Mechanisms Underlying Sexual Minority Health Disparities in the United States

美国性少数群体健康差异的潜在机制

• 批准号: 10402389
• 负责人: Claire M Kamp Dush
• 金额: $ 29.12万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-14 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10402389
• 关键词: Adult; American; Area; Car Phone; Child; Child Welfare; Chronic; Climate; Clinical; Collection; Color; Communities; Complex; Couples; Data; Data Collection; Development; Discrimination; Economically Deprived Population; Employment; Evidence based intervention; Family; Family Research; Family dynamics; Family health status; Gender; Goals; Health; Health behavior; Individual; Institute of Medicine (U.S.); Lead; Legal; Link; Marriage; Masks; Measures; Mediating; Mediator of activation protein; Mental Depression; Mental Health; Methods; Minority; Mission; National Institute of Child Health and Human Development; National Institute on Minority Health and Health Disparities; Personal Satisfaction; Policies; Politics; Population; Process; Public Health; Race; Research; Research Personnel; Resources; Respondent; Role; Sampling; Science; Sexual Health; Stress; Survey Methodology; Surveys; Testing; Theoretical model; Time; United States; Work; aged; cisgender; community setting; community-level factor; data resource; design; diaries; emotion regulation; ethnic minority; experience; health care availability; health disparity; improved; innovation; intersectionality; lens; member; minority stress; perceived discrimination; physical conditioning; population based; protective factors; racial minority; recruit; sexual minority; sexual minority health; sexual minority health disparity; sexual minority stress; social stigma; time use

Project Summary/Abstract Families headed by sexual and gender minorities are a growing segment of the population, yet sexual and gender minority health disparities in areas including self-rated health, chronic conditions, health behaviors, and depression persist. Minority stress has been implicated as a key cause of health problems, and family functioning, emotion regulation, couple-level minority stress, and community contexts have been identified as potential mechanisms underlying these associations. Contemporary theoretical models have yet to be tested due to a lack of data, and further, this lack of data has made studies of the intersection of racial and ethnic minority stress with sexual and gender minority stress difficult. This project will produce the first population- representative, multi-method, fully-powered study of cohabiting and married sexual and gender minorities and their partners, and a comparison sample of cis-gender individuals in different-gender unions. Aim 1. Evaluate whether and how family functioning (e.g. relationship quality) mediates the negative effects of stress due to discrimination on physical and mental health and health behaviors. Aim 2. Using an experience sampling method embedded in a time-diary, examine 1) the mediating role of emotion regulation, and 2) dyadic stress processes in the association between stress and subsequent health behaviors and time-use among same- gender couples. Aim 3. Investigate the association between community-level factors including economic disadvantage, access to healthcare, and the sexual and gender minority political climate (i.e. state employment protections) and sexual and gender minorities’ physical and mental health and health behaviors. Aim 4. Determine race and ethnic health gaps among sexual [and gender] minorities and evaluate potential protective factors that may minimize these gaps. We will recruit 2690 US adults aged 18 to 60 who are cohabiting or married to same- and different-gender partners, along with their partners. The sample will include an oversample of respondents of color. Population-representative Gallup samples afford a unique and efficient opportunity to study sexual and gender minorities who are in unions via targeted sampling. Using a mobile phone application platform, we will also collect time-diary and experience sampling method data. The primary significance of this project is 1) the identification of family functioning and emotion regulation as mediators of sexual and gender minority stress due to stigma and discrimination and poor physical and psychological health and health behaviors, and 2) the collection of dyadic data that will elucidate dyadic minority stress processes. The proposed research is innovative because it is the first contemporary, population-representative study of sexual and gender minority health that includes family functioning, emotion regulation, and dyadic data and an oversample of racial and ethnic minorities. These data will help researchers better understand how to improve the health of sexual and gender minorities by illuminating potential mechanisms underlying health disparities. Data will be available to scholars across the world through ICPSR and the American Heritage Time Use Study.

项目摘要/摘要 以性别和性别少数群体为首的家庭是越来越多的人口，但性和性 在包括自我评估健康，慢性病，健康行为和 抑郁症持续。少数派压力已被暗示是造成健康问题的关键原因，家庭 功能，情绪调节，夫妇级别的少数压力和社区环境已被确定为 这些关联的潜在机制。当代理论模型尚未测试 由于缺乏数据，此外，缺乏数据已经研究了种族和种族的交集 少数派压力和性别少数派压力很困难。该项目将产生第一个人口 - 代表性，多方法，全力以赴的同居和已婚性和性别少数群体的研究 他们的伴侣，以及不同性别工会中顺式性别个体的比较样本。目标1。评估 家庭的运作（例如关系质量）是否介导了压力的负面影响 对身心健康和健康行为的歧视。目标2。使用经验抽样 嵌入到时间界的方法，检查1）情绪调节的中介作用，2）二元应力 压力与随后的健康行为之间的关联过程以及同一时间使用时间 - 性别夫妇。目标3。调查包括经济在内的社区级别因素之间的关联 劣势，获得医疗保健以及性别和性别少数政治气候（即国家就业 保护）以及性和性别少数群体的身心健康和健康行为。目标4。 确定性别（和性别）少数民族之间的种族和种族健康差距，并评估潜在的保护 可能最小化这些差距的因素。我们将招募2690名同居或同居的18至60岁的美国成年人 与同性和不同的性别伙伴以及他们的伴侣结婚。样本将包括一个 超过颜色的受访者。人口代表性的盖洛普样品提供了独特而高效的 通过有针对性的抽样来研究工会中的性和性别少数群体的机会。使用手机 电话应用程序平台，我们还将收集时间界并体验采样方法数据。主要 该项目的意义是1）识别家庭功能和情感调节作为调解人 性行为和性别少数派由于污名和歧视以及身体和心理健康状况不佳 和健康行为，以及2）收集二元数据，这些数据将阐明二元少数族裔压力过程。 拟议的研究具有创新性，因为它是当代的，人口代表性的研究 性行为和性别少数族裔健康，包括家庭功能，情绪调节和二元数据以及 过度的种族和少数民族。这些数据将帮助研究人员更好地了解如何改进 性别和性别少数群体的健康是通过阐明健康差异的潜在机制。 数据将通过ICPSR和美国遗产时间使用研究向世界各地的学者提供。