An Intersectional Approach to Gender Affirmation in Sex and Gender Reporting among Racial/Ethnically Diverse Trans Populations

种族/民族多元化跨性别人群中性别和性别报告中性别肯定的交叉方法

• 批准号: 10795482
• 负责人: Lauren Brittany Beach
• 金额: $ 17.29万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-21 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10795482
• 关键词: Address; Administrative Supplement; Age; Alcohol consumption; Alcohols; Anxiety; Articulation; Attention; Censuses; Clinic; Color; Communities; Data; Discrimination; Electronic Health Record; Engineering; Ensure; Equity; Ethnic Origin; Face; Feeling; Feeling suicidal; Gender; Gender Identity; Geography; Goals; Grant; Health; Health Services; Health Services Accessibility; Health Surveys; Individual; Inequality; Inequity; Institution; Intersex; Link; Literature; Measurement; Measures; Medicine; Mental Depression; Mental Health; Methodology; Methods; Minority Health Research; Outcome; Participant; Policies; Population; Population Heterogeneity; Provider; Race; Recommendation; Reporting; Research; Respondent; Science; Sex Characteristics; Sex Orientation; Sexism; Specificity; Stigmatization; Structure; Suggestion; Surveys; Terminology; Testing; Text; Thinking; Time; Tobacco use; United States; United States National Academy of Sciences; United States National Institutes of Health; Victimization; Woman; Women' s Health; Work; cisgender; cognitive interview; comparative; coping; design; ethnic diversity; experience; gender affirmation; gender diversity; gender equity; gender minority; health determinants; health disparity; health equity; health inequalities; improved; intersectionality; man; marginalization; microaggression; minority stress; minority stressor; national surveillance; nonbinary; parent grant; people of color; phrases; racial diversity; research study; response; sex; sex assigned at birth; sexual disparity; sexual minority; stressor; substance use; success; theories; transfeminine; transgender; transmasculine; transphobia

PROJECT SUMMARY Ongoing research to improve assessment of sex and gender among transgender participants remains a key priority. In order to ensure research on transgender health is effective, impactful, and valid, meaningful and affirming measurement of gender and sex characteristics is essential. Current recommendations emphasize use of a two-step method which asks for individuals' sex assigned at birth and current gender identity. However, two-step methods which have been tested remain poorly attuned to intersex experiences and experiences of non-binary gender identity. In addition, alternative two-step methods, three-step methods, choose-all-that-apply methods, and open-response methods have all been proposed as alternatives in recent years. As a result, it is imperative that current two-step methods are effectively refined and receive appropriate comparative testing relative to other proposed methods. Moreover, gendered experience is contextual; cultural, temporal, and other forms of gender diversity are not captured by many two-step methods currently in use. Tailoring our methods to improve validity for transgender and gender-diverse individuals who do not fit the normative, binary experience of gender in the United States is therefore essential. Finally, while questions of measure validity are critical to this work, it is also important to consider the ways in which transgender and gender diverse individuals experience the act of reporting sex and gender on survey questions itself, and in particular, the ways in which measures of sex and/or gender may be experienced as stigmatizing or affirming by transgender and gender diverse respondents. Stressors related to discrimination and victimization tied to SGM status are strongly associated with health disparities, whereas multilevel experiences of affirmation are known to promote transgender health on the individual and population levels. Therefore, we must consider that measures of sex and gender which reinforce normative conceptualizations of these constructs have the potential to act as microaggressive minority stressors, and to contribute negatively to the health of transgender and other gender diverse respondents. This project, a supplement to an existing, mixed-methods study aimed at improving measurement of sex, sexual orientation, and gender identity (SSOGI) through community- engaged methodologies, addresses both the current gaps in the literature regarding the validity of two-step and alternative measures of sex and gender, and advances a new line of inquiry which centers the importance of trans affirmation in research. In addition, drawing on the theory and methodology of intersectionality, this project will advance understanding of how best to measure and respond to health inequities for transgender and other gender diverse communities of color. Through qualitative and quantitative testing, we will better validate existing measures of sex and gender in more diverse populations, and develop new lines of inquiry which can be used to strengthen transgender health research moving forward.

项目摘要 正在进行的研究以改善跨性别参与者中对性别和性别的评估仍然是关键 优先事项。为了确保对跨性别者健康的研究有效，有效，有意义，有意义，并且 确认对性别和性别特征的衡量是必不可少的。当前的建议强调 使用两步方法，要求在出生时分配个人的性别和当前的性别认同。 但是，已经测试过的两步方法仍然很差，对两性经历和 非二元性别认同的经历。另外，替代两步方法，三步方法， 在最近的选择中选择了所有这些方法，并且已经提出了作为替代方案的替代方法 年。结果，必须有效地完善当前的两步方法并接受适当的 相对于其他提出的方法，比较测试。而且，性别经验是上下文的。文化， 时间和其他形式的性别多样性并未被当前正在使用的许多两步方法捕获。 调整我们的方法，以提高不适合跨性别者和性别多样性的个人的有效性 因此，在美国的规范性二元经验至关重要。最后，虽然问题 衡量有效性对这项工作至关重要，考虑到跨性别者和 性别多样化的个人经历了在调查问题上以及在 特别是，可以在污名化或肯定的性别和/或性别的措施中的方式 由跨性别者和性别多样化的受访者。与歧视和受害有关的压力源与 SGM的地位与健康差异密切相关，而多层次的肯定经验是 已知可以在个人和人口水平上促进跨性别健康。因此，我们必须考虑 增强这些结构规范概念化的性别和性别的措施具有 有可能充当微型少数族裔压力源，并对跨性别者的健康产生负面影响 和其他多样化的受访者。该项目是现有的混合方法研究的补充 通过社区改善性别，性取向和性别认同（SSOGI）的测量 参与方法论，解决了文献中有关两步有效性和 性别和性别的替代措施，并提高了一条新的询问线，以重点 研究中的跨性别肯定。此外，借鉴了交叉性的理论和方法论 项目将促进如何最好地衡量和应对跨性别的健康不平等 以及其他各种有色社区。通过定性和定量测试，我们将更好 验证更多样化的人群中现有的性别和性别措施，并开发新的询问线 可以用来加强跨性别健康研究。