Impact of supportive policies on minority stress, drinking and health among women

支持政策对女性少数民族压力、饮酒和健康的影响

• 批准号: 9198150
• 负责人: TONDA L HUGHES
• 金额: $ 24.76万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-03-15 至 2016-09-19
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9198150
• 关键词: Adult; Affect; Age; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcohol or Other Drugs use; Alcohols; Anxiety; Awareness; Bisexual; Book Chapters; Cardiovascular Diseases; Characteristics; Chicago; Childhood; Chronic; Color; Conscious; Data; Data Set; Development; Disclosure; Discrimination; Ethnic Origin; Exposure to; General Population; Health; Health Benefit; Heavy Drinking; Heterosexuals; Illinois; Individual; Institution; Intervention; Intoxication; Knowledge; Latina; Laws; Legal; Lesbian; Life; Life Experience; Link; Longitudinal Studies; Marital Relationships; Marital Status; Marriage; Mediating; Mediator of activation protein; Mental Depression; Mental Health; Minority; Minority Groups; Natural experiment; Outcome; Participant; Pattern; Phase; Policies; Prevention; Prevention strategy; Prospective Studies; Publishing; Race; Recruitment Activity; Reporting; Risk; Risk Factors; Running; Sampling; Sex Orientation; Societal Factors; Stress; Symptoms; Time; Victimization; Vulnerable Populations; Woman; Work; alcohol related problem; base; binge drinking; drinking; drinking behavior; experience; family support; follow-up; hazardous drinking; health disparity; help-seeking behavior; high risk; improved; indexing; journal article; meetings; minority health; peer support; physical conditioning; psychological distress; response; same-sex marriage; same-sex partnership; sexual minority; social; social stigma; stressor; theories

 DESCRIPTION (provided by applicant): This competitive renewal will build on the PI's 15-year prospective study, the Chicago Health and Life Experiences of Women (CHLEW) (K01 AA00266 & R01 AA013328-09), that focuses on understanding the mechanisms linking minority sexual orientation and hazardous drinking (HD). HD is operationalized as an index that includes heavy episodic drinking, intoxication, adverse drinking consequences and symptoms of potential alcohol dependence. Participants in the previous phase (W3) of the CHLEW study were 354 sexual minority women (SMW: lesbian, bisexual) from the 3-wave longitudinal sample (79% retention at 10-year follow-up) and 373 new participants including younger (age 18-25), and additional Black, Latina, and bisexual SMW (total N=727). The study has collected rich data on individual and interpersonal (micro-level) risk and protective factors for heavy/hazardous alcohol use and alcohol-related problems and has to date produced 45 journal articles or book chapters (published, in press, or under review) and 6 completed doctoral dissertations. Building on minority stress theory we propose to expand on our previous work by examining social- contextual (structural-level) risk and protective factors for HD and drinking-related health consequences among SMW. Specifically, we will capitalize on 2 historic opportunities to: 1) conduct a natural experiment to evaluate the impact of the June 1, 2014 Illinois Marriage Fairness Act on SMW's drinking and health; and 2) take advantage of a unique longitudinal dataset-that will include data on SMW's drinking spanning nearly 20 years-to examine the associations of long-term drinking trajectories with SMW's health. We expect that this supportive policy change will have beneficial effects for all SMW and that SMW who choose to marry will demonstrate many of the health benefits of marriage observed among women in the general population. Thus, we plan to use 3 waves of existing data (2000-01, 2004-05, 2010-12) and 2 proposed new waves (2016-17, 2017-18) to (1) examine the overall effect of legal recognition of same-sex marriage on drinking outcomes (volume of alcohol consumption and HD) and potential mediators of such changes among SMW; (2) examine potential moderators of the relationship between legal recognition of same-sex marriage and drinking outcomes; (3) compare drinking outcomes among SMW who marry their same-sex partner and those of SMW in other same-sex relationships (civil unions, cohabiting, committed/not living together); and (4) identify associations between long-term trajectories of alcohol consumption and HD and SMW's physical and mental health, as well as moderators of these associations. The CHLEW is the longest running and most comprehensive study of SMW's drinking and health in the U.S. or elsewhere. Its large subsamples of women fewer than 25 and over 50, and of Black, Latina, and bisexual women, add to its value by providing a rare opportunity to examine age, race/ethnicity and sexual identity differences in the relationships between marriage recognition and drinking, and between drinking and health.

 描述（由适用提供）：这种竞争性更新将基于PI的15年前瞻性研究，芝加哥的健康和妇女的生活经历（Chlew）（K01 AA00266＆R01 AA013328-09），重点是了解将少数族裔性方向和危险性饮酒联系起来的机制（HD）。 HD作为指数运行，包括大量的发作性饮酒，陶醉，不良饮酒后果和潜在酒精依赖的症状。 Chlew研究上一个阶段（W3）的参与者是354名少数族裔女性（SMW：女同性恋，双性恋），来自3波纵向样本（10年后续持续时间为79％）和373名新参与者（包括年轻人（18-25岁），以及其他黑色，拉丁裔，拉丁裔，Latina，Latina，and Bisesxual Smw（总计n = 727）。该研究收集了有关个人和人际关系（微观）风险的丰富数据，并针对严重/有害酒精使用和与酒精有关的问题受到保护因素，并迄今为止生产了45篇期刊文章或书籍章节（发行，媒体或正在审查）和6个完成的博士学位论文。在少数民族压力理论的基础上，我们建议通过检查社会上下文（结构性层面）的风险和SMW中与饮酒相关的健康后果的受保护因素来扩展我们以前的工作。具体来说，我们将利用2个历史机会：1）进行自然实验，以评估2014年6月1日伊利诺伊州婚姻公平法对SMW的饮酒和健康的影响； 2）利用独特的纵向数据集 - 将包括有关SMW饮酒的数据，涵盖了将近20年的时间，以检查长期饮酒轨迹与SMW健康的关联。我们预计，这种支持性的政策变革将对所有SMW产生福利影响，而选择结婚的SMW将证明一般人群中妇女观察到的婚姻的许多健康益处。因此，我们计划使用3浪现有数据（2000-01、2004-05、2010-12）和2个拟议的新浪（2016-17、2017-18），以（1）研究对同性婚姻对饮酒结果（酒精消耗量和HD的量）以及SMW中此类变化的潜在中介者的法律认识的总体影响； （2）检查法律认可对同性婚姻与饮酒结果之间关系的潜在主持人； （3）比较嫁给同性伴侣的SMW中的饮酒结果以及在其他同性关系中的SMW（公民工会，同居，承诺/不生活在一起）； （4）确定酒精消耗的长期轨迹与HD和SMW的身心健康之间的关联，以及这些关联的主持人。 Chlew是对美国或其他地方的SMW饮酒和健康运行时间最长，最全面的研究。它的大型女性子类别少于25岁和50岁以上，以及黑人，拉丁裔和双性恋女性，通过提供了难得的机会来研究年龄，种族/种族和性认同的机会，从而增加了其价值，这在婚姻识别与饮酒以及饮酒与健康之间的关系中存在着差异。