Measuring event-level intersectional stigma among gender diverse youth

衡量性别多元化青年中事件层面的交叉耻辱

• 批准号: 10402997
• 负责人: Joseph Alexander Carter
• 金额: $ 4.34万
• 依托单位: HUNTER COLLEGE
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-03-01 至 2024-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10402997
• 关键词: Address; Adolescent; Affect; Age; Anxiety; Black race; Clinical; Cohort Studies; Data; Development; Elements; Ensure; Ethnic Origin; Event; Feedback; Fostering; Future; Gender; Gender Identity; Goals; HIV; Indigenous; Individual; Intervention; Interview; Literature; Measurement; Measures; Mental Depression; Mental Health; Methodology; Methods; National Institute of Mental Health; Not Hispanic or Latino; Outcome; Participant; Population; Procedures; Property; Psychometrics; Public Health; Race; Research; Research Priority; Research Training; Risk; Sampling; Scientist; Sex Orientation; Source; Stress; Structure; Testing; Time; Training; Trauma; United States; Validity and Reliability; Vulnerable Populations; Youth; children of color; cisgender; cognitive interview; coping; diaries; emerging adult; ethnic identity; experience; gender expression; health disparity; improved; instrument; population health; predictive test; preventive intervention; psychologic; psychological distress; racial and ethnic; recruit; resilience; sexual identity; sexual minority men; social stigma; stress related disorder; stressor; suicide rate; transgender

Transgender and gender expansive youth (TGEY), including adolescents and emerging adults (i.e. ages 16-29) experience disproportionately negative mental health outcomes in the United States. TGEY of color carry the greatest burden of outcomes, experiencing the highest rates of suicide, depression, anxiety, and trauma-related stress disorders when compared to their non-Hispanic white counterparts. Literature indicates stigma as a significant driver of these disparities. TGEY of color experience heightened and altogether unique experiences of stigma associated with their multiple marginalized identities (i.e. racial/ethnic identity, gender identity, and sexual identity) that impact their mental health. To examine these experiences in a scientifically rigorous and authentic manger, it is imperative that these experiences be captured in a way that maximizes content and ecological validity. There is, however, a lack of psychometrically validated measures of intersectional stigma that are informed by the experiences of TGEY of color. This reflects a limitation of using strictly quantitative methods for understanding intersectional experiences. A true intersectional approach to measuring and understanding stigma experiences of TGEY of color requires an events-level approach that can capture the contextual aspects of intersectional stigma experiences, as well as the qualitative nuances that help to fully flesh out any subtle, contextual elements of these stigma experiences. The goal of this dissertation study is to conduct a two-part study using methodology and measures developed for the PRISM project (PRISM; R21-MH121311; PI: Rendina). The original PRISM measure aimed to capture event-level experiences of intersectional stigma among cisgender young sexual minority men (YSMM) utilizing an ongoing nationwide cohort study of 150 YSMM who were at risk for HIV. Study 1 of this dissertation project will aim to iteratively enhance the item pool of the PRISM measure for utility among TGEY of color. For this study, we will conduct cognitive interviewing to gather feedback from 10 TGEY of color to ensure the item bank represents the range of daily stigma experiences of TGEY. Study 2 will aim to test the psychometric validity of the PRISM measure among TGEY of color. Here, we will establish reliability and validity of the PRISM measure and test the concurrent validity of its items with mental health outcomes among our sample of TGEY. Study 2 will also include a qualitative component that aims to contextualize quantitative findings. These interviews will be conducted among 15 randomly selected participants and will contextualize the experiences of intersectional stigma and mental health impacts that were quantitatively captured in Aim #2. The research and training plans guiding this proposal have been carefully crafted to optimize my ongoing doctoral training experiences and foster my development as a future independent research scientist.

跨性别和性别扩张青年（TGEY），包括青少年和新兴成年人（即16-29岁）在美国经历了不成比例的负面心理健康结果。有色人种的TGEY承担着最大的后果负担，与非西班牙裔白色人相比，他们的自杀、抑郁、焦虑和创伤相关应激障碍的发生率最高。文献表明，成见是造成这些差异的一个重要因素。有色人种的TGEY经历了与其多重边缘化身份（即种族/民族身份，性别身份和性身份）相关的高度和完全独特的耻辱体验，这些身份影响了他们的心理健康。为了在科学严谨和真实的马槽中检查这些经验，必须以最大化内容和生态有效性的方式捕获这些经验。然而，缺乏心理测量学验证的交叉污名的措施，告知TGEY的颜色的经验。这反映了使用严格的定量方法来理解交叉经验的局限性。一个真正的跨部门的方法来衡量和理解TGEY的耻辱的颜色需要一个事件水平的方法，可以捕捉跨部门的耻辱的经验，以及定性的细微差别，有助于充分充实任何微妙的，这些耻辱的经验背景元素。本论文研究的目标是进行两部分的研究，使用的方法和措施开发的PRISM项目（PRISM; R21-MH 121311; PI：Rendina）。最初的PRISM措施旨在利用一项正在进行的全国性队列研究，对150名有艾滋病毒风险的年轻性少数男性（YSMM）进行交叉羞辱的事件水平体验。本论文的研究一旨在迭代地增强PRISM测度的项目池，以在颜色的TGEY中获得效用。在这项研究中，我们将进行认知访谈，收集10个TGEY颜色的反馈，以确保项目库代表TGEY的日常耻辱体验的范围。研究二旨在检验PRISM测量在色彩TGEY中的心理测量学效度。在此，我们将建立PRISM测量的信度和效度，并在我们的TGEY样本中测试其项目与心理健康结果的同时效度。研究2还将包括一个定性组成部分，旨在将定量研究结果纳入背景。这些访谈将在15名随机选择的参与者中进行，并将目标2中定量描述的交叉羞辱和心理健康影响的经历置于背景中。指导这项建议的研究和培训计划经过精心设计，以优化我正在进行的博士培训经验，并促进我作为未来独立研究科学家的发展。