Weight Discrimination and Self-Injurious Thoughts and Behaviors Among Sexual and Gender Minority Adolescents and their Peers

性少数和性别少数青少年及其同龄人的体重歧视和自残思想和行为

• 批准号: 10677292
• 负责人: Sarah Irene Leonard
• 金额: $ 4.77万
• 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: 2023-04-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10677292
• 关键词: 12 year old; Address; Adolescence; Adolescent; Adult; Age; Behavior; Body Weight; Brain; Cause of Death; Characteristics; Data Analyses; Data Science; Dedications; Development; Discrimination; Disparity; Early Intervention; Environment; Ethnic Origin; Feeling suicidal; Foundations; Funding; Future; Goals; Health Promotion; Heterosexuals; Intervention; Knowledge; Lesbian Gay Bisexual Transgender; Linear Models; Literature; Measures; Mental Health; Mental health promotion; Mentorship; Modeling; Nurses; Persons; Population; Prevention; Race; Recording of previous events; Reporting; Research; Research Priority; Resources; Risk Factors; Risk Reduction; Sampling; Scientist; Sexual and Gender Minorities; Stress; Suicide; Suicide attempt; Suicide prevention; Thinking; Training; United States National Institutes of Health; Universities; Violence; Weight; Weights and Measures; Youth; adolescent suicide; cisgender; cognitive development; completed suicide; critical period; disparity reduction; early adolescence; ethnic discrimination; experience; gender minority; gender minority group; gender minority health; gender minority health disparity; health disparity; health disparity populations; health equity; high risk; insight; lens; marginalization; minority children; minority stress; minority stressor; multilevel analysis; non-suicidal self injury; peer; perceived discrimination; preventive intervention; programs; secondary analysis; sex assigned at birth; sexual identity; sexual minority; skills; social health determinants; suicidal behavior; suicide rate

PROJECT SUMMARY/ABSTRACT Suicide is the second leading cause of death among early adolescents (i.e., ages 10-14), and adolescent suicide rates have nearly tripled in recent years. Self-injurious thoughts and behaviors (SITBs), such as non- suicidal self-injury, suicidal ideation, and suicidal behavior, commonly first occur during this period. Completed suicide is often preceded by SITBs, making understanding risk factors for SITBs in early adolescence a research priority. Experiences of discrimination are identified by Healthy People 2030 as a key social determinant of health. Various types of discrimination, including due to sexual identity and race/ethnicity, are known to be associated with higher risk of SITBs in early adolescence. Weight discrimination, among the most common types of discrimination in early adolescence, may also be associated with SITBs, but the existing evidence is limited. Sexual and gender minority (SGM) early adolescents, an NIH health disparities population, are about four times as likely as non-SGM early adolescents to experience SITBs, and they are also more likely to report weight discrimination. Thus, weight discrimination may be a particularly important risk factor for SITBs among SGM individuals, but this has yet to be studied among early adolescents. I propose to address these important gaps in the literature through a secondary analysis of data from the Adolescent Brain and Cognitive Development Study, a study of a large national sample of adolescents that is among the first to include measures of weight discrimination, SITBs, SGM identity, and other pertinent variables. Guided by an adaptation of Meyer’s Minority Stress Model, my specific aims are to (1) examine the association between weight discrimination and SITBs in adolescents ages 11-12 and (2) determine whether the association between weight discrimination and SITBs differs for SGM adolescents and heterosexual, cisgender adolescents. Additionally, in an exploratory aim I will explore potential differences in the association between weight discrimination, SGM identity, and SITBs based on SGM-related stress, racial/ethnic discrimination, and sex assigned at birth. Findings will inform future interventions to prevent suicide and promote mental health among adolescents (especially SGM adolescents) by addressing social determinants of health such as discrimination. The proposed aims align with the NINR’s Research Lenses of Prevention and Health Promotion, Social Determinants of Health, and Health Equity. To facilitate the proposed research, I will build my knowledge and skills in adolescent mental health, SGM health, data science, multilevel modelling, and moderation analysis. With the mentorship of a dedicated and NIH-funded interdisciplinary sponsorship team, and the resource-rich environment of Columbia University, I will build a strong foundation from which to move toward my long-term goal of becoming an independent, interdisciplinary nurse scientist with expertise in promoting adolescent mental health, particularly among SGM adolescents.

项目总结/摘要 自杀是青少年早期死亡的第二大原因（即，10-14岁）和青少年 近年来自杀率几乎增加了两倍。自我伤害的想法和行为（SITBs），如非 自杀性自伤、自杀意念和自杀行为通常在此期间首次发生。完成 自杀通常发生在SITB之前，这使得对青春期早期SITB风险因素的理解成为一个重要因素。 研究优先。《2030年健康人》将歧视的经历确定为一个关键的社会问题， 健康的决定因素。各种类型的歧视，包括基于性别认同和种族/族裔的歧视， 已知与青春期早期SITB的高风险相关。体重歧视，其中最 青春期早期常见的歧视类型，也可能与SITBs有关，但现有的 证据有限。性和性别少数（SGM）早期青少年，NIH健康差异人群， 大约是非SGM早期青少年经历SITB的四倍，他们也更多 很可能是体重歧视。因此，体重歧视可能是一个特别重要的风险因素， SITBs在SGM个体中，但这还有待于在早期青少年中进行研究。我建议解决 通过对青少年大脑数据的二次分析， 认知发展研究，一项对全国青少年大样本的研究，是第一个 包括衡量体重歧视、SITB、SGM身份和其他相关变量。以一个 根据Meyer的少数民族压力模型，我的具体目标是（1）检查 11-12岁青少年中的体重歧视和SITB;（2）确定是否存在关联 体重歧视和SITBs之间的差异对于SGM青少年和异性恋，顺性别 青少年。此外，在一个探索性的目标，我将探讨潜在的差异之间的关联 体重歧视、SGM身份和基于SGM相关压力的SITB、种族/民族歧视，以及 出生时指定的性别研究结果将为未来预防自杀和促进心理健康的干预措施提供信息 在青少年（特别是SGM青少年）中，解决健康的社会决定因素， 歧视拟议的目标与NINR的预防和健康研究透镜保持一致 促进、健康的社会决定因素和健康公平。为了促进拟议的研究，我将建立 我在青少年心理健康，SGM健康，数据科学，多层次建模， 适度性分析在一个专门的和NIH资助的跨学科赞助团队的指导下， 和哥伦比亚大学资源丰富的环境，我将建立一个坚实的基础，从哪一个移动 我的长期目标是成为一名独立的、跨学科的护士科学家， 促进青少年心理健康，特别是SGM青少年。