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

项目摘要/摘要 尽管拉丁裔是美国人口规模最大、增长最快的人口之一，但他们经历了 显著的健康差距，特别是在饮酒方面。其中一个可能的原因是拉丁裔 不成比例地受到有压力的生活条件的影响，特别是贫穷和歧视，这可能导致 较高的饮酒率和与酒精有关的问题(即有问题的饮酒)。微妙的 日常层面的歧视，即所谓的种族/民族微侵犯，在拉丁裔中很常见，可能 这是这一人群中有问题的酒精使用存在显著而独特的差异的原因。建议进行的研究 将在10天内使用随机信号生态瞬时评估(EMA)来研究影响 对拉丁裔饮酒和与酒精有关的问题的微攻击。此外，它还将确定 解释这种关系的基本过程，并测试理论驱动的风险和弹性 各种因素。100名低收入拉丁裔将从联邦合格的健康中心(FQHC)招募 完成基线调查问卷，然后参与EMA阶段的研究。在基线上，参与者 将完成人口统计、拉丁裔传统文化价值观的测量以及压力和逆境清单 (品系)，给予血样，以超敏C反应蛋白(CRP)水平评估慢性应激， 并报告有问题的酒精使用情况。在每天三次随机发出信号的报告中，参与者将报告 微侵袭、非歧视性生活压力源、压力、抑制性控制、寻找失败的经历 类似的其他问题，以及有问题的酒精使用。这项建议可以极大地提高我们对 拉美裔社区内有问题的酒精使用的先驱，并为未来提供关键的洞察力 预防和干预计划。建议的研究项目支持2017-2021年战略规划 国家酒精滥用和酒精中毒研究所(NIAAA)通过推进2年的研究 在关键领域中。首先，目前的提案的最终目标是改进防止酒精滥用的战略， 酒精使用障碍，以及与酒精相关的后果，通过以已知两者都有风险的人群为目标 (目标3)。其次，它加强了NIAAA支持的研究对公共健康的影响，重点是 美国增长最快、人数最多的人群，他们在酗酒方面表现出差异(目标5)。 此外，该提案有助于研究健康差距，这是贯穿各领域的研究主题之一。 美国国家航空航天局。该项目的成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培训， 方法论、统计学和写作，并将满足以下重大需求 关于在服务不足的人群中使用有问题的酒精的创新研究。

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.