Exploring health equity for Asian American, Native Hawaiian, and Pacific Islander Adolescents in a large epidemiologic study: Intersections of ethnicity, sexual orientation, and gender identity

在大型流行病学研究中探索亚裔美国人、夏威夷原住民和太平洋岛民青少年的健康公平性：种族、性取向和性别认同的交叉点

• 批准号: 10645666
• 负责人: G. Nic Rider
• 金额: $ 22.88万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-15 至 2024-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10645666
• 关键词: 19 year old; Address; Adolescent; Affect; Age; Ancillary Study; Area; Asian Americans; California; Caring; Cause of Death; Characteristics; Child; Communities; Complex; Data; Data Set; Development; Disadvantaged; Disparity; Ethnic Origin; Ethnic Population; Exposure to; Face; Family; Feeling; Funding; Future; Gender; Gender Identity; Health; Health Professional; Health Services; Homophobia; Immigrant; Individual; Inequality; Intervention; Interview; Language; Lesbian; Lesbian Gay Bisexual Transgender Queer; Link; Measures; Mediating; Mental Health; Mentorship; Methods; Minnesota; Minority; Modeling; Native Hawaiian or Other Pacific Islander; Neighborhood Health Center; Personal Satisfaction; Persons; Population; Process; Production; Protocols documentation; Public Health; Race; Recommendation; Religion; Reporting; Research; Resources; Risk; Risk Behaviors; Risk Factors; Safety; Sample Size; Sampling; Schools; Services; Sex Orientation; Sexual and Gender Minorities; Sexual and Gender Minority Youth; Social status; Source; Spirituality; Stereotyping; Structure; Students; Subgroup; Suicide; Suicide attempt; Surveys; System; Teenagers; Testing; Training; Training Programs; Variant; Victimization; Work; Youth; adolescent health; bullying; cisgender; design; emotional distress; epidemiology study; experience; gender minority group; gender minority youth; girls; health disparity; health equity; high risk; high risk sexual behavior; improved; innovation; insight; intersectionality; lens; marginalization; minority children; nonbinary; peer; protective factors; public health intervention; queer; racism; resilience; service providers; sexual minority; social; social factors; stressor; structural determinants; substance use

PROJECT ABSTRACT/SUMMARY Asian American, Native Hawaiian, and Pacific Islander (AANHPI) sexual and gender minority (SGM) youth face substantial health disparities compared to their cisgender and straight peers. They must also contend with stereotypes, such as the model minority myth, contributing to misconceptions and inaccurate/insufficient information to guide intervention strategies. AANHPI youth are not a monolith; yet, they are often aggregated in studies, masking important health disparities across AANHPI subpopulations. Intersectionality is a critical analysis framework describing complex ways that power and privilege are structured based on mutually constitutive social positions and how processes that confer privilege and disadvantage impact people’s lives. Exposure to overlapping concurrent forms of social oppression (e.g., homophobia and racism simultaneously) may differentially affect treatment of AANHPI youth subgroups, yielding longer-term health concerns. AANHPI youth facing multiple marginalization may experience challenges that affect healthy development, but also unique strengths. AANHPI youth are a fast-growing, poorly understood population, especially AANHPI SGM youth, and their risks and support needs are critical public health issues. This proposed developmental study responds to NOT-HL-23-001 and is an ancillary study to a funded R01 (MD015722). We will use an intersectional lens and a sequential explanatory design to answer questions specific to AANHPI SGM youth (13-19 years old), which are beyond the scope of our existing study: 1) What are differences in bullying, risk behaviors, mental health, and protective factors among AANHPI youth with different social positions (e.g. AANHPI sexual and/or gender minority youth, various ethnic groups)? 2) How do differences in protective factors and other characteristics explain variations in bullying, risk behaviors, and mental health among AANHPI youth (and ethnic groups) with different social positions? and 3) What positive and negative experiences are relevant to the overlapping, simultaneous production of inequalities by AANHPI ethnicity and SGM identity? We will explore these new areas using two study aims: first, conduct intersectionality-informed, harmonized and parallel quantitative analyses of three adolescent datasets to examine risk and protective factors for AANHPI youth at intersecting social positions. We will use the California Healthy Kids Survey (N~1,042,000), Minnesota Student Survey (N~122,000), and LGBTQ National Teen Survey (N~17,000). Second, we will conduct interviews with 15 AANHPI SGM youth to gain rich insight into Aim 1 findings and 15 professionals who work with AANHPI SGM youth to understand training/resource needs and interpersonal and community-specific assets. Findings will generate concrete recommendations to bolster care and service systems for AANHPI SGM youth. This study, capitalizing on existing protocols, resources and mentorship of our funded R01, is expected to provide preliminary data to develop and test training programs for educators, health professionals and service providers in various settings to improve the wellbeing of AANHPI youth.

项目摘要/摘要 亚裔美国人，夏威夷人和太平洋岛民（AANHPI）性少数族裔（SGM）青年 与他们的cisgender和异性恋同龄人相比，面临重大健康差异。他们还必须包含 刻板印象，例如少数族裔神话，导致概念和不正确/不足 指导干预策略的信息。 Aanhpi青年不是一个巨人。但是，他们经常被汇总 研究，掩盖了AANHPI亚群的重要健康差异。交叉性是关键 分析框架描述了基于相互的权力和特权的复杂方式 构成社会地位以及该会议特权和灾难的过程如何影响人们的生活。 暴露于重叠的同时社会压迫形式（例如，同性恋恐惧症和种族主义） 可能会对Aanhpi青年亚组的治疗产生不同的影响，从而引起长期健康问题。 Aanhpi 面临多个边缘化的青年可能会遇到影响健康发展的挑战，但也 独特的优势。 Aanhpi青年是一个快速增长，了解不足的人口，尤其是Aanhpi SGM 青年及其风险和支持需求是关键的公共卫生问题。这项拟议的发展研究 对NOT-HL-23-001的响应，是对资助R01（MD015722）的辅助研究。我们将使用 交叉镜头和连续剥夺设计，以回答特定于AANHPI SGM青年的问题 （13-19岁），这超出了我们现有研究的范围：1）欺凌，风险有什么差异 AANHPI青年的行为，心理健康和受保护因素具有不同的社会地位（例如 aanhpi性和/或性别少数族裔青年，各个族裔）？ 2）如何保护差异 因素和其他特征解释了欺凌，风险行为和心理健康的变化 Aanhpi青年（和种族群体）具有不同的社会地位？ 3）什么积极和负面 经验与AANHPI种族的重叠，简单产生的不平等相关， SGM身份？我们将使用两个研究目标探索这些新领域：首先，进行交叉性信息， 对三个青少年数据集进行了协调和平行的定量分析，以检查风险和保护性 Aanhpi青年在社会地位相交的因素。我们将使用加利福尼亚健康的儿童调查 （N〜1,042,000），明尼苏达州学生调查（N〜122,000）和LGBTQ国家青少年调查（N〜17,000）。 其次，我们将对15个Aanhpi SGM青年进行采访，以获得对AIM 1和15 与Aanhpi SGM青年合作的专业人员了解培训/资源需求和人际关系和人际关系 特定于社区的资产。调查结果将产生具体的建议，以加强护理和服务 AANHPI SGM青年的系统。这项研究利用了现有协议，资源和心态 我们资助的R01有望提供初步数据，以开发和测试教育工作者的培训计划， 卫生专业人员和服务提供商在各种环境中，以改善Aanhpi青年的福祉。