Sexual and Gender Minority Supplement

项目总结/摘要：尽管在慢性病自我管理方面进行了大量研究， 在知识方面仍然存在重大差距，特别是在弱势群体和服务不足群体方面 人口。更具体地说，非洲裔美国男同性恋者受到不成比例的影响， 慢性疾病，特别是应对多种疾病。低收入非裔美国人 男同性恋者还经历了与耻辱、歧视、文化和社会问题有关的额外健康负担。 关于健康的信念和做法，关于慢性病的知识和看法， 缺乏支持系统，造成更大的健康不平等。关键的交叉点 社会经济地位、种族/民族、性别、性取向和多重诊断的影响 影响有效的自我管理技能和获得支助系统的机会。具体目标为 这种性和性别少数补充健康在一起：自我管理， 对患有多种慢性疾病的低收入非洲裔美国男性的支持干预” 包括：目标1：建立一个实践社区， 美国男同性恋者，尤其是低收入者。目标2：对25-30名学生进行定性访谈 非裔美国男同性恋者谁是生活与慢性疾病，包括艾滋病毒，糖尿病， 高血压、高胆固醇血症、哮喘、关节炎和精神疾病以及8-12健康 为这一人群提供服务的医疗机构。目标3：基于目标2，开发和实施 关于非洲人管理慢性病的需求和挑战的调查 这项研究的目的是仔细检查发展和 特别注重性别和性少数群体需求的有效性 慢性病自我管理计划，包括慢性生理和心理 条件，以及那些照顾他们的人。这项创新的研究使研究 参与者通过基于社区的参与性研究，以解决 与有效管理非裔美国男同性恋者的慢性病有关。这 将推进实现临床重要成果所需的科学， 最大限度地减少残疾，优化功能，并在所有患者中生活良好。

PROJECT SUMMARY/ABSTRACT: Despite much research in chronic disease self-management, significant gaps in knowledge still exist, especially regarding vulnerable and underserved populations. More specifically, African American gay men are disproportionately affected by chronic conditions, especially coping with multiple morbidities. Low-income African American gay men also experience additional burdens to health related to stigma, discrimination, cultural beliefs and practices about health, knowledge and perceptions regarding chronic conditions, and lack of support systems, creating even greater health inequalities. The critical intersections of socioeconomic status, race/ethnicity, gender, sexuality, and multiple diagnoses strongly influence effective self-management skills and access to support systems. The specific aims for this sexual and gender minority supplement to Healthy Together: A Self-Management and Support Intervention for Low-Income African American Men with Multiple Chronic Conditions” include: AIM 1: Build a community of practice focusing specifically focusing on African American gay men, particularly low-income. AIM 2: Conduct qualitative interviews with 25-30 African American gay men who are living with chronic conditions, including HIV, diabetes, hypertension, hyper-cholesterolemia, asthma, arthritis, and mental illness as well as 8-12 health care providers serving this population. AIM 3: Based on Aim 2, develop and implement a survey regarding the needs and challenges of managing chronic conditions as an African American gay man. The purpose of this study is to carefully examine the development and effectiveness of specifically focusing on the needs of gender and sexual minorities within a chronic disease self-management program, including both chronic physical and mental conditions, as well as those who care for them. This innovative study engages the research participants through community based participatory research to address the complexities of related to effectively managing their chronic diseases among African American gay men. This will advance the science needed to achieve the clinically important outcomes such as minimizing disability, optimizing function, and living well among all patients.