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 性和性别少数（SGM）青少年有不成比例的不良健康行为的风险， 与他们的异性恋同龄人相比，他们的经历和结果。然而，SGM青年并不是一个 他们是同质人口;每个人都有多重社会身份，影响到他们所面临的风险和保护。 交叉性是指权力和特权基于相互关联的社会基础而构建的方式。 职位（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， SGM的人与多个边缘化的社会地位。生活在这些交叉的社会地位中， 带来独特的挑战，也带来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利用交叉框架进行卫生研究的必要性， 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。基础上 新的文献表明，拉丁裔和黑人/非裔美国人SGM青年可能处于更高的风险中， 所提出的研究是对NOT-MD-19-001的回应，并解决了以下研究问题，即 SGM青少年（12-19岁）：1）在欺凌、危险行为、情绪困扰和 具有不同社会地位的青年的保护因素（即种族/族裔群体，移民经历， 母语（？2)保护因子和其他特征的差异如何解释差异 在不同社会地位的年轻人中，（3）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 目的：首先，对现有的三个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）和LGBTQ全国青少年 调查（N~ 17，000），具有不同的样本、人口概况和测量。我们将测试多个 使用协调和平行分析的假设。第二，对64-80名进行定性访谈 SGM青年从不同的社会地位，以更深入地了解定量研究结果，并产生 具体、相关的干预建议。我们将重点关注多达四个交叉的社会职位 如目标A所示，SGM青年面临的差距最大，并确定了具体的保护因素 在目标A中，将是采访的重点，以“深入挖掘”简短的调查措施之外。定性结果将 为最脆弱的SGM青年提供关于人际和社区资产的重要信息，以及如何 他们可以为其他年轻人提供支持。