Social Media and Substance Use Risk and Resilience Among Gender Minority Emerging Adults

性别少数新兴成年人的社交媒体和药物使用风险和复原力

• 批准号: 10669165
• 负责人: Allegra Raboff Gordon
• 金额: $ 17.43万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-01 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10669165
• 关键词: Access to Information; Address; Adult; Age; Alcohols; Appearance; Award; Behavior; Behavior Therapy; Behavioral; Boston; Communities; Development; Disparity; Eating Disorders; Environment; Exposure to; Face; Family; Feasibility Studies; Feeling suicidal; Female; Feminine; Future; Gender Identity; Goals; Health; Health behavior; Individual; Instagram; Intervention; Intervention Studies; Interview; Knowledge; Link; Marketing; Masculine; Media Intervention; Mediating; Mental Health; Modeling; Outcome; Participant; Personal Satisfaction; Persons; Phase; Physiological; Policies; Population; Prevention; Process; Quasi-experiment; Research; Research Methodology; Resistance; Resources; Risk; Risk Factors; Role; Sampling; Schools; Scientist; Sexual and Gender Minorities; Social Environment; Social support; Source; Stigmatization; Strategic Planning; Surveys; Symptoms; Technology; Testing; Tobacco Industry; Training; Transact; Underserved Population; United States National Institutes of Health; Woman; Work; acceptability and feasibility; age group; arm; biological adaptation to stress; body dissatisfaction; brief intervention; career development; cigarette smoking; cisgender; cohort; community engaged research; critical developmental period; design; diaries; effective intervention; emerging adult; emerging adulthood; experience; feasibility testing; follow up assessment; gender affirmation; gender minority; gender minority group; gender nonconforming; health equity; health inequalities; high risk drinking; illicit drug use; improved; innovation; literacy; male; men; minority children; minority stress; nonbinary; novel; peer; post intervention; pressure; prevent; preventive intervention; primary outcome; programs; protective factors; psychologic; psychological distress; reduced substance use; resilience; resilience factor; response; secondary outcome; sex assigned at birth; skills; social culture; social influence; social media; social stigma; social stressor; stressor; substance use; substance use prevention; theories; therapy development; transgender; usability; web-based intervention; young adult

PROJECT SUMMARY/ABSTRACT Gender minority populations, who have a gender identity that differs from their assigned sex at birth, including transgender, gender nonconforming, and nonbinary people, face 2-4 times greater risk of substance use and adverse mental health outcomes (e.g., eating disorder symptoms) than cisgender (that is, non-gender minority) populations. To mitigate these severe but understudied disparities, it is critical to identify effective preventive interventions for gender minorities, particularly in emerging adulthood, a critical developmental period offering unique risks as well as opportunities for substance use prevention. Research suggests several relevant targets for preventive interventions in this age group. This includes the role of social stressors (e.g., anti-transgender stigma, including online), targeted marketing, and sociocultural appearance ideals (e.g., pressure for men to look “masculine,” women to look “feminine”), both of which can exacerbate body dissatisfaction, which has been linked to substance use and adverse mental health outcomes in gender minorities. Online environments, especially social media (e.g., Instagram), offer unprecedented access to supportive resources for gender minority emerging adults, but also provide new channels for harmful exposure to stigmatizing messages, targeted marketing by alcohol and tobacco industries, and sociocultural appearance ideals. It is not known how social media should be leveraged to prevent substance use among gender minority emerging adults. To date, no intervention has been developed to address the unique impact of online stressors (e.g., stigma) and resilience factors (e.g., social support) on body dissatisfaction and substance use for GM emerging adults. In response to these research gaps, my long-term goal is to develop, test, and disseminate effective interventions for substance use prevention among gender minority young people. My objective for this proposal is to obtain training in (1) theory and methods for research on social media and health behaviors, (2) technology-based behavioral intervention development and testing, and (3) community-engaged research, which I will apply to the proposed research. Responding to the NIH FY 2021-2025 Strategic Plan to Advance Research on the Health and Well-being of Sexual and Gender Minorities and informed by the Minority Stress Theory, Gender Affirmation Framework, and Transactional Model of social media effects, the specific aims of this research are to: 1) investigate gender minority emerging adult (18-25 years) experiences and intervention needs related to social media, body dissatisfaction and substance use; and 2) engage a community advisory board (CAB) to develop a brief, online-administered social media intervention to reduce body dissatisfaction and substance use risk in gender minority emerging adults and test the intervention for feasibility and acceptability. The intensive career development training and the research findings from this study will lay the groundwork for future testing and dissemination of intervention materials tailored to the needs of this underserved population.

项目概要/摘要 性别认同与其出生时指定性别不同的性别少数人群，包括 跨性别者、性别不合格者和非二元性别者面临的药物使用风险高出 2-4 倍，并且 与顺性别者（即非性别少数群体）相比，心理健康结果（例如饮食失调症状）更不利 人口。为了缓解这些严重但尚未得到充分研究的差异，确定有效的预防措施至关重要 对性别少数群体的干预措施，特别是在成年初期，这是一个关键的发展时期 预防药物滥用的独特风险和机遇。研究提出了几个相关目标 对该年龄段的预防性干预措施。这包括社会压力源的作用（例如，反变性者 污名，包括网络上的）、有针对性的营销和社会文化外貌理想（例如，男性面临的压力） 看起来“男性化”，女性看起来“女性化”），这两者都会加剧对身体的不满，从而 与少数性别群体的物质使用和不良心理健康结果有关。在线环境， 尤其是社交媒体（例如 Instagram），为性别平等提供了前所未有的支持资源 少数新兴成年人，但也提供了接触污名化信息的有害接触的新渠道， 酒精和烟草行业的有针对性的营销以及社会文化外观理想。不知道如何 应利用社交媒体来防止性别少数新兴成年人使用药物。迄今为止， 尚未制定任何干预措施来解决网络压力源（例如耻辱）和 转基因新兴成年人对身体不满意和物质使用的弹性因素（例如社会支持）。在 为了应对这些研究差距，我的长期目标是开发、测试和传播有效的干预措施 预防性别少数年轻人的药物使用。我此提案的目标是获得 (1) 社交媒体和健康行为研究的理论和方法，(2) 基于技术的培训 行为干预开发和测试，以及（3）社区参与的研究，我将应用于 拟议的研究。响应NIH 2021-2025财年战略计划推进相关研究 性和性别少数群体的健康和福祉，并以少数压力理论、性别为依据 肯定框架和社交媒体效果的交易模型，本研究的具体目标是 目的： 1) 调查性别少数新兴成年人（18-25 岁）的经历和干预需求 社交媒体、身体不满意和药物滥用； 2) 聘请社区咨询委员会 (CAB) 制定简短的、在线管理的社交媒体干预措施，以减少对身体的不满和物质 在性别少数新兴成年人中使用风险，并测试干预措施的可行性和可接受性。这 密集的职业发展培训和本研究的研究结果将为 未来测试和传播适合这一服务不足人群需求的干预材料。

项目成果

Weight-based discrimination and disordered eating behaviors in a cohort of U.S. sexual minority young adults.

美国性少数群体年轻人中基于体重的歧视和饮食失调行为。

• DOI: 10.1002/eat.24015
• 发表时间: 2023
• 期刊: The International journal of eating disorders
• 作者: Gordon,AllegraR;Egan,KelseyA;Wang,MonicaL;Ziyadeh,NajatJ;Kenney,EricaL;Rosario,Margaret;Austin,SBryn
• 通讯作者: Austin,SBryn

What is needed for eating disorder prevention for transgender and gender diverse young adults? Findings from asynchronous online focus groups.

跨性别和性别多样化的年轻人预防饮食失调需要什么？

• DOI: 10.1016/j.bodyim.2023.101667
• 发表时间: 2024
• 期刊: Body image
• 影响因子: 5.2
• 作者: Gordon,AllegraR;Roberts,Savannah;Silverstein,Scout;Rose,KelseyL;Lopez,Ethan;Calzo,JerelP
• 通讯作者: Calzo,JerelP

Sociodemographic Patterns in Retrospective Sexual Orientation Identity and Attraction Change in the Sexual Orientation Fluidity in Youth Study.

青年研究中性取向流动性的回顾性性取向认同和吸引力变化的社会人口统计学模式。

• DOI: 10.1016/j.jadohealth.2022.10.015
• 发表时间: 2023
• 期刊: The Journal of adolescent health : official publication of the Society for Adolescent Medicine
• 作者: Katz-Wise,SabraL;Ranker,LynsieR;Gordon,AllegraR;Xuan,Ziming;Nelson,Kimberly
• 通讯作者: Nelson,Kimberly