Proximal Effects of Alcohol on Same-Sex Intimate Partner Violence

酒精对同性亲密伴侣暴力的近端影响

• 批准号: 10401484
• 负责人: Dominic Parrott
• 金额: $ 51.81万
• 依托单位: GEORGIA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-05-01 至 2024-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10401484
• 关键词: Address; Alcohol consumption; Alcoholic Intoxication; Anger; Behavior; Couples; Development; Ecology; Etiology; Failure; Female; Foundations; Gays; Goals; Gold; Health; Heterosexuals; Individual; Institute of Medicine (U.S.); Intervention; Intoxication; Knowledge; LGBT Health; Laboratories; Lead; Lesbian; Literature; Measurement; Methodology; Methods; Modeling; Outcome; Participant; Pattern; Population; Prevention; Process; Public Health; Recording of previous events; Reporting; Research; Research Design; Respondent; Risk; Risk Factors; Same-sex; Sampling; Sex Differences; Social Identification; Specific qualifier value; Testing; Time; Work; alcohol effect; base; cisgender; design; diaries; evidence base; experience; experimental study; female couples; high risk; innovation; intersectionality; intimate partner violence; male; member; minority stress; partner violence; prevent; psychologic; recruit; resilience; response; same-sex partnership; sexual minority stress; sobriety; social; therapy design; therapy development

Partner violence within same-sex intimate relationships (SS-IPV) is a vastly understudied public health problem. Etiological models of SS-IPV perpetration are critical to intervention development and must include factors unique to same-sex relationships (e.g., sexual minority stress); however, such models have yet to be developed or validated. Three particularly notable explanations for this include exclusive use of cross-sectional designs to study SS-IPV perpetration (i.e., inability to establish temporal effects), no studies which examine the proximal effects of alcohol on SS-IPV perpetration, and a paucity of studies which account for participants’ and their intimate partners’ intersecting social identities. These limitations prevent research from developing and testing theoretically-based and culturally-sensitive interventions designed to reduce SS-IPV. The scientific premise of the proposed project is to prioritize three perspectives highlighted by the Institute of Medicine (2011) report – minority stress, social-ecology, and intersectionality – while addressing the aforementioned weaknesses. We aim to determine (1) the temporal effect of sexual minority stress on SS-IPV perpetration, (2) whether proximal alcohol use alters the threshold at which sexual minority stress contributes to SS-IPV perpetration, (3) the temporal sequence by which sexual minority stress, proximal alcohol use, and other factors facilitate SS-IPV, and (4) how these interactive and mediational effects are altered by the patterning of individual- and couple-level risk and resilience factors for SS-IPV. These goals will be achieved by using the complementary strengths of laboratory-based experimental (Study 1) and longitudinal daily diary methods (Study 2), which are gold standard methods for establishing temporal relations among risk factors and IPV perpetration. For each study, we will recruit an independent sample of cisgender male-male and female-female couples who identify as gay or lesbian and are at high risk for IPV (based upon prior history of IPV) from Atlanta, GA. Across both studies, effects will be examined within an Actor-Partner Interdependence Modeling framework which will allow for valid analysis of both partners’ intersecting identities as well as risk and resilience factors at the individual- and couple-level. The most important contribution of the proposed project will be to provide the first comprehensive etiological model for SS-IPV perpetration that attends to both interactional and process-based factors that account for sexual minority stress and proximal alcohol effects at the individual- and couple-level of analysis. In doing so, results derived from this project will make a major contribution toward the evidence base required to develop effective, culturally-informed SS-IPV treatment and prevention efforts.

同性亲密关系中的伴侣暴力 (SS-IPV) 是一项未被充分研究的公共卫生问题 问题。 SS-IPV 发生的病因学模型对于干预措施的制定至关重要，必须包括 同性关系特有的因素（例如性少数压力）；然而，此类模型尚未建立 开发或验证。对此的三个特别值得注意的解释包括专门使用横截面 设计来研究 SS-IPV 的持续性（即无法确定时间效应），没有研究检查 酒精对 SS-IPV 实施的近端影响，并且缺乏解释参与者和 他们亲密伴侣的交叉社会身份。这些限制阻碍了研究的发展和 测试旨在减少 SS-IPV 的基于理论和文化敏感的干预措施。 拟议项目的科学前提是优先考虑研究所强调的三个观点 Medicine (2011) 报告 – 少数群体压力、社会生态和交叉性 – 同时解决 上述弱点。我们的目标是确定 (1) 性少数压力对 SS-IPV 的时间影响 犯罪行为，（2）近期饮酒是否会改变性少数压力造成的阈值 SS-IPV 的实施，(3) 性少数压力、近端酒精使用和 其他因素促进 SS-IPV，以及 (4) 这些相互作用和中介效应如何被 SS-IPV 改变 SS-IPV 的个人和夫妇层面的风险和复原力因素的模式。 这些目标将通过利用基于实验室的实验的互补优势来实现（研究 1） 和纵向每日日记方法（研究 2），这是建立时间的黄金标准方法 风险因素与 IPV 实施之间的关系。对于每项研究，我们都会招募一个独立样本 自认为是男同性恋或女同性恋且感染 IPV 的高风险的顺性别男对男和女对女夫妇 （基于之前的 IPV 历史）来自佐治亚州亚特兰大。在这两项研究中，将在一段时间内检查效果 参与者-合作伙伴相互依赖建模框架，该框架将允许对双方的有效分析 个人和夫妻层面的交叉身份以及风险和复原力因素。 拟议项目最重要的贡献将是提供第一个全面的病因学 SS-IPV 实施模型考虑了交互因素和基于流程的因素 在个人和夫妻层面的分析中，性少数压力和近端酒精效应。在这样做的过程中， 该项目得出的结果将为开发所需的证据基础做出重大贡献 有效的、基于文化的 SS-IPV 治疗和预防工作。