Multilevel Protective Factors For LGB Youth In North America

北美 LGB 青少年的多层次保护因素

• 批准号: 8613636
• 负责人: Marla E. Eisenberg
• 金额: $ 49.14万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-05-30 至 2018-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8613636
• 关键词: Address; Adolescent; Age; Alcohol or Other Drugs use; Area; Attention; Bisexual; British Columbia; Communities; Data; Data Analyses; Drug usage; Education; Environment; Equipment and supply inventories; Ethnic Origin; Family; Family Characteristics; Family member; Feeling suicidal; Future; Gays; Gender; Goals; HIV risk; Health; Health Care Costs; Health Care Reform; Health behavior; Heterosexuals; Illicit Drugs; Indium; Individual; Institute of Medicine (U.S.); Institution; Intervention; Interview; Knowledge; Lesbian; Life; Link; Literature; Location; Mails; Massachusetts; Measures; Methods; Minnesota; Minority Groups; North America; Outcome; Participant; Perception; Policies; Population; Prevention; Psychometrics; Publishing; Race; Religion and Spirituality; Reporting; Research; Research Personnel; Resources; Review Literature; Risk Behaviors; Role; Schools; Self-Injurious Behavior; Sex Behavior; Sexual Partners; Solid; Specific qualifier value; Structure; Students; Study Subject; Subgroup; Suicide; Suicide attempt; Surveys; Telephone; Testing; Tobacco; Work; Workplace; Youth; base; binge drinking; community organizations; evidence base; health disparity; high risk; informant; innovation; insight; interest; peer; population based; programs; public health relevance; response; sex; sex risk; social; social stigma; suicidal behavior; web site

Abstract A growing body of literature demonstrates dramatic disparities in health between lesbian, gay and bisexual (LGB) and heterosexual youth, including problem substance use, HIV risk behaviors and suicide. In 2011 the Institute of Medicine called for additional research with this population, prioritizing health disparities research as "essential for building a solid evidence base" in LGB heath. The IOM report highlights the importance of multilevel social influences on the lives of LGB people, specifying the role of social structures such as families, schools, workplaces, religious institutions and community organizations as critical subjects of study to expand our understanding of the determinants of health in this population. The proposed R01 led by a new investigator in response to PA-12-111, directly addresses this need. The goal of this study is to broaden and deepen our understanding of the family, peer, school and community environments that protect young LGB people from involvement in high risk health behaviors, including substance use, HIV risk behaviors and suicide behaviors. This research aims to 1) develop a theoretically grounded approach to promoting health among LGB adolescents based on in-depth knowledge of their community and school environments, and 2) link environmental data, collected using the Inventory, with existing population-based student data to identify factors at the individual, family, peer, school and community levels that protect LGB youth from involvement in health risk behaviors. "Go-along" interviews with 72 youth in diverse locations will be used to elicit in-depth information on LGB adolescents' perceptions of supportive elements in their schools and communities; this information, in conjunction with published literature, expert review, and psychometric testing, will be used to create an LGB Environment Inventory to characterize policies, programs, resources and other supports for LGB youth that exist in these settings. The Inventory will then be used to measure indicators of support in 120 communities in Minnesota, British Columbia and Massachusetts, using publicly available materials (e.g. websites) and brief contacts with key informants (Aim 1). These community-level data will then be linked with existing student survey data from approximately 3,600 LGB adolescents in these same communities, which will include information about family, peer and individual supports, as well as health behaviors and demographic information (Aim 2). The following hypotheses will be tested: a) higher LGB environment scores for the community and school will be protective against health risk behaviors among LGB youth; b) greater family connectedness and support and a more supportive peer environment will be protective against health risk behaviors among LGB youth, and c) family, peer and individual-level factors will moderate the associations between the LGB environment (community and school) and the health risk behaviors of interest.

摘要 越来越多的文献表明，女同性恋、男同性恋和 双性恋和异性恋青年，包括问题药物使用、艾滋病毒风险行为和自杀。 2011年，医学研究所呼吁对这一人群进行更多的研究，优先考虑健康问题 差异研究是LGB健康“建立坚实证据基础的关键”。国际移民组织的报告强调， 多层次社会影响对LGB人生活的重要性，具体说明社会结构的作用 例如家庭、学校、工作场所、宗教机构和社区组织， 这项研究旨在扩大我们对这一人群健康决定因素的理解。 根据PA-12-111，由一名新研究者领导的拟定R 01直接解决了这一需求。 本研究的目的是拓宽和加深我们对家庭、同伴、学校和 社区环境保护年轻的LGB人不参与高风险的健康行为， 包括药物使用，艾滋病毒风险行为和自杀行为。本研究旨在：1）开发一个 基于对以下方面的深入了解，以理论为基础的方法促进LGB青少年的健康 将使用清单收集的环境数据与 现有的以人口为基础的学生数据，以确定个人、家庭、同伴、学校和社区的因素 保护LGB青年免于参与健康风险行为的水平。与72名青年的“同行”访谈 在不同的地点将被用来获取深入的信息LGB青少年的支持性的看法 在他们的学校和社区的元素;这一信息，结合出版的文献，专家 审查和心理测试，将用于创建一个LGB环境清单，以表征 政策、方案、资源和其他对这些环境中的男女同性恋、双性恋和变性青年的支持。库存 然后将被用来衡量明尼苏达州，不列颠哥伦比亚省和 马萨诸塞州，使用公开可用的材料（例如网站）和与关键线人的简短联系 (Aim 1）。这些社区一级的数据将与现有的学生调查数据联系起来， 在这些社区中，大约有3,600名LGB青少年，其中将包括有关 家庭、同伴和个人支持，以及健康行为和人口统计信息（目标2）。的 以下假设将得到检验：a）社区和学校的LGB环境得分较高， 防止同性恋、双性恋和变性者青年的健康风险行为; B）加强家庭联系和支持， 一个更支持性的同伴环境将有助于防止LGB青年的健康风险行为， c）家庭、同伴和个人层面的因素将调节LGB环境与 （社区和学校）和健康风险行为的利益。