Sexual and Gender Minority Supplement

性和性别少数补充品

• 批准号: 10093376
• 负责人: Evelina Sterling
• 金额: $ 9.99万
• 依托单位: KENNESAW STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-02-01 至 2023-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10093376
• 关键词: Address; Affect; African American; Age; Aging; Arthritis; Asthma; Behavior; Behavior Therapy; Belief; Caring; Chronic; Chronic Disease; Clinic; Clinical; Communities; Community of Practice; Comprehensive Health Care; Data Collection; Development; Diabetes Mellitus; Diagnosis; Discrimination; Effectiveness; Ethnic Origin; Face; Funding; Gays; Gender; Geography; Goals; Grant; HIV; Health; Health Personnel; Health system; Hypertension; Individual; Interdisciplinary Study; Intervention; Interview; Knowledge; Lesbian Gay Bisexual Transgender; Lesbian Gay Bisexual Transgender Queer; Low income; Medicine; Mental disorders; Methods; Morbidity - disease rate; Outcome; Participant; Patients; Perception; Policies; Population; Prevention; Psyche structure; Public Policy; Quality of life; Race; Research; Research Personnel; Resistance; Risk; Science; Self Management; Sexual and Gender Minorities; Sexuality; Socioeconomic Status; Students; Support System; Surveys; Underserved Population; United States National Institutes of Health; Universities; Vulnerable Populations; base; care providers; community based participatory research; coping; curriculum development; demographics; disability; experience; health inequalities; health knowledge; health management; hypercholesterolemia; improved; innovation; interest; man; member; men; multiple chronic conditions; prevent; research study; response; self-management program; skills; social; social stigma; therapy design; undergraduate research

PROJECT SUMMARY/ABSTRACT: Despite much research in chronic disease self-management, significant gaps in knowledge still exist, especially regarding vulnerable and underserved populations. More specifically, African American gay men are disproportionately affected by chronic conditions, especially coping with multiple morbidities. Low-income African American gay men also experience additional burdens to health related to stigma, discrimination, cultural beliefs and practices about health, knowledge and perceptions regarding chronic conditions, and lack of support systems, creating even greater health inequalities. The critical intersections of socioeconomic status, race/ethnicity, gender, sexuality, and multiple diagnoses strongly influence effective self-management skills and access to support systems. The specific aims for this sexual and gender minority supplement to Healthy Together: A Self-Management and Support Intervention for Low-Income African American Men with Multiple Chronic Conditions” include: AIM 1: Build a community of practice focusing specifically focusing on African American gay men, particularly low-income. AIM 2: Conduct qualitative interviews with 25-30 African American gay men who are living with chronic conditions, including HIV, diabetes, hypertension, hyper-cholesterolemia, asthma, arthritis, and mental illness as well as 8-12 health care providers serving this population. AIM 3: Based on Aim 2, develop and implement a survey regarding the needs and challenges of managing chronic conditions as an African American gay man. The purpose of this study is to carefully examine the development and effectiveness of specifically focusing on the needs of gender and sexual minorities within a chronic disease self-management program, including both chronic physical and mental conditions, as well as those who care for them. This innovative study engages the research participants through community based participatory research to address the complexities of related to effectively managing their chronic diseases among African American gay men. This will advance the science needed to achieve the clinically important outcomes such as minimizing disability, optimizing function, and living well among all patients.

项目摘要/摘要：尽管在慢性病自我管理方面进行了大量研究， 知识方面仍然存在重大差距，特别是在弱势群体和服务不足的群体方面 人口。更具体地说，非裔美国男同性恋者受到的影响尤为严重 慢性病，特别是应对多种疾病。低收入非裔美国人 男同性恋者还承受着与耻辱、歧视、文化等相关的额外健康负担。 关于健康的信念和实践、关于慢性病的知识和看法， 以及缺乏支持系统，造成更大的健康不平等。关键交叉点 社会经济地位、种族/民族、性别、性取向和多种诊断的强烈影响 影响有效的自我管理技能和获得支持系统的机会。具体目标为 这是性少数群体对《健康在一起：自我管理》的补充 支持对患有多种慢性病的低收入非裔美国男性进行干预” 包括： 目标 1：建立一个专门针对非洲的实践社区 美国男同性恋者，尤其是低收入男同性恋者。目标 2：对 25-30 人进行定性访谈 患有慢性疾病的非裔美国男同性恋者，包括艾滋病毒、糖尿病、 高血压、高胆固醇血症、哮喘、关节炎、精神疾病以及8-12小时健康 为这一人群提供服务的护理人员。目标 3：基于目标 2，制定并实施 关于非洲人管理慢性病的需求和挑战的调查 美国同性恋者。本研究的目的是仔细研究发展和 在一个范围内特别关注性别和性少数群体的需求的有效性 慢性病自我管理计划，包括慢性身体和精神疾病 条件以及照顾他们的人。这项创新研究涉及研究 参与者通过基于社区的参与性研究来解决问题的复杂性 与有效管理非裔美国男同性恋者的慢性病有关。这 将推进实现临床重要结果所需的科学，例如 最大限度地减少残疾、优化功能并让所有患者过上幸福的生活。