Role of Alcohol Disparities in HIV Risk among Sexual Minority Youth

酒精差异对性少数青少年艾滋病毒风险的影响

• 批准号: 9065344
• 负责人: Gregory L. Phillips
• 金额: $ 27.81万
• 依托单位: NORTHWESTERN UNIVERSITY 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: 2016-03-01 至 2021-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9065344
• 关键词: Adolescent Risk Behavior; Alcohol abuse; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; American; Attitude; Behavior; Cessation of life; Climate; Data; Data Set; Drug usage; Epidemiologic Studies; Epidemiology; Event; Goals; HIV; HIV risk; Health; Healthy People 2020; Heterosexuals; High School Student; Homosexuality; Incidence; Journals; Lesbian Gay Bisexual; Life; Location; Measures; Mental Health; Neurocognitive; Outcome; Pattern; Pharmaceutical Preparations; Play; Policies; Population; Prevalence; Public Health; Reporting; Research; Risk; Risk Behaviors; Role; Sampling; Sex Orientation; Sexual Health; Sexually Transmitted Diseases; Social Change; Social Environment; Surveys; Time; Tobacco use; Work; Youth; alcohol epidemiology; alcohol related problem; base; binge drinking; drinking; drinking behavior; health disparity; high risk behavior; improved; innovation; male; peer; physical conditioning; population based; psychologic; psychological distress; public health relevance; response; same-sex marriage; sex; sex risk; sexual minority; sexually active; social; trend; trend analysis; young men who have sex with men

 DESCRIPTION (provided by applicant): Alcohol is the most commonly used and abused drug among youths in the U.S., and prevalence of alcohol use is disproportionately higher among sexual minority youth (SMY) than among their heterosexual peers. Studies have found that alcohol use and abuse is associated with an array of negative health outcomes, including psychological distress, neurocognitive deficiencies, and acquisition of HIV. This last point is especially important for young men who have sex with men (YMSM), one of the only risk groups in which HIV incidence continues to grow. We propose to use an array of epidemiologic approaches to assess the impact that alcohol use has on the sexual, mental, and physical health of SMY living in the U.S., and the disparities that exist between SMY and their heterosexual peers. In order to conduct these secondary analyses, we will use data collected as part of the Youth Risk Behavior Survey (YRBS), a biennial survey of high school students that will assess sexual identity and behavior for the first time in the national survey in 2015. Buildin on our prior work that resulted in a special issue of the American Journal of Public Health, we will focus on jurisdictional and temporal associations with alcohol use and disparities, identify structural factors that influence alcohol use, and look at event-level associations between alcohol use and condomless sex.

 描述（由申请人提供）：酒精是美国青少年中最常用和滥用的药物，性少数青年（SMY）的酒精使用率不成比例地高于异性恋青年。研究发现，酒精使用和滥用与一系列负面健康结果有关，包括心理困扰，神经认知缺陷和艾滋病毒感染。最后一点对于男男性行为者（YMSM）尤其重要，因为他们是艾滋病毒感染率继续上升的少数风险群体之一。我们建议使用一系列流行病学方法来评估饮酒对生活在美国的SMY的性、心理和身体健康的影响，以及SMY和他们的异性恋同龄人之间存在的差异。为了进行这些二次分析，我们将使用作为青年风险行为调查（YRBS）的一部分收集的数据，这是一项两年一度的高中生调查，将在2015年的全国调查中首次评估性身份和行为。在我们之前的工作的基础上，导致了美国公共卫生杂志的特刊，我们将专注于酒精使用和差异的管辖和时间关联，确定影响酒精使用的结构性因素，并研究酒精使用和无安全套性行为之间的事件水平关联。