Weight Discrimination and Self-Injurious Thoughts and Behaviors Among Sexual and Gender Minority Adolescents and their Peers

性少数和性别少数青少年及其同龄人的体重歧视和自残思想和行为

基本信息

批准号：
10677292
负责人：
Sarah Irene Leonard
金额：
$ 4.77万
依托单位：
COLUMBIA UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-04-01 至 2025-03-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10677292
关键词：
12 year old Address Adolescence Adolescent Adult Age Behavior Body Weight Brain Cause of Death Characteristics Data Analyses Data Science Dedications Development Discrimination Disparity Early Intervention Environment Ethnic Origin Feeling suicidal Foundations Funding Future Goals Health Promotion Heterosexuals Intervention Knowledge Lesbian Gay Bisexual Transgender Linear Models Literature Measures Mental Health Mental health promotion Mentorship Modeling Nurses Persons Population Prevention Race Recording of previous events Reporting Research Research Priority Resources Risk Factors Risk Reduction Sampling Scientist Sexual and Gender Minorities Stress Suicide Suicide attempt Suicide prevention Thinking Training United States National Institutes of Health Universities Violence Weight Weights and Measures Youth adolescent suicide cisgender cognitive development completed suicide critical period disparity reduction early adolescence ethnic discrimination experience gender minority gender minority group gender minority health gender minority health disparity health disparity health disparity populations health equity high risk insight lens marginalization minority children minority stress minority stressor multilevel analysis non-suicidal self injury peer perceived discrimination preventive intervention programs secondary analysis sex assigned at birth sexual identity sexual minority skills social health determinants suicidal behavior suicide rate

项目摘要

PROJECT SUMMARY/ABSTRACT Suicide is the second leading cause of death among early adolescents (i.e., ages 10-14), and adolescent suicide rates have nearly tripled in recent years. Self-injurious thoughts and behaviors (SITBs), such as non- suicidal self-injury, suicidal ideation, and suicidal behavior, commonly first occur during this period. Completed suicide is often preceded by SITBs, making understanding risk factors for SITBs in early adolescence a research priority. Experiences of discrimination are identified by Healthy People 2030 as a key social determinant of health. Various types of discrimination, including due to sexual identity and race/ethnicity, are known to be associated with higher risk of SITBs in early adolescence. Weight discrimination, among the most common types of discrimination in early adolescence, may also be associated with SITBs, but the existing evidence is limited. Sexual and gender minority (SGM) early adolescents, an NIH health disparities population, are about four times as likely as non-SGM early adolescents to experience SITBs, and they are also more likely to report weight discrimination. Thus, weight discrimination may be a particularly important risk factor for SITBs among SGM individuals, but this has yet to be studied among early adolescents. I propose to address these important gaps in the literature through a secondary analysis of data from the Adolescent Brain and Cognitive Development Study, a study of a large national sample of adolescents that is among the first to include measures of weight discrimination, SITBs, SGM identity, and other pertinent variables. Guided by an adaptation of Meyer’s Minority Stress Model, my specific aims are to (1) examine the association between weight discrimination and SITBs in adolescents ages 11-12 and (2) determine whether the association between weight discrimination and SITBs differs for SGM adolescents and heterosexual, cisgender adolescents. Additionally, in an exploratory aim I will explore potential differences in the association between weight discrimination, SGM identity, and SITBs based on SGM-related stress, racial/ethnic discrimination, and sex assigned at birth. Findings will inform future interventions to prevent suicide and promote mental health among adolescents (especially SGM adolescents) by addressing social determinants of health such as discrimination. The proposed aims align with the NINR’s Research Lenses of Prevention and Health Promotion, Social Determinants of Health, and Health Equity. To facilitate the proposed research, I will build my knowledge and skills in adolescent mental health, SGM health, data science, multilevel modelling, and moderation analysis. With the mentorship of a dedicated and NIH-funded interdisciplinary sponsorship team, and the resource-rich environment of Columbia University, I will build a strong foundation from which to move toward my long-term goal of becoming an independent, interdisciplinary nurse scientist with expertise in promoting adolescent mental health, particularly among SGM adolescents.

项目摘要/摘要自杀是早期青少年（即10-14岁）和青少年的第二大死亡原因近年来，自杀率几乎增加了两倍。自我伤害的思想和行为（sitb），例如非 - 自杀自我伤害，自杀念头和自杀行为通常首次发生在此期间。完全的自杀通常是在AITB之前先于SITB的，使青少年早期的SITB的风险因素研究优先。健康人2030将歧视经历确定为关键社会健康的决定因素。各种类型的歧视，包括性别身份和种族/种族，是已知与青少年早期的SITB风险有关。重量歧视，其中最大早期青少年的常见歧视类型也可能与SITB有关，但现有证据是有限的。性和性别少数民族（SGM）早期青少年，NIH健康分配人口，体验sitb的可能性是非SGM早期青少年的四倍，而且他们的可能性也更多可能报告体重歧视。这，体重歧视可能是一个特别重要的风险因素 SGM个人中的SITB，但这尚未在早期青少年中进行研究。我建议解决通过对青少年大脑的数据进行二次分析，文献中这些重要差距认知发展研究，一项针对大量全国青少年样本的研究，这是最早的包括重量歧视，SITB，SGM身份和其他相关变量的度量。由An引导改编迈耶的少数派压力模型，我的具体目的是（1）检查重量歧视和11-12岁的青少年和（2）确定关联是否是否确定 SGM青少年和异性恋，Cisgender之间的体重歧视和SITB之间有所不同青少年。此外，在探索目的中，我将探讨基于与SGM相关的压力，种族/族裔歧视以及性别在出生时分配。调查结果将为未来的干预措施提供信息，以防止自杀并促进心理健康在青少年（尤其是SGM青少年）中，通过讲话歧视。拟议的旨在与NINR的预防和健康研究镜头保持一致促进，卫生的社会决定因素和健康公平。为了促进拟议的研究，我将建立我在青少年心理健康，SGM健康，数据科学，多层次建模以及适度分析。凭着一支由NIH资助的跨学科赞助团队的精神制度，以及哥伦比亚大学资源丰富的环境，我将建立一个强大的基础朝着我的长期目标，即成为一名具有专业知识的独立，跨学科的护士科学家促进青少年心理健康，特别是在SGM青少年中。