Integrated Alcohol and Sexual Assault Prevention for Bisexual Women

项目概要/摘要 酒精滥用、性侵犯和心理困扰（焦虑、抑郁） 双性恋女性之间相互关联的问题酗酒是性侵害的主要危险因素 增加再次受害的风险双性恋女性报告说，与男性相比， 与异性恋或女同性恋妇女相比，性侵犯的发生率更高。 双性恋女性也报告了更高水平的少数民族压力，与LGBTQ+的联系水平较低 社区，和更大的心理困扰（焦虑，抑郁）相比，女同性恋者。采取 总之，有强烈的需要针对双性恋者的酗酒，性侵犯和心理困扰， 妇女有问题的是，现有的酒精和性侵犯综合干预措施没有考虑到独特的 双性恋女性面临的压力源（少数民族压力，与LGBTQ+社区脱节）。双性恋 妇女还报告说，她们从现有预防办法和干预措施中获益较少。一种综合的酒精和 因此，针对双性恋妇女的性侵犯预防计划是必要的。拟议 研究将开发一种针对18 - 30岁双性恋女大学生的干预措施， 有性侵害史的人，他们报告偶尔大量饮酒，这是一个特别高的风险群体。的 干预措施将整合（a）基于证据的激励性访谈与个性化反馈，以解决 危险的酒精使用，（B）正念技能培训，以减少心理困扰，（c）性侵犯风险 减少和抵抗教育以及旁观者干预技能培训， 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 知情人访谈（N = 10）、三个焦点小组（N = 30）、利益相关者访谈（N = 6）和校园咨询 理事会将指导综合干预措施的制定。综合干预措施将在一个 开放试验（N = 20），其中将使用访谈和自我报告方法收集有关 干预的可行性和可接受性。将对干预措施进行修订，然后在第1B阶段进行评估 一项随机试验，涉及90名妇女被分配到拟议的干预或等待名单对照组。 将在基线后2个月和4个月对女性进行随访。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。这项研究的结果预计将告知 制定干预措施，不仅针对酗酒和性侵犯的交叉点， 双性恋女大学生，而且还促进了双性恋女性的整体福祉。这一综合办法 代表了这些公共卫生问题通常如何解决的转变，并有可能产生重大影响。 对若干跨领域成果的影响。

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.