Testing associations among sexual identity, race/ethnicity, relationship characteristics, and hazardous drinking

测试性别认同、种族/民族、关系特征和危险饮酒之间的关联

• 批准号: 9763387
• 负责人: Cindy B Veldhuis
• 金额: $ 6.82万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2020-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9763387
• 关键词: Address; Adult; African American; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcohols; Applications Grants; Behavior; Bisexual; Brain Diseases; Buffers; Characteristics; Chicago; Childhood; Chronic; Color; Communities; Complex; Coping Behavior; Couples; Data; Data Analyses; Data Set; Development; Discrimination; Distress; Ethnic Origin; Event; Exposure to; Faculty; Female; General Population; Goals; Health; Health behavior; Heart Diseases; Heavy Drinking; Heterosexuals; High Risk Woman; Homophobia; Inequality; Injury; Intervention; Intoxication; Latina; Lead; Lesbian; Lesbian Gay Bisexual Transgender; Life; Life Experience; Light; Link; Literature; Liver diseases; Malignant Neoplasms; Manuscripts; Marriage; Mediating; Mediation; Mental Health; Mentorship; Minority; Modeling; National Research Service Awards; Outcome; Population Heterogeneity; Positioning Attribute; Race; Reporting; Research; Research Design; Research Personnel; Risk; Risk Behaviors; Risk Factors; Role; Same-sex; Sampling; Sex Bias; Sex Orientation; Source; Stress; Sum; Supreme Court Decisions; Symptoms; Testing; Time; Training; Training Programs; United States; Universities; Victimization; Vulnerable Populations; Woman; Women' s Group; Writing; alcohol measurement; alcohol related problem; alcohol research; base; binge drinking; career; contextual factors; coping; drinking; ethnic difference; ethnic identity; ethnic minority population; experience; hazardous drinking; health disparity; help-seeking behavior; high risk; indexing; interest; intersectionality; longitudinal dataset; men; physical conditioning; programs; protective factors; racial and ethnic; racial and ethnic disparities; racism; same-sex partnership; sexual identity; sexual minority; social; social stigma; stress management; stressor; symposium; theories; therapy development

Abstract Sexual minority women (SMW; lesbian, bisexual) are 11 times as likely as heterosexual women to meet criteria for alcohol dependence, and 8 times as likely to report seeking help for alcohol-related problems, indicating a disproportionately high risk of hazardous drinking (HD) and associated health risks. HD is operationalized as an index that includes heavy episodic drinking, intoxication, adverse drinking consequences, and symptoms of alcohol dependence. SMW's high risk for HD has been linked to lifetime exposure to multiple and chronic stressors. Although the association between stress and alcohol use is well-established, little is known about the association between relationships, stress, and alcohol use among same-sex female couples. Intimate relationships confer many benefits, and are protective against stress-related negative health outcomes. Conversely, relationship stress may lead to unhealthy coping behaviors, such as HD. Although more than half of SMW in the United States are married or cohabiting, and estimates suggest that up to 50% of same-sex couples will marry within three years of the Supreme Court decision on marriage equality, there is a paucity of research on SMW's intimate relationships and health, and even less research on these associations among SMW of color. Given that hazardous drinking is among the most prominent sexual-orientation-related health disparities in women, there is a critical need to understand the role of alcohol in SMW's intimate relationships. This National Service Research Award (F32) application integrates training and research designed to develop the applicant's expertise in alcohol research and sexual-orientation-related health disparities, with the overarching aim of supporting the candidate in becoming an independent researcher with the ultimate goal of obtaining a faculty position at a major research university and conducting research on sexual-orientation-related health disparities. To accomplish her career and research goals, the applicant requires training in: (1) SMW's health with a focus on hazardous drinking, (2) racial/ethnic disparities and intersectionality, (3) complex data analysis, and (4) professional development, including competitive grant application and manuscript writing. This training program combines mentorship with coursework, seminars, and conferences to enable the applicant to build a strong and impactful program of research addressing critical interpersonal and contextual factors that contribute to SMW's hazardous drinking. In the proposed research, we will examine relationship characteristics and hazardous drinking by taking into account the larger context in which SMW relationships exist, including racial/ethnic and sexual identity differences in the potential effects of multiple stressors on drinking and drinking-related outcomes. We will use a rich dataset to address the following research aims: (1) Using a large, diverse sample of SMW, we will test two competing models—whether the effects of sexual identity and race/ethnicity are: a) additive or b) multiplicative in the associations between relationship status and hazardous drinking. (2). Cross-sectionally and longitudinally examine associations among relationship status, race/ethnicity, stress, and hazardous drinking.

摘要 性少数女性（SMW;女同性恋，双性恋）达到标准的可能性是异性恋女性的11倍。 酒精依赖，和8倍的可能性报告寻求帮助的酒精相关的问题，表明 危险饮酒（HD）和相关的健康风险不成比例地高。房屋署作为一个 包括重度间歇性饮酒、醉酒、不良饮酒后果和酒精症状的指数 依赖SMW的高风险HD与终身暴露于多种和慢性压力源有关。虽然 压力和酒精使用之间的联系是公认的，但对关系之间的联系知之甚少， 压力和同性女性伴侣的酒精使用。亲密的关系会带来很多好处， 对抗与压力相关的负面健康结果。相反，关系压力可能导致不健康的应对行为， 例如HD。尽管美国超过一半的法定最低工资是已婚或同居，估计表明， 高达50%的同性伴侣将在最高法院关于婚姻平等的裁决后三年内结婚， 有关法定最低工资者的亲密关系与健康的研究什少，而有关法定最低工资者之间的关系的研究更少。 SMW颜色鉴于危险饮酒是与性取向有关的最突出的健康差异之一， 因此，有必要了解酒精在法定最低工资的亲密关系中所扮演的角色。这项国家服务 研究奖（F32）申请整合了旨在发展申请人在酒精方面的专业知识的培训和研究 研究和与性取向有关的健康差距，以支持候选人在 成为一名独立的研究人员，最终目标是在一所主要的研究型大学获得教职 并对与性取向有关的健康差异进行研究。为了实现她的职业和研究目标， 申请人需要接受以下培训：（1）法定最低工资的健康，重点是危险饮酒;（2）种族/民族差异; 交叉性，（3）复杂的数据分析，（4）专业发展，包括竞争性赠款申请， 手稿写作。该培训计划将导师制与课程、研讨会和会议相结合， 申请人建立一个强大的和有影响力的研究计划，解决关键的人际和背景因素 导致法定最低工资的危险饮酒。在拟议的研究中，我们将研究关系特征， 考虑到法定最低工资关系存在的更大背景，包括种族/民族， 和性别认同差异的潜在影响，多种压力对饮酒和饮酒相关的结果。我们 我将使用一个丰富的数据集来解决以下研究目标：（1）使用一个大的，不同的SMW样本，我们将测试两个 竞争模型-性别认同和种族/民族的影响是否是：a）加性或B）乘法在 关系状况与危险饮酒之间的关联（二）、横截面和纵向检查 关系状况、种族/民族、压力和危险饮酒之间的关联。