Social Connectedness and Health among Gender Minority People of Color

性别少数有色人种的社会联系和健康

• 批准号: 10650066
• 负责人: WALTER O. BOCKTING
• 金额: $ 68.98万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-15 至 2027-12-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10650066
• 关键词: Achievement; Affect; Age; Age Years; Aging; Area; Attention; Biological Markers; Birth; Black race; Buffers; Characteristics; Cities; Communities; Country; Data; Disparity; Ethnic Origin; Face; Female; Frequencies; Future; Gender; Gender Identity; Gender Relations; General Population; Geography; Goals; Health; Individual; Institutional Racism; Intervention; Interview; Investigation; Knowledge; Length; Mental Health; Minority; Minority Groups; Modeling; New York City; Not Hispanic or Latino; Outcome; Patient Self-Report; Personal Satisfaction; Persons; Policies; Population; Protocols documentation; Race; Recording of previous events; Reporting; Research; Role; Sampling; Series; Shapes; Site; Social Network; Social isolation; Social support; Stress; Structure; Time; Unemployment; Woman; adult of color; cognitive interview; cohort; ethnic minority; ethnic minority population; experience; follow-up; gender diversity; gender expression; gender minority; gender minority group; health disparity; health disparity populations; healthy aging; improved; information gathering; instrument; male; metropolitan; minority stress; nonbinary; people of color; physical conditioning; promote resilience; psychological distress; racial minority; racial minority population; racism; recruit; resilience; saliva sample; sex; social; social disparities; social stigma; social stress; social structure; stressor; telomere; therapy development; tool; transgender; virtual

PROJECT SUMMARY Gender minority people of color (GM POC) have documented disparities in mental and physical health. These disparities have been attributed, at least in part, to minority stress. Perceived social support has been shown to be protective, and may buffer the impact of minority stress on health. However, little is known about the social relations and connectedness of GM POC. This study therefore examines the social relations of GM POC and identifies targets for future interventions to enhance their social connectedness, health and wellbeing. Guided by the Convoy Model of Social Relations, the study aims to: (1) Examine the social relations and connectedness of GM POC age 18-69 through in-depth, qualitative interviews (N = 60); (2) adapt the established structured Social Convoy Interview protocol to quantitatively assess the contemporary social networks and support of GM POC adults through a series of cognitive interviews (N = 24); and (3) identify strengths and weaknesses in social connectedness that moderate the association between minority stress and outcomes of mental health and aging among a community sample of GM POC (N = 360). GM POC will be recruited through venue-based sampling in the New York City and New Orleans metropolitan areas, two cities that differ in structural stigma, both in terms of policies related to gender diversity and history of systematic racism. The study will combine self-report interview data and telomere length as a biomarker of aging. The study will result in an in-depth understanding of the social connectedness of GM POC; an instrument to assess the contemporary social networks of this minority population; and generalizable knowledge about the mechanism of how social support may buffer the negative impact of minority stress on health. Findings will inform future interventions to reduce social isolation and disparities in health among gender and racial/ethnic minority populations.

项目总结 性别少数有色人种(GM POC)记录了心理和身体健康方面的差异。这些 差异至少在一定程度上被归因于少数族裔的压力。感受到的社会支持已被证明 具有保护性，并可能缓冲少数群体压力对健康的影响。然而，人们对这一社会现象知之甚少 全球通用概念的关联性和连通性。因此，这项研究考察了一般概念概念与社会关系的关系。 确定未来干预措施的目标，以加强他们的社会联系、健康和福祉。引导式 通过社会关系的护航模型，本研究的目的是：(1)考察社会关系和关联性 通过深入的定性访谈(N=60)对18-69岁的GM POC进行调查；(2)调整既定的结构 社会护卫队访谈协议定量评估当代社会网络和GM的支持 通过一系列的认知访谈(N=24)；以及(3)确定社交中的优势和劣势 调节少数民族压力与心理健康和老龄化结果之间关系的连通性 在转基因POC的社区样本中(N=360)。总经理POC将通过基于场地的抽样方式在 纽约市和新奥尔良大都市区，这两个城市在结构性污名方面存在差异，都是在 关于性别多样性和系统性种族主义历史的政策。这项研究将结合自我报告 访谈数据和端粒长度作为衰老的生物标记物。这项研究将导致对 GM POC的社会联系；评估这一少数群体当代社会网络的工具 以及关于社会支持如何缓冲负面影响的机制的概括性知识 少数民族压力对健康的影响。研究结果将为未来减少社会孤立和 性别和种族/少数族裔人口之间的健康差距。