Examining Contributors to Disparities in Gender Affirmation and Mental Health among Black and Latinx Transgender Youth

检查黑人和拉丁裔跨性别青年中性别肯定和心理健康差异的贡献者

• 批准号: 10370737
• 负责人: Stanley Ray Vance
• 金额: $ 16.26万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-02-14 至 2026-11-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10370737
• 关键词: Acquired Immunodeficiency Syndrome; Address; Adolescent; Adolescent Medicine; Adolescent and Young Adult; Adult; Affect; Anxiety; Applications Grants; Attention; Award; Black race; Caregivers; Caring; Child; Childhood; Clinic; Color; Communities; Consent; Data; Development; Discipline; Ethnic Origin; Ethnic group; Evaluation; Face; Family; Fellowship; Focus Groups; Fostering; Gender; Gender Identity; Goals; HIV risk; Health; Home; Intervention; Intervention Trial; Interview; K-Series Research Career Programs; Latinx; Literature; Measures; Medical; Medicine; Mental Depression; Mental Health; Mentored Patient-Oriented Research Career Development Award; Mentors; Methodology; Modeling; Mood Disorders; NCI Scholars Program; Names; Online Systems; Outcome; Parental Consent; Parents; Peer Group; Persons; Play; Population; Positioning Attribute; Prevention; Process; Public Health; Qualitative Methods; Race; Randomized; Randomized Controlled Trials; Recommendation; Reporting; Research; Research Personnel; Research Training; Resources; Role; Social support; Structure; Substance abuse problem; Suicide; Support Groups; Symptoms; Testing; Time; Training; United States National Institutes of Health; Woman; Work; Youth; base; career; career development; caregiver interventions; cisgender; community based research; community engaged research; cultural values; depressive symptoms; design; experience; gender diversity; gender minority group; health disparity; hormone therapy; implementation intervention; improved; informant; lens; maltreatment; method development; parental influence; peer; peer support; pilot test; primary caregiver; psychosocial; racial disparity; racism; recruit; research and development; service providers; skill acquisition; skills; social; social stigma; suicidal; therapy design; therapy development; transgender; transphobia; virtual; young adult

Project Summary/Abstract This is an application for a K23 award for Dr. Stanley Vance, Jr., MD, whose research focuses on barriers to gender-affirming care for transgender youth. His research training includes an Adolescent Medicine fellowship and formal course work in quantitative approaches. Through activities proposed in this application, Dr. Vance will build skills in qualitative methodology, youth/caregiver-facing intervention development, and randomized controlled trials. The resources to foster his career development include UCSF’s Adolescent and Young Adult Medicine Division, Child and Adolescent Gender Center, Center for AIDS Prevention Studies, K- Scholars Program, and graduate coursework in qualitative methods and intervention development and trials. He has convened a mentoring team experienced in relevant disciplines of community-based research with transgender populations, pediatric transgender research, qualitative methods, and intervention implementation to guide the completion of his research and career development into an independent researcher. Informed by the Gender Affirmation and Intersectional Stigma models, this proposal focuses on Black and Latinx transgender youth (BLTY). BLTY face intersecting forces of racism and transphobia, thereby increasing their vulnerability to poor mental health outcomes. However, there is a paucity of data that document the cultural and familial factors that may contribute to these mental health disparities. Although gender affirmation—receiving social support for one’s gender identity and/or medical treatment to affirm one’s gender—improves mental health for transgender youth, cultural and parental influences on gender affirmation for BLTY have not been delineated. Exploring such factors could provide critical information to supporting BLTY and their caregivers through interventions. This career development award seeks to address these gaps in the literature through the following specific aims which will be carried out with guidance from a Community Advisory Board: Aim 1: To gather qualitative data to inform the development of a culturally informed intervention to improve mental health outcomes among BLTY. This includes conducting in-depth interviews with Black and Latinx transgender young adults about their prior experiences with gender affirmation and how their caregivers and cultures influenced such experiences. This aim also includes focus groups with Black and Latinx caregivers to understand cultural views of gender diversity. Aim 2: To develop a culturally informed intervention that promotes gender affirmation and mental health of BLTY. An intervention informant group with BLTY and caregivers will provide direct input into the development of a culturally informed intervention. Aim 3: To pilot test the intervention via a randomized controlled trial. The intervention and control condition will be administered to BLTY and their caregivers to evaluate the intervention’s acceptability, feasibility, and preliminary efficacy on mental health symptoms. At the conclusion of this award, Dr. Vance will apply his findings to develop an R-level grant application for a larger RCT of the developed intervention.

项目摘要/摘要 这是斯坦利·万斯博士（Stanley Vance，Jr。 对跨性别青年提供性别照顾的障碍。他的研究培训包括青少年医学 定量方法的研究金和正式课程工作。通过在本应用程序中提出的活动， 万斯博士将在定性方法，青年/面向照顾者的干预开发以及 随机对照试验。促进他职业发展的资源包括UCSF的青少年和 K-的艾滋病预防研究中心儿童和青少年性别中心的年轻成人医学部 学者计划，以及定性方法和干预开发和试验的研究生课程。 他召集了一个在社区研究的相关学科中经验丰富的心理团队 跨性别人群，小儿跨性别研究，定性方法和干预实施 指导他的研究和职业发展完成为独立的研究人员。 该提案的重点是由性别肯定和交叉污名模型所告知 和拉丁裔变性青年（Blty）。肥大的面孔与种族主义和恐惧症的相交，从而 增加了他们对精神健康不良结果的脆弱性。但是，数据很少 记录可能导致这些心理健康差异的文化和家庭因素。虽然 性别肯定 - 寻求对自己的性别认同和/或医疗治疗的社会支持 性别 - 对跨性别青年的心理健康，文化和父母对性别肯定的影响 因为尚未划定肥胖。探索这些因素可以为支持提供关键信息 通过干预措施，肥胖及其护理人员。该职业发展奖旨在解决这些差距 在文献中通过以下特定目标将在社区的指导下进行 顾问委员会：目标1：收集定性数据以告知开发文化知情 干预措施，以改善业务中的心理健康状况。这包括进行深入的访谈 与黑人和拉丁裔变性年轻人有关他们先前对性别感情的经历以及如何 他们的照顾者和文化影响了这种经历。此目标还包括黑色和 拉丁文护理人员了解性别多样性的文化观点。目标2：开发一个文化知情 促进性别肯定和精神健康的干预措施。一个干预线人小组与 Blty和Caregivers将直接提供有关文化知情干预措施的发展。目标3： 通过随机对照试验进行试验测试干预措施。干预和控制条件将是 向Blty及其护理人员管理，以评估干预措施的可接受性，可行性和 对心理健康症状的初步有效性。在该奖项结束时，万斯博士将应用他的 为开发干预措施的较大RCT开发R级赠款申请的发现。