Alcohol use and misuse among Latinas in the U.S.: Addressing gaps in the literature with a multi-methods approach

美国拉丁裔的酒精使用和滥用：通过多种方法弥补文献中的空白

• 批准号: 10612473
• 负责人: Jessica K. Perrotte
• 金额: $ 14.52万
• 依托单位: TEXAS 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: 2022-05-01 至 2027-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10612473
• 关键词: Acculturation; Address; Affect; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcohols; American; Area; Attitude; Brain Injuries; Calibration; Cirrhosis; Complex; Data; Data Set; Data Sources; Development Plans; Disparity; Driving While Intoxicated; Drug usage; Elements; Epidemiology; Ethnic Origin; Ethnic Population; Feminine; Focus Groups; Future; Gender; Gender Role; Glean; Goals; Health; Hispanic-serving Institution; Knowledge; Latin American; Latina; Latina Population; Latino; Latino Population; Latinx; Light; Link; Literature; Liver Cirrhosis; Mainstreaming; Maps; Measures; Mentored Research Scientist Development Award; Mentors; Methods; Minority Women; Modernization; Monitor; Movement; Nature; Outcome; Paper; Pattern; Perception; Phase; Policies; Population; Populations at Risk; Prevalence; Prevention program; Process; Public Health; Qualitative Research; Reporting; Research; Research Activity; Research Design; Research Methodology; Research Personnel; Research Support; Risk; Sampling; Sex Differences; Sex Discrimination; Societies; Surveys; Techniques; Training; Training Activity; Woman; Work; alcohol abuse therapy; alcohol behavior; alcohol misuse; alcohol prevention; alcohol use disorder; career; clinical practice; design; drinking; drinking behavior; epidemiology study; ethnic minority; expectation; experience; health disparity; interpersonal conflict; men; person centered; population based; professor; programs; public health priorities; racial minority; racial population; sex; skills; social culture; sociocultural determinant; sociodemographic factors; statistical center; tool; transmission process; treatment program; trend; young adult

ABSTRACT Latinx Americans are disproportionately affected by alcohol-related health complications compared to non-Latinx Whites [3]. There is compelling evidence that Latinas may be particularly at risk for experiencing some alcohol-related health problems compared to Latinos. Women are more likely to develop alcohol-related cirrhosis and are more likely to have brain damage from alcohol use than men [4]. Disparities for women are further complicated by the intersection of gender with ethnicity, as research shows that Latinas and other racial and ethnic minority women may be less likely to seek treatment than non-Latina Whites [7]. Research also shows that the gender gap in drinking among Latinxs is narrowing [5], and young Latina women are engaging in more hazardous alcohol behaviors [3]. The U.S. Latina population is over 30 million [19]; thus, research examining alcohol use and misuse among Latinas must be a public health priority. I am an Assistant Professor at a supportive research oriented Hispanic Serving Institution and committed to a lifelong career of conducting research designed to reduce alcohol-related health disparities among Latinxs. The training and research activities in this K01 application will address two major gaps in the literature on alcohol use among Latinas in the U.S. Specifically, more research is needed to understand the most current patterns of alcohol use and misuse among Latinas at the population level. Examinations of current national data devoted exclusively to U.S. Latinas is scarce, particularly relative to the size of the Latina population. Also, the small body of literature examining gender role norms in relation to alcohol use among Latinas is extremely limited, although this same literature highlights the importance of understanding this link. Current research cannot address how shifts in salient gender role expectations transmitted in a bicultural context relate to drinking (or abstaining) among Latinas. To effectively inform culturally tailored alcohol prevention and treatment programs that serve the U.S. Latina population, it is crucial for researchers to address these major gaps in the literature. To this end, I propose implementing complementary methods. First, I will use complex survey analysis across three national datasets to draw directly from the most current national data available to assess alcohol use and misuse among Latinas. Next, I will conduct qualitative research so that I may tease out the complexities of drinking-related gender role expectations – from both traditional Latin culture and mainstream U.S. culture – that are experienced by Latinas in the U.S. Themes that are gleaned from these discussions will be used to generate items for a quantitative measure that captures how bicultural gender role expectations contribute to drinking behaviors among Latinas. This final phase of my training will inform an R01 submission, which will pilot and validate the measure that I will begin developing as a K01 awardee. Highlighting the “full circle” nature of this training, my R01 application will include validating the measure among a national sample of U.S. Latinas. With a team of world-class mentors, this project will address two major research gaps in the literature on alcohol use among Latinas and will also afford me expertise to continue tackling major gaps in the literature using a holistic and complementary skillset of scientific methods.

抽象的 与非拉丁裔美国人相比，拉丁裔美国人受到酒精相关健康并发症的影响更大 白人[3].有令人信服的证据表明，拉丁裔可能特别容易遭遇与酒精相关的疾病 与拉丁美洲人相比，健康问题。女性更容易患上与酒精相关的肝硬化 饮酒造成的脑损伤比男性多[4]。女性之间的差距因不同性别的交叉而变得更加复杂。 性别与种族，研究表明拉丁裔和其他种族和族裔女性可能不太可能 比非拉丁裔白人寻求治疗[7]。研究还表明，拉丁裔饮酒方面的性别差距 缩小 [5]，年轻的拉丁裔女性正在从事更危险的酒精行为 [3]。美国拉丁裔 人口超过3000万[19]；因此，调查拉丁裔饮酒和滥用酒精的研究必须公开 健康优先。我是一个以支持性研究为导向的西班牙服务机构的助理教授，并致力于 终生致力于开展旨在减少拉丁裔之间与酒精相关的健康差异的研究。这 K01 应用程序中的培训和研究活动将解决关于酒精使用文献中的两个主要空白 具体来说，美国的拉丁裔需要更多的研究来了解最新的饮酒和滥用模式 在人口层面上，拉丁裔人群中。目前专门针对美国拉丁裔的国家数据的调查很少， 特别是相对于拉丁裔人口规模而言。此外，少数文献研究了性别角色规范 尽管该文献强调了拉丁裔饮酒的重要性，但与拉丁裔饮酒的关系极为有限 了解此链接。目前的研究无法解决显着的性别角色期望的转变如何在社会中传播的问题。 双文化背景与拉丁裔饮酒（或戒酒）有关。有效地传达文化定制酒精 为美国拉丁裔人口服务的预防和治疗计划，研究人员解决这些问题至关重要 文献中的重大空白。为此，我建议实施补充方法。首先，我将使用复杂的 对三个国家数据集进行调查分析，直接从可用于评估的最新国家数据中提取数据 拉丁美洲人的酒精使用和滥用。接下来，我将进行定性研究，以便理清复杂性 来自传统拉丁文化和美国主流文化的与饮酒相关的性别角色期望 从这些讨论中收集到的主题将用于生成项目 定量测量，捕捉双文化性别角色期望如何影响饮酒行为 拉丁裔。我培训的最后阶段将通知 R01 提交，该提交将试点并验证我所采取的措施 将作为 K01 获奖者开始发展。突出这次培训的“完整循环”性质，我的 R01 申请将 包括在美国拉丁裔全国样本中验证该措施。该项目拥有世界一流的导师团队 将解决拉丁裔饮酒文献中的两个主要研究空白，并且还将为我提供专业知识 继续使用全面且互补的科学方法技能来解决文献中的主要空白。