Structural Racism and Discrimination in Older Men's Health Inequities

老年男性健康不平等中的结构性种族主义和歧视

• 批准号: 10701728
• 负责人: Jesus Ramirez-Valles
• 金额: $ 80.78万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-15 至 2026-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10701728
• 关键词: Acquired Immunodeficiency Syndrome; Address; Adherence; Affect; African American; African American population; Aging; Anti-Retroviral Agents; Area; Asian Americans; Attention; Behavior; Biological; Biological Factors; Biological Markers; Biology; C-reactive protein; Climate; Communities; Complex; Consequences of HIV; Cross-Sectional Studies; Data; Discrimination; Elderly; Environment; Epidemic; Ethnic Origin; Ethnic Population; Exposure to; Face; Foundations; Funding Opportunities; Gays; Generations; Goals; HIV; HIV Seronegativity; HIV risk; HIV/AIDS; Health; Heterosexuals; Homosexuals; Individual; Inflammation; Interleukin-10; Interleukin-6; Intervention; Interview; Latinx; Learning; Length; Lesbian Gay Bisexual Transgender Queer; Leukocytes; Life Cycle Stages; Link; Longitudinal Studies; Mediating; Mental Depression; Mental Health; Methods; Minority Men; Modeling; Outcome; Personal Satisfaction; Pharmaceutical Preparations; Population; Prevention; Process; Race; Random Allocation; Recording of previous events; Research; Resources; Respondent; Risk; Risk Factors; Role; Sampling; Sampling Biases; San Francisco; Shapes; Social Environment; Social support; Strategic Planning; Stress; Structural Racism; Structure; Subgroup; TNF gene; Testing; United States National Institutes of Health; aged; baby boomer; cognitive function; cohort; community involvement; comorbidity; diverse data; ethnoracial; ethnoracial minority; experience; health disparity; health inequalities; human old age (65+); improved; internalized stigma; male; male health; men; men of color; minority health; minority health disparity; multidisciplinary; older men; peer; protective factors; public health relevance; racial minority; racial population; racism; research and development; residential segregation; response; sexual minority; social integration; social stigma; substance use; telomere; theories

Abstract The health and well-being of older gay men has been greatly shaped by structural forces, namely discrimination and, for older gay men of color, racism. Their contemporary history and life course have been defined by exodus from hostile environments and the formation of supportive communities. The overall goal of this research is to shed light on the extent and the manner in which structural racism and discrimination shapes older gay men’s health. This study will assess the relationships among health, stigma, structural racism and discrimination, resources, and biomarkers of health and aging in older gay men of four racial/ethnic groups— African American, Latinx, Asian American, and White— and across HIV status. This research is needed because older gay men’s health fares worse than that of their heterosexual counterparts, their exposure to structural discrimination is higher, and they have less access to supportive resources than older heterosexual men. Notably, 40 years after we first faced HIV, we continue to learn about the consequences of HIV, including aging with HIV. Gay men comprise the majority of older people living with HIV. Older gay men face unique health risks and protective factors, yet they constitute a very diverse and complex population. What we know about their health comes from mostly white, well-educated, and convenient samples. Hence, the need to collect data from diverse and valid samples. This is a cross-sectional study based on San Francisco Bay Area. Quantitative and Qualitative data will be collected from a sample of 600 older gay men. We will collect structural, individual, and biological data to test hypotheses regarding the associations among structural racism and discrimination, resources, and health (e.g., mental health, HIV risk, cognitive function). Our team is multidisciplinary and includes our community partner, The Elizabeth Taylor 50-Plus Network (of the San Francisco AIDS Foundation). This proposal is in response to NIH’s RFA Understanding and Addressing the Impact of Structural Racism and Discrimination on Minority Health and Health Disparities. It addresses the Office of AIDS Research Strategic Plan of tackling HIV comorbidities and health disparities. The data and findings from this study are intended to constitute the baseline for a longitudinal study.

抽象的 老年男同性恋者的健康和福祉在很大程度上受到结构性力量的影响，即 歧视，对于年长的有色人种男同性恋者来说，还有种族主义。他们的当代历史和人生历程 定义为逃离敌对环境和形成支持性社区。总体目标为 这项研究旨在揭示结构性种族主义和歧视的程度和方式 老年男同性恋者的健康。 这项研究将评估健康、耻辱、结构性种族主义和歧视、资源、 四个种族/族裔群体——非裔美国人、拉丁裔、 亚裔美国人、白人以及艾滋病毒感染状况。这项研究是必要的，因为老年男同性恋者的健康 比异性恋同行的情况更差，他们遭受结构性歧视的机会更高， 与年长的异性恋男性相比，他们获得支持资源的机会更少。值得注意的是，40年后我们 第一次面对艾滋病毒后，我们继续了解艾滋病毒的后果，包括感染艾滋病毒的衰老。男同性恋者 包括大多数感染艾滋病毒的老年人。 老年男同性恋面临独特的健康风险和保护因素，但他们构成了一个非常多样化和复杂的群体 人口。我们对他们健康状况的了解来自于他们大多是白人、受过良好教育且生活便利 样品。因此，需要从多样化且有效的样本中收集数据。这是一项基于横断面研究的 在旧金山湾区。定量和定性数据将从 600 名老年同性恋样本中收集 男人。我们将收集结构、个体和生物数据来检验有关关联的假设 结构性种族主义和歧视、资源和健康（例如心理健康、艾滋病毒风险、认知 功能）。我们的团队是多学科的，包括我们的社区合作伙伴 Elizabeth Taylor 50-Plus 网络（旧金山艾滋病基金会）。 该提案是对 NIH 的 RFA 理解和解决结构性种族主义影响的回应 对少数族裔健康的歧视和健康差异。它针对艾滋病研究战略办公室 解决艾滋病毒合并症和健康差异的计划。本研究的数据和结果旨在 构成纵向研究的基线。