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.

抽象的 跨性别和性别多样化（TGD）青年报告与顺性别青年相比存在显着的健康差异， 包括基于性别的受害、更严重的心理健康症状（例如焦虑、抑郁、内化 耻辱、自杀），以及健康风险行为（例如危险饮酒、 吸烟、非法药物使用）。使用准确且相关的术语来区分个人 具有不同性和性别认同的人对于识别 TGD 青少年至关重要，因为他们面临此类风险较高 健康差异。针对 NOT-OD-23-046，拟议的行政补充研究旨在： (a) 作为两步过程的一部分，测试衡量当前性别认同的术语并及时提出建议 及相关修改，以及(b)探讨TGD和顺性别青年对性别解释的变化 随着时间的推移，术语和性别认同。这项补充研究将以 Co-PIs Hequembourg 的研究为基础 以及利文斯顿正在进行的 R01 (AA028810-01A) 研究，研究同伴的急性日常和纵向影响 性少数青少年（即女同性恋、男同性恋、双性恋、酷儿、+ 或 LGBQ+）的受害 (PV) 有风险 酒精的使用和保护因素的识别。拟议的补充将加强和加快 纳入性少数 TGD 青年（n = 75），以便与性少数顺性别青年进行比较 (n=75) 在家长研究中。将在所管理的调查中使用两步流程来评估性别认同 在两个时间点（基线和 6 个月）与这些参与者 (N = 150) 进行实验。此外，还有两个定性的 认知访谈（基线，6 个月）将针对顺性别青年子样本（n = 25）进行，并且 从调查参与者中随机选出的 TGD 青年（n = 25）旨在实现以下目标： 目标 1 是 检查 TGD 和顺性别青少年（n = 50，每组 25 人）对两步答案选项的看法，以及 使用认知访谈方法提出修改建议。两者中混淆或含糊不清的根源—— 步骤答案选项和相关修改建议（即“双性”、“非二元”）将是 探索过。青少年的性别认同在自我概念中的中心地位及其在对自己的看法中的作用 还将审查两步性别评估方案。目标 2 是描述以下两个因素的含义： 对处于过渡性发展阶段的 TGD 性少数青少年进行研究的步骤过程 以流动的性别（和性）身份为特征的时期。测量的性别认同的描述模式 使用两步法的两个时间点将通过纵向调查（基线、6- 月）的 TGD 和顺性别青年（每组 n = 75）。认知访谈（6 个月时）将探讨 青少年（独联体和 TGD 各 25 名）对两步问题捕捉变化有效性的看法 随着时间的推移，以及 TGD 和顺性别青年的性别认同模式。修订版 两步性别认同评估将根据第一阶段参与者的反馈制定 面试;将在访谈 2 中探讨修改是否适合 TGD LGBQ+ 青年。