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.

摘要 大量的研究强调了性和性别所面临的不成比例的差异， 所有年龄段的少数民族（SGM），如无家可归的人数增加，缺乏医疗保健， 负面的生理和心理后果。虽然为解决这一问题作出了重大努力， 系统性种族主义和健康的社会决定因素（SDOH）在整个美国社区一级 (such改善获得安全、负担得起的住房、改善医疗保健等），此类工作通常 忽视了对SGM经验的正确整合。数据也严重缺乏，特别是 在整个生命周期中，研究性取向，性别认同和健康的交叉性。 本项目探讨了SDOH如何影响跨代SGM的结构性不平等 佛罗里达州迈阿密戴德县的社区，并将提供基于地方的结构性干预措施， 开发共享数据系统，以改善卫生成果。使用NIH Sexual & Gender 以少数群体健康差异研究框架为基础，采取基于地点的结构性干预措施 将与目标人群和当地健康公平研究大会共同设计;纵向 将使用混合方法收集数据;并将建立可持续的共享数据系统， 开发了一个数据仪表板，其中包括SGM所有指标中的人口统计指标 并改进现有的数据收集工具。 该项目旨在在整个生命周期内产生积极的健康成果，并改善社会 影响MDC的SGM人群健康的决定因素和可持续的可复制模型 不仅可以推广到其他地理位置的SGM人群， 人口。