Reducing Health Disparities in LGBTQ Youth of Color

减少 LGBTQ 有色人种青年的健康差距

• 批准号: 8586275
• 负责人: Judith B. Bradford
• 金额: $ 56.81万
• 依托单位: FENWAY COMMUNITY HEALTH CENTER
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-01-01 至 2015-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8586275
• 关键词: AIDS/HIV problem; Address; Advocacy; Age; Alcohol or Other Drugs use; Alcohols; Area; Binding; Bisexual; Boston; Clinic; Clinical; Collaborations; Color; Communities; Community Health; Counseling; Data; Data Analyses; Data Collection; Disease; Drops; Elements; Ethnic group; Evaluation; Evidence based intervention; Face; Foundations; Gays; Gender; Government; Health; Health Priorities; Health Services; Healthcare; Heterosexuals; Home environment; Homophobia; Housing; Institute of Medicine (U.S.); Institutes; Intervention; Intervention Studies; Joints; Justice; Knowledge; LGBT Health; Leadership; Lesbian; Lesbian Gay Bisexual Transgender; Life; Literature; Measures; Methodology; Minority; Minority Groups; Mission; Needs Assessment; Outcome; Participant; Patient Self-Report; Pharmaceutical Preparations; Phase; Pilot Projects; Population; Pre-Post Tests; Preparation; Primary Health Care; Principal Investigator; Process; Protocols documentation; Questionnaires; Recording of previous events; Reporting; Research; Resources; Risk; Sampling; Self Assessment; Services; Sexual Health; Social Work; Structure; Suicide attempt; Teenagers; Testing; Time; Tobacco; Work; Youth; base; behavioral health; community based participatory research; demographics; design; evidence base; experience; health disparity; high risk sexual behavior; improved; meetings; metropolitan; positive youth development; programs; racial and ethnic; racism; resilience; social stigma; transgender; young adult

DESCRIPTION (provided by applicant): The purpose of this project is to establish a sustainable community-based participatory research (CBPR) process to reduce health disparities among lesbian, gay, bisexual, transgender and queer (LGBTQ) youth of color. Evidence indicates that LGBTQ youth of color use substances (including alcohol, tobacco, and other drugs), engage in risky sexual behaviors, and attempt suicide in high rates that are disproportionate to those of both white LGBTQ youth and heterosexual youth of color. Such evidence underscores the pressing need for interventions to improve the health of LGBTQ youth of color, many of whom face "tricultural" experiences of stigma: homophobia from their racial/ethnic groups, racism from the majority white LGBT community, and the intersection of homophobia and racism from the culture at large. We propose in this project to join the forces of four Boston-based organizations with a long history of collaboration to create a Project Team who will conduct a community needs assessment to identify apriority health condition (in Year 1) and a pilot intervention research study to address that condition (in Years 2 and 3). Community input and support to the Project Team will be provided by two Community Advisory Boards (CABs); one comprised of community program leaders and government representatives and a second comprised of LGBTQ youth of color. Phase 1 of the community needs assessment will compile and review existing data pn health disparities and health concerns of LGBTQ youth of color; Phase 2 will conduct a small primary data collection study to gather more detailed information than available in Phase 1. The project team will then design and pilot an intervention tailored for LGBTQ youth of color that adapts elements from one or more existing Positive Youth Development evidence-based interventions. The pilot intervention research study will 1) assess the j feasibility and acceptability of the intervention through analysis of process evaluation data collected through implementation reports, structured observations, and participant self-assessment questionnaires and 2) evaluate the short-term impact of the intervention using a one group pre- and post-test design to measure changes in Positive Youth Development and health outcomes as assessed via participant self-report. RELEVANCE: High rates of problem health conditions in lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth of color indicate a need for evidence-based interventions. The purpose of this study is to establish a sustainable community-based participatory research process to assess the health LGBQ youth of color and develop a pilot intervention research study to improve health and reduce disparities.

描述(申请人提供)：该项目的目的是建立一个可持续的基于社区的参与性研究(CBPR)进程，以减少女同性恋、男同性恋、双性恋、变性人和同性恋(LGBTQ)有色人种青年之间的健康差距。证据表明，有色人种LGBTQ青年使用物质(包括酒精、烟草和其他毒品)，从事危险的性行为，并试图自杀的比率很高，这与白人LGBTQ青年和有色人种异性恋青年都是不成比例的。这些证据突显了迫切需要采取干预措施，以改善男女同性恋、双性恋和变性者青年的健康，他们中的许多人面临着耻辱的“三重文化”经历：来自其种族/族裔群体的仇视同性恋，来自占多数的白人LGBT社区的种族主义，以及来自整个文化的仇视同性恋和种族主义的交集。在这个项目中，我们建议联合波士顿四个有着长期合作历史的组织的力量，创建一个项目团队，他们将进行社区需求评估，以确定先验健康状况(在第一年)，并进行一项试验性干预研究研究，以解决这种状况(在第二年和第三年)。社区对项目团队的意见和支持将由两个社区咨询委员会(CAB)提供；一个由社区计划负责人和政府代表组成，另一个由LGBTQ有色人种青年组成。社区需求评估第一阶段将汇编和审查LGBTQ有色人种青少年健康差距和健康问题的现有数据；第二阶段将进行一项小型初级数据收集研究，以收集比第一阶段更详细的信息。然后，项目组将设计和试行针对LGBTQ有色人种青少年量身定做的干预措施，采用一种或多种现有的积极青年发展循证干预措施的要素。先导干预研究研究将1)通过分析过程评估数据来评估干预的可行性和可接受性。 通过实施报告、有组织的观察和参与者自我评估问卷收集的数据，以及2)评估干预措施的短期影响，使用一组前后测试设计，以衡量通过参与者自我报告评估的积极青年发展和健康结果的变化。 相关性：女同性恋者、男同性恋者、双性恋者、变性人和同性恋者(LGBTQ)有色人种(LGBTQ)青年的高问题健康状况比率表明需要循证干预。本研究的目的是建立一个可持续的以社区为基础的参与性研究程序，以评估有色人种LGBQ青年的健康状况，并制定一项试验性干预研究，以改善健康和减少差异。