Alcohol Intoxication and Gender: A Qualitative Study of Sexual and Gender Minorities (SGM)

7.项目总结 在正在进行的调查醉酒和年轻人的家长项目(AA022656)的基础上，这 拟议的质量更新项目将审查性别规范在多大程度上塑造危险饮酒 性少数群体和性别少数群体(SGM)年轻人的做法(18-25岁)。酒精一直扮演着核心角色 SGM通过促进对性和性别的探索，应对少数群体的压力、创伤和耻辱，以及 作为SGM年轻人酒吧和俱乐部不可或缺的组成部分。鉴于这一核心作用，它并不是 令人惊讶的是，有问题的酒精使用，包括重度间歇性饮酒(HED)和醉酒，以及酒精- 相关问题是SGM年轻人面临的重大问题。然而，到目前为止，关于SGM和酒精的研究 使用有限，结果参差不齐，身份类别不一致。 我们将重点研究以下问题：i)模式、实践和环境如何 SGM年轻人的醉酒情况各不相同？二)醉酒对SGM成年人的意义是什么？和iii) 青壮年SGM的陶醉意义和模式受性别和性别的影响有哪些 关于男性化和女性化的身份和信仰？ 为了将这一拟议补充项目的结果与家长提供的数据进行比较 研究(AA022656)，研究设计由家长R01通知，并将利用类似的定性 方法探讨与饮酒和中毒有关的意义、背景和社会实践等问题 在SGM年轻人中。200个深度访谈将在不同的、有目的的 SGM年轻人样本，使用女同性恋者、男同性恋者、双性恋者、变性人和同性恋类别来构建 招聘工作。有过一系列饮酒经历的受访者将被选中。深入探讨 定性访谈将包括一份结构化问卷，以收集社会人口和酒精使用数据 以及一个开放式、半结构化的时间表，以提供详细的叙事信息，其中将包括 生活史问题和小插曲启发式练习。分析将由适当的混合方法组成 收集的各种类型的数据。 本项目产生的定性分析将a)为制定适当的方法提供信息 在酒精研究中衡量和比较SGM身份类别，(B)帮助澄清关于以下方面的模糊研究 SGM酒精使用和相关问题，以及(C)确定可修改的变量，这些变量对 干预措施以减少特定SGM青年中的酒精相关问题，这些年轻人处于风险增加的状态 用于有问题的饮酒和与酒精相关的问题。。

7. Project Summary Building on the on-going parent project (AA022656) which examines intoxication and young adults, this proposed qualitative renewal project will examine the extent to which gendered norms shape risky drinking practices for sexual and gender minority (SGM) young adults (18-25). Alcohol has played a central role for SGM by facilitating exploration of sexuality and gender, coping with minority stress, trauma, and stigma and serving as an integral component of bars and clubs for SGM young adults. Given this central role, it is not surprising that problematic alcohol use, including heavy episodic drinking (HED) and intoxication, and alcohol- related problems are significant issues for SGM young adults. However, to date, research on SGM and alcohol use are limited, findings are mixed, and identity categories inconsistent. We will focus on the following research questions: i) How do the patterns, practices, and contexts of intoxication vary among SGM young adults? ii) What are the meanings of intoxication for SGM adults? and iii) In what ways are young adult SGMs’ meanings and patterns of intoxication shaped by their sexual and gender identities and beliefs about masculinity and femininity? In order to compare the findings of this proposed supplemental project with the data from the parent study (AA022656), the research design is informed by the Parent R01 and will utilize similar qualitative methods to explore questions about meaning, context, and social practices related to drinking and intoxication among SGM young adults. Two hundred in-depth interviews will be conducted with a diverse, purposive sample of SGM young adults, using lesbian, gay, bisexual, transgender, and queer categories to structure recruitment efforts. Respondents who possess a range of drinking experiences will be chosen. In-depth qualitative interviews will include a structured questionnaire to gather socio-demographic and alcohol-use data and an open-ended, semi-structured schedule to provide detailed narrative information, which will include both life history questions and vignette elicitation exercises. Analysis will consist of mixed methods appropriate to the various types of data collected. The qualitative analysis produced by this project will a) inform the development of appropriate ways to measure and compare SGM identity categories in alcohol research, (b) help to clarify ambiguous research on SGM alcohol use and related problems, and (c) identify modifiable variables that are promising points for intervention to reduce alcohol-related problems among specific SGM young adults who are at an increased risk for problematic alcohol use and alcohol-related problems. .