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.

项目摘要/摘要。 性少数妇女（SMW;例如，女同性恋，双性恋）的可能性是异性恋女性的6-7倍 饮酒障碍，表明危险饮酒（HD）的高风险和相关的负面影响不成比例 结果。 SMW的高清风险被认为是由于终身暴露于多重和慢性的，这在很大程度上是引起的 压力源。尽管压力与高清之间的关联是良好的，但对关系的关系知之甚少 特征会影响SMW的压力和HD。亲密关系赋予许多好处，并且具有保护性 反对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， 例如高清。拟议的研究旨在使用两种定性的同性夫妇在同性女性夫妇中的作用 以及个人和夫妇级别的定量数据。 K99阶段的具体目的是：1）探索 夫妇关系因素，压力源和高清之间的关联； 2）确定个人水平的经验 在影响饮酒行为的同性女性夫妇中。这种独立途径的主要目标 奖项是Cindy Veldhuis博士在酒精有关的研究和启动方面的培训的加速和完成 她的职业生涯是一名独立科学家，担任终身助理教授职位。 Veldhuis博士是心理学家 以及由NIH/NIAAA F32国家服务研究奖（F32AA025816）资助的博士后研究员 大学。为期两年的K99阶段将完成Veldhuis博士在与性方向相关的健康差异方面的培训 高清。通过指导，Veldhuis博士将：1）招募和采访同性女性夫妇的样本（n = 50对夫妇） 来自纽约市地区； 2）使用混合方法方法检查夫妻内的高清和压力以了解 在这种高危人群中HD的预测因素； 3）参加与饮酒和滥用有关的课程，研讨会和会议， 性少数民族健康，混合方法和二元分析以及专业发展； 4）领导自己的研究 SMW的健康； 5）传播她的发现； 6）在一所研究密集型大学中确保终身教师职位。 拟议的主要导师约翰·帕坎基斯（John Pachankis）博士，勒布朗（Leblanc）博士和休斯博士以及咨询小组成员 博士。 Stone，George，Keyes和Schrimshaw是拟议的K99/R00关键组成部分的专家 提供专业知识，非常适合促进拟议的培训和研究活动的成功完成。 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，因此具有 成功完成培训（K99）阶段所需的资源。三年R00阶段 将允许Veldhuis博士以下 夫妻（n = 300对夫妻）; 2）测试通过经验验证的K99调查结果告知的理论框架 个人和夫妇级别的措施； 3）建立她的研究和实验室计划； 4）将R01提交给 NIH/NIAAA。拟议的研究扩展了Veldhuis博士的F32的发现，以了解个人和夫妇如何 同性关系的水平特征会影响HD，并将为她的R01应用提供初步数据。

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