Understanding Intersectional Discrimination and Adversities among Black Queer Women Living with HIV

了解感染艾滋病毒的黑人酷儿女性的交叉歧视和逆境

• 批准号: 10756693
• 负责人: Sannisha K. Dale
• 金额: $ 7.26万
• 依托单位: UNIVERSITY OF MIAMI CORAL GABLES
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-01 至 2025-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10756693
• 关键词: Adherence; African American; Behavior; Black Populations; Black race; Canada; Caring; Clinical; Communities; Coping Skills; Data; Development; Discrimination; Ethnic Origin; Frequencies; Gender; Grant; HIV; Health; Health Professional; Health Psychology; Health behavior; Homophobia; Individual; Intervention; Interview; Lesbian Gay Bisexual Transgender Queer; Literature; Manuscripts; Mediating; Medical Care Team; Mental Health; Mentors; Mentorship; Monitor; Neighborhood Health Center; Neighborhoods; Outcome; Parents; Personal Satisfaction; Persons; Preparation; Publications; Published Comment; Qualitative Methods; Quality of life; Race; Research; Research Personnel; Resources; Self Efficacy; Sex Orientation; Sexism; Social support; Symptoms; Time; Training; Trauma; Universities; Violence; Viral; Woman; Women' s Group; Writing; black women; career; cisgender; coping; cultural competence; doctoral student; experience; health equity; intersectionality; marginalization; marginalized population; microaggression; parent grant; queer; racial minority; racism; resilience factor; sexual minority women; skills; social stigma; social structure; training opportunity

Background: Black women represent the largest group of women with HIV, both nationally, and locally in Miami, a U.S. HIV epicenter; and 40% are not virally suppressed. Further, they live at the intersection of multiple marginalized identities and within social structures that take a daily toll. Microaggressions are every day and subtle insults via comments, jokes, and behaviors that are demeaning to a marginalized group (e.g. Black individuals, women, people living with HIV, LGBTQ+). Despite their frequency and potential importance, microaggressions have largely been ignored in the scientific literature on Black women living with HIV (BWLWH). Further, little research has been done to understand the experiences of Black cisgender queer women who are living with HIV. Logie et al. found that amongst an ethnically, and sexually diverse group of women living with HIV in Canada, systemic multilevel forms of discrimination such as HIV- related stigma, sexism, racism, and homophobia were interconnected with barriers to HIV-related care, well-being, and development of coping strategies. Among Black queer women living with HIV Logie et al. found that increased levels of quality of life are associated with having control over their HIV care and having a supportive team of healthcare professionals. However, studies are limited among Black queer women living with HIV and no prior studies examining the relationships among microaggressions, discrimination, reoccurring violence, mental health, and HIV outcomes specifically among Black queer women living with HIV in a U.S. epicenter (Miami, FL). Parent Grant: MMAGIC (Monitoring Microaggressions and Adversities to Generate Interventions for Change) focuses on microaggressions and other adversities as negative predictors of HIV viral suppression (main outcome) mediated by mental health symptoms and health behaviors (ART adherence and engagement in care) among Black women. It is longitudinally examining both potential direct effects and moderation by resilience factors at the individual (e.g., self-efficacy), interpersonal (e.g., social support), and neighborhood level (e.g., community health centers). Supplement Research Plan: This project will (a) examine the quantitative data for the queer women in MMAGIC (compared to non-queer women) on microaggressions (LGBTQ-, race-, gender- and HIV-related), macro discrimination (LGBTQ-, race-, gender- and HIV-related), trauma/violence, mental health, and HIV outcomes and observe how the variables relate and change over time and (b) conduct in-depth qualitative interviews with 20-30 of the women on their experiences of intersectional discrimination and microaggressions and how they are navigating these experiences (e.g., helpful coping and resources). Training Plan: This supplement would provide an unmatched training opportunity for Mya Wright, an African American queer PhD student in Clinical Health Psychology at the University of Miami. She will be (a) mentored by renown scholars (Drs. Dale, Bowleg, Logie, and Ironson) in HIV and intersectionality (b) obtain expertise in qualitative methods and advanced quantitative skills for assessing intersectional adversities among Black queer women living with HIV, (c) enhance and develop skills to utilize research findings to inform the development of culturally competent interventions for racial and sexually minoritized women, and (d) strengthen her skills in manuscript preparation, publication, and grant writing.

背景：黑人妇女是美国全国和迈阿密当地最大的艾滋病毒感染妇女群体。 艾滋病毒中心; 40%的人没有受到病毒抑制。此外，他们生活在多重边缘化身份的交汇点上 以及每天都在付出代价的社会结构中。每天都有微攻击，通过评论，笑话， 和贬低边缘化群体的行为（如黑人、妇女、艾滋病毒感染者， LGBTQ+）。尽管微攻击发生得很频繁，而且具有潜在的重要性，但在科学界很大程度上被忽视了 关于感染艾滋病毒的黑人妇女的文学（BWLWH）。此外，很少有研究来了解 感染艾滋病毒的黑人同性恋女性的经历。Logie等人发现，在一个种族中， 加拿大感染艾滋病毒的妇女的性别多样性群体，系统性的多层次歧视，如艾滋病毒， 相关的耻辱，性别歧视，种族主义和同性恋恐惧症与艾滋病毒相关的护理，福祉和 制定应对策略。在感染艾滋病毒的黑人同性恋妇女中，Logie等人发现， 生活质量与控制他们的艾滋病毒护理和有一个支持性的医疗团队有关 专业人士然而，研究仅限于感染艾滋病毒的黑人同性恋妇女，而且之前没有研究 微攻击、歧视、暴力复发、心理健康和艾滋病毒结果之间的关系 特别是在美国震中（佛罗里达州迈阿密）感染艾滋病毒的黑人同性恋妇女中。家长资助：MMAGIC （监测微攻击和Adjuvant以产生改变的干预措施）侧重于微攻击和 其他逆境作为HIV病毒抑制的阴性预测因子（主要结局），由心理健康症状介导 和健康行为（ART坚持和参与护理）在黑人妇女。它是纵向检查两者 潜在的直接影响和个体弹性因素的调节（例如，自我效能），人际关系（例如，社会 支持），以及邻域级别（例如，社区卫生中心）。补充研究计划：本项目将（a） 检查MAGIC中酷儿女性（与非酷儿女性相比）关于微攻击的定量数据 （LGBTQ、种族、性别和艾滋病毒相关）、宏观歧视（LGBTQ、种族、性别和艾滋病毒相关）， 创伤/暴力、心理健康和艾滋病毒结果，并观察这些变量如何随时间推移而相互关联和变化，以及（B） 对20-30名妇女进行深入的定性访谈，了解她们遭受交叉歧视的经历， 微攻击以及他们如何驾驭这些体验（例如，有用的资源和资源）。培训计划： 这一补充将提供一个无与伦比的培训机会米娅赖特，非洲裔美国人酷儿博士 迈阿密大学临床健康心理学专业的学生。她将由著名学者（戴尔博士， Bowleg，Logie和Ironson）在艾滋病毒和交叉性（B）获得定性方法和先进的专业知识 评估感染艾滋病毒的黑人同性恋妇女的交叉困境的定量技能，（c）加强和 发展利用研究结果的技能，为制定在文化上胜任的种族和民族问题干预措施提供信息; 性少数化的妇女，以及（d）加强她在手稿准备，出版和赠款写作方面的技能。