Stress, hazardous drinking and intimate partner aggression in a diverse sample of women and their partners

不同女性及其伴侣样本中的压力、危险饮酒和亲密伴侣攻击行为

• 批准号: 10662290
• 负责人: TONDA L HUGHES
• 金额: $ 52.05万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-10 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10662290
• 关键词: Address; Affect; Age; Aggressive behavior; Alcohol consumption; Alcohols; Anger; Area; Bisexual; Black race; Chicago; Child Abuse; Conflict (Psychology); Cost Savings; Couples; Data; Development; Disinhibition; Enrollment; Ethnic Origin; Female; Funding; Gender; Health; Heavy Drinking; Heterosexuals; Individual; Intervention; Interview; Intoxication; Knowledge; Latina; Length; Lesbian; Life Experience; Link; Longitudinal Studies; Mediating; Mediator; Mental Depression; Modeling; Participant; Pathway interactions; Pattern; Perception; Play; Population; Prevention strategy; Principal Investigator; Process; Prospective Studies; Public Health; Race; Reduce health disparities; Reporting; Research; Risk; Risk Factors; Role; Sampling; Sex Orientation; Social support; Stigmatization; Stress; Testing; United States; Victimization; Vulnerable Populations; Woman; binge drinking; cohort; coping; drinking; emotion regulation; experience; hazardous drinking; health disparity; interest; internalized stigma; lens; male; marginalization; member; men; minority stress; minority stressor; negative affect; partner aggression; perpetrators; programs; protective factors; psychologic; psychosocial resources; public health relevance; recruit; sexual identity; sexual minority; sexual minority stress; sexual minority women; sociodemographic variables; sociodemographics; trait

PROJECT SUMMARY Intimate partner aggression (IPA; physical, sexual, psychological) is a serious public health problem that affects more than one in three women in the United States. Although research on IPA among sexual minority women (SMW; lesbian, bisexual) is relatively new, research suggests that they may be at greater risk than heterosexual women. Given that alcohol use is a major contributing factor to IPA in heterosexual couples, and given findings (ours and others') demonstrating that SMW are substantially more likely than heterosexual women to drink alcohol, drink heavily, and to experience drinking- related problems, it is likely that alcohol plays an important role in IPA in SMW's relationships. However, there are large gaps in research on alcohol use and IPA among SMW. IPA research has historically taken a gendered perspective (women as victims/men as perpetrators) and for the most part has concentrated on either victims or perpetrators, not both. Research focused simultaneously on SMW and their partners can illuminate how individual- and couple-level factors operate outside the individualistic and gendered lens in this understudied and vulnerable population—and ultimately lead to culturally tailored interventions. Guided by a recent extension of the minority stress model to include the relational (couple-level) context of sexual minority stress, as well as the I3 (I-Cubed) theoretical perspective on IPA perpetration, we propose to collect individual and dyadic data to better characterize the links between hazardous drinking (HD) and IPA among SMW and their partners. The proposed project will draw from large and diverse cohort of SMW currently enrolled the Chicago Health and Life Experiences of Women (CHLEW)—a 19-year prospective study. The CHLEW focuses on understanding mechanisms linking minority sexual orientation and HD, defined in this study using several indicators such as heavy drinking, heavy episodic drinking, and intoxication. Specifically, we will recruit CHLEW participants and their partners to participate in the CHLEW Couples study. Thus, the proposed study offers an efficient and cost-saving opportunity to recruit a diverse sample that will contribute to understanding and ultimately reducing health disparities between SMW and heterosexual women. The aims of the project are to (1) examine associations among minority stress, HD and IPA in SMW and their partners; (2) examine potential mediators and moderators of the associations between minority stress and HD and IPA; and (3) guided by the I3 (I-cubed) theoretical perspective, test models that include effects of instigating factors (e.g., relationship conflict), impelling factors (e.g., minority stress, negative affect, trait anger), and inhibiting (e.g., relationship commitment, emotion regulation) or dis-inhibiting (e.g., HD) factors on IPA perpetration. This study builds on the Principal Investigator's unprecedented longitudinal study of SMW's alcohol use and its diverse sample and expands this unique program of research to explore the links between HD and IPA. Achieving the proposed aims will help fill important gaps in knowledge and will provide the basis for future research aimed at clarifying the causal pathways linking HD and IPA—which will, in turn, support the development of culturally appropriate individual and dyadic prevention and intervention strategies tailored to the needs of SMW.

项目摘要 亲密的伴侣侵略性（IPA；身体，性，心理）是一个严重的公共卫生问题，影响不过 美国三分之一的妇女。尽管性少数妇女中有关IPA的研究（SMW；女同性恋， 双性恋是相对新的，研究表明，它们可能比异性恋女性更大。鉴于酒精 使用是异性恋夫妇中IPA的主要因素，并给出了发现（我们的和其他人）证明这一点 SMW比异性妇女喝酒，大量喝酒并体验饮酒的可能性更大 - 相关问题，酒精可能在SMW关系中在IPA中起重要作用。但是，有很大的 SMW中关于饮酒和IPA的研究差距。 IPA研究历史上已经采取了性别观点（女性 作为肇事者的恐怖/男性），并且大部分都集中在恐怖或酒精上，而不是两者兼而有之。研究 仅仅专注于SMW及其合作伙伴可以阐明个人和夫妇级别因素在外面的运作方式 在这个被理解和脆弱的人群中的个人主义和性别镜头，并最终导致文化 量身定制的干预措施。以少数族裔压力模型的最新扩展为指导，以包括关系（夫妇级） 性少数群体压力以及IPA犯罪的i3（I-Cube）理论观点的背景，我们建议 收集个人和二元数据，以更好地表征SMW中有害饮酒（HD）与IPA之间的联系 和他们的伴侣。拟议的项目将从目前参加芝加哥的大型SMW和潜水员队列中 妇女的健康和生活经验（Chlew） - 一项为期19年的前瞻性研究。 Chlew专注于理解 在本研究中定义的几种指标，例如重度 饮酒，大量的情节饮酒和醉酒。具体来说，我们将招募Chlew参与者及其合作伙伴 参加Chlew夫妇的研究。这是拟议的研究提供了有效且节省成本的机会 招募一个不同的样本，将有助于理解并最终降低SMW和SMW之间的健康差异 异性妇女。该项目的目的是（1）SMW中少数族裔压力，高清和IPA的检查协会 和他们的伴侣； （2）检查少数族裔压力与HD和HD和HD和 IPA; （3）在i3（i-cubed）理论观点的指导下，包括煽动因子的影响（例如， 关系冲突），使因素（例如，少数派压力，负面影响，特质愤怒）和抑制（例如，关系 承诺，情绪调节）或抑制IPA犯罪因素（例如HD）因素。这项研究以 首席研究者对SMW酒精使用及其潜水员样本的前所未有的纵向研究，并扩展了这一点 独特的研究计划，以探索HD和IPA之间的联系。实现拟议的目标将有助于填补重要的 知识的差距，并将为未来的研究提供基础，以阐明与高清和 IPA - 反过来将支持在文化上适当的个人和二元预防的发展以及 根据SMW的需求量身定制的干预策略。

项目成果

Health disparities in one of the world's most progressive countries: a scoping review of mental health and substance use among sexual and gender minority people in the Netherlands.

• DOI: 10.1186/s12889-023-17466-x
• 发表时间: 2023-12-18
• 期刊: BMC PUBLIC HEALTH
• 影响因子: 4.5
• 作者: Hughes, Tonda L.;Bochicchio, Lauren;Drabble, Laurie;Muntinga, Maaike;Jukema, Jan S.;Veldhuis, Cindy B.;Bruck, Suncica;Bos, Henny
• 通讯作者: Bos, Henny