Integrated Alcohol and Sexual Assault Prevention for Bisexual Women

项目摘要/摘要 酗酒、性侵犯和心理困扰(焦虑、抑郁)都很严重 双性恋女性之间的相互关联的问题。酗酒是性侵害的主要危险因素 并增加再次受害的风险。与双性恋女性相比，双性恋女性重度饮酒率更高 与异性恋或女同性恋者相比，性侵害率更高。 双性恋女性报告的少数民族压力水平更高，与LGBTQ的联系水平更低 与女同性恋者相比，她们有更多的心理困扰(焦虑、抑郁)。已被占用 总而言之，我们强烈需要针对双性恋者的酒精使用、性侵犯和心理困扰 女人。有问题的是，现有的酒精和性侵犯综合干预措施并不认为 双性恋女性面临的压力源(少数民族压力，与LGBTQ社区的隔绝)。双性 妇女还报告说，从现有预防方法干预措施中获益较少。一种一体化的酒精和 因此，专门为双性恋女性量身定做的性侵犯预防计划是有必要的。建议数 研究将针对年龄在18-30岁之间的双性恋大学女性进行干预 有性侵害史，报告大量间歇性饮酒，这是一个特别高风险的群体。这个 干预将把(A)基于证据的激励性访谈与个性化反馈相结合，以解决 危险饮酒，(B)正念技能训练，以减少心理困扰，和(C)性侵犯风险 减少和抵抗教育以及旁观者干预技能培训，目标是减少 再次受害。在阶段1A和1B治疗开发模型之后，在阶段1A中，来自 线人访谈(N=10)、三个焦点小组(N=30)、利益相关者访谈(N=6)和一次校园咨询 董事会将指导综合干预的发展。综合干预措施将在 公开试验(N=20)，将利用访谈和自我报告的方法收集关于 干预的可行性和可接受性。干预措施将被修改，然后在阶段1B中进行评估 随机试点试验，90名妇女被分配到建议的干预或等待名单控制组。 女性将在基线后2个月和4个月进行跟踪。在修订阶段，我们将进行离职面谈 并修改干预措施，为更大规模的临床试验做准备。这项研究的结果有望为 制定干预措施，不仅针对酗酒和性侵犯之间的交叉 双性恋女大学生，也促进了双性恋女性的整体福祉。这种综合方法 代表着通常解决这些公共卫生问题的方式发生了转变，并有可能显著 对几个交叉成果的影响。

PROJECT SUMMARY/ABSTRACT Alcohol misuse, sexual assault, and psychological distress (anxiety, depression) are significant interconnected problems among bisexual women. Heavy drinking is a primary risk factor for sexual victimization and increases risk for revictimization. Bisexual women report higher rates of heavy episodic drinking compared to heterosexual women, as well as higher rates of sexual assault compared to heterosexual or lesbian women. Bisexual women also report higher levels of minority stress, lower levels of connection to the LGBTQ+ community, and greater psychological distress (anxiety, depression) compared to lesbian women. Taken together, there is a strong need to target alcohol use, sexual assault, and psychological distress among bisexual women. Problematically, existing integrated alcohol and sexual assault interventions do not consider the unique stressors (minority stress, disconnection from the LGBTQ+ community) faced by bisexual women. Bisexual women also report less benefit from existing prevention approaches interventions. An integrated alcohol and sexual assault prevention program specifically tailored to bisexual women is therefore warranted. The proposed research will develop an intervention targeted toward bisexual college women between the ages of 18 – 30 with a history of sexual victimization who report heavy episodic drinking, a particularly high-risk group. The intervention will integrate (a) evidence-based motivational interviewing with personalized feedback to address risky alcohol use, (b) mindfulness skills training to reduce psychological distress, and (c) sexual assault risk reduction and resistance education as well as bystander intervention skills training with the goal of decreasing revictimization. Following a Stage 1A and 1B treatment development model, in Stage 1A information from informant interviews (N = 10), three focus groups (N = 30), stakeholder interviews (N = 6), and a campus advisory board will guide the development of the integrated intervention. The integrated intervention will be tested in an open trial (N = 20) in which interview and self-report methods will be utilized to gather information regarding the feasibility and acceptability of the intervention. The intervention will be revised and then evaluated in a Stage 1B randomized pilot trial involving 90 women assigned to the proposed intervention or a wait list control group. Women will be followed at 2- and 4- months post-baseline. In the Revision Phase, we will conduct exit interviews and revise the intervention to prepare for a larger clinical trial. Results of this research are expected to inform the development of interventions that not only target the intersection of alcohol use and sexual assault among bisexual college women, but also promote the overall wellbeing of bisexual women. This integrated approach represents a shift in how these public health problems are typically addressed and has the potential for significant impact across several cross-cutting outcomes.