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

项目摘要 这项研究的首要目标是确定少数民族的压力经历了不同的轨迹 可以预测SMA的行为健康结果。依靠既定的方法 并在我们的初步工作中进行测试，我们将招募一个不同SMA的国家样本（例如，种族和民族， 性别，城市与农村; N = 1 500），通过社会媒体和受访者驱动的抽样战略， 项目的第一年。我们将对参与者进行为期三年的跟踪， 发展性精神病理学，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。指导该提案的有三个 具体目标：目标1：通过遵循一个 SMA的国家样本（N = 1，500）3年。WH 1：少数民族的压力在不同的国家和地区会有差异 青少年发展目标2：确定少数民族压力的轨迹是否与 行为健康结果随时间的差异。WH2.1：少数民族压力和行为的轨迹 健康结果将随着时间的推移而关联。WH2.2：报告早期少数民族压力水平较高 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关联是否随着时间的推移而不同， 关于社会人口特征（例如，城市化、性别、种族和民族）。WH 3：会有 按人口统计学亚组划分的结局轨迹存在显著差异。WH 4：少数民族压力的轨迹 随着时间的推移，将与保护因素呈负相关，并因人口统计学亚组而异。测试 我们的假设，我们提出了前沿的纵向定量方法，包括潜在增长曲线， 模型，很少用于检查SMA之间的纵向风险。拟议的研究将是 首先确定少数民族的压力如何影响青春期的健康，这些信息可以 直接用于通知临床评估和有针对性的行为健康干预措施的发展， 这一高需求人群。

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.