The influence of intersections of race, gender, and sexual orientation discrimination for the mental health of LGB youth and adults

种族、性别和性取向歧视对 LGB 青少年和成年人心理健康的影响

• 批准号: 9611653
• 负责人: Allen Mallory
• 金额: $ 4.11万
• 依托单位: UNIVERSITY OF TEXAS AT AUSTIN
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-08-01 至 2021-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9611653
• 关键词: Accounting; Address; Adolescent; Adult; Adverse effects; Affect; Age; Area; Cause of Death; Cessation of life; Cities; Clinical; Complex; Consensus; Cost of Illness; Cross-Sectional Studies; Data; Data Science; Depressed mood; Deterioration; Development; Diagnosis; Discrimination; Economics; Educational workshop; Family; Feeling; Fellowship; Funding; Gender; Health; Health Professional; Heterosexuals; High Prevalence; Human Development; Individual; Latina; Lead; Learning; Lesbian Gay Bisexual; Life Cycle Stages; Link; Measures; Mental Health; Mental disorders; Mentors; Methodology; Methods; Minority; National Institute of Child Health and Human Development; Outcome; Persons; Population; Population Research; Population Statistics; Prevalence; Prevention; Probability Samples; Public Health; Publishing; Race; Reporting; Research; Research Personnel; Research Training; Risk Factors; Sampling; Science; Sex Orientation; Shapes; Social support; Statistical Methods; Stress; Structure; Subgroup; Suicide; Suicide attempt; Symptoms; Testing; Texas; Time; Training; United States; United States National Institutes of Health; Universities; Youth; austin; base; boys; career; early experience; experience; girls; health disparity; intersectionality; longitudinal dataset; lost earning; modifiable risk; mortality; population health; pre-doctoral; prevent; racial disparity; rate of change; sexual minority; social; social stress; statistics; stressor; symposium; theories

Project Summary/Abstract Mental illness costs the United States 1.93 billion in lost earnings per year and suicide, which often occurs in the context of mental health problems, is the 10th highest cause of death leading to an estimated 40,000 deaths annually. Lesbian, gay, and bisexual (LGB) adults are twice as likely as heterosexual adults to have been diagnosed with a mental health disorder. Additionally, 60% of LGB adolescents compared to 26% of heterosexual adolescents report feeling sad and hopeless for most days in a two-week period. Thus, LGB youth and adults are disproportionally affected by these economic and mortality issues. Mental health disparities within the LGB population differ by race, gender, and sexual identity. Understanding health disparities among sexual minorities is a critical health imperative and focus the National Institutes of Health. The link between gender, race, sexual identity discrimination, underlying causes of health disparities, and mental health is an urgent concern for researchers and health care professionals. Few studies explore how gender, race and sexual identity discriminatory experiences are independently and concurrently associated with mental health trajectories in the LGB population. This Predoctoral Fellowship to Promote Diversity in Health-Related Research (F31-Diversity) would allow the applicant to address this gap through his research and training plan. The main objective of Mr. Mallory’s project is to understand how race, gender, and sexual identity discrimination independently and in different combinations are associated with mental health trajectories. He will accomplish this objective with two aims: (Aim 1) elucidating the individual longitudinal associations between race, gender, and sexual identity discrimination and mental health trajectories for LGB youth and adults and (Aim 2) testing three competing explanations of how multiple forms of discrimination jointly to impact trajectories of mental health for LGB youth and adults. The competing explanations are that discrimination is (1) additive: for each additional form of discrimination, mental health will incrementally worsen; (2) exacerbating: mental health symptoms are two and three times worse when experiencing two and three forms of discrimination; and (3) inuring: mental health does not worsen beyond one form of discrimination. To accomplish the objective and aims of his proposed research plan Mr. Mallory will seek out additional training in analyzing large longitudinal data sets with complex data structures, learning population health and life course theoretical perspectives, and applying an intersectional framework to his research which will augment his core training in Human Development and Family Sciences. His training plan combines formal coursework in population health and statistics, workshops that integrate method, theory, and analysis for analyzing quantitative data from an intersectional framework, one-on-one mentoring, conference presentations, and publishing research to prepare him for a career as an independent researcher.

项目概要/摘要 精神疾病每年给美国造成 19.3 亿美元的收入损失和经常发生的自杀 就精神健康问题而言，这是第十大死因，导致估计 40,000 人死亡 每年。女同性恋、男同性恋和双性恋 (LGB) 成年人罹患此类疾病的可能性是异性恋成年人的两倍 被诊断患有精神健康障碍。此外，60% 的 LGB 青少年比 26% 的 LGB 青少年 异性恋青少年表示在两周内的大部分时间里都感到悲伤和绝望。因此，LGB青年 成年人受到这些经济和死亡问题的影响尤为严重。内部心理健康差异 LGB 人群因种族、性别和性认同而异。了解性别之间的健康差异 少数族裔是一项至关重要的健康当务之急，也是美国国立卫生研究院关注的重点。性别之间的联系， 种族、性别认同歧视、健康差异的根本原因以及心理健康是一个紧迫的问题 研究人员和医疗保健专业人员的担忧。很少有研究探讨性别、种族和性认同如何 歧视经历与心理健康轨迹独立且同时相关 LGB 人口。该博士前奖学金旨在促进健康相关研究的多样性（F31-多样性） 将允许申请人通过他的研究和培训计划来解决这一差距。 马洛里先生项目的主要目标是了解种族、性别和性认同如何 歧视独立地和不同组合地与心理健康相关 轨迹。他将通过两个目标来实现这一目标：（目标 1）阐明个人纵向 种族、性别和性身份歧视与 LGB 心理健康轨迹之间的关联 青年和成人，以及（目标 2）测试关于多种形式的歧视如何共同存在的三种相互竞争的解释 影响 LGB 青少年和成人的心理健康轨迹。相互竞争的解释是 歧视具有 (1) 累加性：每增加一种形式的歧视，心理健康就会逐渐恶化； (2)加剧：当经历两次和三次时，心理健康症状会恶化两倍和三倍 各种形式的歧视； (3) 保险：心理健康状况不会因一种形式的歧视而恶化。 为了实现他提出的研究计划的目的和目标，马洛里先生将寻求额外的 分析具有复杂数据结构的大型纵向数据集、学习人群的培训 健康和生命历程的理论观点，并将交叉框架应用于他的研究 这将增强他在人类发展和家庭科学方面的核心培训。他的训练计划 结合了人口健康和统计学的正式课程，以及整合方法、理论和知识的研讨会 用于分析来自交叉框架、一对一指导、会议的定量数据的分析 演讲和发表研究成果，为他成为一名独立研究员的职业生涯做好准备。