Trajectories of intimate partner violence among sexual minority youth

性少数青少年中亲密伴侣暴力的轨迹

• 批准号: 10420906
• 负责人: Jeremy Thomas Goldbach
• 金额: $ 68.72万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-19 至 2027-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10420906
• 关键词: Academy; Address; Adolescence; Adult; Advisory Committees; Age; Anxiety; Area; Attention; Attenuated; Behavior; Characteristics; Cities; Cross-Sectional Studies; Development; Emotional; Ethnic Origin; Etiology; Failure; Female; Forcible intercourse; Frequencies; Friends; Future; Gays; Gender; Gender Identity; Geography; Goals; Health; Heterosexuals; High Prevalence; Homelessness; Hybrids; Individual; Intervention; Lesbian; Lesbian Gay Bisexual Transgender; Literature; Longitudinal Studies; Measurement; Measures; Medicine; Mental Depression; Mental Health; Methods; Outcome; Participant; Pattern; Population; Psychopathology; Public Health; Race; Reporting; Research; Respondent; Risk; Sampling; Science; Services; Severities; Sexual and Gender Minorities; Sexuality; Social support; Time; United States National Institutes of Health; Verbally abusive behavior; Victimization; Violence; Work; base; behavioral health; cohort; demographics; emotional abuse; epidemiology study; experience; gender minority group; help-seeking behavior; intimate partner violence; lens; male; minority stress; peer; perpetrators; physical abuse; prospective; protective factors; psychologic; recruit; resilience; role model; sexual assault; sexual minority; sexual minority group; sexual minority youth; social media; stress resilience; substance use; violence perpetration; violence victimization

Project Summary Sexual minority adolescents (SMA; ages 13-17) experience higher rates of intimate partner violence (IPV) than their heterosexual peers, including being more likely to experience psychological and physical abuse, 9-11 and being four times more likely to experience rape. 12 However, this emerging body of literature has a number of significant limitations. First (Aim 1), studies have largely failed to look beyond victimization of IPV and have not measured IPV perpetration among SMA. Second (Aim 1), studies of IPV among SMA have approached SMA as a homogenous group and have not identified within-group differences in SMAs' experience of IPV, including by race, ethnicity, gender identity, or urbanicity. Research has been inconclusive in these regards, making hypotheses difficult, 13-20 although differences may inform intervention. Third (Aim 2), identified associations between the experience of IPV and negative health outcomes (i.e. mental health symptomology, substance use, homelessness) are largely cross-sectional: the temporal relationships between IPV and behavioral health for SMA across adolescence remains unclear. 21 Fourth (Aim 3), almost nothing is known of the unique etiological factors that influence IPV experiences for SMA. While cross-sectional studies have identified relationships between sexuality-based minority stress 22 and sexual assault, 13, 23-26 the prospective literature is nearly nonexistent. Finally (Aim 3), even less is known about how SMA-specific protective factors (such as access to LGBT-friendly services) 27-28,29-33 may attenuate IPV trajectories. In general, the only longitudinal studies of IPV among SMA to date are limited by (a) the inclusion of violence only in the context of dating; (b) a failure to assess perpetration or bidirectional IPV; (c) a reliance on single-city urban samples largely composed of adults (18+); and (d) the inclusion of no, or limited, measures of minority stress and resilience. We propose to address these limitations, and to explain the prospective relationships between IPV experiences (including victimization and perpetration), risk and resilience factors, and other behavioral health outcomes in a diverse cohort of SMA (ages 13–17 at baseline). We rely on methods refined in our prior work (1R01MD012252) to recruit a national sample of diverse SMA (i.e., race and ethnicity, gender, urbanicity; N = 1,500) through a hybrid social media and respondent-driven sampling strategy. We will follow participants for 36 months. Proposed by established MPIs (Goldbach, Stephenson), Co-Is (Rhoades, Schrager), and a biostatistician (Mamey) in this area, 39-44 our efforts are centered on identifying targets for future interventions to reduce the significant burden of IPV carried by this population.

项目概要 性少数青少年（SMA；13-17 岁）遭受亲密伴侣暴力 (IPV) 的比例高于 他们的异性恋同龄人，包括更有可能遭受心理和身体虐待、9-11 和 遭遇强奸的可能性是其他人的四倍。 12 然而，这一新兴文献有许多 重大限制。首先（目标 1），研究在很大程度上未能超越 IPV 的受害范围，并且没有 测量了 SMA 中的 IPV 传播情况。第二（目标 1），SMA 中的 IPV 研究已接近 SMA 作为一个同质群体，尚未发现 SMA 的 IPV 经历存在组内差异，包括 按种族、民族、性别认同或城市化程度。在这些方面的研究尚无定论，使得 假设很困难，13-20，尽管差异可能会影响干预。第三（目标 2），确定关联 IPV 经历与负面健康结果（即心理健康症状、物质使用、 无家可归者）在很大程度上是横截面的：IPV 与行为健康之间的时间关系 整个青春期的 SMA 仍不清楚。 21 第四（目标 3），对于独特的病因几乎一无所知 影响 SMA 的 IPV 体验的因素。虽然横断面研究已经确定了关系 基于性的少数压力 22 和性侵犯, 13, 23-26 之间的前瞻性文献几乎 不存在的。最后（目标 3），对于 SMA 特异性保护因素（例如获得 LGBT 友好服务）27-28,29-33 可能会减弱 IPV 轨迹。一般来说，IPV 的唯一纵向研究 迄今为止，SMA 的局限性在于 (a) 仅在约会背景下包含暴力； (b) 未能评估 持续或双向 IPV； (c) 依赖主要由成年人（18 岁以上）组成的单一城市样本； (d) 没有或有限地纳入少数群体压力和复原力的衡量标准。我们建议解决这些问题 局限性，并解释 IPV 经历（包括受害和 不同 SMA 队列（年龄 13-17 基线）。我们依靠之前工作 (1R01MD012252) 中完善的方法来招募全国样本 通过混合社交媒体和 受访者驱动的抽样策略。我们将跟踪参与者 36 个月。由已成立的 MPI 提议 （Goldbach、Stephenson）、Co-Is（Rhoades、Schrager）和该领域的生物统计学家（Mamey），39-44 我们的努力 重点是确定未来干预措施的目标，以减少由此带来的 IPV 的重大负担 人口。