Trajectories of intimate partner violence among sexual minority youth

性少数青少年中亲密伴侣暴力的轨迹

• 批准号: 10651167
• 负责人: Jeremy Thomas Goldbach
• 金额: $ 64.59万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-19 至 2027-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10651167
• 关键词: Academy; Address; Adolescence; Adult; Advisory Committees; Age; Anxiety; Area; Attention; Attenuated; Behavior; Behavior Control; Characteristics; Cities; Cross-Sectional Studies; Development; Emotional; Ethnic Origin; Etiology; Failure; Female; Forcible intercourse; Frequencies; Friends; Future; Gays; Gender; Gender Identity; Geography; Goals; Health; Heterosexuals; High Prevalence; Homelessness; Hybrids; Individual; Intervention; Lesbian; Lesbian Gay Bisexual Transgender; Literature; Longitudinal Studies; Measurement; Measures; Medicine; Mental Depression; Mental Health; Methods; Outcome; Participant; Pattern; Population; Psychopathology; Public Health; Race; Reporting; Research; Respondent; Risk; Risk Factors; Sampling; Science; Services; Severities; Sexual and Gender Minorities; Sexuality; Social support; Time; United States National Institutes of Health; Urbanicity; Victimization; Violence; Work; behavioral health; cohort; demographics; emotional abuse; epidemiology study; experience; gender minority group; help-seeking behavior; intimate partner violence; lens; male; minority stress; peer; perpetrators; physical abuse; poor health outcome; prospective; protective factors; psychologic; recruit; resilience; resilience factor; role model; sexual assault; sexual minority; sexual minority group; sexual minority youth; social media; substance use; verbal; violence perpetration; violence victimization

Project Summary Sexual minority adolescents (SMA; ages 13-17) experience higher rates of intimate partner violence (IPV) than their heterosexual peers, including being more likely to experience psychological and physical abuse, 9-11 and being four times more likely to experience rape. 12 However, this emerging body of literature has a number of significant limitations. First (Aim 1), studies have largely failed to look beyond victimization of IPV and have not measured IPV perpetration among SMA. Second (Aim 1), studies of IPV among SMA have approached SMA as a homogenous group and have not identified within-group differences in SMAs' experience of IPV, including by race, ethnicity, gender identity, or urbanicity. Research has been inconclusive in these regards, making hypotheses difficult, 13-20 although differences may inform intervention. Third (Aim 2), identified associations between the experience of IPV and negative health outcomes (i.e. mental health symptomology, substance use, homelessness) are largely cross-sectional: the temporal relationships between IPV and behavioral health for SMA across adolescence remains unclear. 21 Fourth (Aim 3), almost nothing is known of the unique etiological factors that influence IPV experiences for SMA. While cross-sectional studies have identified relationships between sexuality-based minority stress 22 and sexual assault, 13, 23-26 the prospective literature is nearly nonexistent. Finally (Aim 3), even less is known about how SMA-specific protective factors (such as access to LGBT-friendly services) 27-28,29-33 may attenuate IPV trajectories. In general, the only longitudinal studies of IPV among SMA to date are limited by (a) the inclusion of violence only in the context of dating; (b) a failure to assess perpetration or bidirectional IPV; (c) a reliance on single-city urban samples largely composed of adults (18+); and (d) the inclusion of no, or limited, measures of minority stress and resilience. We propose to address these limitations, and to explain the prospective relationships between IPV experiences (including victimization and perpetration), risk and resilience factors, and other behavioral health outcomes in a diverse cohort of SMA (ages 13–17 at baseline). We rely on methods refined in our prior work (1R01MD012252) to recruit a national sample of diverse SMA (i.e., race and ethnicity, gender, urbanicity; N = 1,500) through a hybrid social media and respondent-driven sampling strategy. We will follow participants for 36 months. Proposed by established MPIs (Goldbach, Stephenson), Co-Is (Rhoades, Schrager), and a biostatistician (Mamey) in this area, 39-44 our efforts are centered on identifying targets for future interventions to reduce the significant burden of IPV carried by this population.

项目摘要 性少数青少年（SMA; 13-17岁）经历亲密伴侣暴力（IPV）的比例高于 他们的异性恋同龄人，包括更有可能经历心理和身体虐待，9-11， 被强奸的可能性要高出四倍[12]然而，这一新兴的文学作品有一些 重大限制。首先（目标1），研究基本上没有超越IPV的受害， 测量SMA中的IPV犯罪。第二（目标1），SMA之间的IPV研究已接近SMA 作为同质组，未发现SMA的IPV经验存在组内差异，包括 种族、民族、性别认同或城市化。在这些方面的研究一直没有定论， 假设困难，13-20，尽管差异可能为干预提供信息。第三（目标2），确定协会 IPV的经验和负面的健康结果（即心理健康神经病学，物质使用， 无家可归）主要是横截面：IPV和行为健康之间的时间关系， SMA在青少年中的作用尚不清楚。21第四（目标3），几乎没有什么是已知的独特病因学 影响SMA IPV体验的因素。虽然横断面研究已经确定了 在基于性的少数民族压力22和性侵犯之间，13，23-26，前瞻性文献几乎 根本不存在最后（目标3），关于SMA特异性保护因素（如获得 LGBT友好服务）27- 28，29 -33可能会减弱IPV轨迹。总的来说，IPV的唯一纵向研究 迄今为止，SMA中的暴力行为受到以下限制：（a）仅在约会的情况下纳入暴力行为;（B）未能评估 （c）依赖主要由成年人（18岁以上）组成的单一城市城市样本; （d）没有或只有有限的措施来衡量少数群体的压力和复原力。我们建议解决这些问题 限制，并解释IPV的经验（包括受害和 犯罪），风险和弹性因素，以及其他行为健康结果在不同的SMA队列（年龄 13-17）。我们依靠在先前工作（1 R 01 MD 012252）中完善的方法来招募国家样本 各种SMA（即，种族和民族、性别、城市化; N = 1，500），通过混合社交媒体， 受访者驱动的抽样策略。我们将跟踪参与者36个月。由已设立的多边投资机构提议 （Goldbach，斯蒂芬森），Co-Is（Rhoades，Schrager）和生物统计学家（Mamey），39-44我们的努力 的重点是确定未来干预的目标，以减少IPV的重大负担， 人口