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

检查黑人和拉丁裔跨性别青年中性别肯定和心理健康差异的贡献者

• 批准号: 10571872
• 负责人: Stanley Ray Vance
• 金额: $ 16.26万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-02-14 至 2026-11-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10571872
• 关键词: Acquired Immunodeficiency Syndrome; Address; Adolescent; Adolescent Medicine; Adolescent and Young Adult; Adult; Affect; Anxiety; Applications Grants; Attention; Award; Black race; Caregivers; Caring; Child; Childhood; Clinic; Color; Communities; Consent; Data; Development; Discipline; Disparity; Equity; Ethnic Origin; Ethnic Population; Evaluation; Face; Family; Fellowship; Focus Groups; Fostering; Gender; Gender Identity; Goals; HIV risk; Health; Home; Intervention; Interview; K-Series Research Career Programs; Latinx; Literature; Manuals; Measures; Medical; Medicine; Mental Depression; Mental Health; Mentored Patient-Oriented Research Career Development Award; Mentors; Methodology; Minority Groups; Modeling; Mood Disorders; Names; Online Systems; Outcome; Parental Consent; Parents; Peer Group; Persons; Play; Population; Positioning Attribute; Prevention; Process; Public Health; Qualitative Methods; Race; Randomized; Randomized, Controlled Trials; Recommendation; Reporting; Research; Research Personnel; Research Training; Resources; Role; Scholars Program; Social support; Structure; Substance abuse problem; Support Groups; Symptoms; Testing; Time; Training; United States National Institutes of Health; Woman; Work; Youth; acceptability and feasibility; career; career development; caregiver interventions; cisgender; community based research; community engaged research; community organizations; cultural values; depressive symptoms; design; experience; gender affirmation; gender affirming care; gender diversity; gender minority group; health disparity; hormone therapy; implementation intervention; improved; informant; intervention refinement; lens; maltreatment; method development; parental influence; peer; peer support; pilot test; primary caregiver; psychosocial; racial disparity; racial population; racism; recruit; research and development; service providers; skill acquisition; skills; social; social stigma; suicidal; therapy design; therapy development; transgender; transphobia; virtual; young adult

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.

项目总结/摘要 这是小斯坦利万斯博士的K23奖申请书MD，其研究重点是 对跨性别青年进行性别确认护理的障碍。他的研究训练包括一个青少年医学 研究金和正式课程工作的定量方法。通过本申请中提出的活动， 博士万斯将建立定性方法，青年/青少年面对干预发展的技能， 随机对照试验。促进他职业发展的资源包括UCSF的青少年和 青少年医学部，儿童和青少年性别中心，艾滋病预防研究中心，K- 学者计划，研究生课程的定性方法和干预的发展和试验。 他召集了一个在基于社区的研究的相关学科方面经验丰富的指导小组， 跨性别人群，儿科跨性别研究，定性方法和干预实施 指导他完成研究并发展成为独立研究员。 在性别肯定和交叉污名模型的指导下，该提案将重点放在黑人身上。 拉丁裔跨性别青年（Latinx transgender youth，BLTY）BLTY面临着种族主义和跨性别恐惧症的交叉力量， 增加了他们对不良心理健康结果的脆弱性。然而，缺乏数据， 记录可能导致这些心理健康差异的文化和家庭因素。虽然 性别肯定-接受社会支持，以确认一个人的性别认同和/或医疗 性别-改善跨性别青年的心理健康，文化和父母对性别肯定的影响 对于BLTY，尚未进行描述。探索这些因素可以提供关键信息， 通过干预，BLTY及其护理人员。这个职业发展奖旨在解决这些差距 通过以下具体目标在文献中，这些目标将在社区的指导下实施 咨询委员会：目标1：收集定性数据，为制定文化知情的 干预，以改善BLTY的心理健康结果。这包括进行深入访谈 与黑人和拉丁裔跨性别年轻人关于他们以前的性别肯定经验，以及如何 他们的照顾者和文化影响了这种经历。这一目标还包括与黑人和 拉丁裔照顾者了解性别多样性的文化观点。目标2：建立一个了解文化的 干预，促进性别肯定和心理健康的BLTY。一个干预线人小组， BLTY和护理人员将为制定文化知情干预措施提供直接投入。目标三： 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 给予BLTY及其护理人员，以评估干预的可接受性，可行性， 对心理健康症状的初步疗效。在这个奖项结束时，万斯博士将应用他的 研究结果，以开发一个R级赠款申请，用于开发干预措施的更大RCT。