Inclusive Practices for Gender Minority College Students to Reduce Sexual Violence and Heavy Drinking

最近的研究强调了性别少数群体面临的无数健康不平等（GM;那些 与顺性别个体（即， 性别认同与其出生时的性别相匹配）。转基因大学生，经历风险增加 危险饮酒（即，酗酒和过度饮酒）和性暴力（SV）-关键， 对预防和干预至关重要的相互关联的问题。除了这些弱点之外， 通用汽车的学生在大学校园里面临着很高的歧视率，这既导致大量饮酒， SV不公平，导致对大学健康中心（CHC）等潜在支持资源的不信任。这些 巨大和持续的不平等使转基因大学生成为干预措施的优先群体， 减少危险饮酒和SV;然而，缺乏针对他们的有效干预措施， 需求家长研究“减少高等教育中的酒精性暴力”（RAISE; R 01 AA 023260）是一项30多人的校园随机分组试验，将测试研究知情的策略，以改善 在社区卫生服务中心实施预防干预，整合安全决策辅助（通过计算机或移动的 设备），以更直接地针对特别易受危险饮酒影响的学生减少伤害 和SV，并评估校园政策，增加保密服务的可访问性和吸收， 学生RAISE中心的学生在SV和危险饮酒的风险升高：学生与SV的历史， 自认为是性/性别少数的学生和残疾学生。这种补充增强了 家长研究的干预，采用社区合作的方法，为CHC开发培训 提供者专门设计，以提高他们的能力，在解决转基因学生的健康需求， 关注酒精使用和SV。在目标1中，我们会发展以社区卫生服务为基础的培训措施， 提供GM胜任的护理。在目的2方面，我们会试验推行以社区卫生服务为本的 在母研究的15个随机CHC中心进行干预。我们将进行CHC供应商调查 评估他们对转基因个体的知识和态度，以及他们的知识、自我效能和使用转基因技术的情况。 包括通用汽车在内的做法。我们还将从每次干预中采访CHC提供者和GM服务用户 绝佳的价钱这项研究将产生第一个严格评估的通用汽车为重点的CHC为基础的供应商培训， 有可能增加通用汽车大学生对CHC的可及性，并最终降低 酒精使用和SV在这一不成比例的影响人口。

Recent studies have highlighted the myriad health inequities faced by gender minority individuals (GM; those who identify as a gender other than they were assigned at birth) compared to cisgender individuals (i.e., gender identity matches their sex assigned at birth). GM university students, experience increased risk for hazardous drinking (i.e., heavy episodic drinking and excessive alcohol use) and sexual violence (SV) – key, interrelated issues of critical importance for prevention and intervention. Compounding these vulnerabilities, GM students face high rates of discrimination on university campuses that both drive heavy alcohol use and SV inequities and lead to distrust of potential support resources like College Health Centers (CHC). These substantial and persistent inequities make GM university students a priority population for interventions that reduce hazardous drinking and SV; however, there is a shortage of efficacious interventions specific to their needs. The parent study “Reducing Alcohol Involved Sexual violence in higher Education” (RAISE; R01AA023260) is a 30+ campus, cluster randomized trial that will test research-informed strategies to improve implementation of a prevention intervention in CHCs, integrate a safety decision aid (via computer or mobile device) to more directly target harm reduction among students particularly vulnerable to hazardous drinking and SV, and evaluate campus policies that increase accessibility and uptake of confidential services for students. RAISE centers students at elevated risk for SV and hazardous drinking: students with history of SV, students who identify as sexual/gender minority, and students with disabilities. This supplement enhances the parent study’s intervention by employing community-partnered methodologies to develop training for CHC providers designed specifically to increase their competence in addressing GM students’ health needs with a focus on alcohol use and SV. In Aim 1, we will develop a CHC-based training intervention to increase the provision of GM-competent care. In Aim 2, we will pilot the feasibility of implementing the CHC-based intervention in 15 randomized CHC sites from the parent study. We will conduct CHC provider surveys assessing their knowledge and attitudes about GM individuals and their knowledge, self-efficacy, and use of GM-inclusive practices. We will also interview CHC providers and GM service users from each intervention site. This research will produce the first rigorously evaluated GM-focused CHC-based provider training which has the potential to increase the accessibility of CHC’s for GM university students and ultimately lower rates of alcohol use and SV among this disproportionately impacted population.