Examining Contributors to Disparities in Gender Affirmation and Mental Health among Black and Latinx Transgender Youth

项目摘要/摘要 这是对医学博士Stanley Vance，Jr.的K23奖项的申请，他的研究重点是 对跨性别者青年进行性别肯定关怀的障碍。他的研究培训包括青春期医学 奖学金和正规课程以量化方法开展工作。通过本申请中提出的活动， 万斯博士将在定性方法、面向青少年/照顾者的干预开发方面培养技能，以及 随机对照试验。促进他职业发展的资源包括加州大学旧金山分校的青少年和 首页--期刊主要分类--期刊细介绍--期刊题录与文摘--期刊详细文摘内容 学者计划，以及定性方法和干预开发和试验的研究生课程工作。 他召集了一支在社区研究相关学科方面经验丰富的指导团队， 变性人、儿科变性人研究、定性方法和干预实施 指导他完成研究和职业发展，成为一名独立的研究员。 在性别肯定和交叉污名模式的启发下，本提案将重点放在黑人身上 和拉丁裔变性人青年(BLTY)。BLTY面临着种族主义和跨性恐惧症的交织力量，因此 增加他们对不良心理健康结果的脆弱性。然而，有一个稀缺的数据， 记录可能导致这些心理健康差异的文化和家庭因素。虽然 性别认同--因性别认同而获得社会支持和/或接受医疗以确认其性别认同 性别-改善变性人青年的心理健康，文化和父母对性别肯定的影响 对于BLTY还没有被描绘出来。探索这些因素可以提供关键信息来支持 BLTY和他们的照顾者通过干预。这个职业发展奖旨在解决这些差距。 通过以下具体目标，将在社区的指导下实现 咨询委员会：目标1：收集定性数据，为发展了解文化的 改善BLTY人群心理健康状况的干预措施这包括进行深入的采访 与黑人和拉丁裔变性人年轻人讨论他们以前的性别肯定经历以及如何 他们的照顾者和文化影响了这样的经历。这一目标还包括Black和 拉丁裔照顾者了解性别多样性的文化观点。目标2：发展一种文化渊博的 促进BLTY性别肯定和心理健康的干预。一个干预信息组，有 BLTY和照顾者将为文化知情干预的发展提供直接投入。目标3： 通过随机对照试验对干预措施进行初步测试。干预和控制条件将是 对BLTY和他们的照顾者实施，以评估干预的可接受性、可行性和 对心理健康症状的初步疗效。在这个奖项结束时，万斯博士将运用他的 为已开发干预措施的更大RCT开发R级拨款申请的研究结果。

Project Summary/Abstract This is an application for a K23 award for Dr. Stanley Vance, Jr., MD, whose research focuses on barriers to gender-affirming care for transgender youth. His research training includes an Adolescent Medicine fellowship and formal course work in quantitative approaches. Through activities proposed in this application, Dr. Vance will build skills in qualitative methodology, youth/caregiver-facing intervention development, and randomized controlled trials. The resources to foster his career development include UCSF’s Adolescent and Young Adult Medicine Division, Child and Adolescent Gender Center, Center for AIDS Prevention Studies, K- Scholars Program, and graduate coursework in qualitative methods and intervention development and trials. He has convened a mentoring team experienced in relevant disciplines of community-based research with transgender populations, pediatric transgender research, qualitative methods, and intervention implementation to guide the completion of his research and career development into an independent researcher. Informed by the Gender Affirmation and Intersectional Stigma models, this proposal focuses on Black and Latinx transgender youth (BLTY). BLTY face intersecting forces of racism and transphobia, thereby increasing their vulnerability to poor mental health outcomes. However, there is a paucity of data that document the cultural and familial factors that may contribute to these mental health disparities. Although gender affirmation—receiving social support for one’s gender identity and/or medical treatment to affirm one’s gender—improves mental health for transgender youth, cultural and parental influences on gender affirmation for BLTY have not been delineated. Exploring such factors could provide critical information to supporting BLTY and their caregivers through interventions. This career development award seeks to address these gaps in the literature through the following specific aims which will be carried out with guidance from a Community Advisory Board: Aim 1: To gather qualitative data to inform the development of a culturally informed intervention to improve mental health outcomes among BLTY. This includes conducting in-depth interviews with Black and Latinx transgender young adults about their prior experiences with gender affirmation and how their caregivers and cultures influenced such experiences. This aim also includes focus groups with Black and Latinx caregivers to understand cultural views of gender diversity. Aim 2: To develop a culturally informed intervention that promotes gender affirmation and mental health of BLTY. An intervention informant group with BLTY and caregivers will provide direct input into the development of a culturally informed intervention. Aim 3: To pilot test the intervention via a randomized controlled trial. The intervention and control condition will be administered to BLTY and their caregivers to evaluate the intervention’s acceptability, feasibility, and preliminary efficacy on mental health symptoms. At the conclusion of this award, Dr. Vance will apply his findings to develop an R-level grant application for a larger RCT of the developed intervention.