Investigating the validity and equivalence of the measurement of minority stress in predicting substance use among SGM individuals

研究少数民族压力测量在预测 SGM 个体物质使用方面的有效性和等价性

• 批准号: 10332588
• 负责人: Annesa Flentje
• 金额: $ 10.03万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-30 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10332588
• 关键词: Accounting; Address; Age; Aging; Bisexual; Data; Development; Dimensions; Exposure to; Gays; Gender; Gender Identity; Geographic Locations; Goals; Health; Health behavior; Homophobia; Homosexuals; Individual; Lesbian; Lesbian Gay Bisexual Transgender Queer; Life; Longitudinal cohort study; Measurement; Measures; Mental disorders; Methodology; Minority; Minority Groups; Modeling; Nebraska; Parents; Participant; Persons; Population; Prejudice; Publishing; Race; Research; Research Personnel; Risk; Risk Assessment; Sampling; Sex Orientation; Sexual and Gender Minorities; Socioeconomic Status; Strategic Planning; Stress; Structure; Subgroup; Testing; Time; Validation; asexual; cisgender; expectation; gender minority; instrument; intersectionality; minority health; multidisciplinary; non-heterosexual; pansexual; physical conditioning; queer; sexual minority; social stigma; substance use; suicidal risk; transfeminine; transmasculine; validation studies

PROJECT SUMMARY/ABSTRACT Sexual and gender minority (SGM) individuals have higher rates of substance use, mental health disorders, and some physical health conditions. A predominant model for understanding the greater rates of these health conditions among SGM people is the minority stress model, which suggests that increased exposure to enacted and internalized stigma, expectations of prejudice, and identity concealment place additional stress burden on SGM people. Unfortunately, the replicability and rigor of this research is threatened by a lack of validity evidence for the measurement of key minority stress constructs. This is especially problematic for SGM subgroups (e.g., asexual, bisexual, pansexual, queer, non-binary, transfeminine, and transmasculine individuals) and across intersecting identities (e.g., age, race, socioeconomic status, and geographic region) for which the few commonly used measures that exist to measure minority stress are assumed to generalize without adequate validation and measurement invariance testing. This study will address this major methodological gap in SGM health research by establishing validity evidence and measurement equivalence for 3 commonly used measures of minority stress: The Internalized Homophobia Scale- Revised (IHS-R), The Nebraska Outness Scale, and the Minority Stress subscales of the Cultural Assessment of the Risk for Suicide. We will do this by investigating the: convergent and discriminant validity, measurement invariance across SGM subpopulations and intersecting identities and over time, and predictive validity of these measures in explaining substance use across these subpopulations and intersecting identities. This study will lay the groundwork for rigorous and replicable SGM health research.

项目摘要/摘要 性和性别少数民族（SGM）个体的药物使用率较高，心理健康障碍以及 一些身体健康状况。一个主要的模型，用于了解这些健康的较高率 SGM人员的条件是少数派压力模型，这表明增加了颁布的暴露 内在的污名，对偏见的期望以及身份隐瞒给额外的压力负担增加 SGM人。不幸的是，这项研究的复制性和严格性受到缺乏有效证据的威胁 为了测量关键的少数族裔压力构造。这对于SGM子组尤其有问题（例如 无性恋，双性恋，pansexual，酷儿，非二进制，跨妇女和跨性别的个体）以及跨越 相交的身份（例如，年龄，种族，社会经济地位和地理区域）通常是少数 假定存在用于衡量少数族裔压力的措施可以概括而没有充分验证和 测量不变性测试。 这项研究将通过建立有效性证据来解决SGM健康研究中的这一主要方法论差距 3种常用的少数压力措施的测量等效性：内部恐同症 规模修订（IHS-R），内布拉斯加州的外向量表和文化的少数压力分量表 评估自杀风险。我们将通过调查以下以下方式来做到这一点：收敛性和判别有效性， 跨SGM亚群和相交的身份以及随着时间的流逝和预测性的测量不变性 这些措施在解释这些亚群和相交身份的物质使用方面的有效性。 这项研究将为严格且可复制的SGM健康研究奠定基础。