Doctoral Dissertation Research: Biobehavioral Factors and Health Disparities

SES-0927370理查德罗杰斯贝瑟尼埃弗雷特科罗拉多大学博尔德本论文的研究将调查从青春期到青年期的过渡期间的健康差距。性少数群体面临更高程度的结构性和人际歧视，越来越多的研究开始记录这些歧视对性少数群体健康的影响。因此，本研究将探讨以下问题：（1）性取向和健康之间的联系是什么？（2）社会人口和社会生态因素在调节这些关系中发挥了什么作用？（3）同性取向的吸引力，行为和识别的时间和模式的变化是否与健康结果有差异？这项研究将有助于文献采用多个指标的性取向提供了国家青少年健康纵向研究（添加健康）。具体而言，这项研究将调查各种各样的健康相关结果，包括获得和使用卫生服务;酒精，烟草和药物使用;心理健康;以及一系列旨在测量人体测量，心血管，代谢和炎症功能的生物标志物，这些功能对该人群来说是新颖的。除了使用这些前沿数据，我还将采用一系列创新的统计技术，包括潜在类别轨迹，结构方程和多级建模。此外，这项研究将有助于在社会学领域，强调个人，环境和生物过程对健康的协同影响新兴的跨学科生物行为框架。该提案专门针对健康的人2010年倡议（NCHS 2000）确定的目标人群和目标。它将通过记录以前未探索的纵向趋势，为公共卫生政策制定者提供重要的调查结果。此外，这项研究提供了一个独特的机会，以检查分布在所有种族/民族和社会经济群体的弱势群体之间的健康差距，并在各种情况下。这项研究将产生关于青少年健康发展的结果，包括歧视对健康的影响，这些结果可推广到其他少数群体。

SES-0927370Richard Rogers Bethany EverettUniversity of Colorado BoulderThis dissertation research will investigate health disparities during the transition from adolescence to young adulthood. Sexual minorities face higher levels of structural and interpersonal discrimination, and a growing body of research is beginning to document their effect on the health of sexual minority populations. Therefore, this research will explore the following questions: (1) What are the links between sexual orientation and health; (2) What role do socio-demographic and social-ecological factors play in moderating these relationships; and (3) Are variations in the timing and pattern of same-sex orientated attraction, behavior, and identification differentially associated with health outcomes? This research will contribute to the literature by employing multiple indicators of sexual orientation available in the National Longitudinal Study of Adolescent Health (Add Health). Specifically, this research will investigate a wide variety of health-related outcomes, including access to and use of health services; alcohol, tobacco, and drug use; mental health; and a series of biomarkers designed to measure anthropometric, cardiovascular, metabolic, and inflammation functioning, novel for this population. In addition to using these cutting-edge data, I will employ a series of innovative statistical techniques, including latent class trajectory, structural equation, and multilevel modeling. Moreover, this research will contribute to an emerging interdisciplinary bio-behavioral framework within the field of sociology that stresses the synergistic impact of individual, environmental, and biological processes on health.This proposal specifically addresses a target population and goals identified by the Healthy People 2010 initiative (NCHS 2000). It will generate important findings for public health policy makers by documenting previously unexplored longitudinal trends. Moreover, the study provides a unique opportunity to examine health disparities among a vulnerable population distributed across all race/ethnic and socioeconomic groups, and in a variety of contexts. The research will produce results regarding healthy adolescent development, including the impact of discrimination on health, which may be generalizable to other minority populations.