵犯的高比率 在美国的寿命。今天，多达8%-14%的女性认为自己是双性恋。研究表明，BW已经结束了 经历过酒精促进的性侵犯的可能性是异性恋女性的三倍(24.4% BW女性的危险饮酒率高于异性恋女性。因此，它是 当务之急是研究酒精如何与其他社会力量相互作用来制造风险，以防止 在这一不断增长的人口群体中，性侵犯的比率。为了考查这个话题，候选人 需要在以下每个领域进行培训：1)危险饮酒的风险和保护因素；(2) 酒精使用和性侵犯的寿命研究方法；(3)概念化和测量多水平 女同性恋、男同性恋和双性恋(LGB)饮酒的决定因素；以及(4)混合方法。培训将会进行 与职业发展计划一起，包括具体的研讨会、研讨会、课程作业、会议、 动手实践，并与由酒精使用、寿命方面的专家组成的指导团队进行量身定做的指导 以及纵向研究方法，LGB健康的决定因素，少数民族压力，冒险，性侵犯， 混合方法、双性健康和高级统计方法。应聘者将使用此新培训 建立一个新的概念模型的数据来描述BW对酒精相关性行为的不成比例的风险 攻击，注意个人、人际和结构因素的多层次影响 寿命。为了测试这一模型，我将在3项研究中使用多方法设计，这些研究借鉴了 纵向队列、多点横断面和混合方法数据的方法学优势。这些 数据集包括：1)芝加哥妇女健康和生活经验研究(CHLEW)，对181人进行了21年的研究 BW(18-84岁)；2)在线大学社交生活调查(OCSLS)，这是一项对638名BW(18-25岁)的多站点研究 在22所大学；3)我自己的原始数据：双性恋女性，酒精和性健康(BWASH)2- WAVE对美国普通人群样本中的800磅体重的调查。此外，候选人还将深入进行30次 从BWASH样本中招募与BW的访谈，将调查数据与定性数据相结合，以进一步 阐明机制。这项研究将提供关键的形成数据，这些数据将用于开发NIAAA R01提案，将允许福特博士创建一个前瞻性数据集，以识别多层次的病因路径 (所有在1个数据集)，影响酒精使用和BW的性健康。通过此K01获得的新技能将 帮助候选人实现她的职业目标，即成为一名独立调查员， 促进酒精使用和不良反应决定因素研究的变革性、跨学科工作 性健康结果。

PROJECT SUMMARY/ABSTRACT The purpose of this Mentored Research Scientist Development Award (K01) is to help the candidate, Dr. Jessie Ford, become an independent researcher focused on identifying modifiable multi-level factors that can explain and address the high rates of alcohol-involved sexual assault within bisexual women (BW) across the lifespan in the US. Today, as many as 8-14% of women identify as bisexual. Research shows that BW are over three times more likely to have experienced alcohol-facilitated sexual assault than heterosexual women (24.4% vs. 7.6%), and that rates of hazardous drinking are higher for BW than for heterosexual women. Thus, it is imperative to study how alcohol interacts with other social forces to create risk in order to prevent the high rates of sexual assault among this growing demographic group. In order to examine this topic, the candidate requires training in each of the following areas: 1) risk and protective factors for hazardous drinking; (2) lifespan research methods for alcohol use and sexual assault; (3) conceptualizing and measuring multi-level determinants of lesbian, gay and bisexual (LGB) alcohol use; and (4) mixed methods. Training will occur alongside a career development plan that includes specific seminars, workshops, coursework, conferences, hands-on practica, and tailored mentoring with a mentorship team comprised of experts in alcohol use, lifespan and longitudinal research methods, determinants of LGB health, minority stress, risk taking, sexual assault, mixed methods, bisexual health, and advanced statistical methods. The candidate will use this new training data to build a novel conceptual model describing BW's disproportionate risk for alcohol-involved sexual assault, with attention to the multi-level effects of individual, interpersonal, and structural factors across the lifespan. To test this model, I will utilize a multi-method design across 3 studies that draw on the methodological strengths of longitudinal cohort, multi-site cross-sectional, and mixed-methods data. These datasets include: 1) the Chicago Health and Life Experiences of Women Study (CHLEW), 21-year study of 181 BW (ages 18-84); 2) the Online College Social Life Survey (OCSLS), a multi-site study of 638 BW (ages 18-25) at 22 universities; and 3) my own primary data: The Bisexual Women, Alcohol and Sexual Health (BWASH) 2- wave survey of 800 BW in a US general population sample. Further, the candidate will conduct 30 in-depth interviews with BW recruited from the BWASH sample, integrating survey data with qualitative data to further elucidate mechanisms. This research will provide critical formative data that will be used to develop a NIAAA R01 proposal that will allow Dr. Ford to create a prospective dataset to identify multi-level etiologic pathways (all in 1 dataset) that affect alcohol use and sexual health for BW. The new skills acquired through this K01 will help the candidate achieve her career goal of becoming an independent investigator who conducts transformative, cross-disciplinary work that advances research on determinants of alcohol use and adverse sexual health outcomes.