Social Media Use and Depression Outcomes among U.S. Lesbian, Gay, and Bisexual Young Adults

项目摘要/摘要 这一独立之路奖的首要目标是促进塞萨尔·G。 埃斯科瓦尔-维埃拉，博士，医学博士，公共卫生硕士，成为一名独立的研究人员，拥有高级定量和 确定社交媒体在美国女同性恋者、男同性恋者和双性恋者抑郁中的作用的定性方法。 青年(LGBYA)。最终，PI寻求利用基于证据的SM干预来改善 这最终将有助于减少这一群体的心理健康差距。这 长期目标将通过一项为期5年的培训和研究计划实现，该计划将启动埃斯科瓦尔-维埃拉博士的 独立的研究项目和学术生涯。该奖项的职业目标是：(1)成为 社交媒体研究领域的专家应用于抑郁症；(2)提高PI在LGBT方面的知识 心理健康差异；以及(3)获得高级定量和定性应用方面的专业知识 方法论。这些职业目标将通过正式的课程、培训、研讨会、国家 会议、指导和研究经验。从本培训计划中获得的知识将为 埃斯科瓦尔-维埃拉博士追求以下目标。在第一个目标中，来自全国的预先存在的调查数据- 具有代表性的年轻人样本将被用来探索SMU之间的横截面联系 和LGBYA中的抑郁。在第二个目标中，关于SMU和抑郁的定性评估 在LGBYA中。将通过询问使用类型来探讨SMU对抑郁的影响 有帮助并产生社会支持并且使用会导致负面感觉和体验(例如， 歧视)。最后，第三个目标将包括纵向审查SMU之间的联系 和LGBYA中的抑郁。这一目标的结果将为PI下一步开发基于SM的 对有抑郁风险的LGBYA进行干预，减轻已确定的风险因素，同时加强保护性因素。 随后将通过DR期间的一系列R21和R01项目来测试干预的可行性和有效性。 埃斯科瓦尔-维埃拉的独立研究生涯。一支优秀的LGBT研究专家团队，定性 研究、纵向分析、调查研究以及移动和社交媒体干预将提供 指导，以确保这个项目的成功。布莱恩·普里马克，医学博士，将担任主要导师。 Primack博士利用他自己的K07获得了多个R01和R21奖项。联合导师将由以下人员提供 迈克尔·马歇尔博士和罗恩·斯图尔博士。此外，Galen Switzer博士和Sherry Pagoto博士将担任 作为顾问。本研究为发展循证社会奠定了理论基础。 媒体干预，以改善性少数群体的心理健康结果。此外，它还将为 开发一个模型来研究社交媒体对其他少数群体健康差距的影响。 这一奖项将为PI在社交媒体领域的职业生涯奠定基础，从而打造他的独立之路 减少LGBYA中抑郁的干预措施，从而减少这一人群的健康差距。

PROJECT SUMMARY / ABSTRACT The overarching goal of this Pathway to Independence Award is to facilitate the development of César G. Escobar-Viera, PhD, MD, MPH, into an independent researcher, with expertise in advanced quantitative and qualitative methods to determine the role of social media on depression among lesbian, gay, and bisexual U.S. young adults (LGBYA). Ultimately, the PI seeks to leverage evidence-based SM interventions to ameliorate depression among LGBYA, which will ultimately help to reduce mental health disparities for this group. This long-term goal will be achieved via a 5-year training and research plan that will launch Dr. Escobar-Viera’s independent program of research and academic career. The career objectives of this award are to: (1) become an expert in the field of social media research applied to depression; (2) advance the PI’s knowledge in LGBT mental health disparities; and (3) gain expertise in the application of advanced quantitative and qualitative methodologies. These career objectives will be achieved via formal coursework, trainings, seminars, national conferences, mentorship, and research experience. The knowledge derived from this training plan will prepare Dr. Escobar-Viera to pursue the following aims. In the first aim, pre-existing survey data from a nationally- representative sample of young adults will be leveraged to explore cross-sectional associations between SMU and depression among LGBYA. During the second aim, qualitative assessments about SMU and depression among LGBYA. The influence of SMU on depression will be explored by inquiring about what type of use is helpful and generates social support and which use result in negative feelings and experiences (e.g., discrimination). Finally, the third aim will consist of a longitudinal examination of the associations between SMU and depression among LGBYA. Results of this aim will inform the PI’s next step of developing an SM-based intervention for LGBYA at risk for depression, mitigating identified risk factors while enhancing protective ones. Feasibility and efficacy of the intervention will be then tested via a series of R21 and R01 projects during Dr. Escobar-Viera’s independent research career. An outstanding team of experts in LGBT research, qualitative research, longitudinal analyses, survey research, and mobile and social media interventions will provide mentorship to ensure the success of this project. Brian Primack, MD, PhD, will serve as the primary mentor. Dr. Primack leveraged his own K07 into multiple R01 and R21 awards. Co-mentorship will be provided by Michael Marshal, PhD and Ron Stall, PhD. Moreover, Galen Switzer, PhD and Sherry Pagoto, PhD will serve as consultants. This study proposes to lay a theoretical foundation needed to develop evidence-based social media interventions to improve mental health outcomes among sexual minorities. In addition, it will contribute to developing a model to study the influence of social media on health disparities among other minority groups. This award will forge the PI’s pathway to independence by laying a foundation for a career in social media interventions to reduce depression among LGBYA, thus decreasing health disparities for this population.