Understanding Substance Use Risk among Sexual Minority Women

了解性少数女性的药物使用风险

• 批准号: 10530945
• 负责人: CHRISTINA DYAR
• 金额: $ 16.79万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-07-01 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10530945
• 关键词: Understanding; Substance; Use; Risk; among

Project Summary Sexual minority women (SMW; lesbian, bisexual, other non-heterosexual women) are at substantially increased risk for substance use (SU) compared to heterosexual women. This is particularly evident in emerging adulthood (ages 18-25), when SMW are at high risk for cannabis and heavy alcohol use. These robust disparities highlight the need to understand and reduce SU among SMW. However, the limitations of existing research hinder efforts to do so. First, research on SU among SMW has almost exclusively used cross-sectional and semi-annual longitudinal designs. While these studies provide a foundation for understanding SU risk among SMW, these methods are limited in the data they can provide about SU risk. Experience sampling methods (ESM) can advance our understanding by identifying temporally proximal risk factors for SU (e.g., factors predicting same/next-day SU) and disentangling risk factors from correlates — resulting in clearer intervention targets for SMW. Second, SMW are treated as a homogeneous group, so we know little about risk factors for subgroups of SMW (i.e., lesbian, bisexual, queer, pansexual). This is a critical problem because 1) preliminary evidence suggests that one factor (sexual identity disclosure) is linked to SU for bisexual, but not lesbian, women; 2) a subset of SMW—those with multi-gender attractions—experience unique stressors theorized to impact SU, and 3) shared risk factors (e.g. peer influences) may differentially impact subgroups of SMW. Despite their risk, there are no SU interventions tailored for SMW, highlighting the need to determine how to adapt SU interventions to address their unique risk factors. The goals of the proposed study are to: 1) identify risk factors for problematic cannabis and alcohol use among emerging adult SMW; 2) delineate common and unique risk factors for subgroups of SMW; and 3) determine how to adapt a SU intervention for SMW. These goals will be met using a mixed methods approach. Phase 1 will consist of a 30-day ESM study of self-identified lesbian, bisexual, queer, and pansexual emerging adult women (60 per identity) and will focus on identifying within- and between-person risk factors for SU and delineating common and unique risk factors for subgroups of SMW. In Phase 2, we will conduct qualitative interviews with 60 Phase 1 participants. Interviews will focus on perceived risk factors for SU, SMW’s interpretations of ESM findings, and ways to adapt a SU intervention for SMW. This award will provide the applicant with training in SU research, ESM, qualitative/mixed-methods, and intervention development at Northwestern University’s Institute for Sexual and Gender Minority Health and Wellbeing – a rich intellectual environment with abundant resources ideal for training scholars in sexual minority health research. The training and research activities funded by this K01 will facilitate the applicant’s transition to an independent investigator with a program of translational research focused on understanding and reducing SU disparities affecting SMW.

项目摘要 性少数妇女（SMW；女同性恋，双性恋，其他非异性恋妇女） 与异性恋妇女相比，增加药物使用的风险（SU）。这是特别的证据 新兴的成年（18-25岁），当SMW有大麻和大量饮酒的高风险。这些 强大的分布强调了在SMW中理解和减少SU的必要性。但是，局限 现有的研究阻碍了这样做。首先，对SMW中的SU的研究几乎只使用 横截面和半年度纵向设计。这些研究为 了解SMW中的SU风险，这些方法在提供有关SU风险的数据中受到限制。 经验抽样方法（ESM）可以通过识别暂时的近端风险来提高我们的理解 SU的因素（例如，预测相同/次日SU的因素）和从相关性中解散风险因素 - 导致SMW的更清晰的干预目标。其次，SMW被视为均质群体，所以我们 几乎了解SMW亚组的危险因素（即女同性恋，双性恋，酷儿，pansexual）。这是一个关键 问题是因为1）初步证据表明一个因素（性认同披露）与SU有关 对于双性恋，但不是女同性恋，妇女； 2）SMW的子集 - 有多性景点的那些经验 从理论上影响SU的独特压力源，以及3）共享风险因素（例如同伴影响）可能会有所不同 SMW的影响子组。尽管有风险，但没有针对SMW量身定制的SU干预措施 需要确定如何调整SU干预措施以解决其独特的风险因素。目标的目标 拟议的研究是：1）确定新兴成人中有问题的大麻和饮酒的危险因素 SMW; 2）描述SMW亚组的常见和独特的风险因素； 3）确定如何适应 SU干预SMW。这些目标将使用混合方法方法实现。第1阶段将包括 自我识别的女同性恋，双性恋，酷儿和同性恋新兴的成年女性的30天ESM研究 身份），并将专注于确定su内部和中间的风险因素和划定常见 以及SMW亚组的独特风险因素。在第2阶段，我们将对60阶段进行定性访谈 1名参与者。访谈将集中于SU的感知风险因素，SMW对ESM发现的解释， 以及适应SU干预的方法。该奖项将为申请人提供SU的培训 西北大学研究所的研究，ESM，定性/混合方法和干预开发 对于性和性别少数民族健康和福祉 - 丰富的知识环境丰富 资源是培训性少数民族健康研究学者的理想资源。培训和研究活动 由该K01资助的资金将促进申请人向独立调查员的过渡 转化研究的重点是理解和减少影响SMW的SU差异。