A longitudinal investigation of minority stress in a diverse national sample of sexual minority adolescents

项目总结 这项研究的首要目标是确定少数民族压力的不同轨迹是如何经历的 整个青春期可以预测SMA的行为健康结果。依靠已建立的方法 并在我们的前期工作中进行了测试，我们将招募不同SMA的全国样本(例如，种族和民族， 性别，城市与农村；N=1,500)，通过社交媒体和受访者驱动的抽样战略在 该项目的第一年。我们将对参与者进行为期三年的跟踪，纳入以下基本原则 发展精神病理学，这表明检查青少年的风险和保护因素 需要在发展的关键阶段进行纵向探索。指导这项建议的有三个因素 具体目标：目标1：通过以下方式描述少数群体压力在一段时间内的个人和群体轨迹 国家SMA样本(N=1,500)，为期3年。WH1：不同地区的少数民族压力会有所不同 青少年发展。目标2：确定少数应激的轨迹是否与 随着时间的推移，行为健康结果的差异。WH2.1：少数群体压力和行为的轨迹 随着时间的推移，健康结果将是相关的。WH2.2：报告早期少数族裔压力水平较高 青春期将与青春期后期较差的行为健康结果相关。目标3： 确定少数民族压力和行为健康之间的联系是否随着时间的推移而有所不同 关于社会人口特征(例如，都市性、性别、种族和族裔)。WH3：将会有 不同人口统计亚组的结果轨迹有显著差异。WH4：少数应激的轨迹 随着时间的推移，将与保护性因素成反比，并将因人口统计亚群而异。为了测试 在我们的假设下，我们提出了包括潜在增长曲线在内的前沿纵向定量方法 建模，这很少用于检查中小企业的纵向风险。拟议的研究将是 首先确定少数民族压力如何影响青春期的健康，这一信息可以 直接用于为临床评估和制定针对性的行为健康干预措施提供信息 这些高需求人群。

PROJECT SUMMARY The overarching goal of this study is to determine how different trajectories of minority stress experienced throughout adolescence may predict behavioral health outcomes for SMA. Relying on methods established and tested in our preliminary work, we will recruit a national sample of diverse SMA (e.g., race and ethnicity, gender, urban vs. rural; N = 1,500) through both social media and respondent-driven sampling strategies in the first year of the project. We will follow participants for three years, incorporating the fundamental tenets of developmental psychopathology, which suggest that examining risk and protective factors for adolescents necessitates longitudinal exploration across critical stages of development. Guiding the proposal are three specific aims: Aim 1: Describe the individual and group trajectories of minority stress over time by following a national sample of SMA (N = 1,500) for 3 years. WH1: There will be differences in minority stress across adolescent development. Aim 2: Determine whether trajectories of minority stress are associated with differences in behavioral health outcomes over time. WH2.1: Trajectories of minority stress and behavioral health outcomes will be associated over time. WH2.2: Reporting higher levels of minority stress in early adolescence will be associated with poorer behavioral health outcomes in later adolescence. Aim 3: Determine whether the association between minority stress and behavioral health over time is different based on sociodemographic characteristics (e.g., urbanicity, gender, race and ethnicity). WH3: There will be significant differences in outcome trajectories by demographic subgroup. WH4: Trajectories of minority stress will be inversely associated with protective factors over time and will differ by demographic subgroup. To test our hypotheses, we propose cutting-edge longitudinal quantitative methodology including latent growth-curve modeling, which are rarely used to examine longitudinal risk among SMAs. The proposed research will be the first to determine how minority stress may influence health across adolescence, and this information can be used directly to inform clinical assessment and the development of targeted behavioral health interventions for this high-need population.