Developing a Toolkit for Transgender and Gender Diverse-Affirming Health Communication: A Community-Based Participatory Research Partnership Approach

摘要 公共卫生运动中的信息定制在健康状况迥异的少数族裔人群中尤为重要， 例如变性人和不同性别(TGD)人群，他们往往有照顾障碍，包括不信任 卫生系统、社会污名和经济障碍。TGD健康差距包括，例如， 糖尿病、心血管疾病、焦虑、抑郁和药物滥用的比率与 顺性人口率。此外，TGD人口受到社会排斥， 公众的负面看法加剧了这些问题。然而，很少或根本不关注 在为TGD人群设计健康促进活动时支付给这些人群的条件 增加了风险，尽管这种运动的有效性对一般人来说是有据可查的 人口。健康促进信息，可使TGD患者参与所需的护理和预防活动 是解决他们健康差距的重要工具。然而，开展具体的健康促进 针对不同健康人群的一系列健康状况的宣传活动，如TGD社区，并不是 由于有大量的具体情况需要单独解决，因此这是可行的。此外，国家 针对TGD人群的健康促进活动仍然无法到达TGD社区 中部大平原，因为它们不符合这一地区的生活现实和复杂的 污名化程度高，与沿海地区相比，获得护理的机会更少。为了克服这些挑战，这 该项目将使用以社区为基础的参与性研究网络来建立TGD-肯定健康工具包 传播者用于为该社区量身定做消息，具体目标如下：1)确定和 探索通过针对2型患者的非TGD量身定做的健康沟通而产生的潜在护理障碍 糖尿病、焦虑和抑郁、结直肠癌、药物滥用和宫颈癌。通过一系列 在对中大平原TGD个人和全国TGD内容创作者的采访中， 将探讨非TGD特定的健康消息和TGD特定的健康消息。质的和批判的文化 分析再加上社区和国家委员会的反复反馈，将产生初步的 TGD工具包--健康传播的肯定原则。2)此工具包随后将通过 创新的对话工作坊，健康传播专业人员将工具包应用于健康 推广活动并与TGD社区成员和传播专业人士分享 确定为TGD，以工具包的任何必要修订结束。多学科跨领域协作 研究团队在联邦资助和产生创新成果方面有着成功的历史， 对科学和社区产生重大影响。久负盛名的地方社区和国家咨询 董事会通知所有项目。为TGD确认健康信息开发社区信息工具包是 朝着我们解决服务不足地区TGD健康差距的长期目标又迈出了一步。

Abstract Message tailoring in public health campaigns is especially important in health disparate minority populations, such as transgender and gender diverse (TGD) people, that often have barriers to care that include distrust of the health system, societal stigmatization, and financial barriers. TGD health disparities include, for example, elevated rates of diabetes, cardiovascular disease, anxiety, depression, and substance abuse compared to rates for cisgender populations. Furthermore, the TGD population is subjected to societal exclusion and negative public perception that contributes to exacerbating these problems. However, little to no attention is paid to TGD populations when designing health promotion campaigns for conditions for which this population has elevated risk, even though the effectiveness of such campaigns is well-documented for the general population. Health promotion messaging that can engage TGD people in needed care and prevention activities is an essential tool in addressing their health disparities. However, launching specific health promotion campaigns for a host of health conditions in health disparate populations, such as TGD communities, is not feasible due to the volume of specific conditions needing to be addressed individually. Furthermore, national health promotion campaigns with TGD populations in mind can still fail to reach TGD communities in the Central Great Plains because they do not match the lived reality of this region with the compounding issues of high stigmatization, and less access to care than in coastal regions. To overcome these challenges, this project will use a community-based participatory research network to build a TGD-affirming toolkit for health communicators to use to tailor messages to this community with the following specific aims: 1) Identify and explore potential barriers to care generated through non-TGD tailored health communication aimed at Type 2 diabetes, anxiety and depression, colorectal cancer, substance abuse, and cervical cancer. Through a series of interviews with TGD individuals in the Central Great Plains and national TGD content creators, the impact of both non-TGD specific and TGD-specific health messages will be explored. Qualitative and critical cultural analyses coupled with iterative feedback from community and national boards will generate a preliminary toolkit of TGD-affirming principles for health communication. 2) This toolkit will then be tested through an innovative dialogic workshop in which health communication professionals apply the toolkit to a health promotion campaign and share it with TGD community members, and communication professionals who identify as TGD, ending with any needed revisions of the toolkit. The multidisciplinary Trans Collaborations research team has a successful history of federal funding and producing innovative outcomes that have significant scientific and community impact. The well-established Local Community and National Advisory Boards inform all projects. Development of a community-informed toolkit for TGD-affirming health messaging is another step on our long term goal of addressing TGD health disparities in underserved areas.