Trauma and Mental Health Among Latinx LGBT Immigrant Youth: A Mixed-Method Study

外国出生的拉丁裔女同性恋者、男同性恋者、双性恋者和变性人(LGBT)青年的心理健康需求 很少有人研究，值得研究。FB拉美裔LGBT青年可能正在逃离他们的创伤 原籍国，在前往美国途中遭遇创伤，或经历与文化适应相关的问题 到达时的创伤。相应的结果很可能是异常高的压力和糟糕的精神状态 健康。除了这些创伤，还有被污名化的LGBT身份的压力，精神健康负担可能会增加 更高的境界。因此，作为FB、拉丁裔和LGBT青年的交叉影响可能会导致 严重的精神健康状况不佳，需要对这一代表性不足的人群进行调查。事实上，先导研究 研究结果证实，同时是拉丁裔和LGB(非变性人)的年轻人上学和性行为的风险很高 精神创伤和精神健康负担，尤其是自杀。然而，年轻人中的创伤和心理健康 拉丁裔和变性人在很大程度上仍不为人所知。初步研究结果还表明，FB Latinx年轻人 (非同性恋者、双性恋者和变性者)遭受高比例的创伤和精神健康负担，包括自杀。然而，创伤 FB拉丁裔LGBT青年的心理健康状况仍然主要是未被探索的。目标1是从数量上 使用YRBS 2017年的数据评估拉丁裔变性人青年的创伤和心理健康。主要假设 拉丁裔跨性别青年将报告最高水平的学校和性创伤、抑郁和 自杀倾向与其他不同种族、民族、性取向和性别认同的年轻人的比较 类别。目标2是定性地探讨拉丁血统的创伤和心理健康的生活经历。 LGBT青年。为了实现目标2，12名拉丁裔LGBT青年将接受采访(或直到达到饱和)，使用 一种叙事设计的生活史方法，调查结果将按主题和时间顺序进行分析。目标3是 整合目标1和目标2的发现，以产生有意义的元推理，通过收敛-并行混合- 方法设计框架和比较收敛-发散综合策略。建议的混合- 方法研究以少数应激理论为指导，强调LGBT污名对心理健康的影响 压力和心理健康，以及强调跨部门影响的交叉性框架 社会认同、成员身份和对心理健康的压迫经历。这项研究将提供第一批 到目前为止，量化亚组分析专门研究了拉丁裔的创伤和心理健康 跨性别者青年，是对创伤和心理健康最早的深入定性理解之一 FB拉丁裔LGBT青年。这项研究将有助于改善拉丁裔LGBT青年的心理健康护理实践 (特别是变性人和FB)，并鼓励对他们的心理健康进行更多的调查。最后，本研究 将帮助首席调查员实现成为独立精神健康人的长期目标 一位致力于改善拉丁裔和LGBT青年心理健康的研究人员，为他的职位做好了准备- 博士或助理教授职位，并为未来的F32或K01 NIH拨款申请奠定坚实的基础。

The mental health needs of foreign-born (FB) Latinx lesbian, gay, bisexual, and transgender (LGBT) youth have been rarely studied and deserve examination. FB Latinx LGBT youth are likely to be fleeing from trauma in their countries of origin, experiencing in-transit trauma en route to the U.S., or experiencing acculturation-related traumas upon arrival. The corresponding result is likely to be unusually high levels of stress and poor mental health. Add to these traumas the strain of having a stigmatized LGBT identity, and mental health burden is likely to be even more elevated. Thus, the intersectional impact of being a FB, Latinx, and LGBT youth likely leads to serious poor mental health, warranting investigation into this underrepresented population. Indeed, pilot study findings confirm that youth who are both Latinx and LGB (non-transgender) are at high risk for school and sexual trauma and mental health burden, especially suicidality. However, trauma and mental health among youth who are both Latinx and transgender remains largely unknown. Pilot study findings also indicate that FB Latinx youth (non-LGBT) suffer from high rates of trauma and mental health burden, including suicidality. However, trauma and mental health among FB Latinx LGBT youth remains predominantly unexplored. Aim 1 is to quantitatively assess trauma and mental health among Latinx transgender youth using YRBS 2017 data. The main hypothesis is that Latinx transgender youth will report the highest levels of school and sexual trauma, depression, and suicidality compared to other youth defined by different racial, ethnic, sexual orientation, and gender identity categories. Aim 2 is to qualitatively explore the lived experiences of trauma and mental health among FB Latinx LGBT youth. To achieve Aim 2, 12 FB Latinx LGBT youth will be interviewed (or until saturation is reached) using a narrative-design life-history approach, and findings will be analyzed thematically and chronologically. Aim 3 is to integrate Aim 1 and Aim 2 findings to produce a meaningful meta-inference via a convergent-parallel mixed- methods design framework and a comparative convergent-divergent synthesis strategy. The proposed mixed- methods study will be guided by the minority stress theory, which emphasizes the impact of LGBT stigma on stress and mental health, and the intersectionality framework, which emphasizes the impact of intersectional social identity membership and oppressive experiences on mental health. The study will provide one of the first quantitative subgroup analyses to date examining trauma and mental health specifically among Latinx transgender youth and one of the first in-depth qualitative understandings of trauma and mental health among FB Latinx LGBT youth. This research will help improve mental health care practice for Latinx LGBT youth (especially transgender and FB) and encourage more investigation into their mental health. Lastly, this research will help the principal investigator achieve his long-term goal of becoming an independent mental health researcher committed to improving mental health among Latinx and LGBT youth, well-position him for a post- doctoral or assistant professor position, and set a strong foundation for a future F32 or K01 NIH grant application.