Health Determinants of Mental Health Disorders among Sexual and Gender Minority Firefighters

性和性别少数消防员心理健康障碍的健康决定因素

• 批准号: 10394230
• 负责人: Christopher M Kaipust
• 金额: $ 16.65万
• 依托单位: NDRI-USA, INC.
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-16 至 2024-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10394230
• 关键词: Address; Anxiety; Behavioral; Bisexual; Chronic stress; Community Services; Data; Development; Discrimination; Environment; Extramural Activities; Face; Funding; Future; Gays; Gender; Health; Health Personnel; Health Status; Healthcare Systems; Heterosexuals; Individual; Institutes; Intervention; Interview; Journals; Lead; Lesbian; Lesbian Gay Bisexual; Literature; Mental Depression; Mental Health; Mental disorders; Methods; Military Personnel; Minority Groups; Observational Study; Occupational; Occupational Epidemiology; Occupational Groups; Occupations; Perception; Phase; Policies; Population; Post-Traumatic Stress Disorders; Prevalence; Qualitative Methods; Race; Readiness; Recording of previous events; Reduce health disparities; Research; Risk; Safety; Sexual Harassment; Sexual Health; Sexual and Gender Minorities; Stigmatization; Substance Use Disorder; Suicide; Suicide attempt; Surveys; Time; United Kingdom; United States; Voice; Vulnerable Populations; Woman; Work; Workplace; base; bullying; cohesion; disparity reduction; epidemiology study; experience; fire fighter; first responder; gender minority; gender minority group; gender minority health disparity; health disparity; high risk; improved; innovation; interest; minority disparity; minority health; minority health disparity; news; pressure; professional atmosphere; psychologic; public health relevance; racial minority; recruit; service organization; sexual minority; sexual minority health; sexual minority health disparity; social culture; social health determinants; social media; substance use; success; suicidal morbidity; suicide rate; transgender; traumatic event; web site

Project Abstract/Summary The more than 1.1 million US firefighters constitute a large portion of the first responders who respond to domestic crises. The health, safety, and readiness of firefighters is pertinent for not only for themselves but also their fellow firefighters and the public they serve. Research on the health and safety of firefighters has increased over the years, including the health and safety of women and racial minorities, both significant minority groups in the fire service. Unfortunately, the health status of US firefighters who identify as a sexual or gender minority (SGM) is completely unknown. A study from the UK examined fire service culture and its impact on sexual minority firefighters and found a non-inclusive environment. Lawsuits making national news in the US depicts potentially significant discrimination and harassment of SGM firefighters. The stigmatization SGM firefighters face in the work environment may lead to chronic stress and mental health disorders. SGM individuals experience disparities in mental health, and firefighters experience high rates of mental health disorders and substance use. Further, SGM individuals have higher rates of suicide attempts, and recently more firefighters died from suicide than in the line of duty. However, it is unknown if the fire service environment exacerbates mental health disparities for SGM firefighters. The proposed mixed methods study will be conducted in three phases including: 1) interviews with SGM and non-SGM firefighters, leaders in the fire service, and representatives from national fire service organizations; 2) content analysis of SGM news organizations and firefighter specific content including trade journals, websites, social media, and organizational literature; 3) national surveys of both SGM and non-SGM firefighters to explore health determinants of mental health disparities. This innovative study is an important initial step to understand health determinants of mental health disorders in order to reduce disparities, to improve recruitment and retention of sexual and gender minority firefighters, and will be the first to document SGM health disparities and their intersections with race and gender in the fire service. The strengths of this R21 developmental application include strong support from national fire service organizations and a team with a long history of success working with this occupational population and with SGM individuals.

项目摘要/摘要 超过110万名美国消防员构成了响应的第一响应者的很大一部分。 国内危机。消防员的健康、安全和准备不仅关系到他们自己， 还有他们的消防员同胞和他们所服务的公众。关于消防员健康和安全的研究 这些年来，包括妇女和少数民族的健康和安全， 消防队中的少数民族。不幸的是，美国消防员的健康状况， 性别少数群体（SGM）完全未知。英国的一项研究考察了消防文化及其 对性少数消防员的影响，并发现一个不包容的环境。诉讼使全国新闻， 美国描述了对SGM消防员的潜在严重歧视和骚扰。的污名化 SGM消防员面对的工作环境可能导致慢性压力和心理健康障碍。SGM 个体经历心理健康的差异，消防员经历高比例的心理健康 疾病和物质使用。此外，SGM个体的自杀企图率更高，最近 更多的消防员死于自杀而不是因公殉职。然而，目前还不清楚消防部门是否 环境加剧了SGM消防员的心理健康差异。建议的混合方法研究 将分三个阶段进行，包括：1）采访SGM和非SGM消防员， 消防部门和国家消防机构的代表; 2）SGM新闻的内容分析 组织和消防员的具体内容，包括行业期刊，网站，社交媒体， 组织文献; 3）SGM和非SGM消防员的全国调查，以探索健康 心理健康差异的决定因素。这项创新研究是了解健康的重要第一步 决定因素，以减少差距，改善招聘和保留 性和性别少数消防员，并将是第一个记录SGM健康差距和他们的 消防部门中种族和性别的交叉点。R21开发应用的优势在于 包括国家消防组织和一支有着悠久成功历史队伍的大力支持 与这些职业人群和SGM个人一起工作。