权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Sexual Orientation, Substance Use and Mental Health

性取向、药物滥用和心理健康

基本信息

批准号：
7501921
负责人：
SEAN ESTEBAN MCCABE
金额：
$ 17.05万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-09-30 至 2011-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7501921
关键词：
18 year old Accounting Address Adult Age Alcohol or Other Drugs use Alcohols Anxiety Disorders Behavior Bisexual Condition DSM-IV Data Data Set Development Diagnosis Dimensions Discrimination Disease Drug abuse Epidemiology Ethnic Origin Gays Gender Health Heterosexuals Individual Knowledge Lesbian Literature Manuscripts Marijuana Measures Mental Health Mental disorders Minority Minority Groups Moods National Institute of Drug Abuse Numbers Outcome Pattern Peer Review Pharmaceutical Preparations Plague Population Population Group Population Heterogeneity Populations at Risk Prevalence Prevention Prevention intervention Probability Samples Public Health Race Research Research Design Research Priority Respondent Risk Risk Factors Role Sampling Sex Behavior Sex Functioning Sex Orientation Substance Abuse, Other Substance Use Disorder Substance abuse problem Surveys United States United States National Institutes of Health Variant Woman Work base comparison group design emotional abuse experience health care service utilization health disparity improved men prevent response treatment program

项目摘要

DESCRIPTION (provided by applicant): In response to PA-06-329, Epidemiology of Drug Abuse, this exploratory project proposes to use an existing nationally representative dataset to assess the relationships among sexual orientation, perceived discrimination, substance abuse, mental health, and treatment utilization in the United States. Past research has generally found lesbian, gay and bisexual (LGB) individuals are at heightened risk for substance use and mental health disorders but these studies have been plagued by methodological limitations, including small, non-representative samples and lack of heterosexual comparison groups. To date, no large-scale nationally representative studies have examined the epidemiology of substance use and mental health disorders among self-identified LGB individuals and almost no data on treatment utilization among sexual minorities exists. Thus, we propose to conduct a secondary analysis of the 2004-2005 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), a nationally representative sample of 34,653 U.S. adults 18 years and older in the United States. The specific aims are to: (1) assess the prevalence and co-occurrence of substance use behaviors, DSM-IV substance use, mood and anxiety disorders based on sexual orientation; (2) estimate substance abuse and mental health treatment utilization based on sexual orientation among respondents with and without DSM-IV diagnoses; and (3) examine the association between perceived discrimination and substance use and mental health outcomes among sexual minorities. The proposed project will take advantage of the unique opportunities afforded by the 2004-2005 NESARC: the availability of an ample and ethnically diverse sample with large numbers of sexual minority women and men; the inclusion of multiple measures of sexual orientation; and the wealth of data on DSM-IV substance use, mood and anxiety disorders, and treatment utilization. Findings from this project will enhance understanding of the epidemiology of substance use and mental health disorders among both heterosexuals and sexual minorities in the United States, and will provide information to improve the assessment, prevention and treatment of these disorders. 7. PROJECT NARRATIVE Understanding patterns and distributions of substance abuse and mental health disorders across sub-groups based on dimensions of sexual orientation is critical for designing effective public health prevention, intervention and treatment programs. This project will examine several unexplored research questions related to the epidemiology of substance use and mental health disorders across dimensions of sexual orientation, treatment utilization among those groups and the impact of perceived discrimination on the substance use behaviors and mental health of sexual minority groups.

描述（由申请人提供）：为了响应PA-06-329，药物滥用流行病学，该探索性项目建议使用现有的全国代表性数据集来评估美国性取向，感知歧视，药物滥用，心理健康和治疗利用之间的关系。过去的研究普遍发现，女同性恋、男同性恋和双性恋（LGB）个体患药物使用和精神健康障碍的风险更高，但这些研究受到方法学限制的困扰，包括样本量小、不具代表性以及缺乏异性恋比较组。迄今为止，没有大规模的全国代表性研究审查了自我认定的LGB个人中药物使用和精神健康障碍的流行病学，几乎没有关于性少数群体使用治疗的数据。因此，我们建议对2004-2005年全国酒精及相关疾病流行病学调查（NESARC）进行二次分析，该调查是美国34，653名18岁及以上美国成年人的全国代表性样本。具体目标是：（1）评估物质使用行为，DSM-IV物质使用，基于性取向的情绪和焦虑障碍的患病率和共同发生率;（2）在有和没有DSM-IV诊断的受访者中，估计基于性取向的物质滥用和心理健康治疗利用率;（3）检查性少数群体中感知歧视与物质使用和心理健康结果之间的关联。拟议的项目将利用2004-2005年《国家教育和科学研究报告》提供的独特机会：提供了大量不同种族的样本，其中有大量性少数群体妇女和男子;纳入了性取向的多种衡量标准;以及关于精神疾病诊断和统计手册第四版药物使用、情绪和焦虑障碍以及治疗利用情况的大量数据。该项目的研究结果将增进对美国异性恋者和性少数群体中药物使用和精神健康障碍流行病学的了解，并将提供信息，以改进对这些障碍的评估、预防和治疗。7.了解基于性取向维度的药物滥用和精神健康障碍在亚组中的模式和分布对于设计有效的公共卫生预防，干预和治疗方案至关重要。该项目将研究几个未探索的研究问题，涉及药物使用和精神健康障碍的流行病学，跨性取向的维度，这些群体之间的治疗利用率以及感知歧视对药物使用行为和性少数群体心理健康的影响。