Measuring event-level intersectional stigma among gender diverse youth

衡量性别多元化青年中事件层面的交叉耻辱

• 批准号: 10581640
• 负责人: Joseph Alexander Carter
• 金额: $ 2.36万
• 依托单位: HUNTER COLLEGE
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-03-01 至 2025-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10581640
• 关键词: Address; Adolescent; Affect; Age; Anxiety; Black race; Clinical; Cohort Studies; Data; Development; Diagnostic; Disparity; Elements; Ensure; Ethnic Origin; Event; Feedback; Fostering; Future; Gender; Gender Identity; Gender expansive; Goals; HIV; Indigenous; Individual; Inequity; Intervention; Interview; Literature; Measurement; Measures; Mental Depression; Mental Health; Methodology; Methods; National Institute of Mental Health; Not Hispanic or Latino; Outcome; Participant; Population; Prevention strategy; Procedures; Property; Psychometrics; Public Health; Race; Random Allocation; Research; Research Priority; Risk; Sampling; Scientist; Sex Orientation; Source; Stress; Structure; Testing; Training; Trauma; United States; Validity and Reliability; Vulnerable Populations; Youth; children of color; cisgender; cognitive interview; coping; diaries; emerging adult; ethnic identity; experience; gender diversity; gender expression; health disparity; improved; instrument; marginalization; population health; psychologic; psychological distress; recruit; resilience; sexual identity; sexual minority men; social stigma; stress related disorder; stressor; suicide rate; transgender

Transgender and gender expansive youth (TGEY), including adolescents and emerging adults (i.e. ages 16-29) experience disproportionately negative mental health outcomes in the United States. TGEY of color carry the greatest burden of outcomes, experiencing the highest rates of suicide, depression, anxiety, and trauma-related stress disorders when compared to their non-Hispanic white counterparts. Literature indicates stigma as a significant driver of these disparities. TGEY of color experience heightened and altogether unique experiences of stigma associated with their multiple marginalized identities (i.e. racial/ethnic identity, gender identity, and sexual identity) that impact their mental health. To examine these experiences in a scientifically rigorous and authentic manger, it is imperative that these experiences be captured in a way that maximizes content and ecological validity. There is, however, a lack of psychometrically validated measures of intersectional stigma that are informed by the experiences of TGEY of color. This reflects a limitation of using strictly quantitative methods for understanding intersectional experiences. A true intersectional approach to measuring and understanding stigma experiences of TGEY of color requires an events-level approach that can capture the contextual aspects of intersectional stigma experiences, as well as the qualitative nuances that help to fully flesh out any subtle, contextual elements of these stigma experiences. The goal of this dissertation study is to conduct a two-part study using methodology and measures developed for the PRISM project (PRISM; R21-MH121311; PI: Rendina). The original PRISM measure aimed to capture event-level experiences of intersectional stigma among cisgender young sexual minority men (YSMM) utilizing an ongoing nationwide cohort study of 150 YSMM who were at risk for HIV. Study 1 of this dissertation project will aim to iteratively enhance the item pool of the PRISM measure for utility among TGEY of color. For this study, we will conduct cognitive interviewing to gather feedback from 10 TGEY of color to ensure the item bank represents the range of daily stigma experiences of TGEY. Study 2 will aim to test the psychometric validity of the PRISM measure among TGEY of color. Here, we will establish reliability and validity of the PRISM measure and test the concurrent validity of its items with mental health outcomes among our sample of TGEY. Study 2 will also include a qualitative component that aims to contextualize quantitative findings. These interviews will be conducted among 15 randomly selected participants and will contextualize the experiences of intersectional stigma and mental health impacts that were quantitatively captured in Aim #2. The research and training plans guiding this proposal have been carefully crafted to optimize my ongoing doctoral training experiences and foster my development as a future independent research scientist.

在美国，跨性别和性别膨胀青年（TGEY），包括青少年和初成人（即16-29岁）经历了不成比例的负面心理健康结果。有色人种的TGEY承受着最大的负担，与非西班牙裔白人相比，他们经历了最高的自杀率、抑郁症、焦虑症和创伤相关应激障碍。文献表明，耻辱是这些差异的重要驱动因素。有色人种的TGEY经历了与他们的多重边缘化身份（即种族/民族身份、性别身份和性身份）相关的高度和完全独特的耻辱经历，这些身份影响了他们的心理健康。为了以科学严谨和真实的方式检查这些经验，必须以最大化内容和生态有效性的方式捕获这些经验。然而，缺乏心理测量学上有效的交叉耻辱测量方法，这些测量方法是由有色人种的TGEY经验所提供的。这反映了严格使用定量方法来理解交叉经验的局限性。一个真正的交叉方法来测量和理解有色人种TGEY的柱头体验需要一个事件级的方法，可以捕捉交叉柱头体验的背景方面，以及定性的细微差别，帮助充分充实这些柱头体验的任何微妙的背景元素。本论文的研究目标是使用为PRISM项目（PRISM; R21-MH121311; PI: Rendina）开发的方法和措施进行两部分研究。最初的PRISM测量旨在利用一项正在进行的全国性队列研究，对150名有感染艾滋病毒风险的顺性年轻性少数男性（YSMM）进行调查，以捕捉他们在事件水平上的交叉污名体验。本论文项目的研究1旨在迭代地增强PRISM测量在有色人种TGEY中效用的项目库。在本研究中，我们将进行认知访谈，收集10个有色人种的TGEY的反馈，以确保题库代表了TGEY日常污名体验的范围。研究2的目的是检验PRISM量表在不同颜色的TGEY中的心理测量效度。在此，我们将建立PRISM量表的信度和效度，并在我们的TGEY样本中测试其项目与心理健康结果的并发效度。研究2还将包括一个定性的组成部分，旨在将定量的发现置于背景中。这些访谈将在15名随机选择的参与者中进行，并将在目标#2中定量捕获的交叉耻辱和心理健康影响的经验背景化。指导本提案的研究和培训计划经过精心设计，以优化我正在进行的博士培训经历，并促进我作为未来独立研究科学家的发展。