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.

项目概要 亲密伴侣攻击行为（IPA；身体、性、心理）是一个严重的公共卫生问题，影响超过 美国三分之一的女性。尽管对性少数女性（SMW；女同性恋、 双性恋）相对较新，研究表明她们可能比异性恋女性面临更大的风险。鉴于酒精 使用是异性伴侣中 IPA 的一个主要影响因素，并且鉴于（我们和其他人的）研究结果表明， 与异性恋女性相比，SMW 更有可能饮酒、酗酒和经历饮酒—— 相关问题，酒精很可能在 SMW 关系中的 IPA 中发挥着重要作用。然而，有大量 SMW 中酒精使用和 IPA 的研究存在差距。 IPA 研究历来采取性别观点（女性 作为受害者/男性作为施暴者），并且大部分集中在受害者或施暴者身上，而不是两者。研究 同时关注 SMW 及其合作伙伴可以阐明个人和夫妻层面的因素如何在外部运作 在这个未被充分研究的弱势群体中，个人主义和性别视角——并最终导致文化上的 量身定制的干预措施。以最近少数群体压力模型的扩展为指导，将关系（夫妻层面）纳入其中 考虑到性少数压力的背景，以及 I3 (I-Cubed) 对 IPA 实施的理论视角，我们建议 收集个人和二元数据，以更好地描述 SMW 中有害饮酒 (HD) 和 IPA 之间的联系 和他们的合作伙伴。拟议的项目将吸引目前在芝加哥注册的大量、多样化的 SMW 群体 女性健康和生活经历 (CHLEW)——一项为期 19 年的前瞻性研究。 CHLEW 重点关注理解 少数群体性取向与 HD 之间的联系机制，在本研究中使用了多个指标来定义，例如重 饮酒、间歇性大量饮酒和中毒。具体来说，我们将招募 CHLEW 参与者及其合作伙伴来 参加 CHLEW 夫妻研究。因此，拟议的研究提供了一个有效且节省成本的机会 招募多样化的样本，这将有助于了解并最终减少 SMW 和 SMW 之间的健康差异 异性恋女性。该项目的目标是 (1) 研究 SMW 中的少数民族压力、HD 和 IPA 之间的关联 和他们的合作伙伴； (2) 检查少数群体压力与 HD 之间关联的潜在中介因素和调节因素 国际音标； (3) 以 I3（I 立方）理论视角为指导，测试模型，其中包括刺激因素的影响（例如， 关系冲突）、推动因素（例如少数群体压力、负面情绪、特质愤怒）和抑制因素（例如关系冲突） 承诺、情绪调节）或去抑制（例如 HD）因素对 IPA 行为的影响。这项研究建立在 首席研究员对 SMW 的饮酒情况及其多样化样本进行了前所未有的纵向研究，并扩展了这一研究 探索 HD 和 IPA 之间联系的独特研究计划。实现拟议目标将有助于填补重要空白 知识差距，并将为未来的研究奠定基础，旨在阐明 HD 与 HD 之间的因果关系。 IPA——反过来，它将支持发展文化上适当的个人和二元预防和 适合 SMW 需求的干预策略。

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