An Innovative, Prospective Model to Understand Risk and Protective Factors for Sexual Assault Experiences and Outcomes Among Sexual Minority Men

一种创新的前瞻性模型，用于了解性少数男性遭受性侵犯的经历和结果的风险和保护因素

• 批准号: 10522197
• 负责人: Katie M Edwards
• 金额: $ 80.18万
• 依托单位: UNIVERSITY OF NEBRASKA LINCOLN
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-22 至 2027-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10522197
• 关键词: Acquaintances; Address; Adult; Age; Alcohol abuse; Black race; Child Sexual Abuse; Communities; Conflict (Psychology); Development; Discrimination; Distal; Ensure; Ethnic Origin; Etiology; Forcible intercourse; Friends; Gender; Gender Identity; Gender Role; Geography; Heavy Drinking; Heterosexuals; Individual; Intervention; Latinx; Lesbian Gay Bisexual Transgender Queer; Masculine; Measures; Methodology; Minority; Modeling; National Institute on Minority Health and Health Disparities; Outcome; Participant; Pathway interactions; Population; Predictive Factor; Prevention; Prevention program; Primary Prevention; Public Health; Race; Reaction; Reporting; Research; Research Personnel; Research Priority; Risk; Risk Factors; Risk Reduction; Role; Sampling; Scientific Advances and Accomplishments; Self Efficacy; Sex Orientation; Social Identification; Stress; Surveys; Testing; Time; Victimization; Woman; Work; adverse outcome; base; binge drinking; cisgender; design; ethnic diversity; experience; gender diversity; health disparity; help-seeking behavior; homonegativity; improve minority health; innovation; intersectionality; men; minority stress; outcome prediction; perpetrators; programs; prospective; protective factors; psychological distress; racial diversity; recruit; revictimization; sexual assault; sexual coercion; sexual minority; sexual minority men; sexually active; social; theories; transgender men; transmasculine; young adult

Project Summary Nearly half of sexual minority (SM) men experience adult sexual assault (ASA) victimization (e.g., sexual coercion, rape) in their lifetime, and as many as 30% of SM men report lifetime ASA perpetration. Rates of ASA victimization and perpetration among SM men are alarmingly high even when measured over short periods of time. However, little research has examined risk and protective factors for ASA victimization or perpetration among SM men. Research that does exist is mostly cross-sectional or focuses on sexual IPV rather than ASA across a broad range of perpetrator–victim relationships (e.g., acquaintance, established partner). The lack of research on ASA among SM men precludes researchers and practitioners from developing risk reduction and prevention programming specifically for this population. There is also a dearth of research on factors that predict outcomes associated with ASA victimization among SM men, information that is sorely needed to create affirming interventions for SM men who experience ASA victimization. The purpose of the proposed study is to utilize a longitudinal, prospective design to test three innovative models that include established (e.g., child sexual abuse, heavy episodic drinking), as well as population-specific (e.g., internalized homonegativity, LGBTQ+ sense of community), risk and protective factors to predict experiences of ASA perpetration among SM men (Aim 1); experiences of ASA victimization among SM men (Aim 2); and adverse Exploratory analyses will examine how latent classes that capture multiple intersecting marginalized social identities (i.e., sexual orientation, race, ethnicity, gender identity) and experiences of minority-related stress, act as predictors and moderators in the hypothesized models (Aim 4). outcomes among SM men who experience an ASA victimization (Aim 3). We focus on young adult SM men (ages 18 to 30) given that rates of ASA are highest among this population and primary prevention of ASA is of paramount importance. We will also include SM men regardless of their relationship status since ASA can occur in various types of relationships (e.g., serious relationship, friends with benefits, acquaintances) and less commonly among strangers. The methodology includes recruiting a geographically and racially diverse sample of SM men (N = 3,600) via To ensure racial, ethnic, and gender diversity in our sample for the purpose of addressing intersectionality (Aim 4), we will oversample Black and/or Latinx SM men as well as trans and transmasculine men. Participants (N = 3600) will complete online surveys at 0-, 6-, 12-, 18, and 24- months. various online platforms and community-based agencies across the U.S. This proposed project aligns with NIMHD’s research priorities to advance the scientific understanding of health disparities and improve minority health. Moreover, the proposed project will provide critically important information that will inform the immediate development of affirming and culturally grounded prevention programs (to reduce ASA perpetration), risk reduction programs (to reduce ASA victimization), and intervention initiatives (to reduce adverse outcomes associated with ASA victimization).

项目摘要 近一半的性少数(SM)男性经历过成人性侵犯(ASA)受害(例如，性侵犯 强迫、强奸)，多达30%的SM男性报告一生犯下了罪行。收费率 即使以较短的时间衡量，SM男性的受害和犯罪行为也高得惊人 一段时间。然而，很少有研究检查ASA受害或的风险和保护因素 在SM男人中犯下罪行。确实存在的研究大多是横断面的或专注于性传播疾病 而不是跨越广泛的犯罪者-受害者关系(例如，熟人、已建立的 合作伙伴)。在SM男性中缺乏对ASA的研究使研究人员和从业者无法 制定专门针对这一人群的减少风险和预防方案。此外，还缺乏 关于预测SM男性中ASA受害相关结局的因素的研究，信息 是迫切需要的，以创建肯定的干预措施，为谁经历作为受害者的SM男子。目的 这项拟议研究的目的是利用纵向、前瞻性设计来测试三种创新模型，包括 既定的(例如，儿童性虐待、大量间歇性饮酒)以及特定人群(例如，内在化) 同负性、LGBTQ+社区感)、风险和保护因素预测ASA经历 SM男子之间的犯罪行为(目标1)；SM男子中遭受ASA伤害的经历(目标2)；以及不利的 探索性分析将检验 捕捉多个相互交错的边缘化社会身份的潜在阶级(即，性取向、种族、 种族、性别认同)和与少数群体有关的压力经历在 假设模型(目标4)。 经历过ASA受害的SM男性的结果(目标3)。 我们专注于年轻的SM男性(年龄在18岁到30岁之间)，因为ASA的比率是 在这一人群中发病率最高，对ASA的初级预防至关重要。我们还将包括 SM男性不考虑他们的关系状态，因为ASA可以出现在各种类型的关系中(例如， 严肃的关系、有利可图的朋友、熟人)，在陌生人中不太常见。这个 方法包括通过以下途径招募地理和种族多样化的SM男性样本(N=3,600) 确保种族、民族和性别 样本中的多样性为了解决交叉性问题(目标4)，我们将过度抽样Black和/或 拉丁裔SM男性以及跨性和跨男性男性。参与者(N=3600)将完成在线调查 在0、6、12、18和24个月时。 美国各地的各种在线平台和社区机构。 这一拟议的项目与NIMHD的研究优先事项保持一致，以推动 科学认识健康差距，改善少数民族健康。此外，拟议的项目将 提供极其重要的信息，这些信息将为断言和文化的立即发展提供信息 扎根的预防计划(以减少ASA的实施)、风险降低计划(以减少ASA 受害)和干预举措(减少与受害行为相关的不良后果)。