权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

A lifecourse approach to evaluating the effect of structural stigma on cancer risk factors among sexual minorities

评估结构性耻辱对性少数群体癌症危险因素影响的生命全程方法

基本信息

批准号：
10457813
负责人：
Alice Guan
金额：
$ 3.85万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-08-01 至 2024-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10457813
关键词：
Adolescence Adolescent Adult Alcohol consumption Area Attitude Biostatistical Methods Cancer Burden Communities Competence Complex County Data Data Analyses Data Set Elderly Environment Epidemiologic Methods Epidemiologist Ethnic Origin Exposure to Gays Gender Geography Goals Health Health behavior Heterosexuals High Prevalence Household Individual Institutional Policy Knowledge Lesbian Gay Bisexual Life Cycle Stages Literature Longitudinal Studies Malignant Neoplasms Measures Mediation Mentorship Methodology Methods Neighborhoods Obesity Outcome Overweight Pathway interactions Policies Population Race Research Respondent Risk Risk Factors Same-sex Sampling Sex Orientation Social Identification Socioeconomic Status Statutes and Laws Subgroup Time Tobacco use Training Update base cancer health disparity cancer prevention cancer risk career contextual factors density emerging adult experience intersectionality longitudinal dataset marginalized community marginalized population minority engagement prevent public health research racial minority sexual identity sexual minority sexual minority female sexual minority group sexual minority health skills social social determinants social exclusion social factors social group social stigma social structure theories trend

项目摘要

Project Summary Sexual minorities have been found to have an increased burden of several cancer risk factors, including tobacco use, alcohol consumption and obesity. Over the last decade, there has been substantial advancement in the identification of social and contextual factors related to sexual minority health, and exposure to structural stigma has been implicated as a potential explanatory factor this disparity. Thus, intervening on factors related to structural stigma could be a promising approach for reducing the burden of cancer risk factors among this highly marginalized community. Evidence suggests that effects of exposure to stigma during adolescence could be different than stigma in later years, and prior studies that have attempted to examine these lifecourse effects. However, this research has major gaps. First, these studies were not nationally representative. Second, they did not explicitly use lifecourse methods to evaluate these effects. Thus, our study proposes to explore the effects of lifecourse exposure to structural stigma on tobacco use, heavy alcohol consumption, and being overweight or obese using a nationally representative dataset. The goal of this proposal is to evaluate lifecourse effects of exposure to structural stigma on sexual minority engagement in cancer risk factors. Using publicly available administrative datasets, we will update and refine a previously constructed state-level measure of structural stigma that was created in 2011 by including more granular county-level components that have been demonstrated to be important for the health of sexual minorities (aim 1). Using data from four waves of the National Longitudinal Study of Adolescent to Adult Health, we will apply this updated measure to evaluate the effects of life-course exposure to structural stigma on cancer risk factors among sexual minorities (aim 2). Finally, we will estimate the intersectional effects of exposure to structural stigma by gender, race/ethnicity, and socioeconomic status (aim 3). The interdisciplinary training environment for this proposal will provide the applicant an opportunity to enhance methodological skills, build research competency, and augment content expertise in order to become an expert in the intersection of cancer prevention and sexual minority health.

项目总结