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

• 批准号: 10658477
• 负责人: GUILLERMO PRADO
• 金额: $ 64.42万
• 依托单位: UNIVERSITY OF MIAMI CORAL GABLES
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-11 至 2027-12-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10658477
• 关键词: Address; Adolescent; Advocate; Affect; COVID-19; Child Rearing; Communication; Communities; Community Practice; Data; Development; Disclosure; Discrimination; Drug Targeting; Drug usage; Face; Family; Frequencies; Gender; Goals; Group Processes; Health; Health Promotion; Heterogeneity; Heterosexuals; Hispanic; Hispanic Populations; Homophobia; Individual; Intervention; Knowledge; Learning; Libido; Mediating; Mental Depression; Not Hispanic or Latino; Outcome; Parents; Peer Pressure; Pharmaceutical Preparations; Pilot Projects; Prevention program; Process; Publishing; Randomized; Randomized, Controlled Trials; Reaction; Reporting; Risk; Risk Behaviors; Risk Reduction; Role; Social support; Stress; Work; Youth; acceptability and feasibility; adolescent drug use; arm; cultural values; depressive symptoms; design; drug abuse prevention; efficacy evaluation; evidence base; experience; family support; gender difference; high risk; improved; intervention effect; minority stressor; parent-adolescent communication; parental involvement; peer; pilot test; prevent; preventive intervention; psychologic; racism; resilience; sexual minority; sexual minority stress; sexual minority youth; skills; standard of care; stress management; syndemic; trial design

PROJECT SUMMARY Sexual minority youth (SMY) in general, and Hispanic sexual minority youth in particular (HSMY), report higher levels of drug use and depressive symptoms, compared to their heterosexual and sexual minority peers. Moreover, negative health outcomes (e.g., drug use) are even higher for HSMY who disclose to parents who are unaccepting of their sexual minority youth. In fact, youth disclosure initiates a transition process where parents may struggle to adjust to youth being a sexual minority, potentially leading to poor family functioning (e.g., poor communication and low family support). Further, some parents may not know how to be supportive of their youth and adolescents may lack the needed skills to manage stress and negative reactions that may have reverberating psychological effects. Given the impact of these co-occurring factors, it is critical to develop and evaluate family-based preventive interventions to prevent or reduce the adverse health risks that HSMY face. Interventions need to account for the unique experiences of HSMY and their families, including the interplay of racism and homophobia, cultural values, family rejection/support, family functioning, and individual level variables. Currently, there are no evidence-based, family-based preventive interventions that target drug use and depressive symptoms among HSMY. Our team has begun work to fill this important scientific gap by developing, pilot testing, and publishing on a family-based preventive intervention for HSMY, Familias con Orgullo (Families with Pride). Given the promising findings for Familias con Orgullo on drug use and depressive symptoms, the primary goal of this study is to evaluate, in a randomized controlled trial with 306 HSMY and their parents, the efficacy of Familias con Orgullo on preventing/reducing adolescent drug use (both frequency and quantity) and depressive symptoms. The aims of the study are: AIM 1: Examine the efficacy of Familias con Orgullo, compared to community practice, in decreasing past 90-day drug use (frequency and quantity) and depressive symptoms among HSMY, over 30-months. AIM 2: Examine whether the relationship between intervention condition and the outcomes are partially mediated by parent support for the adolescent, parent acceptance, family functioning, adolescent stress, and sexual minority stress (e.g., discrimination). Exploratory AIM 3: Explore whether gender and baseline levels of parent support for the adolescent, parent acceptance, family functioning, adolescent stress, and sexual minority stress moderate intervention effects on the youth outcomes.

项目摘要 性少数族裔青年（SMY），尤其是西班牙裔性少数青年（HSMY），报告更高 与异性恋和性少数同龄人相比，药物使用和抑郁症状水平。 此外，对于向父母披露的HSMY而言，负面健康结果（例如，吸毒）甚至更高 不接受他们的性少年青年。实际上，青年披露启动了一个过渡过程 父母可能很难适应年轻人成为少数群体，可能导致家庭运作不佳 （例如，沟通不良和家庭支持低）。此外，一些父母可能不知道如何支持 他们的青年和青少年可能缺乏管理压力和负面反应所需的技能 具有回荡的心理影响。鉴于这些共同出现的因素的影响，发展至关重要 并评估基于家庭的预防干预措施，以防止或减少HSMY的不良健康风险 脸。干预措施需要考虑HSMY及其家人的独特经历，包括 种族主义和同性恋恐惧症，文化价值观，家庭拒绝/支持，家庭职能和个人的相互作用 级变量。目前，没有针对药物的基于循证的，基于家庭的预防性干预措施 HSMY的使用和抑郁症状。我们的团队已经开始努力填补这一重要的科学差距 开发，试点测试和发布有关HSMY，Familias Con的基于家庭的预防性干预措施 Orgullo（自豪的家庭）。考虑到Familias conorgullo在毒品使用和 抑郁症状，这项研究的主要目标是在306的随机对照试验中评估 HSMY及其父母，Familias conorgullo在预防/减少青少年药物的功效（都 频率和数量）和抑郁症状。该研究的目的是：目标1：检查 与社区实践相比 数量）和HSMY的抑郁症状，超过30个月。目标2：检查是否关系 在干预条件和结果之间，由父母支持青少年的支持部分介导 父母接受，家庭功能，青少年压力和性少数压力（例如，歧视）。 探索性目的3：探索性别和基准父母对青少年父母的支持水平是否支持 接受，家庭功能，青少年压力和性少数族裔压力中度干预对 青年结果。