Adolescent stress experiences over time study (ASETS) protocol: design and methods of a prospective longitudinal study of sexual minority adolescents in the USA.
Adolescent stress experiences over time study (ASETS) protocol: design and methods of a prospective longitudinal study of sexual minority adolescents in the USA.
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DOI：
10.1136/bmjopen-2021-054792
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发表时间：
2022-03-09
期刊：
影响因子：
2.9
通讯作者：
Goldbach JT
中科院分区：
文献类型：
--
作者：
Schrager SM;Mamey MR;Rhoades H;Goldbach JT
性少数青少年 (SMA) 的焦虑、自残、抑郁和自杀率高于异性恋同龄人。这些差异似乎持续到成年期，并且对于某些亚群体来说可能会恶化，但引发这些担忧的机制仍然知之甚少。少数族裔压力理论是理解这些差异的主要模型，它认为较差的结果是由于生活在暴力恐同和歧视文化中的压力造成的。尽管许多研究报告了少数群体压力与青春期行为健康之间的关联，但没有研究全面研究少数群体压力在整个青春期过程中如何变化，也没有研究压力轨迹如何预测这一关键发育时期的健康结果。 2018 年 5 月 15 日至 2019 年 4 月 1 日期间，我们通过社交媒体和受访者驱动的抽样策略，招募了美国全国 14-17 岁不同 SMA 样本 (n=2558)。一部分参与者 (n=1076) 参与了纵向部分，每 6 个月进行一次随访，直至 2022 年 7 月 1 日。主要结果包括抑郁、焦虑和创伤后应激障碍的症状；自杀、自残和药物滥用。关键的预测因素是少数群体压力，可操作为性少数群体青少年压力清单。我们将使用并行队列序列潜在生长曲线模型来测试发展框架内的研究假设。所有参与者都同意参与，纵向参与者在年满 18 岁后的第一次随访调查中提供了知情同意。所有研究程序均经过南加州大学社会行为机构审查委员会的审查和批准，包括放弃父母许可，因为在同意过程中可能会因无意“外出”而对父母造成伤害。最终的匿名数据集将根据要求提供，研究结果将通过学术渠道和为非专业社区量身定制的产品传播。
Sexual minority adolescents (SMA) report higher rates of anxiety, self-harm, depression and suicide than heterosexual peers. These disparities appear to persist into adulthood and may worsen for certain subgroups, yet the mechanisms that drive these concerns remain poorly understood. Minority stress theory, the predominant model for understanding these disparities, posits that poorer outcomes are due to the stress of living in a violently homophobic and discriminatory culture. Although numerous studies report associations between minority stress and behavioural health in adolescence, no study has comprehensively examined how minority stress may change throughout the course of adolescence, nor how stress trajectories may predict health outcomes during this critical developmental period. Between 15 May 2018 and 1 April 2019, we recruited a US national sample of diverse SMA (n=2558) age 14–17 through social media and respondent-driven sampling strategies. A subset of participants (n=1076) enrolled in the longitudinal component and will be followed each 6 months until 1 July 2022. Primary outcomes include symptoms of depression, anxiety and post-traumatic stress disorder; suicidality and self-harm and substance use. The key predictor is minority stress, operationalised as the Sexual Minority Adolescent Stress Inventory. We will use parallel cohort-sequential latent growth curve models to test study hypotheses within a developmental framework. All participants provided assent to participate, and longitudinal participants provided informed consent at the first follow-up survey after reaching age 18. All study procedures were reviewed and approved by the University of Southern California Social–Behavioral Institutional Review Board, including a waiver of parental permission given the potential for harm due to unintentional ‘outing’ to a parent during the consent process. The final anonymous data set will be available on request, and research findings will be disseminated through academic channels and products tailored for the lay community.
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影响因子：
4.9
作者：
Burton, Chad M.;Marshal, Michael P.;Chisolm, Deena J.;Sucato, Gina S.;Friedman, Mark S.
通讯作者：
Friedman, Mark S.
影响因子：
1.7
作者：
Bauermeister J;Pingel E;Zimmerman M;Couper M;Carballo-Diéguez A;Strecher VJ
通讯作者：
Strecher VJ
影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
2.5
作者：
D'Augelli, AR;Grossman, AH
通讯作者：
Grossman, AH
影响因子：
3.3
作者：
Curran, PJ;Willoughby, MT
通讯作者：
Willoughby, MT