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：在美国迈阿密，黑人妇女代表了全国和当地最大的艾滋病妇女群体