Intersectional Stigma, Mental Health, and HIV Risk Among US Gay and Bisexual Men of Color

美国有色人种同性恋和双性恋男性的交叉耻辱、心理健康和艾滋病毒风险

基本信息

批准号：
10228712
负责人：
Skyler Jackson
金额：
$ 16.75万
依托单位：
YALE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-08-05 至 2024-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10228712
关键词：
AIDS prevention Acquired Immunodeficiency Syndrome Address Adopted Area Attention Automobile Driving Award Behavior Bisexual Buffers Clinical Trials Collaborations Color Communities Data Demographic Factors Diagnosis Disadvantaged Doctor of Philosophy Elements Epidemic Epidemiologic Methods Evidence based intervention Feedback Foundational Skills Future Gays Gender Geographic Factor Geography Goals Grant Group Therapy HIV HIV Infections HIV diagnosis HIV risk Health Homophobia Individual Interdisciplinary Study Intervention Intervention Studies Intervention Trial Interview Joints Knowledge Latino Learning Link Literature Manuscripts Mediator of activation protein Mental Health Mentors Methodology Minority Modeling National Institute of Mental Health New York New York City Phase Population Populations at Risk Preparation Prevention Research Process Production Prospective cohort study Protocols documentation Psyche structure Public Health Public Health Schools Race Research Research Methodology Research Priority Research Project Grants Resources Review Literature Risk Risk Behaviors Sampling Scientific Advances and Accomplishments Scientist Sex Orientation Sexual Health Shapes Social support Stress Structural Racism Structure Subgroup System Tennessee Testing Time Training Training Activity Universities Washington Writing career cohort coping data format demographics epidemiology study evidence base experience health disparity health inequalities high risk high risk population improved insight interest intersectionality longitudinal analysis men men who have sex with men metropolitan novel pre-exposure prophylaxis prevent preventive intervention racism resilience scale up sexual risk behavior skills social stigma symposium theories therapy development tool transmission process

项目摘要

PROJECT SUMMARY/ABSTRACT The burden of HIV is far from equally distributed in the US. Key metrics of the HIV epidemic continue to be predicted by demographic factors (e.g., race, gender, sexual orientation, geography). At the intersection of these determinants is one of the highest-risk groups for HIV infection in the world, and this project's population of interest: Black and Latino gay, bisexual, and other men who have sex with men (GBM) in the US South. Such individuals endure multiple forms of stigma (e.g., racism, homophobia), which elevate stress and erode health. Thus, applying theories of intersectionality and minority stress to epidemiological and intervention research may provide novel insights and tools to support the health of this vulnerable subgroup. The proposed training plan will provide Skyler Jackson, PhD, with the essential knowledge and skills necessary to develop independence and forge a career advancing scientific knowledge concerning intersectional stigma as a determinant of mental and sexual health risk among Black and Latino GBM. The goals of this mentored award are summarized by three distinct training objectives: (1) to gain skills using contemporary epidemiological methods, (2) to learn best practices in qualitative, community-engaged intervention development, and (3) to develop foundational skills in clinical trials methodology. Dr. Jackson will put these aims into practice via three novel, interrelated research projects, in which he will: (1) use longitudinal data from a prospective cohort study to identify mediators and moderators of the association between intersectional stigma and mental/sexual health among GBM of color across distinct US geographies, (2) combine these findings with data from formative research (e.g., 30 interviews with GBM of color and community stakeholders in Middle Tennessee) to modify an existing evidence-based stigma-coping health intervention for GBM—using the 8-phase ADAPT-ITT model—thereby increasing its cultural and geographic relevance to the mental and sexual health of Southern Black and Latino GBM, and (3) pilot this intersectional, culturally-responsive health intervention for young Southern Black and Latino GBM (n = 30; across two sequential cohorts) in collaboration with a community partner in Middle Tennessee. To develop his independence as a scientist, Dr. Jackson will be mentored by John Pachankis, PhD (Yale University), with support from additional co-mentors: Lisa Bowleg, PhD (George Washington University), Dustin Duncan, ScD (New York University), and Mark Hatzenbuehler, PhD (Columbia University). Where knowledge gaps remain, Dr. Jackson will engage in carefully selected training activities—e.g., grant writing, coursework, conferences, and manuscript preparation. Much of this training will be made possible by institutional support available through Dr. Jackson's joint affiliation with the Yale Center for Interdisciplinary Research on AIDS, Yale School of Public Health (YSPH), and YSPH Esteem Research Lab in New York City. Dr. Jackson's K01 training plan is optimized to address his training gaps and prepare him for a productive career as an independent scientist.

项目概要/摘要在美国，艾滋病毒的负担远未平均分配。艾滋病毒流行的关键指标仍然存在。由人口因素（例如种族、性别、性取向、地理位置）预测。这些决定因素是世界上艾滋病毒感染风险最高的群体之一，该项目的感兴趣的人群：黑人和拉丁裔同性恋者、双性恋者以及其他男男性行为者 (GBM) 美国南部的人承受着多种形式的耻辱（例如种族主义、恐同症），这会增加压力。因此，将交叉性和少数族裔压力理论应用于流行病学和干预研究可能会提供新颖的见解和工具来支持这一弱势群体的健康。拟议的培训计划将为斯凯勒·杰克逊博士提供必要的知识和技能发展独立性和发展职业生涯所必需的，以推进有关的科学知识交叉耻辱是黑人和拉丁裔 GBM 心理和性健康风险的决定因素。该指导奖项的目标概括为三个不同的培训目标：(1) 获得使用以下技能的技能：当代流行病学方法，(2) 学习定性、社区参与的最佳实践干预开发，以及（3）发展杰克逊博士的临床试验方法的基本技能。通过三部小说和相互关联的研究项目将这些目标付诸实践，其中他将：（1）使用来自前瞻性队列研究的纵向数据，用于确定关联的中介者和调节者美国不同地区的有色人种 GBM 之间的交叉耻辱与心理/性健康之间的关系， (2) 将这些发现与形成性研究的数据相结合（例如，对肤色和肤色的 GBM 进行 30 次访谈）田纳西州中部的社区利益相关者）修改现有的基于证据的耻辱应对健康使用 8 阶段 ADAPT-ITT 模型对 GBM 进行干预，从而增加其文化和地理与南方黑人和拉丁裔 GBM 的心理和性健康的相关性，以及 (3) 试点这一交叉项目，针对年轻南部黑人和拉丁裔 GBM 的文化响应型健康干预措施（n = 30；跨越两个与田纳西州中部的社区合作伙伴合作。作为一名独立的科学家，杰克逊博士将受到约翰·帕昌基斯博士（耶鲁大学）的指导，其他共同导师的支持：Lisa Bowleg 博士（乔治华盛顿大学）、Dustin Duncan 科学博士（纽约大学）和 Mark Hatzenbuehler 博士（哥伦比亚大学）。杰克逊博士将参加精心挑选的培训活动，例如资助写作、课程作业、会议、大部分培训将通过可用的机构支持来实现。通过杰克逊博士与耶鲁大学艾滋病跨学科研究中心、耶鲁大学学院的联合隶属关系公共卫生部 (YSPH) 和纽约市 YSPH Esteem 研究实验室 Jackson 博士的 K01 培训计划是。优化以解决他的培训差距，并为他作为一名独立科学家的富有成效的职业生涯做好准备。