The Impact of Microaggressions on Alcohol Consumption and Alcohol-Related Problems in the Latino Community

微侵犯对拉丁裔社区酒精消费和酒精相关问题的影响

• 批准号: 9759168
• 负责人: Megan K Britton
• 金额: $ 3.45万
• 依托单位: UNIVERSITY OF HOUSTON
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-01 至 2020-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9759168
• 关键词: Address; Administrator; Affect; Alcohol abuse; Alcohol consumption; Alcohols; Area; Award; Blood specimen; C-reactive protein; Caring; Censuses; Chronic stress; Communities; Consumption; Data; Discrimination; Ecological momentary assessment; Education; Equipment and supply inventories; Ethics; Ethnic Origin; Ethnic group; Exposure to; Failure; Family; Federally Qualified Health Center; Future; Goals; Health; High Prevalence; Hispanics; Institutes; Intervention; Investigation; Knowledge; Latino; Lead; Life; Link; Low income; Measures; Methodology; Minority Groups; National Institute on Alcohol Abuse and Alcoholism; Neighborhood Health Center; Participant; Persons; Phase; Policy Maker; Population; Populations at Risk; Poverty; Prejudice; Prevention; Prevention program; Process; Public Health; Questionnaires; Race; Reporting; Research; Research Personnel; Research Project Grants; Research Support; Retrospective Studies; Risk; Risk Factors; Signal Transduction; Site; Social support; Strategic Planning; Stress; Students; Testing; Time; Training; Underserved Population; United States; Woman; World Health; Writing; alcohol misuse; alcohol misuse prevention; alcohol related consequences; alcohol related problem; alcohol use disorder; binge drinking; cultural values; demographics; ethnic minority population; experience; health disparity; high risk; improved; innovation; insight; intervention program; men; patient oriented; prospective; protective factors; racial and ethnic; racial discrimination; racial minority; recruit; resilience; statistics; stressor

Project Summary/Abstract Despite being one of the largest and fastest-growing demographics in the United States (US), Latinos experience striking health disparities, particularly in the area of alcohol use. One possible reason for this is that Latinos are disproportionately affected by stressful life conditions, notably poverty and discrimination, which may lead to higher rates of alcohol consumption and alcohol-related problems (i.e., problematic alcohol use). Subtle discrimination at the daily-level, known as racial/ethnic microaggressions, are common among Latinos, and may account for significant and unique variance in problematic alcohol use within this population. The proposed study will use randomly signaled ecological momentary assessment (EMA) over a 10-day period, to study the impact of microaggressions on Latinos alcohol consumption and alcohol-related problems. Furthermore, it will determine the underlying processes that account for this relationship, and test theoretically-driven risk and resilience factors. One-hundred low-income Latinos will be recruited from a Federally-Qualified Health Center (FQHC) to complete baseline questionnaires, and then participate in the EMA phase of the study. At baseline, participants will complete demographics, measures of traditional Latino cultural values and a Stress and Adversity Inventory (STRAIN), give a blood sample to assess chronic stress with levels of high sensitivity C-reactive protein (CRP), and report on problematic alcohol use. In randomly signaled reports three times a day, participants will report experiences of microaggressions, non-discriminatory life stressors, stress, inhibitory control, failure to seek out similar others, as well as problematic alcohol use. This proposal can significantly advance our knowledge of precursors to problematic alcohol use within the Latino community, and provide critical insight for future prevention and intervention programs. The proposed research project supports the 2017-2021 strategic plan of the National Institute of National Institute on Alcohol Abuse and Alcoholism (NIAAA) by advancing research in 2 of the key areas. First, the current proposal has the end goal of improving strategies to prevent alcohol misuse, alcohol use disorder, and alcohol-related consequences, by targeting a population known to be at risk for both (goal 3). Second, it enhances the public health impact of NIAAA-supported research, by focusing on one of the fastest-growing and largest demographics in the US who demonstrate disparities in alcohol misuse (goal 5). Furthermore, the proposal contributes to research on health disparities, one of the cross-cutting research themes of NIAAA. The findings of this project will be disseminated to researchers, education administrators, students, policy makers, and the public. The award and completion of this project will afford substantial training in ethics, methodologies, statistics, and writing, to a promising young researcher and will address the significant need for innovative research on problematic alcohol use in an underserved population.

项目总结/摘要 尽管是美国（US）最大和增长最快的人口统计数据之一，但拉丁美洲人的经验 在健康方面存在着惊人的差距，特别是在饮酒方面。一个可能的原因是，拉丁美洲人是 特别是贫困和歧视，这可能导致 酒精消费率和酒精相关问题（即，酒精使用问题）。微妙 日常层面的歧视，被称为种族/民族微侵略，在拉丁美洲人中很常见， 解释了这个人群中有问题的酒精使用的显著和独特的差异。拟定研究 将在10天内使用随机信号生态瞬时评估（EMA）来研究影响 对拉丁美洲人的酒精消费和酒精相关问题的影响。此外，它将决定 解释这种关系的基本过程，并测试理论驱动的风险和弹性 因素100名低收入的拉丁美洲人将从联邦合格的健康中心（CIMHC）招募， 完成基线问卷，然后参与研究的EMA阶段。在基线时，参与者 我将完成人口统计，传统的拉丁美洲文化价值观的措施和压力和逆境清单 （应变），给予血液样本，以评估慢性压力与高敏感性C反应蛋白（CRP）的水平， 并报告酗酒问题。在每天三次的随机报告中，参与者将报告 微攻击的经历，非歧视性生活压力源，压力，抑制控制，未能寻求 类似的其他人，以及酗酒问题。这一建议可以大大提高我们对 拉丁裔社区内有问题的酒精使用的前体，并为未来提供关键的见解 预防和干预方案。拟议的研究项目支持2017 - 2021年战略计划， 国家酒精滥用和酒精中毒研究所（NIAAA）的国家研究所通过推进2 的关键领域。首先，目前的提案的最终目标是改善防止酗酒的战略， 酒精使用障碍和酒精相关的后果，针对已知有这两种风险的人群 (goal（3）第三章。第二，它通过关注以下方面之一，增强了NIAAA支持的研究对公共卫生的影响： 美国增长最快和最大的人口统计数据显示，酒精滥用的差异（目标5）。 此外，该提案还有助于对健康差距的研究，这是贯穿各领域的研究主题之一 的NIAA。该项目的调查结果将分发给研究人员、教育管理人员、学生， 政策制定者和公众。该项目的授予和完成将提供大量的道德操守培训， 方法，统计和写作，一个有前途的年轻研究人员，并将解决重大需求， 对服务不足人群中有问题的酒精使用进行创新研究。