# Administrative Supplement to the Epidemiology on Alcohol Problems: Alcohol-Related Disparities (P50AA005595-41) Research Project

> **NIH NIH P50** · PUBLIC HEALTH INSTITUTE · 2023 · $99,998

## Abstract

ABSTRACT
Sexual and gender minorities (SGM) experience notably greater hazardous alcohol and drug (AOD) use
compared to cisgender heterosexuals. Efforts to study these disparities and advance SGM health equity have
expanded and matured over the last few decades. However, studies are often limited in their ability to make
meaningful comparisons between SGM and cisgender heterosexuals, and to delve into subgroup differences
within SGM, due to the challenge of recruiting large enough SGM and comparison samples. This proposal for
an administrative supplement to the Epidemiology on Alcohol Problems: Alcohol-Related Disparities
(P50AA005595-41) Research Project to field the National Alcohol Survey proposes to collect an oversample of
1,200 SGM participants in parallel with the 2023-2024 National Alcohol Survey (NAS). This will enable our
substantive goals to identify unique and modifiable risk and protective factors that will inform interventions to
reduce disparities in risk for hazardous AOD use and related problems in SGM communities. Although research
over the last 20 years has identified several important risk factors for hazardous AOD use among SGM, the
methodological limitation of small SGM samples or no cisgender heterosexual comparison limited understanding
of how these risk factors contribute to the disparities between SGM and cisgender heterosexuals, or whether
they similarly impact both populations. For our first aim, we propose applying a comprehensive disparities
framework to examine several important predictors of hazardous AOD use comparing SGM and cisgender
heterosexual populations, which will identify predictors for inclusion in interventions to reduce SGM alcohol and
drug-related disparities. Additionally, since less is known about protective factors for hazardous AOD use among
SGM, we will also examine reasons for not drinking and make comparisons between the SGM and cisgender
heterosexual samples. For our second aim, consistent with the conceptual framework applied by the NAS, we
will take a socioecological perspective to identify the risk and protective factors that have the most impact on
hazardous AOD use among SGM populations using dominance analysis. Specifically, in addition to individual-
level factors associated with hazardous AOD use, we will capitalize on the rich interpersonal, community, and
geo-coded data that the NAS collects, and expand it by adding SGM-specific questions about SGM identity
disclosure, perceived AOD use norms among SGM peers, and perceived neighborhood SGM social climate.
Additionally, we will include measures of SGM-based victimization (bias-related verbal abuse, physical and
sexual assault), which will allow for investigations of the distribution and impact of this type of victimization on
hazardous AOD use. The study will capitalize on expertise of a nationally recognized team of researchers in
SGM AOD research and employ rigorous statistical approaches not yet applied to understanding AOD outcome...

## Key facts

- **NIH application ID:** 10772659
- **Project number:** 3P50AA005595-43S1
- **Recipient organization:** PUBLIC HEALTH INSTITUTE
- **Principal Investigator:** William C. Kerr
- **Activity code:** P50 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2023
- **Award amount:** $99,998
- **Award type:** 3
- **Project period:** 1981-07-01 → 2026-02-28

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10772659

## Citation

> US National Institutes of Health, RePORTER application 10772659, Administrative Supplement to the Epidemiology on Alcohol Problems: Alcohol-Related Disparities (P50AA005595-41) Research Project (3P50AA005595-43S1). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10772659. Licensed CC0.

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