Improving Sexual Minority Health: Differences in Substance Use, Substance Use Treatment, and Associated Chronic Diseases among Rural versus Urban Populations

改善性少数群体的健康：农村与城市人口在药物使用、药物使用治疗和相关慢性病方面的差异

• 批准号: 10597154
• 负责人: Ethan Morgan
• 金额: $ 7.93万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-04-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10597154
• 关键词: Address; Age; Alcohol consumption; Alcohols; Behavior Therapy; Behavioral; Cardiovascular Diseases; Chronic; Chronic Disease; Data; Disease Outcome; Disparity; Drug usage; Etiology; Exhibits; Gays; Goals; Health; Health Services Accessibility; Heterosexuals; High Prevalence; Household; Individual; Institute of Medicine (U.S.); Intervention; Lesbian; Lesbian Gay Bisexual; Link; Malignant Neoplasms; Marijuana; Measures; Mental Depression; Modeling; Opioid; Outcome; Pattern; Population; Prevalence; Recovery; Reduce health disparities; Reporting; Research; Research Project Grants; Risk; Rural; Rural Community; Rural Population; Sex Orientation; Substance Use Disorder; Surveys; Time; Tobacco; Tobacco use; United States; United States National Institutes of Health; Urban Population; Urbanicity; Variant; Work; disease disparity; experience; health disparity populations; high risk; high risk population; improved; marijuana use; member; non-heterosexual; opioid misuse; opioid overdose; opioid use; opioid use disorder; overdose death; peer; physical conditioning; population based; programs; queer; residence; rural environment; rural residence; rural setting; sexual identity; sexual minority; sexual minority group; sexual minority health; substance use; substance use treatment; success; time use; treatment disparity; treatment program; trend; urban dwelling

Project Summary Sexual minorities exhibit significantly higher rates of substance use (SU) and substance use disorders (SUD) compared to their heterosexual counterparts. The vast majority of SU research among sexual minorities, however, has focused on urban populations with little work comparing patterns of SU between rural and urban dwelling sexual minorities. Past work with heterosexual populations has observed strong differences in SU patterns based on urbanicity. Utilization and success of SU treatment programs have also been found to vary widely based on urbanicity of residence, with rural environments suffering from a lack of treatment options and an increased burden of SUD. Additionally, chronic SU has been linked to a number of chronic physical health problems (e.g. cardiovascular disease). Consistent with their higher rates of SU, both sexual minority populations and rural heterosexual populations experience a disproportionate burden of SU-associated chronic diseases. It is therefore likely that SU and chronic disease rates will be even further elevated among understudied rural sexual minorities, making them an extremely high-risk group. Given their potential risk, it is vital to develop a better understanding of how SU, unmet treatment need, and SU-associated chronic diseases differ between rural and urban dwelling sexual minority. The proposed R03 Small Research Grant Program will utilize data from a nationally representative study, namely the National Survey on Drug Use and Health (NSDUH). This survey is an annual cross-sectional household survey of non-institutionalized individuals living in the United States and includes measures of alcohol, tobacco, and drug use, substance use treatment, and a number of SU-associated chronic diseases (e.g. cardiovascular disease, cancer). We will analyze data from all years of NSDUH that have data on sexual identity and are available at commencement of analyses (2015-2020). Data will be used to assess disparities in the aggregate prevalence of focal variables and variations in these disparities by year (via time-varying effects) in all three specific aims: 1) assess disparities in SU and SUD between rural and urban sexual minorities and determine whether sexual orientation disparities in SU vary by urbanicity; 2) delineate differences in treatment utilization and unmet treatment need among rural versus urban sexual minorities and determine whether disparities in treatment between heterosexual and sexual minority populations vary by urbanicity; and 3) determine whether SU-associated chronic disease disparities exist between rural and urban sexual minorities and whether sexual orientation disparities in chronic diseases vary by urbanicity. This proposal is the first step in a program of research which ultimately aims to develop behavioral and biomedical interventions tailored to the specific needs of rural and urban sexual minority populations.

项目摘要 性少数群体的物质使用（SU）和物质使用障碍的比例显着较高 (SUD)与异性恋者相比。绝大多数的SU研究都是在性方面进行的， 然而，少数族裔关注的是城市人口，几乎没有对农村人口的SU模式进行比较， 和城市居住的性少数群体。过去对异性恋人群的研究观察到了强烈的差异 基于城市化的SU模式。SU治疗方案的利用和成功也被发现， 根据居住地的城市化程度， 和SUD的负担增加。此外，慢性SU与许多慢性身体疾病有关。 健康问题（如心血管疾病）。与他们较高的SU率一致， 人群和农村异性恋人群经历了不成比例的SU相关慢性 疾病因此，SU和慢性病的发病率可能会进一步升高， 对农村性少数群体的研究不足，使他们成为极高风险群体。考虑到潜在的风险， 对于更好地了解SU、未满足的治疗需求和SU相关慢性疾病 农村和城市居住的性少数群体之间存在差异。 拟议的R 03小额研究资助计划将利用来自国家代表的数据。 国家药物使用和健康调查（NSDUH）。这项调查是一项年度横向调查， 对居住在美国的非机构化个人的家庭调查，包括以下措施： 酒精、烟草和药物使用、物质使用治疗以及许多SU相关慢性疾病 (e.g.心血管疾病、癌症）。我们将分析来自NSDUH所有年份的数据，这些数据有关于性行为的数据。 身份，并在分析开始时提供（2015-2020）。数据将用于评估差异 在焦点变量的总患病率和这些差异的变化按年（通过时间变化 在所有三个具体目标中：1）评估农村和城市性别之间在SU和SUD方面的差异 少数民族，并确定是否在SU的性取向差异因城市化而异; 2）划定 农村与城市性少数群体之间治疗利用率和未满足的治疗需求的差异， 确定异性恋和性少数群体之间的待遇差异是否因 城市化程度; 3）确定是否存在SU相关的慢性病差异，农村和城市之间 性少数群体和慢性病中的性取向差异是否因城市而异。这 该提案是研究计划的第一步，该计划的最终目标是开发行为和生物医学 针对农村和城市性少数群体的具体需求采取干预措施。

项目成果

Use of Primary Care and Emergency Departments for Substance Use Treatment: The Rural and Urban Divide.

利用初级保健和急诊部门进行药物滥用治疗：农村和城市的差距。

• DOI: 10.1080/10826084.2023.2269581
• 发表时间: 2024
• 期刊: Substance use & misuse
• 影响因子: 2
• 作者: Albright,Nathaniel;Dyar,Christina;Morgan,Ethan
• 通讯作者: Morgan,Ethan

Sexual minorities are not a homogeneous population: health disparity differences based on residence in rural versus urban settings.

性少数群体并不是一个同质的群体：健康差异取决于居住在农村与城市的环境。

• DOI: 10.22605/rrh8052
• 发表时间: 2023
• 期刊: Rural and remote health
• 影响因子: 2.1
• 作者: Morgan,Ethan;Lancaster,Kathryn;Phosri,Yootapichai;Ricks,Janelle;Dyar,Christina
• 通讯作者: Dyar,Christina