The influence of intersections of race, gender, and sexual orientation discrimination for the mental health of LGB youth and adults

项目总结/摘要 精神疾病每年给美国造成19.3亿美元的收入损失，自杀也经常发生。 在精神健康问题方面，是导致估计40，000人死亡的第十大死因 每年。女同性恋，男同性恋和双性恋（LGB）成年人的可能性是异性恋成年人的两倍 被诊断为精神疾病此外，60%的LGB青少年， 异性恋青少年在两周内的大部分时间里都感到悲伤和绝望。因此，LGB青年 成年人受到这些经济和死亡率问题的严重影响。心理健康差距 LGB人群因种族、性别和性别认同而不同。了解性健康差异 少数民族是一个至关重要的健康当务之急，并关注美国国立卫生研究院。性别之间的联系， 种族、性别认同歧视、健康差异的根本原因以及心理健康是一个紧迫的问题。 关注研究人员和医疗保健专业人员。很少有研究探讨性别、种族和性认同 歧视性经历独立并同时与心理健康轨迹相关， LGB人口。这个博士前奖学金，以促进健康相关研究的多样性（F31-多样性） 将允许申请人通过其研究和培训计划解决这一差距。 马洛里先生的项目的主要目标是了解种族、性别和性身份是如何 独立和不同组合的歧视与心理健康有关 轨迹他将通过两个目标来实现这一目标：（目标1）阐明个人纵向 种族、性别和性身份歧视与LGB心理健康轨迹之间的关联 （目标2）检验三种相互竞争的解释，说明多种形式的歧视如何共同 影响男女同性恋青年和成年人的心理健康轨迹。相互矛盾的解释是， 歧视是（1）累加性的：每增加一种形式的歧视，心理健康就会逐步恶化; (2)恶化：心理健康症状是两个和三倍，当经历两个和三个 （3）伤害：心理健康的恶化不会超过一种形式的歧视。 为了完成他提出的研究计划的目标和目的，马洛里先生将寻求更多的 分析具有复杂数据结构的大型纵向数据集的培训，学习人口 健康和生命历程的理论观点，并应用交叉框架，他的研究 这将加强他在人类发展和家庭科学方面的核心培训。他的训练计划 结合人口健康和统计学的正式课程，整合方法，理论和 从交叉框架、一对一指导、会议中分析定量数据的分析 演讲，并发表研究，为他作为一个独立的研究人员的职业生涯做准备。

Project Summary/Abstract Mental illness costs the United States 1.93 billion in lost earnings per year and suicide, which often occurs in the context of mental health problems, is the 10th highest cause of death leading to an estimated 40,000 deaths annually. Lesbian, gay, and bisexual (LGB) adults are twice as likely as heterosexual adults to have been diagnosed with a mental health disorder. Additionally, 60% of LGB adolescents compared to 26% of heterosexual adolescents report feeling sad and hopeless for most days in a two-week period. Thus, LGB youth and adults are disproportionally affected by these economic and mortality issues. Mental health disparities within the LGB population differ by race, gender, and sexual identity. Understanding health disparities among sexual minorities is a critical health imperative and focus the National Institutes of Health. The link between gender, race, sexual identity discrimination, underlying causes of health disparities, and mental health is an urgent concern for researchers and health care professionals. Few studies explore how gender, race and sexual identity discriminatory experiences are independently and concurrently associated with mental health trajectories in the LGB population. This Predoctoral Fellowship to Promote Diversity in Health-Related Research (F31-Diversity) would allow the applicant to address this gap through his research and training plan. The main objective of Mr. Mallory’s project is to understand how race, gender, and sexual identity discrimination independently and in different combinations are associated with mental health trajectories. He will accomplish this objective with two aims: (Aim 1) elucidating the individual longitudinal associations between race, gender, and sexual identity discrimination and mental health trajectories for LGB youth and adults and (Aim 2) testing three competing explanations of how multiple forms of discrimination jointly to impact trajectories of mental health for LGB youth and adults. The competing explanations are that discrimination is (1) additive: for each additional form of discrimination, mental health will incrementally worsen; (2) exacerbating: mental health symptoms are two and three times worse when experiencing two and three forms of discrimination; and (3) inuring: mental health does not worsen beyond one form of discrimination. To accomplish the objective and aims of his proposed research plan Mr. Mallory will seek out additional training in analyzing large longitudinal data sets with complex data structures, learning population health and life course theoretical perspectives, and applying an intersectional framework to his research which will augment his core training in Human Development and Family Sciences. His training plan combines formal coursework in population health and statistics, workshops that integrate method, theory, and analysis for analyzing quantitative data from an intersectional framework, one-on-one mentoring, conference presentations, and publishing research to prepare him for a career as an independent researcher.