An Innovative, Prospective Model to Understand Risk and Protective Factors for Sexual Assault Experiences and Outcomes Among Sexual Minority Men

项目摘要 近一半的性少数（SM）男性经历过成人性侵犯（阿萨）受害（例如，性 胁迫，强奸），多达30%的SM男性报告终身阿萨犯罪。率 阿萨受害者和犯罪之间的SM男子是惊人的高，即使在短期内衡量 一段时间。然而，很少有研究探讨阿萨受害的风险和保护因素， 在SM男性中的犯罪。现有的研究大多是跨部门的，或侧重于性IPV 而不是跨越广泛的犯罪者-受害者关系的阿萨（例如，熟人，建立 合作伙伴）。由于缺乏对SM男性阿萨的研究，研究人员和从业人员无法 制定专门针对这一人群的减少风险和预防方案。此外，还缺乏 关于SM男性中阿萨受害相关的预测结果的因素的研究， 是非常需要的，以创造肯定的干预措施，为SM男子谁经验阿萨受害者。目的 拟议研究的目的是利用纵向前瞻性设计来测试三种创新模型，包括 建立（例如，儿童性虐待，严重的间歇性饮酒），以及特定人群（例如，内化 同负性，LGBTQ+社区感），风险和保护因素，以预测阿萨的经验 SM男性（目标1）中的犯罪行为; SM男性（目标2）中阿萨受害的经历;以及 探索性分析将检查 如何捕捉多重交叉边缘化社会身份的潜在阶级（即，性取向种族 种族、性别认同）和与少数群体有关的压力经历，在少数群体的生活中起着预测和调节作用。 假设模型（目标4）。 结果SM男性谁经历阿萨受害者（目标3）。 我们关注年轻的成年SM男性（18至30岁），因为ASA的发生率是 ASA在这一人群中的发病率最高，阿萨的一级预防至关重要。我们还将包括 SM男性不管他们的关系状态如何，因为阿萨可以发生在各种类型的关系中（例如， 严重的关系，朋友与利益，熟人）和陌生人之间不太常见。的 方法包括通过以下方式招募地理位置和种族多样化的SM男性样本（N = 3，600） 为了确保种族，民族，和性别 为了解决交叉性问题（目标4），我们将对黑色和/或 拉丁SM男性以及跨性别和跨男性男性。参与者（N = 3600）将完成在线调查 在0、6、12、18和24个月时。 美国各地的各种在线平台和社区机构。 这个拟议的项目符合NIMHD的研究重点，以推进 科学认识健康差距，提高少数民族健康水平。此外，拟议项目将 提供至关重要的信息，将告知立即发展肯定和文化 接地预防计划（以减少阿萨犯罪），降低风险计划（以减少阿萨 受害）和干预措施（以减少与阿萨受害相关的不良后果）。

Project Summary Nearly half of sexual minority (SM) men experience adult sexual assault (ASA) victimization (e.g., sexual coercion, rape) in their lifetime, and as many as 30% of SM men report lifetime ASA perpetration. Rates of ASA victimization and perpetration among SM men are alarmingly high even when measured over short periods of time. However, little research has examined risk and protective factors for ASA victimization or perpetration among SM men. Research that does exist is mostly cross-sectional or focuses on sexual IPV rather than ASA across a broad range of perpetrator–victim relationships (e.g., acquaintance, established partner). The lack of research on ASA among SM men precludes researchers and practitioners from developing risk reduction and prevention programming specifically for this population. There is also a dearth of research on factors that predict outcomes associated with ASA victimization among SM men, information that is sorely needed to create affirming interventions for SM men who experience ASA victimization. The purpose of the proposed study is to utilize a longitudinal, prospective design to test three innovative models that include established (e.g., child sexual abuse, heavy episodic drinking), as well as population-specific (e.g., internalized homonegativity, LGBTQ+ sense of community), risk and protective factors to predict experiences of ASA perpetration among SM men (Aim 1); experiences of ASA victimization among SM men (Aim 2); and adverse Exploratory analyses will examine how latent classes that capture multiple intersecting marginalized social identities (i.e., sexual orientation, race, ethnicity, gender identity) and experiences of minority-related stress, act as predictors and moderators in the hypothesized models (Aim 4). outcomes among SM men who experience an ASA victimization (Aim 3). We focus on young adult SM men (ages 18 to 30) given that rates of ASA are highest among this population and primary prevention of ASA is of paramount importance. We will also include SM men regardless of their relationship status since ASA can occur in various types of relationships (e.g., serious relationship, friends with benefits, acquaintances) and less commonly among strangers. The methodology includes recruiting a geographically and racially diverse sample of SM men (N = 3,600) via To ensure racial, ethnic, and gender diversity in our sample for the purpose of addressing intersectionality (Aim 4), we will oversample Black and/or Latinx SM men as well as trans and transmasculine men. Participants (N = 3600) will complete online surveys at 0-, 6-, 12-, 18, and 24- months. various online platforms and community-based agencies across the U.S. This proposed project aligns with NIMHD’s research priorities to advance the scientific understanding of health disparities and improve minority health. Moreover, the proposed project will provide critically important information that will inform the immediate development of affirming and culturally grounded prevention programs (to reduce ASA perpetration), risk reduction programs (to reduce ASA victimization), and intervention initiatives (to reduce adverse outcomes associated with ASA victimization).