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Long-term and Daily Associations among Intersectional Minority Stress, Structural Oppression, and Alcohol Use and Misuse among Sexual Minority Adolescents of Color

Award Number: R01AA029989
ORGANIZATION: NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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PROJECT SUMMARY/ABSTRACT Disparities in alcohol and other substance (AOD) use and misuse are well documented between sexual minority adolescents (SMA) and their heterosexual peers. SMA of color also have higher rates of AOD use and misuse than heterosexual peers of the same race/ethnicity and to some extent their White SMA peers. Daily stigma and discrimination-related stressors specific to their marginalized identities (i.e., minority stressors, racism-based stressors) contribute to health disparities among SMA of color. These stressors occur at the interpersonal level (e.g., discrimination) and are reinforced at the structural level (e.g., anti-gay laws, or racist institutional policies). Minority stress at a single axis of identity is directly correlated with AOD use and misuse among sexual and racial/ethnic minority populations. Similarly, structural oppression (i.e., structural heterosexism or racism) during adolescence has long-lasting health effects, including AOD use and misuse. However, this work rarely takes an intersectional lens that considers both sexual orientation and race/ethnicity. Although mounting cross-sectional and recent but limited longitudinal evidence implicates minority stress as a key contributor to disparities in AOD use and misuse, the prospective, daily, and chronic impact of these stressors on SMA of color's AOD use and misuse across adolescence is largely unknown. There is also a lack of research examining the impact of structural oppression on SMA of color's AOD use, how it may play a key etiological role in accelerating the progression of AOD use and misuse over adolescence, and how it may impact the long-term and daily associations between intersectional minority stress and AOD use and misuse in SMA of color's daily lives. In addition, little is known about protective factors between minority stress and AOD use and misuse, which is needed to inform prevention and treatment interventions. Relying on our investigator's team methodological, theoretical, analytic, and clinical expertise and pilot work, we propose a rigorous and innovative study of intersectional stress and structural oppression and how they relate to AOD use and misuse among SMA of color. Using a measurement-burst design, a combination of longitudinal and daily diary methods, our aims are to: 1) test the prospective associations between intersectional stress and structural oppression and AOD use and misuse among a national sample of SMA of color over 2.5 years (N=950) with 6-month time-points; 2) test the daily associations between within-person fluctuations of intersectional stress and AOD craving, use, misuse, and problems among the sample over 10-days at each 6- month time point; 3) test protective and risk factors that attenuate or exacerbate the associations between intersectional stress and AOD use and misuse over adolescence across the 2.5 years and in daily life. The results will allow for more precise understanding of minority stress, structural oppression, and AOD use and misuse in this population and inform clinical assessment and the development of culturally sensitive interventions for SMA of color.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = $754,834 )
2023	2023	UNIVERSITY OF MARYLAND, COLLEGE PARK	3112 LEE BLDG 7809 REGENTS DR	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Alcohol Research Programs	001	3	5/4/2023	NON-COMPETING CONTINUATION	$754,834
2023	2022	UNIVERSITY OF MARYLAND, COLLEGE PARK	3112 LEE BLDG 7809 REGENTS DR	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Alcohol Research Programs	000	2	2/6/2023	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
														Subtotal = $754,834

Issue Date FY: 2022 ( Subtotal = $681,481 )
2022	2022	UNIVERSITY OF MARYLAND, COLLEGE PARK	3112 LEE BLDG 7809 REGENTS DR	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Alcohol Research Programs	002	2	9/22/2022	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$681,481
2022	2022	UNIVERSITY OF MARYLAND, COLLEGE PARK	3112 LEE BLDG 7809 REGENTS DR	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Alcohol Research Programs	003	2	9/27/2022	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
2022	2022	AMERICAN UNIVERSITY, THE	4400 MASSACHUSETTS AVE, NW	WASHINGTON	DC	20016	DISTRICT OF COLUMBIA	USA	Alcohol Research Programs	001	1	9/22/2022	NEW	-$681,498
2022	2022	AMERICAN UNIVERSITY, THE	4400 MASSACHUSETTS AVE, NW	WASHINGTON	DC	20016	DISTRICT OF COLUMBIA	USA	Alcohol Research Programs	000	1	5/10/2022	NEW	$681,498
														Subtotal = $681,481

Grand Total All Awards = $1,436,315

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Long-term and Daily Associations among Intersectional Minority Stress, Structural Oppression, and Alcohol Use and Misuse among Sexual Minority Adolescents of Color

Award Number: R01AA029989

ORGANIZATION: NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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