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

促进西班牙裔性少数青少年及其家人的健康并降低风险

• 批准号: 10658477
• 负责人: GUILLERMO PRADO
• 金额: $ 64.42万
• 依托单位: UNIVERSITY OF MIAMI CORAL GABLES
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-11 至 2027-12-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10658477
• 关键词: Address; Adolescent; Advocate; Affect; COVID-19; Child Rearing; Communication; Communities; Community Practice; Data; Development; Disclosure; Discrimination; Drug Targeting; Drug usage; Face; Family; Frequencies; Gender; Goals; Group Processes; Health; Health Promotion; Heterogeneity; Heterosexuals; Hispanic; Hispanic Populations; Homophobia; Individual; Intervention; Knowledge; Learning; Libido; Mediating; Mental Depression; Not Hispanic or Latino; Outcome; Parents; Peer Pressure; Pharmaceutical Preparations; Pilot Projects; Prevention program; Process; Publishing; Randomized; Randomized, Controlled Trials; Reaction; Reporting; Risk; Risk Behaviors; Risk Reduction; Role; Social support; Stress; Work; Youth; acceptability and feasibility; adolescent drug use; arm; cultural values; depressive symptoms; design; drug abuse prevention; efficacy evaluation; evidence base; experience; family support; gender difference; high risk; improved; intervention effect; minority stressor; parent-adolescent communication; parental involvement; peer; pilot test; prevent; preventive intervention; psychologic; racism; resilience; sexual minority; sexual minority stress; sexual minority youth; skills; standard of care; stress management; syndemic; trial design

PROJECT SUMMARY Sexual minority youth (SMY) in general, and Hispanic sexual minority youth in particular (HSMY), report higher levels of drug use and depressive symptoms, compared to their heterosexual and sexual minority peers. Moreover, negative health outcomes (e.g., drug use) are even higher for HSMY who disclose to parents who are unaccepting of their sexual minority youth. In fact, youth disclosure initiates a transition process where parents may struggle to adjust to youth being a sexual minority, potentially leading to poor family functioning (e.g., poor communication and low family support). Further, some parents may not know how to be supportive of their youth and adolescents may lack the needed skills to manage stress and negative reactions that may have reverberating psychological effects. Given the impact of these co-occurring factors, it is critical to develop and evaluate family-based preventive interventions to prevent or reduce the adverse health risks that HSMY face. Interventions need to account for the unique experiences of HSMY and their families, including the interplay of racism and homophobia, cultural values, family rejection/support, family functioning, and individual level variables. Currently, there are no evidence-based, family-based preventive interventions that target drug use and depressive symptoms among HSMY. Our team has begun work to fill this important scientific gap by developing, pilot testing, and publishing on a family-based preventive intervention for HSMY, Familias con Orgullo (Families with Pride). Given the promising findings for Familias con Orgullo on drug use and depressive symptoms, the primary goal of this study is to evaluate, in a randomized controlled trial with 306 HSMY and their parents, the efficacy of Familias con Orgullo on preventing/reducing adolescent drug use (both frequency and quantity) and depressive symptoms. The aims of the study are: AIM 1: Examine the efficacy of Familias con Orgullo, compared to community practice, in decreasing past 90-day drug use (frequency and quantity) and depressive symptoms among HSMY, over 30-months. AIM 2: Examine whether the relationship between intervention condition and the outcomes are partially mediated by parent support for the adolescent, parent acceptance, family functioning, adolescent stress, and sexual minority stress (e.g., discrimination). Exploratory AIM 3: Explore whether gender and baseline levels of parent support for the adolescent, parent acceptance, family functioning, adolescent stress, and sexual minority stress moderate intervention effects on the youth outcomes.

项目摘要 一般来说，性少数青年（SMY），特别是西班牙裔性少数青年（HSMY）， 与异性恋和性少数群体同龄人相比，他们的药物使用水平和抑郁症状。 此外，负面的健康结果（例如，药物使用）对于向父母透露的HSMY来说甚至更高， 不接受他们的性少数青年。事实上，青年披露启动了一个过渡过程， 父母可能很难适应青少年是性少数群体，这可能导致家庭功能低下 (e.g.,沟通不畅，家庭支持度低）。此外，有些家长可能不知道如何支持 他们的青年和青少年可能缺乏必要的技能来管理压力和负面反应， 会产生强烈的心理影响鉴于这些共同发生的因素的影响， 并评估以家庭为基础的预防干预措施，以预防或减少HSMY 脸上干预措施需要考虑到高收入家庭和青年及其家庭的独特经历，包括 种族主义和仇视同性恋现象的相互作用、文化价值观、家庭排斥/支持、家庭功能和个人 水平变量。目前，还没有以证据为基础的、以家庭为基础的针对药物滥用的预防性干预措施。 使用和抑郁症状之间的HSMY。我们的团队已经开始努力填补这一重要的科学空白， 开发，试点测试，并发表了以家庭为基础的预防干预HSMY，Familias con Orgullo（骄傲的家庭）鉴于家庭与Orgullo在药物使用方面的有希望的发现， 抑郁症状，这项研究的主要目标是评估，在一项随机对照试验，306 HSMY和他们的父母，家庭对预防/减少青少年吸毒的有效性（两者） 频率和数量）和抑郁症状。本研究的目的是：目的1：检查 与社区实践相比，Familias con Orgullo在减少过去90天药物使用方面（频率和 数量）和抑郁症状的高SMY，超过30个月。目标2：检查关系是否 父母对青少年的支持在干预条件与干预结果之间起部分中介作用， 父母接受，家庭功能，青少年压力和性少数压力（例如，歧视）。 探索性目标3：探讨性别和基线水平的父母支持的青少年，父母 接纳、家庭功能、青少年压力和性少数压力的适度干预效应 青年的成果。