Effects of Social Networks and Policy Context on Health among Older Sexual and Gender Minorities in the US South

社交网络和政策环境对美国南部老年性少数群体健康的影响

基本信息

批准号：
10642814
负责人：
Tara McKay
金额：
$ 36.28万
依托单位：
VANDERBILT UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-15 至 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10642814
关键词：
Adult Affect Age Aging Area Buffers California Cities Communities Data Dimensions Discrimination Disparate Ensure Event Family Feeling Gender Identity Goals Health Heterogeneity Heterosexuals Individual Legal Lesbian Gay Bisexual Transgender Life Life Cycle Stages Life Experience Link Literature Measures Mediating Mental Depression Mental Health Methodology Methods Modeling Morbidity - disease rate Names Online Systems Outcome Participant Pathway Analysis Patient Self-Report Pattern Persons Policies Politics Population Prevention Procedures Process Public Health Reduce health disparities Research Risk Factors Sampling San Francisco Service provision Sex Orientation Sexual and Gender Minorities Shapes Site Social Network Social Policies Social support Structure Surveys Testing United States Universities Variant Violence Work aged cisgender community organizations data access disability disparities in morbidity experience gender minority group human old age (65+)improved individual response instrument interest lonely individuals member metropolitan minority health minority stress multilevel analysis negative affect perceived discrimination physical conditioning physically handicapped protective factors public health relevance recruit research study response sexual identity social support network

项目摘要

ABSTRACT Older sexual and gender minority (SGM) populations experience significant disparities in morbidity and disability compared with their heterosexual and cisgender counterparts. There are two primary explanations as to why physical health, mental health, and disability outcomes may differ for older SGM adults compared to older heterosexual and cisgender adults: 1) experiences of minority stress that negatively affect health over the life course, and 2) differences in the kind and quality of social networks and support in older age. In this study we develop and test a new conceptual model that integrates these two disparate areas of research by applying a multilevel approach to understanding how minority stress processes work. We contend that social networks mediate the relationship between minority stress and health. Social network effects may be negative, exacerbating the effects of negative life experiences of discrimination or violence by reinforcing feelings of negative marginality relative to dominant societal values and structures. Alternatively, social networks may buffer the effects of negative life experiences among SGM adults whose networks include more positive valuations of SGM identities. To test this model, we will collect in-depth ego-centric network data over three waves from 800 SGM adults aged 50 to 70 years and residing in the metropolitan statistical areas of three midsize cities in the US South: Nashville, TN; Birmingham, AL; and Raleigh, NC. Participants will be recruited using multiple face-to-face, community and targeted online methods in order to ensure inclusion of more isolated individuals or individuals who are less involved with community organizations. Surveys will be administered using a web-based instrument developed specifically for assessing multidimensional aspects of personal networks, physical and mental health, and experiences of minority stress.

抽象的老年性和性别少数 (SGM) 人群在以下方面存在显着差异与异性恋和顺性别者相比的发病率和残疾率。有关于为什么身体健康、心理健康和残疾结果可能会出现的两个主要解释老年 SGM 成年人与老年异性恋和顺性别成年人的不同之处：1) 少数群体的压力经历对生命历程中的健康产生负面影响，以及 2) 社交网络的种类和质量以及老年支持方面的差异。在这项研究中我们开发并测试整合这两个不同研究领域的新概念模型通过应用多层次的方法来了解少数人的压力过程是如何运作的。我们认为社交网络调节少数群体压力与健康之间的关系。社会的网络效应可能是负面的，加剧了负面生活经历的影响通过强化相对于主导地位的消极边缘感来进行歧视或暴力社会价值观和结构。或者，社交网络可以缓冲负面影响 SGM成年人的生活经历，其网络包括对SGM更积极的评价身份。为了测试这个模型，我们将通过三个波浪收集深入的以自我为中心的网络数据 800 名年龄在 50 岁至 70 岁之间且居住在以下城市统计区的 SGM 成年人美国南部的三个中型城市：田纳西州纳什维尔；阿拉巴马州伯明翰；和北卡罗来纳州罗利。将通过多种面对面、社区和有针对性的在线方式招募参与者方法，以确保纳入更多孤立的个人或较少的个人参与社区组织。调查将使用基于网络的专门为评估个人网络的多维方面而开发的工具，身心健康以及少数民族压力的经历。