Peer Victimization and Risky Alcohol Use among Sexual Minority Youth: Understanding Mechanisms and Contexts

性少数青少年中的同伴受害和危险饮酒：了解机制和背景

• 批准号: 10797349
• 负责人: Amy L Hequembourg
• 金额: $ 16.05万
• 依托单位: STATE UNIVERSITY OF NEW YORK AT BUFFALO
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-10 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10797349
• 关键词: Acute; Address; Administrative Supplement; Adolescence; Adolescent; Age; Alcohol abuse; Alcohol consumption; Anxiety; Behavior; Characteristics; Confusion; Development; Effectiveness; Elderly; Enrollment; Failure; Feedback; Female; Fishes; Funding; Gender; Gender Identity; Generations; Goals; Health; Health behavior; Individual; Intersex; Intervention; Interview; Knowledge; Label; Lesbian Gay Bisexual; Longitudinal Studies; Longitudinal Surveys; Measurement; Measures; Mental Depression; Mental Health; Methodology; Methods; Modification; New York; Parents; Participant; Pattern; Perception; Persons; Positioning Attribute; Process; Random Allocation; Reporting; Research; Risk; Risk Taking; Role; Secure; Self Concept; Sexual Harassment; Sexual and Gender Minorities; Sexual and Gender Minority Youth; Source; Standardization; Suggestion; Suicide; Surveys; Symptoms; Terminology; Testing; Time; Victimization; Youth; bullying; cigarette smoking; cisgender; cognitive interview; cohort; expectation; experience; gender diversity; gender fluid; health disparity; illicit drug use; improved; insight; internalized stigma; male; minority children; nonbinary; novel; parent grant; peer victimization; protective factors; queer; racial diversity; recruit; response; sex; sex assigned at birth; sexual identity; sexual minority; sexual minority stress; sexual minority youth; social; transgender; underage drinking

Abstract Transgender and gender diverse (TGD) youth report significant health disparities compared to cisgender youth, including gender-based victimization, greater mental health symptoms (e.g., anxiety, depression, internalized stigma, suicide), and disproportionately higher rates of health risk taking behaviors (e.g., hazardous alcohol use, cigarette use, illicit drug use). Use of accurate and relevant terminology that distinguishes among individuals with diverse sexual and gender identities is critical to identifying TGD youth who are at heightened risk for such health disparities. In response to NOT-OD-23-046, the proposed administrative supplemental study seeks to: (a) test terminology for measuring current gender identity as part of the two-step process and suggest timely and relevant modifications, and (b) explore changes in TGD and cisgender youths’ interpretations of gender terminology and gender identification over time. The supplemental study will build on Co-PIs Hequembourg’s and Livingston’s ongoing R01 (AA028810-01A) study of the acute daily and longitudinal effects of peer victimization (PV) on sexual minoritized adolescents’ (i.e., lesbian, gay, bisexual, queer, + or LGBQ+) risky alcohol use and identification of protective factors. The proposed supplement will bolster and expedite the inclusion of sexual minoritized TGD youth (n = 75) for comparison with sexual minoritized cisgender youth (n=75) in the parent study. Gender identity will be assessed using the two-step process in surveys administered in two timepoints (baseline and 6-months) with these participants (N = 150). Additionally, two qualitative cognitive interviews (baseline, 6-months) will be conducted with a subsample of cisgender youth (n = 25) and TGD youth (n = 25) randomly selected from the survey participants to achieve the following aims: Aim 1 is to examine TGD and cisgender youths’ (n = 50, 25 each group) perceptions of the 2-step answer options and suggest modifications using a cognitive interviewing approach. Sources of confusion or ambiguity in the two- step answer options and suggestions for relevant modifications (i.e., “intersex,” “non-binary”) will be explored. The centrality of youths’ gender identity in their self-concept and its role in their perceptions of the two-step gender assessment options also will be examined. Aim 2 is to describe the implications of the two- step process in research with TGD sexual minoritized adolescents who are at a transitional developmental period featuring fluid gender (and sexual) identities. Descriptive patterns of gender identification measured over two time points using the two-step method will be captured via longitudinal surveys (baseline, 6- months) of TGD and cisgender youth (n = 75 each group). Cognitive interview (at 6-months) will explore youths’ perceptions (n = 25 each cis and TGD) of the effectiveness of two-step questions for capturing changes over time as well as patterns of gender identification among TGD and cisgender youth. A revised version of the two-step gender identity assessment will be developed based on participant feedback in the first interview; modifications will be explored for appropriateness with TGD LGBQ+ youth in interview 2.

摘要 跨性别和性别多样化青年报告说，与顺性别青年相比，他们的健康状况存在显著差异， 包括基于性别的受害，更大的心理健康症状（例如，焦虑，抑郁，内化 耻辱，自杀），以及不成比例的高健康风险行为率（例如，危险的酒精使用， 吸烟，非法药物使用）。使用区分个人的准确和相关术语 具有不同性和性别认同的人对于识别TGD青年具有更高的风险至关重要， 健康差距。作为对NOT-OD-23-046的回应，拟定的行政补充研究旨在： (a)作为两步进程的一部分，测试衡量当前性别认同的术语，并建议及时 和相关的修改，以及（B）探讨TGD和顺性别青少年对性别的解释的变化 随着时间的推移，术语和性别识别。补充研究将建立在Co-PI Hequembounts的基础上， 和利文斯顿正在进行的R 01（AA 028810 - 01 A）研究，研究同伴的急性每日和纵向影响。 受害（PV）对性少数化青少年的影响（即，女同性恋、男同性恋、双性恋、酷儿、+或LGBQ+）风险 酒精使用和保护因素的识别。拟议的补充拨款将加强和加快 纳入性少数TGD青年（n = 75），与性少数顺性别青年进行比较 （n=75）在母研究中。在进行的调查中，将采用两步程序评估性别认同 在两个时间点（基线和6个月）与这些参与者（N = 150）。此外，两个定性 认知访谈（基线，6个月）将与顺性别青年（n = 25）的子样本进行， TGD青年（n = 25）从调查参与者中随机选择，以实现以下目标：目标1是 检查TGD和cisgender青少年（n = 50，每组25）对两步答案选项的看法， 使用认知访谈方法提出修改建议。两者之间的混淆或模糊之处- 步骤回答选项和相关修改的建议（即，“intersex”，“non-binary”）将被 探讨了青年人的性别认同在自我概念中的中心地位及其在他们对性别的看法中的作用 还将审查两步性别评估备选方案。目的二是描述这两个问题的含义- TGD性少数化青少年研究中的一个阶段性过程， 以流动的性别（和性）身份为特征的时期。衡量的性别认同描述模式 将通过纵向调查（基线，6- TGD和顺性别青年（每组n = 75）。认知访谈（6个月）将探讨 青少年对两步问题捕捉变化的有效性的看法（n = 25，每个cis和TGD） 随着时间的推移，以及TGD和cisgender青年的性别认同模式。的修订本 两步性别认同评估将根据第一步参与者的反馈制定 访谈;将在访谈2中探索修改是否适合TGD LGBQ+青年。