Structural Racism and Discrimination in Older Men's Health Inequities

老年男性健康不平等中的结构性种族主义和歧视

• 批准号: 10474152
• 负责人: Jesus Ramirez-Valles
• 金额: $ 84.42万
• 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: 2022-09-15 至 2026-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10474152
• 关键词: AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Address; Adherence; Affect; African American; African American population; Aging; Anti-Retroviral Agents; Area; Asian Americans; Attention; Behavior; Biological; Biological Factors; Biological Markers; Biology; C-reactive protein; Climate; Communities; Complex; Consequences of HIV; Cross-Sectional Studies; Data; Discrimination; Elderly; Environment; Epidemic; Ethnic Origin; Exposure to; Face; Foundations; Funding Opportunities; Gays; Generations; Goals; HIV; HIV Seronegativity; HIV risk; Health; Heterosexuals; Homosexuals; Individual; Inflammation; Interleukin-10; Interleukin-6; Intervention; Interview; Latinx; Learning; Length; Lesbian Gay Bisexual Transgender Queer; Leukocytes; Life Cycle Stages; Light; Link; Longitudinal Studies; Mediating; Mental Depression; Mental Health; Methods; Minority Men; Modeling; Outcome; Personal Satisfaction; Pharmaceutical Preparations; Population; Prevention; Process; Race; Recording of previous events; Research; Resources; Respondent; Risk; Risk Factors; Role; Sampling; Sampling Biases; San Francisco; Shapes; Social Environment; Social support; Strategic Planning; Stress; Structural Racism; Structure; Subgroup; TNF gene; Testing; United States National Institutes of Health; aged; baby boomer; base; cognitive function; cohort; community involvement; comorbidity; diverse data; ethnoracial minority; experience; health disparity; health inequalities; human old age (65+); improved; internalized stigma; male; male health; men; men of color; minority health disparity; multidisciplinary; older men; peer; protective factors; public health relevance; racial and ethnic; racial minority; racism; research and development; residential segregation; response; sexual minority; social integration; social stigma; substance use; telomere

Abstract The health and well-being of older gay men has been greatly shaped by structural forces, namely discrimination and, for older gay men of color, racism. Their contemporary history and life course have been defined by exodus from hostile environments and the formation of supportive communities. The overall goal of this research is to shed light on the extent and the manner in which structural racism and discrimination shapes older gay men’s health. This study will assess the relationships among health, stigma, structural racism and discrimination, resources, and biomarkers of health and aging in older gay men of four racial/ethnic groups— African American, Latinx, Asian American, and White— and across HIV status. This research is needed because older gay men’s health fares worse than that of their heterosexual counterparts, their exposure to structural discrimination is higher, and they have less access to supportive resources than older heterosexual men. Notably, 40 years after we first faced HIV, we continue to learn about the consequences of HIV, including aging with HIV. Gay men comprise the majority of older people living with HIV. Older gay men face unique health risks and protective factors, yet they constitute a very diverse and complex population. What we know about their health comes from mostly white, well-educated, and convenient samples. Hence, the need to collect data from diverse and valid samples. This is a cross-sectional study based on San Francisco Bay Area. Quantitative and Qualitative data will be collected from a sample of 600 older gay men. We will collect structural, individual, and biological data to test hypotheses regarding the associations among structural racism and discrimination, resources, and health (e.g., mental health, HIV risk, cognitive function). Our team is multidisciplinary and includes our community partner, The Elizabeth Taylor 50-Plus Network (of the San Francisco AIDS Foundation). This proposal is in response to NIH’s RFA Understanding and Addressing the Impact of Structural Racism and Discrimination on Minority Health and Health Disparities. It addresses the Office of AIDS Research Strategic Plan of tackling HIV comorbidities and health disparities. The data and findings from this study are intended to constitute the baseline for a longitudinal study.

抽象的 老年男同性恋者的健康和福祉是由结构力量大大影响的，即 歧视，对于有色人种的年长同性恋者，种族主义。他们的当代历史和生活课程已经 由敌对环境的出埃及记和支持社区的形成定义。总体目标 这项研究阐明了结构种族主义和歧视的程度和方式 年长的男同性恋者的健康。 这项研究将评估健康，污名，结构性种族主义和歧视，资源，资源， 以及四个种族/种族群体的老年同性恋者的健康和衰老的生物标志物 - 非裔美国人，拉丁裔， 亚裔美国人和白人 - 跨越艾滋病毒。需要这项研究，因为年长的男同性恋者健康 票价比其异性恋对应物的票价还要糟糕，他们对结构歧视的暴露率更高， 与老年异性恋男人相比，他们获得支持资源的机会较少。值得注意的是，在我们40年之后 首先面对艾滋病毒，我们继续了解艾滋病毒的后果，包括艾滋病毒的衰老。同性恋者 包括大多数艾滋病毒的老年人。 年长的同性恋者面临独特的健康风险和保护因素，但它们构成了非常多样化和复杂的 人口。我们对他们的健康的了解大多是白人，受过良好教育和方便的 样品。因此，需要收集潜水员和有效样本的数据。这是一个基于横断面的研究 在旧金山湾地区。定量和定性数据将从600个老同性恋样本中收集 男人。我们将收集结构，个人和生物学数据，以测试有关关联的假设 在结构性种族主义和歧视，资源和健康中（例如心理健康，艾滋病毒风险，认知 功能）。我们的团队是多学科的，包括我们的社区合作伙伴伊丽莎白·泰勒（Elizabeth Taylor）50多 网络（旧金山艾滋病基金会）。 该建议是对NIH的RFA理解的回应，并解决了结构性种族主义和 歧视少数民族健康和健康差异。它涉及艾滋病研究战略办公室 解决HIV合并症和健康差异的计划。这项研究的数据和发现旨在 构成纵向研究的基线。