Reducing Health Disparities in LGBTQ Youth of Color

描述（由申请人提供）：该项目的目的是建立一个可持续的基于社区的参与性研究（CBPR）过程，以减少有色人种女同性恋、男同性恋、双性恋、跨性别者和酷儿（LGBTQ）青年之间的健康差异。有证据表明，有色人种的LGBTQ青年使用物质（包括酒精，烟草和其他药物），从事危险的性行为，并试图自杀的比例很高，与白色LGBTQ青年和有色人种的异性恋青年不成比例。这些证据强调了迫切需要采取干预措施，以改善有色人种LGBTQ青年的健康状况，其中许多人面临着“三文化”的耻辱经历：来自种族/族裔群体的同性恋恐惧症，来自大多数白色LGBT社区的种族主义，以及来自整个文化的同性恋恐惧症和种族主义的交叉。我们建议在这个项目中加入四个总部位于波士顿的组织的力量，建立一个项目小组，他们将进行社区需求评估，以确定先验健康状况（在第一年）和试点干预研究，以解决这种情况（在第二年和第三年）。社区对项目团队的投入和支持将由两个社区咨询委员会（CAB）提供;一个由社区项目负责人和政府代表组成，另一个由LGBTQ有色人种青年组成。社区需求评估的第一阶段将汇编和审查现有数据，以了解有色人种LGBTQ青年的健康差异和健康问题;第二阶段将进行一项小型的初步数据收集研究，以收集比第一阶段更详细的信息。然后，项目团队将设计和试点为LGBTQ有色人种青年量身定制的干预措施，该干预措施将采用一个或多个现有的积极青年发展循证干预措施中的元素。干预试验研究将1）通过分析过程评估数据，评估干预的可行性和可接受性。 通过实施报告、结构化观察和参与者自我评估问卷收集，2）使用一组前测试和后测试设计来评估干预措施的短期影响，以测量通过参与者自我报告评估的积极青年发展和健康结果的变化。 相关性：同性恋、双性恋、跨性别者和同性恋（LGBTQ）有色人种青年的高健康问题率表明需要采取循证干预措施。本研究的目的是建立一个可持续的基于社区的参与性研究过程，以评估有色人种LGBQ青年的健康状况，并制定一项试点干预研究，以改善健康状况，减少差距。

DESCRIPTION (provided by applicant): The purpose of this project is to establish a sustainable community-based participatory research (CBPR) process to reduce health disparities among lesbian, gay, bisexual, transgender and queer (LGBTQ) youth of color. Evidence indicates that LGBTQ youth of color use substances (including alcohol, tobacco, and other drugs), engage in risky sexual behaviors, and attempt suicide in high rates that are disproportionate to those of both white LGBTQ youth and heterosexual youth of color. Such evidence underscores the pressing need for interventions to improve the health of LGBTQ youth of color, many of whom face "tricultural" experiences of stigma: homophobia from their racial/ethnic groups, racism from the majority white LGBT community, and the intersection of homophobia and racism from the culture at large. We propose in this project to join the forces of four Boston-based organizations with a long history of collaboration to create a Project Team who will conduct a community needs assessment to identify apriority health condition (in Year 1) and a pilot intervention research study to address that condition (in Years 2 and 3). Community input and support to the Project Team will be provided by two Community Advisory Boards (CABs); one comprised of community program leaders and government representatives and a second comprised of LGBTQ youth of color. Phase 1 of the community needs assessment will compile and review existing data pn health disparities and health concerns of LGBTQ youth of color; Phase 2 will conduct a small primary data collection study to gather more detailed information than available in Phase 1. The project team will then design and pilot an intervention tailored for LGBTQ youth of color that adapts elements from one or more existing Positive Youth Development evidence-based interventions. The pilot intervention research study will 1) assess the j feasibility and acceptability of the intervention through analysis of process evaluation data collected through implementation reports, structured observations, and participant self-assessment questionnaires and 2) evaluate the short-term impact of the intervention using a one group pre- and post-test design to measure changes in Positive Youth Development and health outcomes as assessed via participant self-report. RELEVANCE: High rates of problem health conditions in lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth of color indicate a need for evidence-based interventions. The purpose of this study is to establish a sustainable community-based participatory research process to assess the health LGBQ youth of color and develop a pilot intervention research study to improve health and reduce disparities.