Promoting Health and Reducing Risk among Hispanic Sexual Minority Youth and their Families

促进西班牙裔性少数青少年及其家人的健康并降低风险

基本信息

批准号：
10852392
负责人：
GUILLERMO PRADO
金额：
$ 6.28万
依托单位：
UNIVERSITY OF MIAMI CORAL GABLES
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：
2023-05-11 至 2025-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10852392
关键词：
Acculturation Address Adolescence Adolescent Characteristics Data Data Analyses Development Disparity Drug usage Enrollment Ethnic Origin Face Faculty Family Frequencies Future Growth Health Health Promotion Heterogeneity Heterosexuals Hispanic Hispanic Populations Individual Intervention Intervention Trial Language Literature Mediating Mediation Mental Depression Mental Health Mentors Mentorship Methodology Modeling Not Hispanic or Latino Outcome Parents Pathway interactions Peer Review Personal Satisfaction Persons Population Positioning Attribute Prevention Publications Publishing Race Randomized, Controlled Trials Reporting Research Risk Risk Behaviors Risk Factors Risk Reduction Role Sampling Sex Orientation Shapes Source Target Populations Techniques Time Training Treatment Efficacy Work career cohort comparison control depressive symptoms doctoral student efficacy evaluation ethnic identity health disparity innovation intersectionality intervention effect marginalization parent grant peer population based prevent preventive intervention programs protective factors racial identity randomized, clinical trials sexual identity sexual minority sexual minority youth substance use theories

项目摘要

PROJECT SUMMARY Hispanic sexual minority youth (HSMY) engage in higher levels of drug use and report higher levels of depressive symptoms compared to their heterosexual and non-Hispanic sexual minority peers. Research on risk and protective factors for HSMY has largely focused on non-Hispanic sexual minority youth and does not consider the additional challenges that racial/ethnic sexual minority youth such as HSMY face that subsequently impact drug use and depressive symptoms outcomes. Moreover, the existing literature on risk and protective factors for drug use and depression among HSMY has largely focused on the impact of individual risk and/or protective factors and not how intersecting identity markers such as sexual orientation, acculturation, time in US, and language may impact drug use and depression outcomes among HSMY. It is important to simultaneously consider the interdependence of these salient identity markers and how they impact negative health outcomes among HSMY. Understanding how intersecting identities act synergistically to impact drug use and mental health outcomes among Hispanic sexual minority youth has implications for future interventions with this population. To better understand how sexual orientation, acculturation, time in US, and language impact drug use and depression outcomes among HSMY, this study will utilize quantitative data from three Familias Unidas intervention trials (a family-based preventive intervention for Hispanic adolescents) and the Familias con Orgullo pilot randomized controlled trial (a family based preventive intervention for Hispanic sexual minority youth). Specifically, we will be using advanced statistical techniques such as latent class analysis to identify intersectional profiles of HSMY with indicators of sexual orientation, acculturation, time in US, and language. Moreover, we will examine whether the Familia Unidas and Familias con Orgullo (intervention being evaluated in parent grant) are efficacious in decreasing drug use and depressive symptoms and if the relationship between the intervention conditions and past 90-day drug use and depressive symptoms is mediated by family functioning and whether this relationship is moderated by identified classes. Intersectionality theory has only been utilized in limited contexts with HSMY. This study will potentially identify intersectional risk profiles for Hispanic sexual minority youth, which can help elucidate heterogenous groups of HSMY who share common identity markers to help inform the prevention of depressive symptoms and drug use among this population and help close the gap on pervasive health disparities.

项目概要西班牙裔性少数青少年 (HSMY) 吸毒程度较高，报告称其吸毒程度较高与异性恋和非西班牙裔性少数同龄人相比，他们的抑郁症状。研究 HSMY 的风险和保护因素主要集中在非西班牙裔性少数青少年，而不是考虑 HSMY 等种族/族裔性少数青年面临的额外挑战随后影响药物使用和抑郁症状的结果。此外，现有的风险文献 HSMY 中吸毒和抑郁的保护因素主要集中在个人风险和/或保护因素，而不是身份标记（例如性取向）如何交叉，文化适应、在美国的时间和语言可能会影响 HSMY 的吸毒和抑郁结果。这是重要的是要同时考虑这些显着身份标记的相互依赖性以及它们如何影响 HSMY 的负面健康结果。了解交叉身份如何协同作用影响西班牙裔性少数青少年的药物使用和心理健康结果对未来有影响对这一人群的干预。为了更好地了解性取向、文化适应、在美国的时间以及语言影响 HSMY 中的药物使用和抑郁结果，本研究将利用来自三项 Familias Unidas 干预试验（针对西班牙裔青少年的基于家庭的预防性干预）和 Familias con Orgullo 试点随机对照试验（针对西班牙裔的基于家庭的预防性干预性少数青年）。具体来说，我们将使用先进的统计技术，例如潜在类别分析以确定 HSMY 与性取向、文化适应、时间等指标的交叉特征美国和语言。此外，我们将研究 Familia Unidas 和 Familias con Orgullo 是否（正在家长资助中评估干预措施）可有效减少吸毒和抑郁症状以及干预条件与过去 90 天吸毒和抑郁症状之间的关系是由家庭功能以及这种关系是否由确定的阶级来调节的。交叉理论仅在有限的 HSMY 环境中使用。这项研究可能会确定西班牙裔性少数青年的交叉风险概况，有助于阐明异质群体 HSMY 拥有共同的身份标记，有助于预防抑郁症状和药物在这一人群中使用并有助于缩小普遍存在的健康差距。