Expanding a culturally relevant model of sexual minority tobacco use: the impact of identity

项目摘要 本提案的总体目标是提供培训、职业发展和指导， 博士Hinds将围绕性少数群体（SM）身份发展的研究机构与 在整个生命周期中的烟草使用，扩大和改进与文化相关的概念模型， 解释SM烟草的使用。海因兹博士是一个博士后研究员和兼职助理教授在史蒂夫 德克萨斯大学奥斯汀分校希克斯社会工作学院。海因兹博士的研究成果主要集中在 描述和解释性和性别少数（SGM）年轻人的烟草使用差异。博士 Hinds的长期职业目标是成为一所顶级研究型大学的教员， 旨在消除SGM烟草和物质使用的独立、社区参与的合作研究 差距。Hinds博士完成了为期2年的博士后研究奖学金，由国家心脏基金资助， 肺和血液研究所（NHLBI），专注于促进心血管疾病的健康公平 （T32HL140290）。Hinds博士完成了烟草监管科学的研究生培训，并获得了博士学位。 健康行为与健康教育在目前的五年计划中，海因兹博士概述了三个培训目标 这些问题对于扩大她作为一名以SM为重点的烟草研究人员的技能至关重要，将通过 课程作业、研讨会、指导性阅读和指导性会议：1）SM身份发展的内容培训 2）心理测量学和调查工具方面的方法培训 3）数据分析培训，以测试和完善SM烟草使用的综合模型 包括SM身份的元素，多维测量。海因兹博士已经召集了一个强大的 由非常成功的多学科专家组成的指导团队，每个人都可以为多个培训目标提供建议 和研究目标，在那里海因兹博士将全面检查SM身份相关的因素， 与烟草使用风险增加和减少有关的三个方面， 主要结果：目标1）身份维度与里程碑之间的关联的新发现， 烟草使用，基于两项最突出的SM重点研究的混合方法二级数据分析 在美国进行过的目的2）一种新的测量工具，评估SM身份认同现象 管理行为，以及目标3）SM烟草使用的更新和全面的概念模型， 集成维、里程碑和身份管理行为的身份元素作为说明 在解释SM烟草使用的独特决定因素方面，最后， 该项目的研究结果将提高我们对SM烟草使用差异的病因学的理解， R01提案将确定旨在减少SM烟草使用的身份确认倡议的途径。

PROJECT SUMMARY The overall goal of this proposal is to provide the training, career development, and mentorship that will result in Dr. Hinds’ ability to integrate the bodies of research surrounding sexual minority (SM) identity development with tobacco use across the lifespan, expanding and improving upon culturally-relevant conceptual models that explain SM tobacco use. Dr. Hinds is a postdoctoral research fellow and Adjunct Assistant Professor at the Steve Hicks School of Social work at The University of Texas at Austin. Dr. Hinds’ research portfolio has focused on describing and explaining the tobacco use disparities of sexual and gender minority (SGM) young adults. Dr. Hinds’ long term career goal is to be a faculty member at a top-tier research university with a portfolio of independent, community-engaged collaborative research aimed at eliminating SGM tobacco and substance use disparities. Dr. Hinds completed a 2-year postdoctoral research fellowship funded through the National Heart, Lung, and Blood Institute (NHLBI), focused on promoting health equity in cardiovascular disease (T32HL140290). Dr. Hinds completed graduate training in Tobacco Regulatory Science and received her PhD in Health Behavior and Health Education. In the current five-year proposal, Dr. Hinds outlines three training goals that are critical to expanding her skill set as an SM-focused tobacco researcher, to be addressed through coursework, seminars, directed readings, and mentored meetings: 1) content training in SM identity development and tobacco use across the lifespan, 2) methodological training in psychometrics and survey instrument development, and 3) data analysis training in order to test and refine a comprehensive model of SM tobacco use that includes elements of SM identity, measured multidimensionally. Dr. Hinds has assembled a strong mentoring team of highly successful, multidisciplinary experts who can each advise on multiple training goals and research aims, where Dr. Hinds will comprehensively examine the SM identity-related factors and dimensions that are linked to both increased and decreased risk for tobacco use and yield the following three primary outcomes: Aim 1) novel findings into the association between identity dimensions and milestones with tobacco use, based on mixed method secondary data analysis of two of the most prominent SM-focused studies ever conducted in the U.S.; Aim 2) a novel survey instrument assessing the phenomenon of SM identity management behaviors, and Aim 3) an updated and comprehensive conceptual model of SM tobacco use, that integrates the identity elements of dimensions, milestones, and identity management behaviors as explanatory mechanisms, alongside minority stress, in explaining unique determinants of SM tobacco use. Ultimately, findings from this project will improve our understanding of the etiology of SM tobacco use disparities, and inform an R01 proposal that will identify avenues for identity-affirming initiatives designed to reduce SM tobacco use.