Social Media and Substance Use Risk and Resilience Among Gender Minority Emerging Adults

性别少数新兴成年人的社交媒体和药物使用风险和复原力

• 批准号: 10669165
• 负责人: Allegra Raboff Gordon
• 金额: $ 17.43万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-01 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10669165
• 关键词: Access to Information; Address; Adult; Age; Alcohols; Appearance; Award; Behavior; Behavior Therapy; Behavioral; Boston; Communities; Development; Disparity; Eating Disorders; Environment; Exposure to; Face; Family; Feasibility Studies; Feeling suicidal; Female; Feminine; Future; Gender Identity; Goals; Health; Health behavior; Individual; Instagram; Intervention; Intervention Studies; Interview; Knowledge; Link; Marketing; Masculine; Media Intervention; Mediating; Mental Health; Modeling; Outcome; Participant; Personal Satisfaction; Persons; Phase; Physiological; Policies; Population; Prevention; Process; Quasi-experiment; Research; Research Methodology; Resistance; Resources; Risk; Risk Factors; Role; Sampling; Schools; Scientist; Sexual and Gender Minorities; Social Environment; Social support; Source; Stigmatization; Strategic Planning; Surveys; Symptoms; Technology; Testing; Tobacco Industry; Training; Transact; Underserved Population; United States National Institutes of Health; Woman; Work; acceptability and feasibility; age group; arm; biological adaptation to stress; body dissatisfaction; brief intervention; career development; cigarette smoking; cisgender; cohort; community engaged research; critical developmental period; design; diaries; effective intervention; emerging adult; emerging adulthood; experience; feasibility testing; follow up assessment; gender affirmation; gender minority; gender minority group; gender nonconforming; health equity; health inequalities; high risk drinking; illicit drug use; improved; innovation; literacy; male; men; minority children; minority stress; nonbinary; novel; peer; post intervention; pressure; prevent; preventive intervention; primary outcome; programs; protective factors; psychologic; psychological distress; reduced substance use; resilience; resilience factor; response; secondary outcome; sex assigned at birth; skills; social culture; social influence; social media; social stigma; social stressor; stressor; substance use; substance use prevention; theories; therapy development; transgender; usability; web-based intervention; young adult

PROJECT SUMMARY/ABSTRACT Gender minority populations, who have a gender identity that differs from their assigned sex at birth, including transgender, gender nonconforming, and nonbinary people, face 2-4 times greater risk of substance use and adverse mental health outcomes (e.g., eating disorder symptoms) than cisgender (that is, non-gender minority) populations. To mitigate these severe but understudied disparities, it is critical to identify effective preventive interventions for gender minorities, particularly in emerging adulthood, a critical developmental period offering unique risks as well as opportunities for substance use prevention. Research suggests several relevant targets for preventive interventions in this age group. This includes the role of social stressors (e.g., anti-transgender stigma, including online), targeted marketing, and sociocultural appearance ideals (e.g., pressure for men to look “masculine,” women to look “feminine”), both of which can exacerbate body dissatisfaction, which has been linked to substance use and adverse mental health outcomes in gender minorities. Online environments, especially social media (e.g., Instagram), offer unprecedented access to supportive resources for gender minority emerging adults, but also provide new channels for harmful exposure to stigmatizing messages, targeted marketing by alcohol and tobacco industries, and sociocultural appearance ideals. It is not known how social media should be leveraged to prevent substance use among gender minority emerging adults. To date, no intervention has been developed to address the unique impact of online stressors (e.g., stigma) and resilience factors (e.g., social support) on body dissatisfaction and substance use for GM emerging adults. In response to these research gaps, my long-term goal is to develop, test, and disseminate effective interventions for substance use prevention among gender minority young people. My objective for this proposal is to obtain training in (1) theory and methods for research on social media and health behaviors, (2) technology-based behavioral intervention development and testing, and (3) community-engaged research, which I will apply to the proposed research. Responding to the NIH FY 2021-2025 Strategic Plan to Advance Research on the Health and Well-being of Sexual and Gender Minorities and informed by the Minority Stress Theory, Gender Affirmation Framework, and Transactional Model of social media effects, the specific aims of this research are to: 1) investigate gender minority emerging adult (18-25 years) experiences and intervention needs related to social media, body dissatisfaction and substance use; and 2) engage a community advisory board (CAB) to develop a brief, online-administered social media intervention to reduce body dissatisfaction and substance use risk in gender minority emerging adults and test the intervention for feasibility and acceptability. The intensive career development training and the research findings from this study will lay the groundwork for future testing and dissemination of intervention materials tailored to the needs of this underserved population.

项目摘要/摘要 性别少数群体的性别认同与出生时分配的性别有所不同，包括 跨性别者，性别不合格和非二进制人面临使用物质使用风险的2-4倍 不利的心理健康结果（例如，饮食失调症状）比cisgender（即非性别少数） 人群。为了减轻这些严重但已理解的分布，至关重要的是确定有效的预防性 性别少数群体的干预措施，特别是在新兴成年期间，这是一个关键的发展时期 独特的风险以及预防药物使用的机会。研究表明几个相关目标 对于该年龄段的预防干预措施。这包括社会压力源的作用（例如，反变形者 污名，包括在线），有针对性的营销和社会文化外观的想法（例如，男人的压力 看起来“男性”，女性看起来“女性”），这两者都会加剧身体的不满，这有 与性别少数群体的药物使用和不利的心理健康结果有关。在线环境， 特别是社交媒体（例如Instagram），为性别提供了前所未有的支持资源 少数新兴的成年人，但也提供有害暴露于污名消息的新渠道， 饮酒和烟草行业的目标营销以及社会文化外观的想法。不知道如何 应利用社交媒体来防止新兴成年人的性别少数群体使用物质。迄今为止， 尚未开发干预措施来解决在线压力源（例如污名）和 关于通用汽车新兴成年人的身体不满和物质使用的弹性因素（例如社会支持）。 对这些研究差距的响应，我的长期目标是开发，测试和传播有效的干预措施 在性别少数年轻人中预防主题。我对此建议的目标是获得 （1）培训社交媒体和健康行为研究的理论和方法，（2）基于技术的 行为干预开发和测试，以及（3）社区参与研究，我将适用于 拟议的研究。响应NIH财年2021-2025战略计划，以推动对 性和性别少数群体的健康和福祉，并由少数派压力理论告知性别 肯定框架和社交媒体效应的交易模型，这项研究的具体目的是 至：1）调查与 社交媒体，身体不满和物质使用； 2）与社区顾问委员会（CAB）订入 制定简短的在线管理社交媒体干预措施，以减少身体不满和底物 在性别少数成年人中使用风险，并测试干预措施是否可行性和可接受性。这 密集的职业发展培训和这项研究的研究结果将为 根据该服务不足的人群的需求量身定制的干预材料的未来测试和传播。

项目成果

Weight-based discrimination and disordered eating behaviors in a cohort of U.S. sexual minority young adults.

美国性少数群体年轻人中基于体重的歧视和饮食失调行为。

• DOI: 10.1002/eat.24015
• 发表时间: 2023
• 期刊: The International journal of eating disorders
• 作者: Gordon,AllegraR;Egan,KelseyA;Wang,MonicaL;Ziyadeh,NajatJ;Kenney,EricaL;Rosario,Margaret;Austin,SBryn
• 通讯作者: Austin,SBryn

What is needed for eating disorder prevention for transgender and gender diverse young adults? Findings from asynchronous online focus groups.

跨性别和性别多样化的年轻人预防饮食失调需要什么？

• DOI: 10.1016/j.bodyim.2023.101667
• 发表时间: 2024
• 期刊: Body image
• 影响因子: 5.2
• 作者: Gordon,AllegraR;Roberts,Savannah;Silverstein,Scout;Rose,KelseyL;Lopez,Ethan;Calzo,JerelP
• 通讯作者: Calzo,JerelP

Sociodemographic Patterns in Retrospective Sexual Orientation Identity and Attraction Change in the Sexual Orientation Fluidity in Youth Study.

青年研究中性取向流动性的回顾性性取向认同和吸引力变化的社会人口统计学模式。

• DOI: 10.1016/j.jadohealth.2022.10.015
• 发表时间: 2023
• 期刊: The Journal of adolescent health : official publication of the Society for Adolescent Medicine
• 作者: Katz-Wise,SabraL;Ranker,LynsieR;Gordon,AllegraR;Xuan,Ziming;Nelson,Kimberly
• 通讯作者: Nelson,Kimberly