Charting Trajectories of Sexual Identity Development and Mental Health Disparities Among Sexual Minority Youth

绘制性少数青少年的性别认同发展轨迹和心理健康差异

• 批准号: 10408813
• 负责人: William James Hall
• 金额: $ 38.69万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-21 至 2025-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10408813
• 关键词: Address; Adolescence; Age; Anxiety; Area; Awareness; Calendar; Chronology; Communities; Complex; Confusion; Coping Skills; Data; Data Analyses; Depressed mood; Depression and Suicide; Development; Developmental Process; Distress; Ethnic Origin; Event; Evidence based intervention; Face; Family; Feeling suicidal; Foundations; Friends; Funding; Guidelines; Health Professional; Healthy People 2020; Heterogeneity; Homophobia; Hostility; Institutes; Intervention; Interview; Knowledge; LGBT Health; Label; Lead; Lesbian Gay Bisexual; Life Cycle Stages; Liquid substance; Literature; Major Depressive Disorder; Mental Depression; Mental Health; Methods; Modeling; Modernization; Mosaicism; Outcome; Parents; Pathway interactions; Patient Self-Report; Pattern; Persons; Population; Prevention; Process; Public Health; Race; Reaction; Recommendation; Regression Analysis; Religion and Spirituality; Reporting; Research; Resources; Risk; Sampling; Schools; Sex Orientation; Sexual Health; Shame; Social Environment; Societies; Stigmatization; Stress; Suicide; Suicide attempt; Techniques; Technology; Testing; Time; United States National Institutes of Health; Variant; Visual; Voice; Youth; base; clinical practice; combat; data visualization; emotional experience; ethnic identity; evidence based guidelines; experience; gender minority group; health data; health disparity; innovation; interest; life history; non-heterosexual; peer; prevent; queer; racial and ethnic; recruit; satisfaction; self esteem; sexual identity; sexual minority; sexual minority youth; social media; social stigma; social stress; statistics; success; theories; trend

Project Summary/Abstract This R01 application responds to the National Institutes of Health Notice of Special Interest in Research on the Health of Sexual and Gender Minority (SGM) Populations (NOT-MD-19-001). Sexual minority youth (SMY) face a number of mental health disparities, including high rates of depression and suicidality. Sexual minority identity development includes several key milestones (e.g., becoming aware of non-heterosexual attractions, questioning one’s sexual orientation, self-identifying as a sexual minority, and coming out to others) that typically occur during adolescence. Challenging experiences that occur during the sexual identity development process related to social stigma and stress likely contribute to mental health problems for this population; however, this area has been understudied and is poorly understood. To address critical gaps and limitations in this area, this project aims to: (1) Identify common patterns and heterogeneity in sexual identity development milestones among contemporary SMY; (2) Determine the extent to which sexual identity development relates to mental health problems (i.e., depression and suicidality) among SMY; and (3) Identify coping strategies and resources used by SMY to navigate stressful milestone experiences. To accomplish these aims, we will recruit a diverse sample of 315 SMY who will complete a one-time interview that will include life history calendars, which is an innovative method used to collect retrospective life-course data. Life history calendars will capture mixed-methods data about the sexual minority identity development process and mental health problems during adolescence. Analyses will include descriptive statistics, latent profile analysis, regression modeling, qualitative content analysis, and data visualization techniques. This project will result in (1) a rich and nuanced understanding of a complex and dynamic developmental process—sexual identity development among contemporary SMY, (2) identification of which milestones involve distressing experiences for SMY, (3) understanding why certain milestones are distressing and how these events may be associated with depression and suicidality, and (4) a framework of coping strategies and resources used by SMY to cope with stress during identity development.

项目摘要/摘要 该R01申请回应了美国国立卫生研究院的特殊兴趣研究通知 性别和性别少数民族（SGM）人口的健康（非MD-19-001）。性少数青年（SMY） 面临许多心理健康差异，包括高抑郁症和自杀率。性少数群体 身份发展包括几个关键里程碑（例如，意识到非异性恋景点， 质疑一个人的性取向，自我认同为性少数群体，并向他人出来） 通常发生在青少年期间。在性认同发展期间发生的挑战经历 与社会污名和压力相关的过程可能会导致该人群的心理健康问题； 但是，该领域已被理解，并且知之甚少。解决关键差距和限制 该领域，该项目的目的是：（1）确定性认同发展中的共同模式和异质性 当代史密斯的里程碑； （2）确定性认同发展与 SMY中的心理健康问题（即抑郁症和Suicida）； （3）确定应对策略和 SMY用来浏览压力大的里程碑经验的资源。为了实现这些目标，我们将招募 315 SMY的不同样本将完成一次一次性面试，其中将包括生活历史日历， 这是一种用于收集回顾性生活过程数据的创新方法。人生历史日历将捕获 有关性少数群体身份发展过程和心理健康问题的混合方法数据 青少年。分析将包括描述性统计，潜在概况分析，回归建模， 定性内容分析和数据可视化技术。该项目将导致（1）富裕而细微的 了解复杂而动态的发展过程 - 之间的性格发展 当代史密斯（2）识别哪些里程碑涉及SMY的令人痛苦的经历，（3） 了解为什么某些里程碑令人沮丧，以及这些事件如何与抑郁症相关 和自杀性，以及（4）SMY用来应对压力的框架 身份发展。