Health Effects of Intersectional Stigma among Sexual Minority Women

性少数女性中交叉耻辱的健康影响

• 批准号: 10527248
• 负责人: Alison Cerezo
• 金额: $ 23.59万
• 依托单位: UNIVERSITY OF CALIFORNIA SANTA BARBARA
• 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/10527248
• 关键词: Age; Alcohol abuse; Alcohol consumption; Alcoholic beverage heavy drinker; Alcohols; Black race; California; Clinical; Communities; Community Developments; Community based prevention; County; Data; Development; Discrimination; Elements; Ensure; Environmental Risk Factor; Ethnic group; Face; Frequencies; Gender; Goals; Health; Heterosexuals; Institute of Medicine (U.S.); Intervention; Latina; Life Experience; Life Stress; Link; Literature; Los Angeles; Measures; Mental Health; Methodology; National Institute on Alcohol Abuse and Alcoholism; Outcome; Participant; Pathway interactions; Persons; Pilot Projects; Probability; Public Health; Race; Reporting; Research; Research Project Grants; Respondent; Review Literature; Risk; Risk Factors; Role; Sampling; Schedule; Severities; Sex Orientation; Sexuality; Social support; Strategic Planning; Stress; Time; United States National Institutes of Health; Woman; Work; alcohol misuse prevention; alcohol related consequences; alcohol use disorder; base; binge drinker; clinically relevant; community organizations; community-level factor; diaries; drinking; experience; feasibility testing; health disparity; improved; innovation; intersectionality; negative affect; peer; protective factors; racial and ethnic; racial diversity; racial health disparity; recruit; research study; sexual identity; sexual minority; sexual minority women; social; social culture; social stigma; socioeconomics; stressor; substance use; theories

Project Summary Sexual minority women (SMW) consistently report higher rates of alcohol use than heterosexual women. In fact, SMW are more likely to be current alcohol users, binge drinkers, and heavy drinkers than heterosexual women1 and are 11 times more likely to meet the threshold for alcohol use disorder.1-6 While research on SMW's alcohol use has grown in recent years, a scoping review of the literature from 2000-2017 showed severe underrepresentation of Black and Latina women.7 Probability data show that 1 in 4 Black women8 and 1 in 5 Latinos9 (across gender) in the US identify as sexual minority. Lack of racial diversity in sampling presumes that the types, severity and frequency of stressors impacting alcohol use among SMW is uniform across racial/ethnic groups. As a result, key sociocultural and/or community-level factors impacting alcohol use among Black and Latina SMW have been minimized or altogether unobserved. The Institute of Medicine (2011)10 and National Institutes of Health (2019, 2020)11,12 emphasized the need for research that considers how intersectional stigma across race and sexual orientation creates unique and synergistic experiences of stress linked to health disparities. Our previous work demonstrates that persistent, ongoing intersectional stigma among Black and Latina SMW drives negative affect and problematic alcohol use. The long-term goal of our research is to reduce alcohol-related health disparities in racially diverse SMW. Our team has the content and methodological expertise to carry out the proposed project, including successful implementation of daily diary studies and several community-based studies among Black and Latina SMW. Using baseline measures and a 14-day daily diary, the objective of this R21 application is to test the feasibility of a theory-driven pilot study that captures daily risk and protective factors associated with negative affect and problematic drinking among Black and Latina SMW. Levering ongoing research partnerships with several community organizations in Los Angeles County, the proposed study will sample 212 SMW (N=106 Black; N=106 Latina) ages 18-40. Respondent driven sampling will ensure successful recruitment of the target sample as well as appropriate representation across sexual orientation designation and socioeconomic background. This research study will pursue two specific aims: (1) examine the role of stress (race-based stigma, sexuality- based stigma, general life stress) on negative affect and problematic alcohol use among Black and Latina SMW, and (2) explore person-level (race, concealment) and community-level (peer drinking norms, social support) moderators in the association between daily stress and negative affect and problematic alcohol use. The proposed research is significant because of its potential to improve public health for SMW by deepening existing understandings of daily stress effects on alcohol-related health disparities among SMW, particularly the role of intersectional stigma across race and sexual orientation.

项目摘要 性少数女性（SMW）的饮酒率一直高于异性恋女性。在 事实上，SMW更有可能是当前的酒精用户，酗酒者，而不是异性恋者 女性1和11倍更有可能达到酒精使用障碍的门槛。1 -6虽然对SMW的研究 近年来，酒精的使用有所增加，对2000-2017年文献的范围审查显示， 7概率数据显示，每4名黑人妇女中就有1人8，每5名黑人妇女中就有1人8， 拉丁裔9（跨性别）在美国被认为是性少数。抽样中缺乏种族多样性 影响法定最低工资人士饮酒的压力因素的类型、严重程度及频次， 种族/民族团体。因此，影响酒精使用的主要社会文化和/或社区因素 黑人和拉丁裔的法定最低工资已降至最低或完全没有遵守。医学研究所 （2011）10和美国国立卫生研究院（2019，2020）11，12强调了研究的必要性， 跨种族和性取向的交叉污名如何创造独特和协同的体验， 压力与健康差距有关。我们以前的工作表明，持续不断的交叉 黑人和拉丁裔法定最低工资中的耻辱感导致负面影响和有问题的酒精使用。 我们研究的长期目标是减少不同种族SMW中与酒精相关的健康差异。我们 团队拥有开展拟议项目的内容和方法专长，包括成功的 在黑人和拉丁裔法定最低工资中实施每日日记研究和几项以社区为基础的研究。 使用基线测量和14天的每日日记，本R21应用程序的目的是测试可行性 一项理论驱动的试点研究，捕捉与负面影响相关的日常风险和保护因素， 黑人和拉丁裔SMW中的饮酒问题。勒韦林正在进行的研究伙伴关系，与几个 社区组织在洛杉矶县，拟议的研究将抽样212 SMW（N=106黑人; N=106名拉丁裔），年龄18-40岁。受调查者驱动的抽样将确保成功招募目标样本 以及跨性取向指定和社会经济背景的适当代表性。 这项研究将追求两个具体目标：（1）研究压力的作用（基于种族的耻辱，性取向- 基于耻辱，一般生活压力）对黑人和拉丁裔法定最低工资的负面影响和问题酒精使用， （2）探讨个人层面（种族、隐瞒）和社区层面（同伴饮酒规范、社会支持） 在日常压力和负面影响之间的关联和有问题的酒精使用的主持人。的 拟议的研究是重要的，因为它有潜力改善公共卫生的SMW深化 目前对日常压力对法定最低工资中与酒精相关的健康差异的影响的理解，特别是 跨种族和性取向的交叉耻辱的作用。