The Role of Intersectional Stigma and Social Anxiety in Substance Use and HIV Risk for Young Men of Color

交叉耻辱和社交焦虑在有色人种年轻男性的药物使用和艾滋病毒风险中的作用

• 批准号: 10436821
• 负责人: Jorge Luis Cienfuegos Szalay
• 金额: $ 0.53万
• 依托单位: HUNTER COLLEGE
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-06-16 至 2022-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10436821
• 关键词: AIDS prevention; Accounting; Address; Adolescence; Behavior Therapy; Biological; Black race; Chronic; Clinical; Complement; Complex; Consumption; Development; Discrimination; Disease; Distress; Exposure to; Face; Fostering; Foundations; Fright; Gender; Goals; HIV; HIV Infections; HIV risk; Health; Health behavior; Heterosexuals; High Prevalence; Individual; Individual Differences; Infection; Investigation; Latino; Literature; Measures; Mediation; Outcome; Parents; Persons; Play; Predisposition; Prejudice; Prevalence; Prevention; Psychological Theory; Psychologist; Publishing; Reporting; Research; Research Training; Risk; Risk Behaviors; Role; Scientist; Sexuality; Social Anxiety Disorder; Social Change; Social Development; Solid; Statistical Data Interpretation; Stigmatization; Substance Use Disorder; Substance abuse problem; Testing; Training; Work; aged; anxious; condomless anal sex; design; diaries; emerging adulthood; expectation; experience; high risk; improved; intersectionality; men of color; minority stress; negative affect; non-heterosexual; peer; perceived discrimination; pressure; preventive intervention; psychologic; psychosocial; public health relevance; sexual minority; sexual minority men; skills; social; social anxiety; social culture; social stigma; substance use; theories; transmission process; young man

PROJECT SUMMARY/ABSTRACT Young sexual minority men (YSMM) aged 16-29 are at increased risk of acquiring HIV. YSMM who find themselves in the period of adolescence and emerging adulthood face many physical and psychosocial changes, including potential experiences of discrimination and prejudice due to their sexual minority identity (i.e., minority stress). These experiences in turn may increase their susceptibility to engage in negative health behaviors that place them at higher risk of acquiring HIV, such as substance use and condomless anal sex (CAS). Emerging adulthood has also been found to be the period with the highest reported substance use, and sexual minorities engage in more substance use compared to their heterosexual peers. Furthermore, higher levels of substance use have been associated with higher engagement in CAS. However, while minority stress has been used to understand these disparities, this alone does not explain why Black and Latino YSMM experience an even higher risk of acquiring HIV compared to their White peers despite reporting overall less risky health behaviors. A growing body of literature has begun to highlight intersectional stigma–a form of stigma caused by one's interlocking marginalized identities–as a cause for this disparity. Additionally, research on the underlying mechanisms between intersectional stigma and negative health risk behaviors are understudied, but empirical work suggests social anxiety may play a role in this association. Sexual minorities have been found to meet criteria for social anxiety disorder at higher rates than their heterosexual counterparts, and minority stress has been hypothesized to be a driver of this given the hypervigilance and expectations of rejection these experiences instill on sexual minorities. However, both the prevalence and effects of social anxiety on the negative health behaviors that increase risk of acquiring HIV among Black and Latino YSMM are understudied. Therefore, building off minority stress theory and intersectionality framework, the primary goal of this Diversity-F31 study is to examine the association between intersectional stigma, substance use, and CAS among Black and Latino YSMM, and assess for the role of social anxiety symptomology in these associations. The study focuses on two aims: (1) examine if Black and Latino YSMM who experience clinically elevated levels of social anxiety have stronger associations between experiences of intersectional stigma, substance use, and CAS; and (2) examine the mechanistic role of daily socially anxious symptomology at the within-person level in the association between daily experiences of intersectional stigma, substance use, and CAS. The proposed project will be embedded into a larger daily diary study of intersectional stigma among YSMM (R21-MH121311, PI: Rendina). The proposed project will add daily measures of social anxiety. The research and training plans proposed for this project are also designed to foster my development as a health psychologist and clinical scientist with a solid foundation in intersectional stigma, substance use, HIV treatment and prevention, and social anxiety among Black and Latino YSMM.

项目摘要/摘要 16-29岁的年轻性少数民族男性（YSMM）患HIV的风险增加。是的 在青少年和新兴成年时期，他们自己面临着许多身体和社会心理 变化，包括由于其性少数派的潜在歧视和偏见的经历 （即少数派压力）。这些经历反过来可能会增加他们从事负面健康的敏感性 使他们处于获取艾滋病毒的风险的较高风险，例如使用物质和无避孕套肛交 （CAS）。还发现新兴成年是报告的最多使用物质的时期，并且 与异性恋同龄人相比，性少数群体从事更多的物质使用。此外，更高 使用物质的水平与CAS的较高参与度有关。但是，少数派压力 已被用来理解这些分布，仅此一项并不能解释为什么黑人和拉丁裔YSMM 与白人同龄人目的地相比，收购艾滋病毒的风险更高，总体上报告较少 风险的健康行为。越来越多的文献已经开始突出相交的污名 - 一种形式 污名是由一个人的互锁身份引起的，这是造成这种差异的原因。另外，研究 关于交叉污名和负面健康风险行为之间的基本机制是 研究了，但经验工作表明，社交动画可能在这种关联中发挥作用。性少数群体 已发现以比其异性恋更高的率符合社交焦虑症的标准 考虑到过度维护和 对拒绝的期望，这些经历灌输了性少数群体。但是，患病率和 社交焦虑对负面健康行为的影响，这些行为增加了黑人和黑人的艾滋病毒的风险 Latino YSMM被理解。因此，建立少数族裔压力理论和交叉性框架， 这项多样性F31研究的主要目标是检查交叉污名之间的关联， 药物使用，在黑人和拉丁裔YSMM中使用CAS，以及评估社交动画的作用 这些关联中的症状。该研究的重点是两个目标：（1）考试如果黑色和拉丁裔YSMM进行 在临床上升高的社交动画水平的人之间具有更强的联系 交叉污名，物质使用和CAS； （2）检查日常社会焦虑的机械作用 在人际关系水平上的症状学在每日交叉污名之间的关联中， 物质使用和cas。拟议的项目将嵌入到更大的每日日记研究中 YSMM（R21-MH121311，PI：RENDINA）之间的交叉污名。拟议的项目将每天增加 社交焦虑措施。该项目提出的研究和培训计划也旨在 促进我作为健康心理学家和临床科学家的发展，并在交叉路口扎实地基础 黑人和拉丁裔YSMM中的污名，药物使用，艾滋病毒治疗和预防以及社交动画。