Developing a Toolkit for Transgender and Gender Diverse-Affirming Health Communication: A Community-Based Participatory Research Partnership Approach

开发跨性别和性别多元化健康传播工具包：基于社区的参与性研究伙伴关系方法

• 批准号: 10286439
• 负责人: Erica Ciszek
• 金额: --
• 依托单位: UNIVERSITY OF NEBRASKA KEARNEY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-01 至 2021-10-03
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10286439
• 关键词: Address; Anxiety; Attention; Awareness; Cardiovascular Diseases; Caring; Characteristics; Collaborations; Colorectal Cancer; Communication; Communities; Community Health; Coupled; Data Analyses; Development; Diabetes Mellitus; Educational workshop; Effectiveness; Elements; Exclusion; Face; Feedback; Focus Groups; Funding; Future; Gender; General Population; Goals; Great Plains; Health; Health Campaign; Health Promotion; Health Services Accessibility; Health system; Healthcare; High Prevalence; Individual; Intervention; Interview; Malignant neoplasm of cervix uteri; Manuals; Mental Depression; Methodology; Mind; Minority Groups; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Outcome; Perception; Persons; Population; Population Heterogeneity; Prevention; Process; Public Health; Recording of previous events; Replication-Associated Process; Research; Risk; Self Perception; Series; Stigmatization; Substance abuse problem; Suicide attempt; Techniques; Testing; barrier to care; base; behavioral health; cardiovascular disorder risk; cisgender; community based participatory research; design; distrust; health communication; health disparity; health disparity populations; health inequalities; innovation; interest; marginalized population; member; multidisciplinary; physical conditioning; resilience; tailored messaging; tool; transgender; underserved area

Abstract Message tailoring in public health campaigns is especially important in health disparate minority populations, such as transgender and gender diverse (TGD) people, that often have barriers to care that include distrust of the health system, societal stigmatization, and financial barriers. TGD health disparities include, for example, elevated rates of diabetes, cardiovascular disease, anxiety, depression, and substance abuse compared to rates for cisgender populations. Furthermore, the TGD population is subjected to societal exclusion and negative public perception that contributes to exacerbating these problems. However, little to no attention is paid to TGD populations when designing health promotion campaigns for conditions for which this population has elevated risk, even though the effectiveness of such campaigns is well-documented for the general population. Health promotion messaging that can engage TGD people in needed care and prevention activities is an essential tool in addressing their health disparities. However, launching specific health promotion campaigns for a host of health conditions in health disparate populations, such as TGD communities, is not feasible due to the volume of specific conditions needing to be addressed individually. Furthermore, national health promotion campaigns with TGD populations in mind can still fail to reach TGD communities in the Central Great Plains because they do not match the lived reality of this region with the compounding issues of high stigmatization, and less access to care than in coastal regions. To overcome these challenges, this project will use a community-based participatory research network to build a TGD-affirming toolkit for health communicators to use to tailor messages to this community with the following specific aims: 1) Identify and explore potential barriers to care generated through non-TGD tailored health communication aimed at Type 2 diabetes, anxiety and depression, colorectal cancer, substance abuse, and cervical cancer. Through a series of interviews with TGD individuals in the Central Great Plains and national TGD content creators, the impact of both non-TGD specific and TGD-specific health messages will be explored. Qualitative and critical cultural analyses coupled with iterative feedback from community and national boards will generate a preliminary toolkit of TGD-affirming principles for health communication. 2) This toolkit will then be tested through an innovative dialogic workshop in which health communication professionals apply the toolkit to a health promotion campaign and share it with TGD community members, and communication professionals who identify as TGD, ending with any needed revisions of the toolkit. The multidisciplinary Trans Collaborations research team has a successful history of federal funding and producing innovative outcomes that have significant scientific and community impact. The well-established Local Community and National Advisory Boards inform all projects. Development of a community-informed toolkit for TGD-affirming health messaging is another step on our long term goal of addressing TGD health disparities in underserved areas.

抽象的 公共卫生运动中的信息定制对于健康状况不同的少数群体尤为重要， 例如跨性别者和性别多样化 (TGD) 人士，他们通常在护理方面存在障碍，包括对他人的不信任 卫生系统、社会耻辱和经济障碍。 TGD 健康差异包括，例如： 与其他人相比，糖尿病、心血管疾病、焦虑、抑郁和药物滥用的发生率升高 顺性别人群的比率。此外，TGD 人群受到社会排斥和 公众的负面看法加剧了这些问题。然而却很少有人关注 在针对 TGD 人群的情况设计健康促进活动时向该人群支付的费用 尽管此类活动的有效性对于一般人来说是有据可查的，但风险却很高 人口。健康促进信息可以让 TGD 人群参与所需的护理和预防活动 是解决健康差异的重要工具。然而，开展具体的健康促进 针对健康状况不同的人群（例如 TGD 社区）的一系列健康状况开展的运动并不是 由于需要单独解决大量具体情况，因此是可行的。此外，国家 考虑到 TGD 人群的健康促进活动仍然无法覆盖到 TGD 社区 中部大平原，因为它们与该地区的生活现实和复杂的问题不相符 与沿海地区相比，污名化程度较高，获得护理的机会较少。为了克服这些挑战，这 该项目将利用基于社区的参与性研究网络来构建 TGD 确认健康工具包 传播者用于根据以下具体目标为该社区定制消息：1) 识别和 探索针对 2 型患者的非 TGD 定制健康沟通所产生的潜在护理障碍 糖尿病、焦虑和抑郁、结直肠癌、药物滥用和宫颈癌。通过一系列 对中部大原地区 TGD 人士和全国 TGD 内容创作者的采访， 将探讨非 TGD 特定和 TGD 特定健康信息。定性和批判性文化 分析加上社区和国家委员会的反复反馈将产生初步的结果 TGD 工具包——确认健康传播原则。 2) 然后，该工具包将通过 创新对话研讨会，健康传播专业人员将工具包应用于健康领域 推广活动并与 TGD 社区成员和传播专业人士分享 标识为 TGD，以工具包所需的任何修订结束。多学科交叉合作 研究团队拥有联邦资助和产生创新成果的成功历史 重大的科学和社会影响。完善的当地社区和国家咨询 董事会通知所有项目。开发一个社区知情工具包，用于确认 TGD 健康信息 这是我们解决服务欠缺地区 TGD 健康差距这一长期目标的又一步。