Substance Use Disparities among Transgender Youth

跨性别青少年的药物使用差异

基本信息

批准号：
8967009
负责人：
Deena Chisolm
金额：
$ 19.72万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-09-15 至 2017-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8967009
关键词：
Administrative Supplement Adolescence Adolescent Adult Alcohol or Other Drugs use Anxiety Appearance Biological Birth Caring Communities Consensus Data Depression and Suicide Development Developmental Process Diagnostic Evidence based intervention Family Female Foundations Friends Fright Funding Gays Gender Glare Goals Grant HIV risk Health Health Sciences Healthcare Heterosexuals Homophobia Individual Institute of Medicine (U.S.)Interview Lesbian Gay Bisexual Literature Longitudinal Studies Measures Mediating Mediator of activation protein Mental Depression Mental Health Minority Modeling National Institute of Drug Abuse Outcome Paper Parents Pattern Peer Review Persons Pilot Projects Prejudice Prevention program Process Puberty Public Health Publishing Recruitment Activity Reporting Research Risk Risk Behaviors Seminal Site Social isolation Stress Substance abuse problem Suicide Teenagers Time Underserved Population Victimization Work Youth adolescent substance use base behavioral health bullying design experience gender transition health disparity heuristics improved innovation intervention program male peer public health relevance sex stressor theories therapy development tool transgender young adult

项目摘要

DESCRIPTION (provided by applicant): The overarching goal of this study is to recruit transgender youth (TGY; youth who feel that their true gender is different than their biological sex at birth) into a longitudinal study and examine substance use and associated mental health disparities. This is a very nascent field. To date there are only a handful of within- group descriptive studies reporting high rates of substance use and mental health problems among TGY (Garofalo et al., 2006; Grossman & D'Augelli, 2006), and these studies are largely focused on older teenagers and young adults and male-to-female TGY. In addition, there are only two peer-reviewed disparities studies in the literature (comparing TGY to non-TGY) and both were published within the past year (Reisner et al., 2014, Fergusson et al., 2014). Results from these studies showed that compared with non-TGY, TGY are at increased risk for substance use, depression, anxiety, and suicidality. Yet these seminal studies are limited by their cross-sectional design, absence of measures that can describe and understand transgender-related identity and developmental processes, and other important assessment tools such as face-to-face psychiatric diagnostic interviews and information regarding transgender healthcare access. Thus the primary and overarching goal of this study is to begin to explore and fill these gaps in the adolescent literature. Our specific aims are: (1) to identify and describe substance use and associated mental and behavioral health problems (e.g., depression, suicidality, HIV risk behavior) over time among TGY; and (2) to identify and examine explanatory mechanisms (risk and protective factors) of substance use disparities among TGY (e.g., victimization, social isolation, depression, family and friend support). Currently, there are no evidence-based interventions to guide TGY and families through gender transition care. Findings from this study will provide important preliminary data to inform clinicians working with TGY and will guide the development of an intervention for TGY to promote positive outcomes during the process of transitioning.

描述（由适用提供）：这项研究的总体目标是招募跨性别青年（TGY；认为自己的真正性别与出生时的生物学性别不同）进行了纵向研究，并检查了药物使用以及相关的心理健康差异。这是一个非常新生的领域。迄今为止，只有少数小组描述性研究报告了TGY中的物质使用和心理健康问题的高率（Garofalo等，2006； Grossman＆D'Augelli，2006），这些研究主要集中在老年青少年和年轻人，年轻人和年轻人和男性到女性的TGY上。此外，文献中只有两项同行评审的差异研究（比较TGY与非tgy），并且两者都在过去一年中发表（Reisner等，2014； Fergusson等，2014）。这些研究的结果表明，与非tgy相比，TGY具有使用物质，抑郁，焦虑和自杀的风险增加。然而，这些第二项研究受到其横断面设计的限制，缺乏可以描述和理解翻译相关的身份和发展过程的测量值以及其他重要的评估工具，例如面对面的精神诊断访谈以及有关跨性别医疗保健访问的信息。这项研究的主要和总体目标是开始探索和填补青少年文献中的这些空白。我们的具体目的是：（1）随着时间的流逝，识别和描述与精神和行为健康问题（例如抑郁，自杀，艾滋病毒风险行为）的相关性和行为健康问题；（2）识别和检查TGY（例如胜利，社会隔离，抑郁，家人和朋友支持）中物质使用差异的利用机制（风险和受保护因素）。目前，没有循证干预措施可以通过性别过渡护理指导TGY和家庭。这项研究的结果将提供重要的初步数据，以告知与TGY合作的临床医生，并指导开发TGY在过渡过程中促进积极结果的干预措施。