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.

项目概要 该研究项目的重点是欺凌、心理健康和性传播感染之间的相互作用 由于普遍存在的耻辱和恐同心理，男男性行为者 (MSM) 很容易受到伤害。 人群在青春期经常遭受欺凌，然而，针对 MSM 性行为的研究。 健康并没有关注这种暴露，这在文献中定义是一个重大差距。 疾病预防控制中心将欺凌视为一个公共卫生问题，欺凌可以采取多种形式，从间歇性的戏弄到 当前这一代 MSM 也可能接触过社交媒体—— 为了充分描述个人的欺凌经历，以下是基于网络的欺凌行为。 研究将使用调查方法与有目的的定性访谈相结合。 研究青春期遭受欺凌行为与当前心理的关系 我们期望 MSM 的状态，特别是与创伤后应激相关的症状。 经历欺凌可能随后出现与 PTSD 一致的症状，包括 对欺凌的侵入性记忆、无法控制的愤怒、压倒性的内疚或羞耻，以及 他们也可能会感到抑郁、自卑、难以维持亲密关系。 自毁行为、焦虑和自杀意念，这些可能是 PTSD 的一部分，也可能是 一般来说，我们预计 MSM 会遭受更极端的欺凌。 经历更严重的创伤后应激障碍症状以及更差的性健康，包括更高的艾滋病毒风险。 青春期期间和之后社会支持的个体差异可能会减弱这种影响 然而，我们认为与欺凌相关的创伤症状会产生。 对男性性健康和危险行为的影响。 如果得到支持，则表明有必要针对欺凌行为采取长期干预措施 MSM 欺凌行为的有害后果。