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

摘要 存在着大量的研究，突出了性别和性别面临的不成比例的差异 所有年龄段的少数群体(SGM)，例如无家可归者增加，无法获得医疗保健，以及 身体和心理上的负面后果。虽然已经做出了重大努力来解决 美国社区层面的系统性种族主义和健康的社会决定因素(SDOHs) (如改善获得安全、负担得起的住房、改善医疗保健等)，这些努力往往 忽视适当整合特别工作组的经验。数据也严重缺乏，尤其是 在整个生命周期中，它检验性取向、性别认同和健康的交叉性。 该项目探讨了SDOH如何影响跨代SGM的结构性不平等 佛罗里达州迈阿密-戴德县社区，并将提供基于地点的结构性干预和 开发共享数据系统，以改善健康结果。使用美国国立卫生研究院的性和性别 以少数民族健康差异研究框架为基础，以场所为基础的结构性干预 将与目标人群和当地健康公平研究集合共同设计；纵向 将使用混合方法收集数据；将建立一个可持续的共享数据系统 已开发，包括一个数据仪表板，其中包括所有指标的SGM人口统计指标 以及对现有数据收集工具的改进。 该项目的目的是在整个生命周期内产生积极的健康结果，并改善社会 影响MDC SGM人口的健康决定因素和可持续、可复制的模式 不仅适用于其他地理位置的SGM人群，也适用于其他弱势群体 人口。

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.