Developing Prevention Strategies for Stigmatized Women

为受侮辱的妇女制定预防策略

• 批准号: 7418613
• 负责人: KIMBERLY FERN BALSAM
• 金额: $ 16.41万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-05-10 至 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7418613
• 关键词: Address; Adult; Alcohols; Anxiety; Area; Attitude; Award; Behavior; Bisexual; Communities; Comorbidity; Competence; Data; Development; Diagnostic; Discrimination; Distress; Drug abuse; Drug usage; Education; Evaluation; Exposure to; Face; Feedback; Funding; Goals; Health; Heterosexuals; Individual; Intermediate Variables; Intervention; Left; Lesbian; Life Stress; Link; Literature; Measures; Mediating; Mediator of activation protein; Mental Depression; Mental Health; Mental disorders; Mentored Research Scientist Development Award; Mentorship; Minority; Modeling; Nature; Numbers; Obesity; Outcome; Participant; Pharmaceutical Preparations; Phase; Population; Post-Traumatic Stress Disorders; Prevalence; Prevention; Prevention strategy; Preventive Intervention; Process; Psychological Stress; Public Health; Randomized Controlled Trials; Rate; Recruitment Activity; Reporting; Research; Research Design; Research Personnel; Research Training; Risk; Risk Behaviors; Risk Factors; Sampling; Smoke; Smoking; Social support; Stress; Surveys; Symptoms; Testing; Training; Training and Education; Victimization; Washington; Woman; base; career; coping; design; ethnic minority population; experience; innovation; member; peer; prevent; provider intervention; psychological distress; skills; stressor; therapy design; therapy development

DESCRIPTION (provided by applicant): This Mentored Research Scientist Development Award (K01) will provide the education and skills that I need to make an important and significant transition in my career. Through the training and research experiences under this award, I will transition from conducting descriptive survey research on risk factors for health problems to developing and testing interventions to address these problems. Sexual minority women (SMW; lesbians, bisexual women, and other women who partner with women) are an understudied and underserved group, at risk for multiple health and mental health problems compared to their heterosexual peers. Research suggests that these women face unique minority stressors (e.g., discrimination, victimization, rejection) that are associated with negative health outcomes (mental health disorders, alcohol and drug abuse, smoking, and obesity-related behaviors). However, virtually no research exists on strategies to reduce the impact of minority stressors and thereby prevent mental health disorders and health risk behaviors among SMW. In order to do so, it is necessary to identify mediators and moderators in the relationship between minority stressors and health outcomes. These intermediate variables may be the target of prevention efforts. Furthermore, while the majority of studies on SMW focus on white samples, there is evidence that ethnic minority SMW face additional stressors and health risks that might benefit from targeted intervention. My long-term career goal is to develop and test the efficacy of community-based interventions to prevent health problems in ethnically diverse sexual minority adults. This will require additional education, training and mentorship in several areas: (1) intervention development and evaluation, (2) public health and community-based interventions, (3) cultural competence in research with ethnic minority populations (4) comorbidity of mental health disorders and health risk behaviors. In addition to the training plan, this application also outlines a research plan that will further support my transition into an independent, NIH-funded investigator. This research will comprise 3 phases: (1) conducting a survey to test the relationships between risk and protective factors and health outcomes among ethnically diverse SMW; (2) using survey data and existing literature to develop a preventive intervention for SMW and obtaining feedback on the proposed intervention from providers and community members; and (3) conducting a community-based randomized controlled trial of the intervention. Data gathered in each of these phases will directly support a subsequent RO1 application in which I aim to test the efficacy of an intervention designed to prevent mental disorders and health risk behaviors in SMW.

描述（由申请人提供）：这一指导的研究科学家发展奖（K01）将提供我需要在职业生涯中进行重要而重要的过渡的教育和技能。通过该奖项下的培训和研究经验，我将从进行有关健康问题的风险因素的描述性调查研究转变为开发和测试干预措施以解决这些问题。与异性恋同龄人相比，性少数妇女（SMW；女同性恋，双性恋妇女和与妇女合作的其他妇女）是一个研究且服务不足的群体，面临多种健康和心理健康问题的风险。研究表明，这些妇女面临与负面健康结果（精神健康障碍，酒精和吸毒，吸烟以及与肥胖相关的行为）相关的独特少数族裔压力源（例如歧视，受害，拒绝）。但是，几乎没有关于减少少数压力源影响的策略的研究，从而防止了SMW中的心理健康障碍和健康风险行为。为了做到这一点，有必要在少数派压力源与健康成果之间的关系中识别介体和主持人。这些中间变量可能是预防工作的目标。此外，尽管大多数有关SMW的研究都集中在白色样本上，但有证据表明，少数民族SMW面临额外的压力源和健康风险，可能受益于有针对性的干预措施。我的长期职业目标是开发和测试基于社区的干预措施的功效，以防止种族多样化的少数民族成年人的健康问题。这将需要在多个领域进行额外的教育，培训和指导：（1）干预发展和评估，（2）公共卫生和基于社区的干预措施，（3）与少数民族人口的研究中的文化能力（4）精神健康障碍和健康风险行为的合并症。除了培训计划外，该应用程序还概述了一项研究计划，该计划将进一步支持我过渡到独立的NIH资助的研究者。这项研究将构成3个阶段：（1）进行一项调查，以测试种族多样性SMW之间风险与保护因素与健康结果之间的关系； （2）使用调查数据和现有文献来开发用于SMW的预防性干预，并从提供者和社区成员就拟议的干预措施中获得反馈； （3）进行干预的基于社区的随机对照试验。这些阶段中每个阶段收集的数据将直接支持随后的RO1应用，我旨在测试旨在预防SMW中精神疾病和健康风险行为的干预措施的功效。