Promoting Health and Reducing Risk among Hispanic Sexual Minority Youth and their Families

项目摘要 西班牙裔性少数青年（HSMY）参与更高水平的药物使用，并报告更高水平的 与异性恋和非西班牙裔的性少数同龄人相比，他们的抑郁症状。研究 HSMY的风险和保护因素主要集中在非西班牙裔性少数青年， 考虑到HSMY等种族/族裔性少数青年面临的额外挑战， 随后影响药物使用和抑郁症状结果。此外，关于风险的现有文献 和保护因素的药物使用和抑郁症之间的高SMY主要集中在影响， 个人风险和/或保护因素，而不是如何交叉身份标记，如性取向， 文化适应、在美国的时间和语言可能会影响高自我监控型青年的药物使用和抑郁结局。是 重要的是要同时考虑这些突出的身份标记的相互依赖性，以及它们如何 对高收入、高收入和年轻人的健康产生负面影响。了解交叉身份如何协同作用， 影响西班牙裔性少数青年药物使用和心理健康结果对未来的影响 对这一人群的干预。为了更好地了解性取向，文化适应，在美国的时间， 语言影响药物使用和抑郁症的结果，这项研究将利用定量数据， 三项Familias Unidas干预试验（针对西班牙裔青少年的基于家庭的预防性干预）， Familias con Orgullo试点随机对照试验（一项针对西班牙裔美国人的基于家庭的预防性干预， 性少数青年）。具体来说，我们将使用先进的统计技术，如潜在类 分析以确定HSMY的交叉特征，包括性取向、文化适应、 我们和语言。此外，我们还将审查联合家庭和有组织家庭是否 （干预措施在父母补助金中进行评估）在减少药物使用和抑郁症状方面有效 是否干预条件与过去90天的药物使用和抑郁症状之间的关系 是介导的家庭功能，以及这种关系是否是由确定类调节。 交叉性理论仅在有限的HSMY上下文中使用。这项研究将有可能确定 西班牙裔性少数青年的交叉风险概况，这可以帮助阐明 HSMY共享共同的身份标记，以帮助预防抑郁症状和药物 在这一人群中使用，并帮助缩小普遍健康差距的差距。

PROJECT SUMMARY Hispanic sexual minority youth (HSMY) engage in higher levels of drug use and report higher levels of depressive symptoms compared to their heterosexual and non-Hispanic sexual minority peers. Research on risk and protective factors for HSMY has largely focused on non-Hispanic sexual minority youth and does not consider the additional challenges that racial/ethnic sexual minority youth such as HSMY face that subsequently impact drug use and depressive symptoms outcomes. Moreover, the existing literature on risk and protective factors for drug use and depression among HSMY has largely focused on the impact of individual risk and/or protective factors and not how intersecting identity markers such as sexual orientation, acculturation, time in US, and language may impact drug use and depression outcomes among HSMY. It is important to simultaneously consider the interdependence of these salient identity markers and how they impact negative health outcomes among HSMY. Understanding how intersecting identities act synergistically to impact drug use and mental health outcomes among Hispanic sexual minority youth has implications for future interventions with this population. To better understand how sexual orientation, acculturation, time in US, and language impact drug use and depression outcomes among HSMY, this study will utilize quantitative data from three Familias Unidas intervention trials (a family-based preventive intervention for Hispanic adolescents) and the Familias con Orgullo pilot randomized controlled trial (a family based preventive intervention for Hispanic sexual minority youth). Specifically, we will be using advanced statistical techniques such as latent class analysis to identify intersectional profiles of HSMY with indicators of sexual orientation, acculturation, time in US, and language. Moreover, we will examine whether the Familia Unidas and Familias con Orgullo (intervention being evaluated in parent grant) are efficacious in decreasing drug use and depressive symptoms and if the relationship between the intervention conditions and past 90-day drug use and depressive symptoms is mediated by family functioning and whether this relationship is moderated by identified classes. Intersectionality theory has only been utilized in limited contexts with HSMY. This study will potentially identify intersectional risk profiles for Hispanic sexual minority youth, which can help elucidate heterogenous groups of HSMY who share common identity markers to help inform the prevention of depressive symptoms and drug use among this population and help close the gap on pervasive health disparities.