A mixed-methods approach to understanding stress and hazardous drinking among same-sex female couples

了解同性女性伴侣的压力和危险饮酒的混合方法

• 批准号: 10683749
• 负责人: Cindy B Veldhuis
• 金额: $ 24.4万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10683749
• 关键词: Acceleration; Address; Affect; Alcohol consumption; Area; Award; Bisexual; Buffers; Characteristics; Chronic; Coping Behavior; Coping Skills; Couples; Data; Development; Discrimination; Event; Exclusion; Exposure to; Faculty; Female; Frequencies; Funding; General Population; Geography; Goals; Health; Health Benefit; Health behavior; Heterosexuals; Individual; Institution; Interview; Laboratories; Lead; Lesbian; Link; Literature; Marriage; Measures; Mentors; Mentorship; Methodology; Methods; Minority; Monitor; Motivation; National Institute on Alcohol Abuse and Alcoholism; National Research Service Awards; New York City; Outcome; Pathway interactions; Phase; Political Factor; Populations at Risk; Positioning Attribute; Postdoctoral Fellow; Psychologist; Recording of previous events; Research; Research Activity; Research Personnel; Resources; Risk; Role; Same-sex; Sampling; Scientist; Secure; Sex Orientation; Source; Stress; Surveys; Testing; Theoretical model; Training; Training Activity; United States National Institutes of Health; Universities; Woman; Women' s Health; alcohol misuse; alcohol research; alcohol use disorder; analytical method; career; career development; drinking; drinking behavior; emotion regulation; experience; female couples; hazardous drinking; health disparity; high risk; innovation; member; minority stress; minority stressor; novel; professor; programs; psychologic; recruit; response; same-sex partnership; satisfaction; sexual minority health; sexual minority women; social stigma; stress management; stressor; substance use; symposium; tenure track; theories; therapy development; timeline

PROJECT SUMMARY/ABSTRACT. Sexual minority women (SMW; e.g., lesbian, bisexual) are 6-7 times as likely as heterosexual women to meet criteria for alcohol use disorder, indicating a disproportionately high risk of hazardous drinking (HD) and associated negative health outcomes. SMW's elevated HD risk is believed to be caused, in large part, by lifetime exposure to multiple and chronic stressors. Although the association between stress and HD is well-established, little is known about how relationship characteristics influence stress and HD among SMW. 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. The proposed study aims to understand the role of HD within same-sex female couples using both qualitative and quantitative data at both the individual- and couple-levels. The specific aims for the K99 phase are to: 1) Explore associations among couple-level relationship factors, stressors, and HD; and 2) Identify individual-level experiences within same-sex female couples that influence drinking behaviors. The major goals of this Pathway to Independence Award are the acceleration and completion of Dr. Cindy Veldhuis' training in alcohol-related research and the launching of her career as an independent scientist with a tenure-track assistant professor position. Dr. Veldhuis is a psychologist and a postdoctoral fellow funded by an NIH/NIAAA F32 National Service Research Award (F32AA025816) at Columbia University. The two-year K99 phase will complete Dr. Veldhuis' training in sexual-orientation-related health disparities in HD. With mentorship, Dr. Veldhuis will: 1) recruit and interview a sample of same-sex female couples (N=50 couples) from the New York City area; 2) use a mixed-methods approach to examine HD and stress within couples to understand predictors of HD in this at-risk population; 3) attend courses, seminars, and conferences related to alcohol use and misuse, sexual minority health, mixed-methods and dyadic analyses, and professional development; 4) lead her own study on SMW's health; 5) disseminate her findings; and 6) secure a tenure-track faculty position at a research-intensive university. The proposed primary mentor Dr. John Pachankis, co-mentors Dr. LeBlanc and Dr. Hughes, and advisory panel members Drs. Stone, George, Keyes, and Schrimshaw are experts in key components of the proposed K99/R00 and collectively provide expertise ideally suited to facilitate the successful completion of the proposed training and research activities. Columbia University is one of the world's most respected research centers and a world-class institution, and thus has the resources needed for successful completion of the training (K99) phase of this proposed award. The three-year R00 phase will allow Dr. Veldhuis to: 1) recruit a geographically and demographically diverse national sample of same-sex female couples (N = 300 couples); 2) test a theoretical framework informed by the K99 findings using empirically validated individual- and couple-level measures; 3) establish her program of research and laboratory; and 4) submit an R01 to NIH/NIAAA. The proposed study extends findings from Dr. Veldhuis' F32 to understand how individual- and couple- level characteristics of same-sex relationships influence HD and will provide preliminary data for her R01 application.

项目总结/摘要。 性少数妇女（法定最低工资;例如，女同性恋者、双性恋者）达到以下标准的可能性是异性恋者的6-7倍： 酒精使用障碍，表明危险饮酒（HD）的风险不成比例地高，并与健康相关 结果。据信，SMW的HD风险升高在很大程度上是由于终生暴露于多种和慢性的 压力源虽然压力和HD之间的联系已经得到了很好的建立，但人们对这种关系是如何发生的却知之甚少。 特征影响SMW之间的应力和HD。亲密的关系会带来很多好处， 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。这项拟议的研究旨在了解HD在同性女性伴侣中的作用， 以及个人和夫妇两个层面的定量数据。K99阶段的具体目标是：1）探索 夫妇层面的关系因素，压力源和HD之间的关联; 2）识别个人层面的经验 影响饮酒行为的因素。这条独立之路的主要目标 奖项是加速和完成辛迪Veldhuis博士在酒精相关的研究和启动培训 她作为一名独立科学家的职业生涯与终身助理教授的位置。Veldhuis博士是一位心理学家 以及哥伦比亚NIH/NIAAA F32国家服务研究奖（F32 AA 025816）资助的博士后研究员 大学为期两年的K99阶段将完成Veldhuis博士在性取向相关健康差异方面的培训， HD. Veldhuis博士将：1）招募并采访一对同性女性夫妇（N=50对夫妇） 从纽约市地区; 2）使用混合方法的方法来检查HD和夫妻之间的压力，以了解 高危人群中HD的预测因素; 3）参加与酒精使用和滥用相关的课程、研讨会和会议， 性少数健康，混合方法和二元分析，以及专业发展; 4）领导她自己的研究， SMW的健康; 5）传播她的发现; 6）在研究密集型大学获得终身教职。 建议的主要导师约翰·帕钱基斯博士，共同导师勒布朗博士和休斯博士，以及顾问小组成员 Drs. Stone、乔治、Keyes和Schrimshaw是拟议中的K99/R 00关键部件的专家， 提供最适合促进成功完成拟议的培训和研究活动的专门知识。 哥伦比亚大学是世界上最受尊敬的研究中心之一，也是世界一流的机构，因此拥有 成功完成本拟议合同的培训（K99）阶段所需的资源。三年R 00阶段 将允许Veldhuis博士：1）招募地理和人口统计学上多样化的全国同性女性样本 夫妇（N = 300对夫妇）; 2）使用经验验证的K99结果测试理论框架 个人和夫妇水平的措施; 3）建立她的研究和实验室计划;和4）提交R 01， NIH/NIAAA。这项拟议中的研究扩展了Veldhuis博士的F32研究结果，以了解个人和夫妇 同性关系的水平特征影响HD，并将为她的R 01申请提供初步数据。

项目成果

Predictors of Psychological Distress and Resilience in the Post-COVID-19 Era.

• DOI: 10.1007/s12529-021-10036-8
• 发表时间: 2022-08
• 期刊: International journal of behavioral medicine
• 影响因子: 2.7
• 作者: Lin T;Yi Z;Zhang S;Veldhuis CB
• 通讯作者: Veldhuis CB

Doubly Marginalized: Addressing the Minority Stressors Experienced by LGBTQ+ Researchers Who Do LGBTQ+ Research.

• DOI: 10.1177/10901981221116795
• 发表时间: 2022-12
• 期刊: Health education & behavior : the official publication of the Society for Public Health Education
• 作者: Veldhuis CB

A Mixed-Methods and Prospective Approach to Understanding Coping Behaviors, Depression, Hopelessness, and Acute Stress in a U.S. Convenience Sample During the COVID-19 Pandemic.

• DOI: 10.1177/10901981221084272
• 发表时间: 2022-04
• 期刊: HEALTH EDUCATION & BEHAVIOR
• 影响因子: 4.2
• 作者: Wootton, Angie R.;Rice, Dylan R.;McKowen, Anna Laura W.;Veldhuis, Cindy
• 通讯作者: Veldhuis, Cindy

Characterizing Health Care Delays and Interruptions in the United States During the COVID-19 Pandemic: Internet-Based, Cross-sectional Survey Study.

• DOI: 10.2196/25446
• 发表时间: 2021-05-19
• 期刊: Journal of medical Internet research
• 影响因子: 7.4
• 作者: Papautsky EL;Rice DR;Ghoneima H;McKowen ALW;Anderson N;Wootton AR;Veldhuis C
• 通讯作者: Veldhuis C