Leveraging a community-driven approach to address the impact of social determinants of health on structural inequities among Miami-Dade County's intergenerational LGBTQ+ Community

利用社区驱动的方法解决健康问题社会决定因素对迈阿密戴德县代际 LGBTQ 社区结构性不平等的影响

• 批准号: 10781877
• 负责人: Andrea Iglesias
• 金额: $ 112.5万
• 依托单位: URBAN HEALTH PARTNERSHIPS
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-21 至 2028-09-20
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10781877
• 关键词: Address; Adult; Advocacy; Age; Collaborations; Collection; Communities; Community Actions; County; Data; Data Collection; Development; Disparity; Foundations; Funding; Future; Gender Identity; Geographic Locations; Health; Health Disparities Research; Health Promotion; Healthcare; Homelessness; Housing; Improve Access; Inequity; Information Systems; Institutional Racism; Intervention; Lesbian Gay Bisexual Transgender Queer; Longevity; Methods; Modeling; Outcome; Periodicals; Personal Satisfaction; Phase; Policies; Policy Maker; Politics; Population; Remunerations; Research; Research Design; Research Personnel; Resources; Sex Orientation; Sexual and Gender Minorities; Surveys; System; Target Populations; United States National Institutes of Health; Update; Vulnerable Populations; Work; Youth; citizen science; contextual factors; dashboard; data access; data sharing; design; empowerment; experience; gender minority community; gender minority group; gender minority health disparity; health care availability; health data; health disparity; health equity; implementation intervention; improved; innovation; intergenerational; intersectionality; member; neglect; outreach; programs; psychological outcomes; service providers; sexual minority; social health determinants; timeline; tool

Abstract A plethora of research exists highlighting the disproportionate disparities faced by sexual and gender minorities (SGM) of all ages, such as increased levels of homelessness, lack of access to healthcare, and negative physical and psychological outcomes. While there have been significant efforts to address systemic racism and social determinants of health (SDOHs) at the community level throughout the US (such as improving access to safe, affordable housing, improved healthcare, etc.), these efforts tend to neglect to properly integrate the experiences of SGM. There is also a severe lack of data, particularly across that lifespan, that examines the intersectionality of sexual orientation, gender identity, and health. This project addresses how the SDOHs impact structural inequities across the intergenerational SGM community of Miami-Dade County, FL, and will provide place-based structural interventions and development of a shared data system to improve health outcomes. Using the NIH Sexual & Gender Minority Health Disparities Research Framework as a foundation, place-based structural interventions will be co-designed with the target population and local Health Equity Research Assembly; longitudinal data will be collected using a mixed-methods approach; and a sustainable shared data system will be developed, including a data dashboard that includes SGM demographic indicators across all indicators and improvement to existing data collection tools. This project aims to produce positive health outcomes across the lifespan and improvements on social determinants of health impacting MDC's SGM population and a sustainable, replicable model generalizable not only to SGM populations in other geographic locations, but to other vulnerable populations.

抽象的 存在大量的研究，强调了性和性别面临的不成比例的差异 所有年龄段的少数民族（SGM），例如无家可归水平，缺乏医疗保健和 负面的身体和心理结果。虽然已经做出了巨大的努力来解决 全美国社区层面的系统性种族主义和社会决定因素（SDOHS） （例如改善获得安全，负担得起的住房，改善的医疗保健等），这些努力倾向于 忽略正确整合SGM的经验。还严重缺乏数据，特别是 在这个寿命中，研究了性取向，性别认同和健康的交叉性。 该项目解决了SDOHS如何影响代际SGM的结构不平等 佛罗里达州迈阿密戴德县的社区，并将提供基于位置的结构干预措施和 开发共享数据系统以改善健康结果。使用NIH性和性别 少数族裔健康差异研究框架是基础，基于地方的结构干预措施 将与目标人群和当地卫生公平研究大会共同设计；纵向 数据将使用混合方法方法收集；可持续的共享数据系统将是 开发的，包括一个数据仪表板，其中包括所有指标中的SGM人口统计指标 并改进现有数据收集工具。 该项目旨在在整个生命周期中产生积极的健康成果，并改善社会状况 影响MDC SGM人口和可持续可复制模型的健康的决定因素 不仅可以在其他地理位置中向SGM人口进行概括，还可以介绍其他脆弱的人 人群。