Trajectories of intimate partner violence among sexual minority youth

性少数青少年中亲密伴侣暴力的轨迹

• 批准号: 10420906
• 负责人: Jeremy Thomas Goldbach
• 金额: $ 68.72万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-19 至 2027-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10420906
• 关键词: Academy; Address; Adolescence; Adult; Advisory Committees; Age; Anxiety; Area; Attention; Attenuated; Behavior; Characteristics; Cities; Cross-Sectional Studies; Development; Emotional; Ethnic Origin; Etiology; Failure; Female; Forcible intercourse; Frequencies; Friends; Future; Gays; Gender; Gender Identity; Geography; Goals; Health; Heterosexuals; High Prevalence; Homelessness; Hybrids; Individual; Intervention; Lesbian; Lesbian Gay Bisexual Transgender; Literature; Longitudinal Studies; Measurement; Measures; Medicine; Mental Depression; Mental Health; Methods; Outcome; Participant; Pattern; Population; Psychopathology; Public Health; Race; Reporting; Research; Respondent; Risk; Sampling; Science; Services; Severities; Sexual and Gender Minorities; Sexuality; Social support; Time; United States National Institutes of Health; Verbally abusive behavior; Victimization; Violence; Work; base; behavioral health; cohort; demographics; emotional abuse; epidemiology study; experience; gender minority group; help-seeking behavior; intimate partner violence; lens; male; minority stress; peer; perpetrators; physical abuse; prospective; protective factors; psychologic; recruit; resilience; role model; sexual assault; sexual minority; sexual minority group; sexual minority youth; social media; stress resilience; substance use; violence perpetration; violence victimization

Project Summary Sexual minority adolescents (SMA; ages 13-17) experience higher rates of intimate partner violence (IPV) than their heterosexual peers, including being more likely to experience psychological and physical abuse, 9-11 and being four times more likely to experience rape. 12 However, this emerging body of literature has a number of significant limitations. First (Aim 1), studies have largely failed to look beyond victimization of IPV and have not measured IPV perpetration among SMA. Second (Aim 1), studies of IPV among SMA have approached SMA as a homogenous group and have not identified within-group differences in SMAs' experience of IPV, including by race, ethnicity, gender identity, or urbanicity. Research has been inconclusive in these regards, making hypotheses difficult, 13-20 although differences may inform intervention. Third (Aim 2), identified associations between the experience of IPV and negative health outcomes (i.e. mental health symptomology, substance use, homelessness) are largely cross-sectional: the temporal relationships between IPV and behavioral health for SMA across adolescence remains unclear. 21 Fourth (Aim 3), almost nothing is known of the unique etiological factors that influence IPV experiences for SMA. While cross-sectional studies have identified relationships between sexuality-based minority stress 22 and sexual assault, 13, 23-26 the prospective literature is nearly nonexistent. Finally (Aim 3), even less is known about how SMA-specific protective factors (such as access to LGBT-friendly services) 27-28,29-33 may attenuate IPV trajectories. In general, the only longitudinal studies of IPV among SMA to date are limited by (a) the inclusion of violence only in the context of dating; (b) a failure to assess perpetration or bidirectional IPV; (c) a reliance on single-city urban samples largely composed of adults (18+); and (d) the inclusion of no, or limited, measures of minority stress and resilience. We propose to address these limitations, and to explain the prospective relationships between IPV experiences (including victimization and perpetration), risk and resilience factors, and other behavioral health outcomes in a diverse cohort of SMA (ages 13–17 at baseline). We rely on methods refined in our prior work (1R01MD012252) to recruit a national sample of diverse SMA (i.e., race and ethnicity, gender, urbanicity; N = 1,500) through a hybrid social media and respondent-driven sampling strategy. We will follow participants for 36 months. Proposed by established MPIs (Goldbach, Stephenson), Co-Is (Rhoades, Schrager), and a biostatistician (Mamey) in this area, 39-44 our efforts are centered on identifying targets for future interventions to reduce the significant burden of IPV carried by this population.

项目摘要 性少数青少年（SMA； 13-17岁）经历的亲密伴侣暴力（IPV）比 他们的异性恋同龄人，包括更有可能遭受心理和身体虐待，9-11和 体验强奸的可能性要高四倍。 12然而，这种新兴的文学体有许多 重大限制。首先（AIM 1），研究基本上未能超越IPV的胜利，并且没有 测量的SMA中的IPV进行了测量。第二（AIM 1），对SMA的IPV研究已接近SMA 作为一个同质群体，尚未确定SMAS的IPV经验的组内差异，包括 按种族，种族，性别认同或城市化。在这些问题中，研究尚无定论，使得 假设困难，13-20，尽管差异可能会导致干预。第三（AIM 2），确定的关联 在IPV的经验和负面健康结果之间（即心理健康症状，药物使用， 无家可归）是横截面：IPV与行为健康之间的临时关系 整个青少年的SMA仍不清楚。 21第四（AIM 3），几乎什么都不知道独特的病因 影响SMA IPV体验的因素。而横断面研究已经确定了关系 在基于性取向的少数民族压力和性侵犯之间，13，23-26前瞻性文献几乎是 不存在。最后（AIM 3），甚至更少了解SMA特定保护因素（例如访问 LGBT友好型服务）27-28，29-33可能会衰减IPV轨迹。通常，IPV的唯一纵向研究 迄今为止的SMA受到（a）仅在约会的背景下包含暴力的限制； （b）未能评估 持续性或双向IPV； （c）提醒单城市样本主要由成年人组成（18+）； （d）包括少数族裔压力和韧性的NO或有限的措施。我们建议解决这些问题 局限性，并解释IPV体验之间的潜在关系（包括胜利和 犯罪），风险和弹性因素以及SMA的潜水员队列中的其他行为健康结果（年龄） 基线时13-17。我们依靠在先前工作（1R01MD012252）中精炼的方法来招募国家样本 通过混合社交媒体和 响应驱动的采样策略。我们将关注参与者36个月。由既定的MPI提出的 （戈德巴赫，斯蒂芬森），Co-IS（Rhoades，Schrager）和该领域的生物统计学家（Mamey），39-44我们的努力 以确定未来干预措施的目标为中心，以减少IPV的大量伯恩（IPV） 人口。