Adolescent health at the intersections of sexual, gender, racial/ethnic, immigrant identities and native language

性、性别、种族/族裔、移民身份和母语交叉点的青少年健康

• 批准号: 10343667
• 负责人: Marla E. Eisenberg
• 金额: $ 90.88万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-02-05 至 2024-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10343667
• 关键词: 19 year old; Academy; Address; Adolescent; Adolescent Risk Behavior; Adult; Affect; African; African American; Asian; Black race; California; Characteristics; Communities; Coping Behavior; Data Set; Development; Disadvantaged; Ethnic Origin; Ethnic group; Face; Family; Feeling; Gays; Gender; Glean; Health; Health behavior; Health behavior outcomes; Immigrant; Immigrant community; Immigration; Individual; Inequality; Intervention; Interview; Language; Latino; Lesbian Gay Bisexual Transgender Queer; Literature; Location; Measures; Mediating; Medicine; Methods; Minnesota; Outcome; Personal Satisfaction; Persons; Population; Population Intervention; Positioning Attribute; Process; Production; RQ2; Race; Recommendation; Reporting; Research; Resources; Risk; Risk Behaviors; Risk Factors; Safety; Sampling; Schools; Services; Sex Orientation; Sexual Health; Sexual and Gender Minorities; Sexual and Gender Minority Youth; Social Identification; Social status; Stigmatization; Structure; Students; Surveys; Teenagers; Testing; United States National Institutes of Health; Victimization; Work; Youth; adolescent health; base; black men; bullying; children of color; cisgender; design; emotional distress; experience; gender minority community; gender minority group; health disparity; high risk; high risk sexual behavior; insight; intersectionality; male; minority children; peer; protective factors; public health relevance; racial and ethnic; racism; resilience; sexual minority; social; social stigma; substance use; theories

Project Abstract Sexual and gender minority (SGM) adolescents are at disproportionate risk of poor health behaviors, experiences and outcomes compared to their straight, cisgender peers. SGM youth, however, are not a homogenous population; each has multiple social identities that affect the risk and protection they experience. Intersectionality refers to ways in which power and privilege are structured based on interrelated social positions (e.g. due to race/ethnicity, immigrant status, native language) and how individual experiences reflect processes that confer privilege and disadvantage. Mutually constitutive forms of social oppression (e.g., stigma simultaneously based on race/ethnicity, gender, and sexual orientation) may differentially affect the health of SGM people with multiple marginalized social positions. Living within these intersecting social positions may give rise to unique challenges as well as strengths that promote healthy development among youth. The landmark 2011 National Academy of Medicine (NAM) report on the health of SGM populations and additional recent reports have highlighted the need for health research using an intersectionality framework, explicitly including both risk and resilience, to inform interventions supporting SGM youth. Building on the nascent literature suggesting that Latino and Black/African American SGM youth might be at heightened risk, the proposed study responds to NOT-MD-19-001 and addresses the following research question regarding SGM adolescents (12-19 years old): 1) What are differences in bullying, risk behaviors, emotional distress, and protective factors among youth with different social positions (i.e. racial/ethnic groups, immigrant experiences, and native language)? 2) How do differences in protective factors and other characteristics explain differences in these outcomes among youth with different social positions? and 3) What positive and negative experiences are particularly relevant to the overlapping, simultaneous production of inequalities by SGM identity, race/ethnicity, immigration experiences, and native language? We will answer these questions with two study aims: First, conduct extensive analysis of three existing adolescent health datasets: the Minnesota Student Survey (N~122,000), California Healthy Kids Survey (N~1,042,000), and the LGBTQ National Teen Survey (N~17,000), which have different samples, demographic profiles, and measures. We will test multiple hypotheses using both harmonized and parallel analyses. Second, conduct qualitative interviews with 64-80 SGM youth from different social positions to more deeply understand quantitative findings and generate concrete, relevant recommendations for interventions. We will focus on up to four intersecting social positions where SGM youth face the greatest disparities, as identified in Aim A, and specific protective factors identified in Aim A will be the focus of interviews to “dig deep” beyond brief survey measures. Qualitative findings will provide critical information on interpersonal and community assets for the most vulnerable SGM youth and how they can be bolstered for other young people.

项目摘要