Health needs of gender variant youth: A mixed-methods study

性别差异青少年的健康需求：混合方法研究

• 批准号: 9321489
• 负责人: Marla E. Eisenberg
• 金额: $ 18.34万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-08-01 至 2019-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9321489
• 关键词: Adolescent; Alcohol or Other Drugs use; American; Area; Behavior; Biological; Book Chapters; Child; Clinical; Competence; Data; Data Set; Dental; Educational Materials; Feedback; Fibrinogen; Foundations; Future; Gender; Gender Identity; Goals; Health; Health Personnel; Health Professional; Health behavior; Healthcare; Individual; Institute of Medicine (U.S.); Interview; Knowledge; Learning Module; Lesbian Gay Bisexual; Lesbian Gay Bisexual Transgender; Literature; Measures; Medical; Medical Education; Methods; Minnesota; Nature; Nursing Education; Office Nursing; Patients; Population; Population Sizes; Prejudice; Provider; Publishing; Recruitment Activity; Reporting; Research; Resources; Risk Behaviors; Sampling; Schools; Series; Services; Sex Behavior; Students; Suicide; Surveys; System; Testing; Training; Training Activity; Training Programs; Victimization; Vulnerable Populations; Work; Youth; adolescent health; base; bullying; checkup examination; cisgender; cost; elementary school; experience; family support; gender variant; health care service utilization; health difference; high risk; high risk behavior; high risk sexual behavior; improved; population based; public health relevance; racial and ethnic; sex; transgender

ABSTRACT Gender variant individuals – that is, those whose experience of their gender doesn't match their biological sex – are experiencing an unprecedented moment in the spotlight of American culture. However, this group is poorly understood, particularly its youth. In 2011, the Institute of Medicine published a report summarizing current knowledge about lesbian, gay, bisexual and transgender (LGBT) populations. Although a small body of research, conducted almost entirely with non-probability samples, demonstrates that transgender people experience elevated levels of victimization, suicide involvement, substance use and high risk sexual behaviors compared to cisgender people (i.e., matching biological sex and gender identity), the IOM specifically notes that research on this population is sorely lacking. The proposed research includes extensive analysis of a large, population-based sample of gender variant youth (N~1,200), takes a broad view of health influences and health care, and pairs this information with qualitative data from adolescent health care providers and youth. The goal of this mixed-methods study is to understand the health needs of gender variant youth in order to develop and test training modules to be used in medical and nursing education in a future R01 application. The study has two specific aims: 1) Analyze data from the Minnesota Student Survey (MSS), a statewide surveillance system of adolescents' health and related behaviors, which has recently been revised to include three measures regarding gender (biological sex, transgender identity, gender presentation). Analyses will focus on high risk health behaviors (i.e. substance use, sex behaviors, suicide involvement, bullying and prejudiced-based victimization), protective factors (i.e. internal assets, family support, school connection), health and health care utilization of gender variant youth, with comparisons to straight cisgender youth and youth who are cisgender and lesbian, gay, bisexual and questioning (LGBQ, with whom transgender youth are often grouped for services and resources). 2) Conduct interviews with health care providers working with adolescents and with gender variant youth to understand health care practices and needs of this population. Interviews with health care providers will include questions about their professional training regarding gender variant youth, need for resources, and comfort and competence with this topic. Interviews with gender variant youth will include questions regarding their experiences with health care professionals, information they would share with providers about their health needs, and feedback on findings from health care provider interviews.

摘要 性别变异个体-即那些对自己性别的体验与其生物性别不匹配的人 - 正在经历一个前所未有的时刻，成为美国文化的焦点。然而，这一群体是 不太了解，尤其是年轻人。2011年，医学研究所发表了一份报告， 目前对女同性恋、男同性恋、双性恋和变性者（LGBT）群体的了解。虽然有一小部分 几乎完全用非概率样本进行的研究表明， 受害、自杀、药物使用和高风险性行为的水平升高 与顺性别人相比（即，符合生物性别和性别认同），国际移民组织特别指出， 对这一人群的研究非常缺乏。拟议的研究包括广泛的分析， 性别差异青年（N~ 1 200）的大规模、基于人口的样本，对健康影响采取了广泛的观点， 卫生保健，并将这一信息与青少年卫生保健提供者和青年的定性数据配对。 这项混合方法研究的目标是了解性别差异青年的健康需求， 开发和测试培训模块，用于未来R 01应用程序中的医疗和护理教育。的 这项研究有两个具体目标：1）分析明尼苏达州学生调查（MSS）的数据， 青少年健康和相关行为的监测系统，最近进行了修订， 关于性别的三项措施（生理性别、变性人身份、性别表现）。分析将 关注高危健康行为（即物质使用、性行为、自杀、欺凌和 基于偏见的受害），保护因素（即内部资产，家庭支持，学校联系）， 性别变异青年的健康和保健利用，与异性恋青年的比较， 青年谁是顺性别和女同性恋，男同性恋，双性恋和质疑（LGBQ，与他们的变性青年是 通常针对服务和资源进行分组）。2)与从事以下工作的卫生保健提供者进行访谈： 青少年和性别变异青年了解卫生保健的做法和需要， 人口与卫生保健提供者的访谈将包括有关其专业培训的问题 关于性别差异青年，对资源的需求，以及对这一主题的舒适度和能力。采访 有性别差异的青年将包括关于他们与保健专业人员接触的经历的问题， 他们将与提供者分享有关其健康需求的信息，以及对健康调查结果的反馈。 护理人员面试

项目成果

Social Connectedness Factors that Facilitate Use of Healthcare Services: Comparison of Transgender and Gender Nonconforming and Cisgender Adolescents.

促进医疗服务使用的社会联系因素：跨性别者、性别不合格者和顺性别青少年的比较。

• DOI: 10.1016/j.jpeds.2019.04.024
• 发表时间: 2019
• 期刊: The Journal of pediatrics
• 作者: Taliaferro,LindsayA;Harder,BrittanyM;Lampe,NikM;Carter,ShannonK;Rider,GNic;Eisenberg,MarlaE
• 通讯作者: Eisenberg,MarlaE

Gambling Behaviors and Problem Gambling: A Population-Based Comparison of Transgender/Gender Diverse and Cisgender Adolescents.

赌博行为和问题赌博：跨性别/性别多元化和顺性别青少年的基于人群的比较。

• DOI: 10.1007/s10899-018-9806-7
• 发表时间: 2019
• 期刊: Journal of gambling studies
• 影响因子: 2.4
• 作者: Rider,GNic;McMorris,BarbaraJ;Gower,AmyL;Coleman,Eli;Eisenberg,MarlaE
• 通讯作者: Eisenberg,MarlaE

Connections that moderate risk of non-suicidal self-injury among transgender and gender non-conforming youth.

• DOI: 10.1016/j.psychres.2018.06.068
• 发表时间: 2018-10
• 期刊: Psychiatry research
• 影响因子: 11.3
• 作者: Taliaferro LA;McMorris BJ;Eisenberg ME
• 通讯作者: Eisenberg ME

Risk and Protective Factors for Self-Harm in a Population-Based Sample of Transgender Youth.

• DOI: 10.1080/13811118.2018.1430639
• 发表时间: 2019-04
• 期刊: Archives of suicide research : official journal of the International Academy for Suicide Research
• 作者: Taliaferro LA;McMorris BJ;Rider GN;Eisenberg ME
• 通讯作者: Eisenberg ME