An Innovative, Prospective Model to Understand Risk and Protective Factors for Sexual Assault Experiences and Outcomes Among Sexual Minority Men

一种创新的前瞻性模型，用于了解性少数男性遭受性侵犯的经历和结果的风险和保护因素

• 批准号: 10522197
• 负责人: Katie M Edwards
• 金额: $ 80.18万
• 依托单位: UNIVERSITY OF NEBRASKA LINCOLN
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-22 至 2027-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10522197
• 关键词: Acquaintances; Address; Adult; Age; Alcohol abuse; Black race; Child Sexual Abuse; Communities; Conflict (Psychology); Development; Discrimination; Distal; Ensure; Ethnic Origin; Etiology; Forcible intercourse; Friends; Gender; Gender Identity; Gender Role; Geography; Heavy Drinking; Heterosexuals; Individual; Intervention; Latinx; Lesbian Gay Bisexual Transgender Queer; Masculine; Measures; Methodology; Minority; Modeling; National Institute on Minority Health and Health Disparities; Outcome; Participant; Pathway interactions; Population; Predictive Factor; Prevention; Prevention program; Primary Prevention; Public Health; Race; Reaction; Reporting; Research; Research Personnel; Research Priority; Risk; Risk Factors; Risk Reduction; Role; Sampling; Scientific Advances and Accomplishments; Self Efficacy; Sex Orientation; Social Identification; Stress; Surveys; Testing; Time; Victimization; Woman; Work; adverse outcome; base; binge drinking; cisgender; design; ethnic diversity; experience; gender diversity; health disparity; help-seeking behavior; homonegativity; improve minority health; innovation; intersectionality; men; minority stress; outcome prediction; perpetrators; programs; prospective; protective factors; psychological distress; racial diversity; recruit; revictimization; sexual assault; sexual coercion; sexual minority; sexual minority men; sexually active; social; theories; transgender men; transmasculine; young adult

Project Summary Nearly half of sexual minority (SM) men experience adult sexual assault (ASA) victimization (e.g., sexual coercion, rape) in their lifetime, and as many as 30% of SM men report lifetime ASA perpetration. Rates of ASA victimization and perpetration among SM men are alarmingly high even when measured over short periods of time. However, little research has examined risk and protective factors for ASA victimization or perpetration among SM men. Research that does exist is mostly cross-sectional or focuses on sexual IPV rather than ASA across a broad range of perpetrator–victim relationships (e.g., acquaintance, established partner). The lack of research on ASA among SM men precludes researchers and practitioners from developing risk reduction and prevention programming specifically for this population. There is also a dearth of research on factors that predict outcomes associated with ASA victimization among SM men, information that is sorely needed to create affirming interventions for SM men who experience ASA victimization. The purpose of the proposed study is to utilize a longitudinal, prospective design to test three innovative models that include established (e.g., child sexual abuse, heavy episodic drinking), as well as population-specific (e.g., internalized homonegativity, LGBTQ+ sense of community), risk and protective factors to predict experiences of ASA perpetration among SM men (Aim 1); experiences of ASA victimization among SM men (Aim 2); and adverse Exploratory analyses will examine how latent classes that capture multiple intersecting marginalized social identities (i.e., sexual orientation, race, ethnicity, gender identity) and experiences of minority-related stress, act as predictors and moderators in the hypothesized models (Aim 4). outcomes among SM men who experience an ASA victimization (Aim 3). We focus on young adult SM men (ages 18 to 30) given that rates of ASA are highest among this population and primary prevention of ASA is of paramount importance. We will also include SM men regardless of their relationship status since ASA can occur in various types of relationships (e.g., serious relationship, friends with benefits, acquaintances) and less commonly among strangers. The methodology includes recruiting a geographically and racially diverse sample of SM men (N = 3,600) via To ensure racial, ethnic, and gender diversity in our sample for the purpose of addressing intersectionality (Aim 4), we will oversample Black and/or Latinx SM men as well as trans and transmasculine men. Participants (N = 3600) will complete online surveys at 0-, 6-, 12-, 18, and 24- months. various online platforms and community-based agencies across the U.S. This proposed project aligns with NIMHD’s research priorities to advance the scientific understanding of health disparities and improve minority health. Moreover, the proposed project will provide critically important information that will inform the immediate development of affirming and culturally grounded prevention programs (to reduce ASA perpetration), risk reduction programs (to reduce ASA victimization), and intervention initiatives (to reduce adverse outcomes associated with ASA victimization).

项目概要 近一半的性少数 (SM) 男性经历过成人性侵犯 (ASA) 受害（例如性行为） 强迫、强奸）在他们的一生中，多达 30% 的 SM 男性报告了一生中 ASA 的犯罪率。 即使在短期内进行衡量，SM 男性中的 ASA 受害和犯罪率仍高得惊人 然而，很少有研究探讨 ASA 受害或保护的风险和保护因素。 现有的研究大多是横向的或集中于性 IPV。 而不是 ASA 涵盖广泛的犯罪者与受害人关系（例如，熟人、已建立的关系） 由于缺乏对 SM 男性的 ASA 研究，研究人员和从业者无法参与其中。 专门针对这一人群制定减少风险和预防规划的方案也很缺乏。 对 SM 男性中 ASA 受害相关预测结果因素的研究，信息 迫切需要为经历 ASA 受害的 SM 男性制定积极的干预措施。 拟议研究的目的是利用纵向前瞻性设计来测试三种创新模型，包括 既定的（例如儿童性虐待、大量饮酒）以及特定人群的（例如内在的） 同性恋、LGBTQ+ 社区意识）、预测 ASA 经历的风险和保护因素 SM 男性中的犯罪行为（目标 1）；SM 男性中 ASA 受害经历（目标 2）； 探索性分析将检查 潜在类别如何捕捉多重交叉的弱化社会身份（即性取向、种族、 种族、性别认同）和少数族裔相关压力的经历，充当预测因素和调节因素 褪色的模型（目标 4）。 经历 ASA 受害的 SM 男性的结果（目标 3）。 鉴于 ASA 比率为 在这一人群中比例最高，ASA 的初级预防至关重要，我们还将包括在内。 SM 男人无论他们的关系状态如何，因为 ASA 可以发生在各种类型的关系中（例如， 严肃的关系、有好处的朋友、熟人），在陌生人之间较少见。 方法包括通过以下方式招募不同地域和种族的 SM 男性样本 (N = 3,600) 确保种族、民族和性别 为了解决交叉性（目标 4），我们的样本具有多样性，我们将对黑色和/或 拉丁裔 SM 男性以及跨性别和跨男性参与者 (N = 3600) 将完成在线调查。 0、6、12、18 和 24 个月时。 美国各地的各种在线平台和社区机构 该拟议项目符合 NIMHD 的研究重点，以推进 此外，拟议的项目将科学地了解健康差异并改善少数民族的健康。 提供至关重要的信息，为肯定和文化的立即发展提供信息 扎根的预防计划（以减少 ASA 实施）、风险降低计划（以减少 ASA 受害）和干预举措（以减少与 ASA 受害相关的不良后果）。