A longitudinal investigation of minority stress in a diverse national sample of sexual minority adolescents

对不同国家性少数青少年样本中少数群体压力的纵向调查

基本信息

批准号：
10211027
负责人：
Jeremy Thomas Goldbach
金额：
$ 20.61万
依托单位：
UNIVERSITY OF SOUTHERN CALIFORNIA
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-09-25 至 2022-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10211027
关键词：
Academy Address Adolescence Adolescent Adolescent Development Adult Advisory Committees Age Alcohol or Other Drugs use Anxiety Bisexual Characteristics Clinical assessments Depression and Suicide Development Ethnic Origin Female Gays Gender Goals Growth HIV Health Heterosexuals Homophobia Hybrids Incidence Individual Investigation Lesbian Lesbian Gay Bisexual Literature Marshal Measurement Measures Medicine Methodology Methods Minority Modeling Nature Outcome Participant Pattern Population Psyche structure Psychometrics Psychopathology Public Health Race Reporting Research Research Personnel Respondent Risk Risk Factors Rural Same-sex Sampling Scientist Self-Injurious Behavior Sex Orientation Sexual and Gender Minorities Stress Subgroup Testing Time United States National Institutes of Health Violence Work Youth base behavioral health behavioral health intervention critical developmental period early adolescence experience health disparity heuristics high risk innovation knowledge of results life history peer protective factors recruit sexual minority sexual risk behavior social media sociodemographics theories

项目摘要

PROJECT SUMMARY The overarching goal of this study is to determine how different trajectories of minority stress experienced throughout adolescence may predict behavioral health outcomes for SMA. Relying on methods established and tested in our preliminary work, we will recruit a national sample of diverse SMA (e.g., race and ethnicity, gender, urban vs. rural; N = 1,500) through both social media and respondent-driven sampling strategies in the first year of the project. We will follow participants for three years, incorporating the fundamental tenets of developmental psychopathology, which suggest that examining risk and protective factors for adolescents necessitates longitudinal exploration across critical stages of development. Guiding the proposal are three specific aims: Aim 1: Describe the individual and group trajectories of minority stress over time by following a national sample of SMA (N = 1,500) for 3 years. WH1: There will be differences in minority stress across adolescent development. Aim 2: Determine whether trajectories of minority stress are associated with differences in behavioral health outcomes over time. WH2.1: Trajectories of minority stress and behavioral health outcomes will be associated over time. WH2.2: Reporting higher levels of minority stress in early adolescence will be associated with poorer behavioral health outcomes in later adolescence. Aim 3: Determine whether the association between minority stress and behavioral health over time is different based on sociodemographic characteristics (e.g., urbanicity, gender, race and ethnicity). WH3: There will be significant differences in outcome trajectories by demographic subgroup. WH4: Trajectories of minority stress will be inversely associated with protective factors over time and will differ by demographic subgroup. To test our hypotheses, we propose cutting-edge longitudinal quantitative methodology including latent growth-curve modeling, which are rarely used to examine longitudinal risk among SMAs. The proposed research will be the first to determine how minority stress may influence health across adolescence, and this information can be used directly to inform clinical assessment and the development of targeted behavioral health interventions for this high-need population.

项目概要这项研究的总体目标是确定少数族裔压力的不同轨迹如何经历整个青春期可以预测 SMA 的行为健康结果。依靠既定的方法并在我们的初步工作中进行测试，我们将招募不同 SMA 的全国样本（例如，种族和民族、性别，城市与农村； N = 1,500）通过社交媒体和受访者驱动的抽样策略该项目的第一年。我们将跟踪参与者三年，将以下基本原则纳入其中：发展精神病理学，这表明检查青少年的风险和保护因素需要对发展的关键阶段进行纵向探索。指导性建议有三点具体目标：目标 1：通过遵循以下方法来描述少数群体压力随时间变化的轨迹全国 SMA 样本 (N = 1,500) 为期 3 年。 WH1：少数群体的压力存在差异青少年的发展。目标 2：确定少数群体压力的轨迹是否与随着时间的推移，行为健康结果存在差异。 WH2.1：少数群体压力和行为的轨迹健康结果将随着时间的推移而相关。 WH2.2：早期报告少数族裔压力较高青春期将与青春期后期较差的行为健康结果相关。目标 3：确定少数民族压力与行为健康之间的关联是否随着时间的推移而不同社会人口特征（例如城市化、性别、种族和民族）。 WH3：会有人口亚组的结果轨迹存在显着差异。 WH4：少数群体压力的轨迹随着时间的推移，它将与保护因素呈负相关，并且会因人口亚组而异。测试我们的假设，我们提出了尖端的纵向定量方法，包括潜在增长曲线模型，很少用于检查 SMA 之间的纵向风险。拟议的研究将是首先确定少数群体的压力如何影响整个青春期的健康，并且该信息可以直接用于为临床评估和制定有针对性的行为健康干预措施提供信息这个高需求人群。