Developing a Toolkit for Transgender and Gender Diverse-Affirming Health Communication: A Community-Based Participatory Research Partnership Approach

开发跨性别和性别多元化健康传播工具包：基于社区的参与性研究伙伴关系方法

• 批准号: 10286439
• 负责人: Erica Ciszek
• 金额: --
• 依托单位: UNIVERSITY OF NEBRASKA KEARNEY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-01 至 2021-10-03
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10286439
• 关键词: Address; Anxiety; Attention; Awareness; Cardiovascular Diseases; Caring; Characteristics; Collaborations; Colorectal Cancer; Communication; Communities; Community Health; Coupled; Data Analyses; Development; Diabetes Mellitus; Educational workshop; Effectiveness; Elements; Exclusion; Face; Feedback; Focus Groups; Funding; Future; Gender; General Population; Goals; Great Plains; Health; Health Campaign; Health Promotion; Health Services Accessibility; Health system; Healthcare; High Prevalence; Individual; Intervention; Interview; Malignant neoplasm of cervix uteri; Manuals; Mental Depression; Methodology; Mind; Minority Groups; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Outcome; Perception; Persons; Population; Population Heterogeneity; Prevention; Process; Public Health; Recording of previous events; Replication-Associated Process; Research; Risk; Self Perception; Series; Stigmatization; Substance abuse problem; Suicide attempt; Techniques; Testing; barrier to care; base; behavioral health; cardiovascular disorder risk; cisgender; community based participatory research; design; distrust; health communication; health disparity; health disparity populations; health inequalities; innovation; interest; marginalized population; member; multidisciplinary; physical conditioning; resilience; tailored messaging; tool; transgender; underserved area

Abstract Message tailoring in public health campaigns is especially important in health disparate minority populations, such as transgender and gender diverse (TGD) people, that often have barriers to care that include distrust of the health system, societal stigmatization, and financial barriers. TGD health disparities include, for example, elevated rates of diabetes, cardiovascular disease, anxiety, depression, and substance abuse compared to rates for cisgender populations. Furthermore, the TGD population is subjected to societal exclusion and negative public perception that contributes to exacerbating these problems. However, little to no attention is paid to TGD populations when designing health promotion campaigns for conditions for which this population has elevated risk, even though the effectiveness of such campaigns is well-documented for the general population. Health promotion messaging that can engage TGD people in needed care and prevention activities is an essential tool in addressing their health disparities. However, launching specific health promotion campaigns for a host of health conditions in health disparate populations, such as TGD communities, is not feasible due to the volume of specific conditions needing to be addressed individually. Furthermore, national health promotion campaigns with TGD populations in mind can still fail to reach TGD communities in the Central Great Plains because they do not match the lived reality of this region with the compounding issues of high stigmatization, and less access to care than in coastal regions. To overcome these challenges, this project will use a community-based participatory research network to build a TGD-affirming toolkit for health communicators to use to tailor messages to this community with the following specific aims: 1) Identify and explore potential barriers to care generated through non-TGD tailored health communication aimed at Type 2 diabetes, anxiety and depression, colorectal cancer, substance abuse, and cervical cancer. Through a series of interviews with TGD individuals in the Central Great Plains and national TGD content creators, the impact of both non-TGD specific and TGD-specific health messages will be explored. Qualitative and critical cultural analyses coupled with iterative feedback from community and national boards will generate a preliminary toolkit of TGD-affirming principles for health communication. 2) This toolkit will then be tested through an innovative dialogic workshop in which health communication professionals apply the toolkit to a health promotion campaign and share it with TGD community members, and communication professionals who identify as TGD, ending with any needed revisions of the toolkit. The multidisciplinary Trans Collaborations research team has a successful history of federal funding and producing innovative outcomes that have significant scientific and community impact. The well-established Local Community and National Advisory Boards inform all projects. Development of a community-informed toolkit for TGD-affirming health messaging is another step on our long term goal of addressing TGD health disparities in underserved areas.

摘要 在公共卫生运动中，信息量身定制对于健康状况不同的少数群体尤其重要， 例如变性人和性别多样性（TGD）的人，他们往往在护理方面存在障碍，包括不信任 卫生系统、社会污名化和经济障碍。TGD健康差异包括，例如， 糖尿病、心血管疾病、焦虑、抑郁和药物滥用的发病率升高， cisgender人口的比率。此外，TGD人口受到社会排斥， 公众的负面看法加剧了这些问题。然而，很少或根本没有注意到 在设计健康促进运动时，向转型期人口支付的费用， 已经增加了风险，即使这种运动的有效性是有据可查的一般 人口健康促进信息，可以让TGD人群参与所需的护理和预防活动 是解决其健康差距的重要工具。然而，开展具体的健康促进 针对健康不同人群（如TGD社区）的一系列健康状况的运动， 由于需要个别处理的具体情况很多，因此是可行的。此外，国家 考虑到TGD人群的健康促进运动仍然无法到达TGD社区， 中部大平原，因为他们不符合这一地区的生活现实， 与沿海地区相比，受歧视程度较高，获得护理的机会较少。为了克服这些挑战， 一个项目将利用一个以社区为基础的参与性研究网络来建立一个TGD确认工具包， 传播者用来为这个社区定制信息，具有以下特定目标：1）识别和 探索通过针对2型糖尿病的非TGD量身定制的健康沟通产生的潜在护理障碍 糖尿病、焦虑和抑郁、结肠直肠癌、药物滥用和宫颈癌。通过一系列 通过对中原地区TGD个人和全国TGD内容创作者的采访， 将探索非TGD特异性和TGD特异性健康信息。定性和批判性文化 分析加上社区和国家委员会的反复反馈将产生一个初步的 确认TGD的健康传播原则工具包。2)该工具包将通过 创新的对话研讨会，其中卫生传播专业人员将工具包应用于健康 推广活动，并与TGD社区成员和传播专业人士分享， 标识为TGD，以工具包的任何必要修订结束。跨学科合作 研究团队有联邦资助和产生创新成果的成功历史， 重大的科学和社会影响。完善的地方社区和国家咨询 董事会通知所有项目。开发一个社区知情的工具包，用于确认TGD的健康信息， 我们的长期目标是解决服务不足地区的TGD健康差距，这是我们的另一个步骤。