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 性少数和性别少数（SGM）青少年面临不成比例的不良健康行为风险， 与异性恋、顺性别同龄人相比的经历和结果。然而，SGM青年并不是一个 同质人口；每个人都有多重社会身份，这些身份会影响他们所经历的风险和保护。 交叉性是指权力和特权基于相互关联的社会结构的方式 立场（例如，由于种族/民族、移民身份、母语）以及个人经历如何反映 赋予特权和劣势的过程。社会压迫的相互构成形式（例如耻辱 同时基于种族/民族、性别和性取向）可能会对健康产生不同的影响 具有多重社会边缘地位的SGM人士。生活在这些交叉的社会地位中可能 既带来了独特的挑战，也带来了促进青年健康发展的优势。 具有里程碑意义的 2011 年美国国家医学院 (NAM) 关于 SGM 人群健康的报告 最近的其他报告强调了使用交叉框架进行健康研究的必要性， 明确包括风险和复原力，为支持 SGM 青年的干预措施提供信息。建立在 新的文献表明拉丁裔和黑人/非裔美国 SGM 青年可能面临更高的风险， 拟议的研究回应 NOT-MD-19-001 并解决以下研究问题： SGM青少年（12-19岁）：1）欺凌、危险行为、情绪困扰和 不同社会地位（即种族/族裔群体、移民经历、 和母语）？ 2）保护因素和其他特征的差异如何解释差异 不同社会地位的青年的这些结果如何？ 3）有哪些积极和消极的经历 与 SGM 身份重叠、同时产生的不平等特别相关， 种族/民族、移民经历和母语？我们将通过两项研究来回答这些问题 目标：首先，对三个现有的青少年健康数据集进行广泛分析：明尼苏达州 学生调查 (N~122,000)、加州健康儿童调查 (N~1,042,000) 以及 LGBTQ 全国青少年调查 调查（N~17,000），具有不同的样本、人口统计概况和衡量标准。我们将测试多个 使用统一分析和平行分析的假设。二、对64-80岁人群进行定性访谈 来自不同社会地位的SGM青年更深入地理解定量研究结果并产生 具体、相关的干预建议。我们将关注最多四个交叉的社会地位 正如目标 A 所确定的，SGM 青年面临最大的差距，并确定了具体的保护因素 目标 A 将成为访谈的重点，以超越简短的调查措施“深入挖掘”。定性研究结果将 为最弱势的SGM青少年提供有关人际和社区资产的重要信息以及如何 它们可以为其他年轻人提供支持。