Sexual Orientation and Correlates of Alcohol Problems

性取向和酒精问题的相关性

• 批准号: 7923713
• 负责人: Laurie Anne Drabble
• 金额: $ 22.42万
• 依托单位: PUBLIC HEALTH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-01 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7923713
• 关键词: Address; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcohol or Other Drugs use; Alcoholic beverage heavy drinker; Alcohols; Anxiety; Area; Behavior; Bisexual; Buffers; Cessation of life; Childhood; Clinical; Country; Data; Data Analyses; Data Set; Data Sources; Development; Discrimination; Drug usage; Epidemiology; Esthesia; Foundations; Gap Junctions; Gays; Gender; General Population; Health; Heavy Drinking; Heterosexuals; Homosexuals; Illicit Drugs; Impulsivity; Individual; Institute of Medicine (U.S.); Intention; Intervention; Interview; Investigation; Knowledge; Lesbian; Link; Literature; Marijuana Smoking; Measures; Mediating; Mediation; Mediator of activation protein; Methods; Minority; NR4A1 gene; Pathway interactions; Perception; Pharmaceutical Preparations; Population; Preventive Intervention; Probability Samples; Proxy; Public Health; Reporting; Research; Respondent; Risk; Sampling; Secondary to; Sex Orientation; Sexual Partners; Social Development; Social Environment; Social Identification; Social support; Stress; Subgroup; Surveys; Testing; Tobacco; Tobacco use; Trauma; Variant; Woman; Women' s Group; abstracting; age group; alcohol epidemiology; alcohol related consequences; alcohol related problem; base; behavior measurement; binge drinking; drinking; experience; follow-up; hazardous drinking; high risk; life history; men; novel; physical abuse; population based; public health relevance; racial discrimination; response; social; stressor; theories

DESCRIPTION (provided by applicant): Project Summary/Abstract. This R21 application in response to PA-08-168 (Secondary Analysis of Existing Alcohol Epidemiological Data) proposes a mixed methods investigation of mediators of substance use/abuse among sexual minorities with additional emphasis on women. Despite growing evidence of disparities in risks for hazardous and other drug use among sexual minorities, there is a death of research that explicitly examines factors that may mediate such problems in these population subgroups. The sample will be divided into subgroups based on sexual/identity and behavior questions (lesbian/gay identified, bisexual identified, and heterosexual identified with same sex partners and, finally, exclusively heterosexual men and women). The first specific aim is primarily quantitative, analyzing secondary combined data from the National Alcohol Surveys collected in 2000-2001 (NAS10), 2005-2006 (NAS11) and data currently being collected 2009-2010 (NAS12). The second aim is to conduct qualitative interviews with a subgroup of 48 (12 in each group) women drawn from the NAS12 respondents to do depth exploration of the quantitatively measured mediators and seek to understand other, unmeasured pathways, that may contribute to heavier drinking and alcohol related problems. The NAS is a unique data source ideally suited to the first aim of this study since it includes numerous theoretical mediators of substance use as well as basic alcohol epidemiology variables. Mediators include both individual and contextual markers suggested by the literature including stress, social support, sense of coherence, impulsivity and sensation seeking, past experiences of trauma, and frequenting bars and other drinking contexts. Analysis of the NAS10 data by the two proposed PIs revealed significant differences among these subgroups on substance use measures, particularly among women. Additionally, initial investigation of some mediators found substance use predictors varied as a function of gender and sexual minority subgroup. The qualitative interviews will also explore novel topics and emerging theories for which no quantitative data is available. PUBLIC HEALTH RELEVANCE: This project furthers our understanding of the increased risk for hazardous alcohol use, alcohol-related problems, and drug use among sexual minorities, which is especially pronounced among women. Such knowledge about the dynamics of specific disparities in health risks was identified by the Institute of Medicine (IOM) report on lesbian health as fundamental to development of both clinical and public health interventions. Understanding specific factors that may increase or buffer risk for hazardous drinking among sexual minorities (and non-minorities) provides a foundation for the development of culturally and gender appropriate prevention and intervention strategies.

描述（由申请人提供）：项目摘要/摘要。这一R21申请是对PA-08-168（现有酒精流行病学数据的二次分析）的回应，提出了一种混合方法，对性少数群体中物质使用/滥用的媒介进行调查，并特别强调妇女。尽管越来越多的证据表明，在性少数群体中，危险药物和其他药物使用的风险存在差异，但明确审查可能在这些人口亚群中介导此类问题的因素的研究已经死亡。样本将根据性/身份和行为问题分为亚组（女同性恋/男同性恋、双性恋、异性恋与同性伴侣，最后是纯异性恋男性和女性）。第一个具体目标主要是定量的，分析2000-2001年（NAS 10），2005-2006年（NAS 11）收集的国家酒精调查的二级综合数据和目前正在收集的数据2009-2010年（NAS 12）。第二个目标是对从NAS 12受访者中抽取的48名（每组12名）女性进行定性访谈，以深入探索定量测量的介质，并寻求了解其他未测量的途径，这些途径可能导致重度饮酒和酒精相关问题。NAS是一个独特的数据源，非常适合本研究的第一个目标，因为它包括许多物质使用的理论介质以及基本的酒精流行病学变量。媒介包括个人和上下文标记建议的文献，包括压力，社会支持，连贯性，冲动和感觉寻求，过去的创伤经历，经常光顾酒吧和其他饮酒环境。两个拟定PI对NAS 10数据的分析显示，这些亚组在物质使用测量方面存在显著差异，尤其是在女性中。此外，对一些中介的初步调查发现，物质使用预测因素因性别和性少数群体而异。定性访谈还将探讨新的主题和新兴的理论，没有定量数据。 公共卫生关系：该项目进一步加深了我们对危险酒精使用风险增加的理解，酒精相关问题，以及性少数群体中的药物使用，这在妇女中尤其明显。医学研究所关于女同性恋者健康的报告指出，这种关于健康风险具体差异动态的知识是制定临床和公共卫生干预措施的基础。了解可能增加或缓冲性少数群体（和非少数群体）危险饮酒风险的具体因素，为制定文化和性别适当的预防和干预战略奠定了基础。

项目成果

Sexual Minority Women and Alcohol: Intersections between drinking, relational contexts, stress and coping.

• DOI: 10.1080/10538720.2011.588930
• 发表时间: 2011
• 期刊: Journal of gay & lesbian social services
• 影响因子: 1.5
• 作者: Condit M;Kitaji K;Drabble L;Trocki K
• 通讯作者: Trocki K

Sexual orientation differences in the relationship between victimization and hazardous drinking among women in the National Alcohol Survey.

• DOI: 10.1037/a0031486
• 发表时间: 2013-09
• 期刊: PSYCHOLOGY OF ADDICTIVE BEHAVIORS
• 影响因子: 3.4
• 作者: Drabble, Laurie;Trocki, Karen F.;Hughes, Tonda L.;Korcha, Rachael A.;Lown, Anne E.
• 通讯作者: Lown, Anne E.