Using the life history calendar to examine young transgender women’s trajectories of violence, mental health, and protective processes

使用生活史日历来检查年轻跨性别女性的暴力轨迹、心理健康和保护过程

• 批准号: 10458702
• 负责人: Jane Hereth
• 金额: $ 18.83万
• 依托单位: UNIVERSITY OF WISCONSIN MILWAUKEE
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-07-29 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10458702
• 关键词: Address; Age; Anxiety; Area; Calendar; Chicago; Child Abuse; Communities; Complex; Cues; Data; Development; Effectiveness; Etiology; Event; Evidence based intervention; Feeling suicidal; Goals; Growth; Health; Health Service Area; Interpersonal Violence; Intervention; Interview; Life; Life Cycle Stages; Literature; Memory; Mental Depression; Mental Health; Mental Health Services; Methodology; Methods; Modeling; Outcome; Participant; Pattern; Phase; Population; Post-Traumatic Stress Disorders; Process; Research; Retrieval; Rhythm method of contraception; Sampling; Social support; Statistical Models; Structure; Suicide attempt; Surveys; Testing; Time; Victimization; Violence; Woman; Work; aged; base; cis-female; community violence; depressive symptoms; experience; gender nonconforming; help-seeking behavior; improved; innovation; interest; intimate partner violence; life history; minority stressor; novel; polyvictimization; programs; public health research; resilience; response; self esteem; sexual assault; substance use; suicidal behavior; theories; transgender; transgender women; women of color

Project Summary/Abstract We will conduct innovative, mixed-methods life course research on interpersonal victimization, protective processes, and mental health and substance use among young transgender women. Young transgender women experience disproportionately high rates of interpersonal victimization, including child abuse, intimate partner violence and sexual assault, as well as transgender-related community violence. Although evidence indicates that cumulative victimization increases the likelihood of poor mental health in cisgender women, these patterns are under-explored with young transgender women. The proposed study will address these gaps by conducting a two-phase mixed-methods study with young transgender women in Chicago, IL and Milwaukee, WI. In Phase I, we will use the life history calendar (LHC), an innovative methodology for collecting life course data, to examine comprehensive experiences of interpersonal victimization in a sample of N=120 trans women aged 18-35. The LHC uses a large grid and landmark events to cue retrieval of events from memory. These events can then be quantitatively identified to determine the number, timing, and forms of victimization. Participants will also complete a brief survey assessing mental health outcomes and help-seeking and protective processes. In Phase II, we will conduct in-depth interviews with a subsample of n=30 trans women purposively selected from Phase I to deepen understanding of novel protective processes and help seeking barriers/facilitators. The specific aims are to: 1) Identify trajectories of interpersonal victimization, help-seeking, protective processes, transition-related milestones, and mental health outcomes across the life course in a sample of N=120 young trans women ages 18-35 in Chicago and Milwaukee. We will use the LHC to structure interviews to quantitatively capture life events, e.g., interpersonal victimization, help-seeking, protective processes, mental health outcomes, including suicide attempts and substance use, and transition-related milestones. Multilevel and mixture modeling will be used to identify trajectories of these life events across time; 2) Identify how different trajectories of interpersonal victimization influence current mental health outcomes, including PTSD, depression, anxiety, suicidal ideation, and substance use, and examine how protective processes (e.g., social support, self-esteem, and community resilience) moderate the effects of violence on mental health outcomes. Using LHC and survey data, we will use growth mixture modeling to examine direct and moderated relationships over the life course; and 3) Explore patterns of formal and informal help-seeking behaviors, barriers to seeking help, mental health care needs, and protective processes through qualitative life history interviews with n=30 young trans women. Women with different trajectories of interpersonal violence will be purposively sampled and interviewed to obtain nuanced and in-depth data on novel protective processes among trans women.

项目摘要/摘要 我们将进行有关人际受害，保护性的创新，混合方法的生活课程 年轻跨性别妇女的过程以及心理健康和药物使用。年轻的变性妇女 经历人际受害率不成比例的高度，包括虐待儿童，亲密伴侣 暴力和性侵犯以及与变性人有关的社区暴力。尽管证据表明 这些累积受害增加了赋予妇女心理健康不良的可能性，这些模式 对年轻的变性妇女的探索不足。拟议的研究将通过进行这些差距来解决这些差距 与威斯康星州芝加哥和密尔沃基的年轻跨性别妇女进行的两阶段混合方法研究。在阶段 我，我们将使用生命历史日历（LHC），一种创新的方法来收集生活课程数据，以检查 在18-35岁的120名跨性别妇女样本中，人际关系受害的全面经历。这 LHC使用大型网格和具有里程碑意义的事件来提示从内存中检索事件。这些事件可以是 定量确定以确定受害的数量，时机和形式。参与者也会 简要介绍评估心理健康成果以及寻求帮助和保护过程的调查。在阶段 ii，我们将对从阶段选择n = 30个跨性别女性的子样本进行深入的访谈 我可以加深对新型保护过程的了解，并帮助寻求障碍/促进者。具体目标 为：1）确定人际关系受害，寻求帮助，保护过程，与过渡有关的轨迹 n = 120个年轻妇女年龄的样本中的里程碑以及整个生活课程的心理健康成果 18-35在芝加哥和密尔沃基。我们将使用LHC来构建访谈以定量捕获生活事件， 例如，人际关系受害，寻求帮助，保护过程，心理健康成果，包括自杀 尝试和物质使用以及与过渡有关的里程碑。多级和混合建模将用于 确定跨时间的这些生活事件的轨迹； 2）确定人际关系的不同轨迹 受害影响当前的心理健康成果，包括PTSD，抑郁，焦虑，自杀念头， 和药物使用，并检查保护过程如何（例如，社会支持，自尊和社区 弹性）调节暴力对心理健康结果的影响。使用LHC和调查数据，我们将使用 生长混合物建模，以检查生活过程中的直接和调节关系； 3）探索 正式和非正式寻求帮助行为的模式，寻求帮助的障碍，心理保健需求以及 通过定性生活史进行n = 30个年轻跨性别妇女的访谈来进行保护过程。女人 人际暴力的不同轨迹将有目的地采样并采访以获得细微差别 以及关于跨性别女性之间新型保护过程的深入数据。