Understanding How Adolescent Bullying Experiences Affect Traumatic Stress,Sexual Health and STI Risk among Men Who Have Sex with Men (MSM)

了解青少年欺凌经历如何影响男男性行为者 (MSM) 的创伤性压力、性健康和性传播感染风险

• 批准号: 10553263
• 负责人: Charles W Cange
• 金额: $ 14.6万
• 依托单位: DELAWARE STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-02-01 至 2023-11-01
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10553263
• 关键词: Address; Adolescence; Adolescent; Affect; Age; Anger; Anxiety; Attenuated; Coupled; Data; Distress; Ensure; Exposure to; Feedback; Feeling suicidal; Foundations; Future; Generations; Guilt; HIV risk; Health behavior; Homophobia; Individual; Individual Differences; Intervention; Intervention Studies; Intervention Trial; Interview; Life; Literature; Long-Term Effects; Measures; Mediating; Memory; Mental Depression; Mental Health; Nature; Participant; Personal Satisfaction; Post-Traumatic Stress Disorders; Prevalence; Psychosocial Factor; Public Health; Questionnaires; Recording of previous events; Research; Research Project Grants; Research Project Summaries; Respondent; Risk; Risk Behaviors; Sampling; Self Destructive Behavior; Severities; Sexual Health; Sexually Transmitted Diseases; Shame; Social support; Survey Methodology; Surveys; Symptoms; Victimization; Violence; Vulnerable Populations; associated symptom; bullying; comorbidity; coping; cyberbullying; design; experience; high school; inclusion criteria; infection risk; information gathering; male health; men; men who have sex with men; post-traumatic stress; protective factors; psychologic; psychological stressor; psychosocial adjustment; recruit; resilience; resilience factor; self esteem; sex; sexual minority stress; sexual risk behavior; social media; social stigma; stressor; survivorship; therapy development; traumatic stress; young adult

Project Summary This research project focuses on the interplay of bullying, psychological health and STIs among Men Who Have Sex with Men (MSM). Due to pervasive stigma and homophobia, this vulnerable population is often exposed to bullying during adolescence. However, research on MSM sexual health has not focused on this exposure, making is a significant gap in the literature. Defined by the CDC as a public health problem, bullying can take many forms, from intermittent teasing to physical violence. The current generation of MSM may also have been exposed to social media- based cyber-bullying. In order to adequately describe individuals’ experiences with bullying, this study will use survey methods in combination with purposive qualitative interviews. We will examine the association of exposure to bullying during adolescence with current psychological status, in particular symptoms associated with posttraumatic stress. We expect that MSM who experience bullying may subsequently evidence symptoms consistent with PTSD including intrusive memories of the bullying, uncontrollable anger, overwhelming guilt or shame, and difficulty maintaining close relationships. They may also experience depression, low self-esteem, self-destructive behavior, anxiety and suicidal ideation, which may present as part of PTSD or be comorbid with PTSD. In general, we expect that MSM subject to more extreme bullying will experience greater PTSD symptoms as well as poorer sexual health, including higher HIV risks. Individual differences in social support during and after adolescence may attenuate this relationship. Nonetheless, we hypothesize that traumatic symptoms related to bullying will have ramifications for men’s sexual health and risk behavior. If these hypothesized relationships are supported, it would point to the need for a bullying-specific intervention targeting the long-term deleterious consequences of MSM bullying.

项目摘要 该研究项目着重于欺凌，心理健康和性传播疾病的相互作用 与男人发生性关系的男人（MSM）。由于普遍的污名和同性恋恐惧症，这个脆弱 在青春期期间，人口通常会暴露于欺凌行为。但是，对MSM性的研究 健康并没有集中在这种暴露上，在文献中造成了重大差距。由 疾病预防控制中心是公共卫生问题，欺凌可以采取多种形式，从间歇性戏弄到 身体暴力。当前的MSM也可能已经接触到社交媒体 - 基于网络欺凌。为了充分描述个人在欺凌中的经历， 研究将使用调查方法与实践定性访谈结合使用。我们将 检查青少年期间欺凌与当前心理的关联 状态，特别是与创伤后压力相关的症状。我们希望MSM谁 经验欺凌可能随后证明与PTSD一致的符号 欺负欺凌，无法控制的愤怒，压倒性的内gui或羞耻的记忆，以及 很难维持密切的关系。他们也可能会遇到抑郁，自尊心低， 自我毁灭行为，动画和自杀思想，可能是PTSD的一部分或BE 与PTSD合并。通常，我们希望MSM受到更极端欺凌的影响 体验更大的PTSD症状以及性健康较差，包括更高的HIV风险。 青少年期间和之后的社会支持中的个体差异可能会削弱这一点 关系。但是，我们假设与欺凌有关的创伤性症状将具有 男性性健康和风险行为的影响。如果这些假设的关系是 受支持，这将指出需要针对长期的针对特定欺凌的干预措施 MSM欺凌的有害后果。