Adolescent health at the intersections of sexual, gender, racial/ethnic, immigrant identities and native language: a supplementary study of HIV/AIDS preventive behaviors

性、性别、种族/族裔、移民身份和母语交叉点的青少年健康：艾滋病毒/艾滋病预防行为的补充研究

• 批准号: 10450345
• 负责人: Marla E. Eisenberg
• 金额: $ 35.24万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-02-05 至 2024-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10450345
• 关键词: 19 year old; AIDS prevention; AIDS/HIV problem; Academy; Address; Adolescent; Adult; Affect; African American; Age; Attitude; Behavior; Characteristics; Color; Communities; Consensus; Development; Disadvantaged; Eligibility Determination; Engineering; Ethnic Origin; Ethnic group; Federal Government; Feeling; Gays; Gender; Goals; HIV; HIV Infections; HIV/STD; Health; Human immunodeficiency virus test; Immigrant; Immigration; Individual; Inequality; Infection; Intervention; Interview; Language; Lesbian Gay Bisexual Transgender Queer; Literature; Measures; Mediating; Medicine; Methods; Minority Groups; Outcome; Parents; Personal Satisfaction; Population; Prevention; Preventive; Process; Production; RQ2; Race; Recommendation; Reporting; Reproductive Health; Research; Risk; Risk Factors; Safety; Schools; Sex Orientation; Sexual Health; Sexual and Gender Minorities; Sexual and Gender Minority Youth; Social Identification; Social status; Structure; Surveys; Teenagers; Testing; United States; United States National Academy of Sciences; Work; Youth; adolescent health; base; black men; cisgender; design; ethnic diversity; experience; family support; health disparity; high risk sexual behavior; interest; intersectionality; male; minority communities; novel; peer; pre-exposure prophylaxis; protective factors; public health relevance; racial and ethnic; racism; social; social factors; social stigma; social structure

Project Summary Sexual and gender minority (SGM) populations, including adolescents, are at disproportionate risk of HIV/AIDS infection compared to their straight, cisgender peers. SGM youth, however, are not a homogenous population; each has multiple social identities that affect how they are viewed in the world and the risk and protection they experience. Intersectionality refers to ways in which power and privilege are structured based on interrelated social positions (e.g. due to race/ethnicity, immigrant status, native language) and how individual experiences reflect processes that confer privilege and disadvantage. Mutually constitutive forms of social oppression (e.g., stigma simultaneously based on race/ethnicity, gender, and sexual orientation) may differentially affect the HIV prevention and treatment of SGM people with multiple marginalized social positions. Living within these intersecting social positions may give rise to unique challenges as well as strengths that promote healthy development. The 2021 National Academies of Sciences, Engineering, and Medicine consensus study report highlights the need for sexual health research focused on STIs and HIV using an intersectionality framework to inform prevention and intervention efforts, including for youth with marginalized social positions. Building on literature revealing HIV disparities adversely and disproportionately affecting youth, SGM and racially/ethnically diverse communities, the proposed supplement will expand our existing R01 to address the following HIV/AIDS- specific research questions regarding SGM adolescents (13-19 years old): 1) What are differences in HIV testing, HIV status, PrEP experience and attitudes, and high-risk sexual behaviors among youth with different social positions (i.e. racial/ethnic groups, immigrant experiences, and native language)? 2) How do differences in protective factors and other characteristics explain differences in these outcomes among youth with different social positions? and 3) What positive and negative experiences are particularly relevant to the overlapping, simultaneous production of inequalities by SGM identity, race/ethnicity, immigration experiences, and native language? We will answer these questions through two study aims: First, conduct analysis of the 2022 wave of the LGBTQ National Teen Survey (expected N~17,000) to investigate disparities in HIV/AIDS-preventive behaviors, risk, and protective factors among adolescents with intersecting social positions. We will test multiple hypotheses using novel methods designed for studies grounded in an intersectional framework. Second, conduct qualitative interviews with 24-32 SGM youth from different social positions to more deeply understand quantitative findings and generate concrete, valid intervention recommendations. Interviews will focus on exploring how experiences of stigma affect HIV preventive behaviors and what supports youth describe as protective against HIV/AIDS risk. Qualitative findings will provide critical information on assets for the most vulnerable SGM youth and how they can be bolstered for other young people.

项目摘要 包括青少年在内的性和性别少数族裔（SGM）人口不成比例的风险 艾滋病毒/艾滋病感染与他们的直流同龄人相比。但是，SGM青年不是同质的 人口;每个人都有多种社会身份，这些身份会影响世界上的看法以及风险和 他们经历的保护。交叉性是指权力和特权基于结构化的方式 在相互关联的社会地位（例如，由于种族/种族，移民地位，母语）以及如何 个人经历反映了赋予特权和劣势的过程。相互构成的形式 社会压迫（例如，基于种族/种族，性别和性取向同时污名化） 差异地影响了具有多个边缘化社会立场的SGM人的艾滋病毒预防和治疗。 生活在这些相交的社会地位内，可能会引起独特的挑战和优势 促进健康的发展。 2021年美国国家科学，工程和医学共识研究报告的重点 对性健康研究的需求着重于性传播感染和艾滋病毒 预防和干预工作，包括针对边缘化社会地位的青年。以文学为基础 揭示艾滋病毒差异对年轻人，SGM和种族/种族多样性的影响不利 社区，拟议的补充剂将扩大我们现有的R01，以解决以下艾滋病毒/艾滋病 - 有关SGM青少年的具体研究问题（13-19岁）：1）艾滋病毒的差异 年轻人的测试，艾滋病毒状况，准备经验和态度以及高风险的性行为 社会立场（即种族/族裔群体，移民经历和母语）？ 2）差异如何 在保护因素和其他特征中解释了这些结果的差异 社会立场？ 3）与重叠特别相关的积极经历和负面经历， 通过SGM身份，种族/种族，移民经验和本地的同时产生不平等现象 语言？我们将通过两个研究目的回答这些问题：首先，对2022 Waw的进行分析 LGBTQ全国青少年调查（预计n〜17,000）将调查艾滋病毒/艾滋病预防的差异 与社会立场相交的青少年中的行为，风险和保护因素。我们将测试 使用用于基于交叉框架的研究设计的新方法的多个假设。 其次，与从不同社会职位的24-32 SGM青年进行定性访谈 了解定量发现并产生具体的有效干预建议。访谈会 专注于探索污名的经历如何影响艾滋病毒的预防行为以及什么支持青年 描述为保护艾滋病毒/艾滋病风险。定性发现将提供有关资产的关键信息 最脆弱的SGM青年，以及如何为其他年轻人加以支持。