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Substance Use Disparities among Transgender Youth

跨性别青少年的药物使用差异

基本信息

批准号：
9139428
负责人：
Deena Chisolm
金额：
$ 18.94万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-09-15 至 2018-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9139428
关键词：
Administrative Supplement Adolescence Adolescent Adult Alcohol or Other Drugs use Anxiety Appearance Assessment tool Biological Birth Caring Communities Consensus Data Depression and Suicide Development Developmental Process Diagnostic Evidence based intervention Family Female Foundations Friends Fright Funding Gays Gender Glare Goals Grant HIV risk Health Health Sciences Heterosexuals Homophobia Individual Institute of Medicine (U.S.)Interview Lesbian Gay Bisexual Literature Longitudinal Studies Measures Mediating Mediator of activation protein Mental Depression Mental Health Minority Modeling National Institute of Drug Abuse Outcome Paper Parents Pattern Peer Review Persons Pilot Projects Prejudice Prevention program Process Puberty Public Health Publishing Recruitment Activity Reporting Research Risk Risk Behaviors Seminal Site Social isolation Stress Substance abuse problem Suicide Teenagers Time Underserved Population Victimization Work Youth adolescent substance use base behavioral health bullying design experience gender transition health care availability health disparity heuristics improved innovation intervention program male peer sex stressor theories therapy development transgender young adult

项目摘要

DESCRIPTION (provided by applicant): The overarching goal of this study is to recruit transgender youth (TGY; youth who feel that their true gender is different than their biological sex at birth) into a longitudinal study and examine substance use and associated mental health disparities. This is a very nascent field. To date there are only a handful of within- group descriptive studies reporting high rates of substance use and mental health problems among TGY (Garofalo et al., 2006; Grossman & D'Augelli, 2006), and these studies are largely focused on older teenagers and young adults and male-to-female TGY. In addition, there are only two peer-reviewed disparities studies in the literature (comparing TGY to non-TGY) and both were published within the past year (Reisner et al., 2014, Fergusson et al., 2014). Results from these studies showed that compared with non-TGY, TGY are at increased risk for substance use, depression, anxiety, and suicidality. Yet these seminal studies are limited by their cross-sectional design, absence of measures that can describe and understand transgender-related identity and developmental processes, and other important assessment tools such as face-to-face psychiatric diagnostic interviews and information regarding transgender healthcare access. Thus the primary and overarching goal of this study is to begin to explore and fill these gaps in the adolescent literature. Our specific aims are: (1) to identify and describe substance use and associated mental and behavioral health problems (e.g., depression, suicidality, HIV risk behavior) over time among TGY; and (2) to identify and examine explanatory mechanisms (risk and protective factors) of substance use disparities among TGY (e.g., victimization, social isolation, depression, family and friend support). Currently, there are no evidence-based interventions to guide TGY and families through gender transition care. Findings from this study will provide important preliminary data to inform clinicians working with TGY and will guide the development of an intervention for TGY to promote positive outcomes during the process of transitioning.