Perceived Discrimination, Intersection of Identities, and Health Risk Behaviors in Black Adolescents

黑人青少年的歧视感知、身份交叉和健康风险行为

• 批准号: 10915824
• 负责人: Karen Jennings Mathis
• 金额: $ 18.94万
• 依托单位: MIRIAM HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-01 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10915824
• 关键词: Adolescent; Black race; Centers of Research Excellence; Data; Diagnosis; Disadvantaged; Discrimination; Eating; Eating Behavior; Ecological momentary assessment; Emotional; Focus Groups; Health; Intervention; Link; Mental Health; Mental Health Services; Mental disorders; Physical Function; Protocols documentation; Risk; Risk Behaviors; Screening procedure; Stress; Surveys; Testing; Theoretical model; Trauma; Youth; acceptability and feasibility; aged; emotional functioning; experience; health care disparity; health determinants; insight; intersectionality; marginalized population; negative affect; perceived discrimination; psychologic; racial discrimination; recruit; resilience; social; stressor; substance use

Discrimination is nearly pervasive, with Black youth averaging five experiences of racial discrimination daily. Discrimination is a determinant of health for historically marginalized populations, and linked to decreased psychological, physical, and emotional functioning, negative affective states, and increased health risk behaviors such as substance use and maladaptive eating. Black youth also have been identified as particularly disadvantaged because of misdiagnosis and overdiagnosis of certain psychiatric disorders, underdiagnosis of others, and limited access to mental health treatment. With the additional stressor of experiencing discrimination and mental health care inequities, Black youth are at increased risk for engaging in health risk behaviors. Unfortunately, most screening tools and interventions fail to account for the lived experiences of Black youth and are based on and provided primarily for White youth. The proposed project seeks to develop, refine, and test a culturally appropriate theoretical model of the contexts (social, emotional) in which discrimination and health risk behaviors occur among Black youth while considering intersectionality. Specific Aim 1 will explore the contexts (social, emotional) in which discrimination and health risk behaviors occur in Black youth while considering intersectionality and develop an ecological assessment protocol. To test this aim, up to 30 Black adolescents aged 14-17 years with substance use and/or maladaptive eating behaviors will be recruited to complete focus groups and a survey. Drawing on qualitative data, an ecological momentary assessments protocol will be developed and refined. Specific Aim 2 will explore whether the ecological momentary assessment protocol accurately captures the contexts in which discrimination and health risk behaviors occur in Black youth. To test this aim, up to 30 Black adolescents aged 14-17 years with substance use and/or maladaptive eating behaviors will be recruited to complete focus groups and a survey. Specific Aim 3 will evaluate the feasibility and acceptability of the ecological momentary protocol with a subset of 10 Black youth. This study fills a fundamental gap by being one of the first to refine and test a culturally appropriate theoretical model of health risk behaviors in Black youth and one of the first to consider intersectionality. Findings from this study will provide specific insight into how to adapt screening tools and interventions for health risk behaviors in Black youth to be more culturally appropriate.

歧视几乎无处不在，黑人青年平均经历过五次种族歧视 日常的。歧视是历史上边缘化人群健康的决定因素，并与 心理、身体和情绪功能下降、消极情感状态增加 健康风险行为，例如物质使用和适应不良饮食。黑人青年也已被确认 由于某些精神疾病的误诊和过度诊断而处于特别不利的地位， 对他人的诊断不足，获得心理健康治疗的机会有限。随着额外的压力 由于遭受歧视和精神卫生保健不平等，黑人青年面临更大的风险 从事健康风险行为。不幸的是，大多数筛查工具和干预措施都未能考虑到 黑人青年的生活经历，基于并主要为白人青年提供。这 拟议的项目旨在开发、完善和测试一个适合文化的理论模型 黑人青年中发生歧视和健康风险行为的环境（社会、情感） 同时考虑交叉性。具体目标 1 将探讨其中的背景（社交、情感） 黑人青年中存在歧视和健康风险行为，同时考虑到交叉性和 制定生态评估协议。为了测试这一目标，多达 30 名 14-17 岁的黑人青少年 具有物质使用和/或适应不良饮食行为的人将被招募来完成焦点小组和 民意调查。根据定性数据，将制定生态瞬时评估协议并 精制。具体目标2将探讨生态瞬时评估方案是否准确 捕捉了黑人青年中发生歧视和健康风险行为的背景。为了测试这个 目标是，最多 30 名 14-17 岁的黑人青少年有药物滥用和/或适应不良饮食行为 将被招募来完成焦点小组和调查。具体目标 3 将评估可行性并 生态临时协议与 10 名黑人青年的可接受性。这项研究填补了 是第一个完善和测试适合文化的理论模型的人之一 黑人青年的健康风险行为，也是最先考虑交叉性的行为之一。由此得出的结论 研究将为如何调整健康风险筛查工具和干预措施提供具体见解 黑人青年的行为在文化上更加合适。