An Intersectional Approach to Gender Affirmation in Sex and Gender Reporting among Racial/Ethnically Diverse Trans Populations

种族/民族多元化跨性别人群中性别和性别报告中性别肯定的交叉方法

• 批准号: 10795482
• 负责人: Lauren Brittany Beach
• 金额: $ 17.29万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-21 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10795482
• 关键词: Address; Administrative Supplement; Age; Alcohol consumption; Alcohols; Anxiety; Articulation; Attention; Censuses; Clinic; Color; Communities; Data; Discrimination; Electronic Health Record; Engineering; Ensure; Equity; Ethnic Origin; Face; Feeling; Feeling suicidal; Gender; Gender Identity; Geography; Goals; Grant; Health; Health Services; Health Services Accessibility; Health Surveys; Individual; Inequality; Inequity; Institution; Intersex; Link; Literature; Measurement; Measures; Medicine; Mental Depression; Mental Health; Methodology; Methods; Minority Health Research; Outcome; Participant; Policies; Population; Population Heterogeneity; Provider; Race; Recommendation; Reporting; Research; Respondent; Science; Sex Characteristics; Sex Orientation; Sexism; Specificity; Stigmatization; Structure; Suggestion; Surveys; Terminology; Testing; Text; Thinking; Time; Tobacco use; United States; United States National Academy of Sciences; United States National Institutes of Health; Victimization; Woman; Women' s Health; Work; cisgender; cognitive interview; comparative; coping; design; ethnic diversity; experience; gender affirmation; gender diversity; gender equity; gender minority; health determinants; health disparity; health equity; health inequalities; improved; intersectionality; man; marginalization; microaggression; minority stress; minority stressor; national surveillance; nonbinary; parent grant; people of color; phrases; racial diversity; research study; response; sex; sex assigned at birth; sexual disparity; sexual minority; stressor; substance use; success; theories; transfeminine; transgender; transmasculine; transphobia

PROJECT SUMMARY Ongoing research to improve assessment of sex and gender among transgender participants remains a key priority. In order to ensure research on transgender health is effective, impactful, and valid, meaningful and affirming measurement of gender and sex characteristics is essential. Current recommendations emphasize use of a two-step method which asks for individuals' sex assigned at birth and current gender identity. However, two-step methods which have been tested remain poorly attuned to intersex experiences and experiences of non-binary gender identity. In addition, alternative two-step methods, three-step methods, choose-all-that-apply methods, and open-response methods have all been proposed as alternatives in recent years. As a result, it is imperative that current two-step methods are effectively refined and receive appropriate comparative testing relative to other proposed methods. Moreover, gendered experience is contextual; cultural, temporal, and other forms of gender diversity are not captured by many two-step methods currently in use. Tailoring our methods to improve validity for transgender and gender-diverse individuals who do not fit the normative, binary experience of gender in the United States is therefore essential. Finally, while questions of measure validity are critical to this work, it is also important to consider the ways in which transgender and gender diverse individuals experience the act of reporting sex and gender on survey questions itself, and in particular, the ways in which measures of sex and/or gender may be experienced as stigmatizing or affirming by transgender and gender diverse respondents. Stressors related to discrimination and victimization tied to SGM status are strongly associated with health disparities, whereas multilevel experiences of affirmation are known to promote transgender health on the individual and population levels. Therefore, we must consider that measures of sex and gender which reinforce normative conceptualizations of these constructs have the potential to act as microaggressive minority stressors, and to contribute negatively to the health of transgender and other gender diverse respondents. This project, a supplement to an existing, mixed-methods study aimed at improving measurement of sex, sexual orientation, and gender identity (SSOGI) through community- engaged methodologies, addresses both the current gaps in the literature regarding the validity of two-step and alternative measures of sex and gender, and advances a new line of inquiry which centers the importance of trans affirmation in research. In addition, drawing on the theory and methodology of intersectionality, this project will advance understanding of how best to measure and respond to health inequities for transgender and other gender diverse communities of color. Through qualitative and quantitative testing, we will better validate existing measures of sex and gender in more diverse populations, and develop new lines of inquiry which can be used to strengthen transgender health research moving forward.

项目总结 正在进行的改进变性人参与者的性和性别评估的研究仍然是关键 优先考虑。为了确保变性人健康研究是有效的、有影响的、有效的、有意义的和 确认对性别和性特征的衡量是至关重要的。目前的建议强调 使用两步法，即要求提供出生时分配的性别和当前的性别认同。 然而，已经测试的两步法仍然不能很好地适应双性人的经验和 非二元性别认同的体验。此外，备选的两步法，三步法， 选择所有应用方法和开放响应方法都是最近提出的替代方法 好几年了。因此，当务之急是对目前的两步法进行有效的改进并得到适当的 与其他建议的方法进行对比测试。此外，性别化体验是与背景相关的；文化的， 时间和其他形式的性别多样性并没有被目前使用的许多两步法所捕捉到。 量身定制我们的方法，以提高对变性人和不同性别的人的有效性 因此，在美国，关于性别的规范性、二元经验是必不可少的。最后，虽然问题是 测量有效性对这项工作至关重要，同样重要的是考虑变性人和 不同性别的人经历了在调查问题上报告性别和性别的行为， 具体而言，性和/或性别措施可能被认为是污名化或肯定的方式 由变性人和不同性别的受访者组成。与歧视和受害有关的压力源 SGM地位与健康差距密切相关，而多层次的肯定经历则是 已知在个人和人口层面上促进变性人健康。因此，我们必须考虑到 性别和性别的测量加强了这些结构的规范性概念化，具有 有可能成为少数群体的微攻击性应激源，并对变性人的健康产生负面影响 和其他不同性别的受访者。这个项目是对现有的混合方法研究的补充 通过社区改善性、性取向和性别认同的测量(SSOGI)- 参与的方法论，解决了目前文献中关于两步法有效性的空白和 性别和性别的替代衡量标准，并提出了一条新的调查路线，其中心是 研究中的反式肯定。此外，借鉴交叉性的理论和方法，这 该项目将促进对如何最好地衡量和应对变性人健康不平等的理解 以及其他性别多样的有色人种社区。通过定性和定量的测试，我们将会更好地 在更多样化的人群中验证现有的性和性别衡量标准，并开发新的调查路线 这可以用来加强跨性别者健康研究的进展。