Black Hazardous Drinkers: Ecological Momentary Assessment of Racial/Ethnic Microaggressions

项目总结/摘要 尽管是美国最大的少数种族群体之一，黑人经验 在健康方面存在显著差异，特别是在与饮酒有关的结果方面。一个可能的原因是， 美国的黑人个体受到压力生活条件的不成比例的影响，包括基于种族的 歧视，这可能会导致更高的危险饮酒率。微妙的种族歧视， 日常水平，称为种族/民族微侵略（MAs），在黑人中很常见，可能是一种 根据公认的因素，解释了酒精使用动机的显著和独特的差异， 危险饮酒该R21项目的目标是直接响应PA #20 - 195，旨在阐明 使用时间抽样法研究MAs在黑人个体危险饮酒和酒精使用动机中的作用 方法（21天）。参与者（N = 100; 50%女性）将是黑人成年人， 目前危险饮酒的标准。此外，本提案将确定是否有负面影响， (e.g.,焦虑、抑郁、愤怒）解释了MA与饮酒之间的关系 动机（即，更大的酒精渴望，饮酒的意图和应对酒精使用的动机）， 饮用（即，更多的酒精消费，更频繁的饮酒，以及更多的负面影响 从饮酒），并测试理论驱动的文化相关的弹性因素，包括宗教和种族 身份和积极应对策略。这一建议可以大大提高我们对前兆的认识， 黑人社区内的酒精滥用和相关问题，并为未来的发展提供重要的见解。 预防和干预方案。拟议的研究项目支持2022 - 2026年拟议的 国家酒精滥用和酒精中毒研究所（NIAAA）的战略计划， 解决跨领域的主题，如：（1）促进卫生公平，加强多样性和包容性， 酒精研究企业，和（2）推进研究共同发生的条件（在这种情况下，种族- 基于压力和相关的负面影响），与酒精滥用相互作用;它进一步解决了战略 该计划的目标是“识别和跟踪生物、社会、环境和行为原因， 滥用酒精的后果”。此外，拟议的项目符合NIH的UNITE倡议的目标， 支持"关于健康差距、少数民族健康和健康公平的新研究"。

Project Summary/Abstract Despite being one of the largest racial minority groups in the United States (U.S.), Black individuals experience striking health disparities, particularly in terms of drinking-related outcomes. One possible reason for this is that Black individuals in the U.S. are disproportionately affected by stressful life conditions, including race-based discrimination, which may lead to higher rates of hazardous drinking. Subtle race-based discrimination at the daily level, known as racial/ethnic microaggressions (MAs), is common among Black persons, and may be an under recognized factor that accounts for significant and unique variance in alcohol use motivation and hazardous drinking. The goal of this R21 project, which is in direct response to PA #20-195, is to elucidate the role of MAs in hazardous drinking and alcohol use motivation among Black individuals using time sampling methodology (over the course of 21 days). Participants (N=100; 50% female) will be Black adults meeting criteria for current hazardous drinking. Further, the present proposal will determine whether negative affect (e.g., anxiety, depression, anger) in response to MA accounts for the relation between MAs and alcohol use motivation (i.e., greater alcohol craving, intention to drink, and coping-oriented motives for alcohol use) and drinking (i.e., greater alcohol consumption, greater frequency of drinking, and more negative consequences from drinking), and test theoretically driven culturally relevant resilience factors, including religiosity and ethnic identity, and positive coping strategies. This proposal can significantly advance our knowledge of precursors to alcohol misuse and related problems within the Black community and provide critical insight for future prevention and intervention programs. The proposed research project supports the 2022-2026 proposed strategic plan of the National Institute of National Institute on Alcohol Abuse and Alcoholism (NIAAA) by addressing cross-cutting themes such as: (1) promoting health equity and enhance diversity and inclusion in the alcohol research enterprise, and (2) advancing research on co-occurring conditions (in this case, race- based stress and associated negative affect) that interact with alcohol misuse; it further addresses the strategic plan’s goal to “identify and track the biological, social, environmental, and behavioral causes and consequences of alcohol misuse.” Further, the proposed project is in line with NIH’s UNITE initiative’s aim to support “new research on health disparities, minority health, and health equity”.