Examining Contributors to Disparities in Gender Affirmation and Mental Health among Black and Latinx Transgender Youth

检查黑人和拉丁裔跨性别青年中性别肯定和心理健康差异的贡献者

基本信息

批准号：
10571872
负责人：
Stanley Ray Vance
金额：
$ 16.26万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-02-14 至 2026-11-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10571872
关键词：
Acquired Immunodeficiency Syndrome Address Adolescent Adolescent Medicine Adolescent and Young Adult Adult Affect Anxiety Applications Grants Attention Award Black race Caregivers Caring Child Childhood Clinic Color Communities Consent Data Development Discipline Disparity Equity Ethnic Origin Ethnic Population Evaluation Face Family Fellowship Focus Groups Fostering Gender Gender Identity Goals HIV risk Health Home Intervention Interview K-Series Research Career Programs Latinx Literature Manuals Measures Medical Medicine Mental Depression Mental Health Mentored Patient-Oriented Research Career Development Award Mentors Methodology Minority Groups Modeling Mood Disorders Names Online Systems Outcome Parental Consent Parents Peer Group Persons Play Population Positioning Attribute Prevention Process Public Health Qualitative Methods Race Randomized Randomized, Controlled Trials Recommendation Reporting Research Research Personnel Research Training Resources Role Scholars Program Social support Structure Substance abuse problem Support Groups Symptoms Testing Time Training United States National Institutes of Health Woman Work Youth acceptability and feasibility career career development caregiver interventions cisgender community based research community engaged research community organizations cultural values depressive symptoms design experience gender affirmation gender affirming care gender diversity gender minority group health disparity hormone therapy implementation intervention improved informant intervention refinement lens maltreatment method development parental influence peer peer support pilot test primary caregiver psychosocial racial disparity racial population racism recruit research and development service providers skill acquisition skills social social stigma suicidal therapy design therapy development transgender transphobia virtual young adult

项目摘要

Project Summary/Abstract This is an application for a K23 award for Dr. Stanley Vance, Jr., MD, whose research focuses on barriers to gender-affirming care for transgender youth. His research training includes an Adolescent Medicine fellowship and formal course work in quantitative approaches. Through activities proposed in this application, Dr. Vance will build skills in qualitative methodology, youth/caregiver-facing intervention development, and randomized controlled trials. The resources to foster his career development include UCSF’s Adolescent and Young Adult Medicine Division, Child and Adolescent Gender Center, Center for AIDS Prevention Studies, K- Scholars Program, and graduate coursework in qualitative methods and intervention development and trials. He has convened a mentoring team experienced in relevant disciplines of community-based research with transgender populations, pediatric transgender research, qualitative methods, and intervention implementation to guide the completion of his research and career development into an independent researcher. Informed by the Gender Affirmation and Intersectional Stigma models, this proposal focuses on Black and Latinx transgender youth (BLTY). BLTY face intersecting forces of racism and transphobia, thereby increasing their vulnerability to poor mental health outcomes. However, there is a paucity of data that document the cultural and familial factors that may contribute to these mental health disparities. Although gender affirmation—receiving social support for one’s gender identity and/or medical treatment to affirm one’s gender—improves mental health for transgender youth, cultural and parental influences on gender affirmation for BLTY have not been delineated. Exploring such factors could provide critical information to supporting BLTY and their caregivers through interventions. This career development award seeks to address these gaps in the literature through the following specific aims which will be carried out with guidance from a Community Advisory Board: Aim 1: To gather qualitative data to inform the development of a culturally informed intervention to improve mental health outcomes among BLTY. This includes conducting in-depth interviews with Black and Latinx transgender young adults about their prior experiences with gender affirmation and how their caregivers and cultures influenced such experiences. This aim also includes focus groups with Black and Latinx caregivers to understand cultural views of gender diversity. Aim 2: To develop a culturally informed intervention that promotes gender affirmation and mental health of BLTY. An intervention informant group with BLTY and caregivers will provide direct input into the development of a culturally informed intervention. Aim 3: To pilot test the intervention via a randomized controlled trial. The intervention and control condition will be administered to BLTY and their caregivers to evaluate the intervention’s acceptability, feasibility, and preliminary efficacy on mental health symptoms. At the conclusion of this award, Dr. Vance will apply his findings to develop an R-level grant application for a larger RCT of the developed intervention.

项目概要/摘要这是 Stanley Vance, Jr., MD 博士的 K23 奖项申请，他的研究重点是他的研究培训包括青少年医学。通过本申请中提出的活动，万斯博士将培养定性方法、面向青年/护理人员的干预措施开发以及促进他职业发展的资源包括加州大学旧金山分校的青少年和随机对照试验。青少年医学部、儿童和青少年性别中心、艾滋病预防研究中心、K- 学者计划以及定性方法和干预开发和试验方面的研究生课程。他召集了一支在社区研究相关学科方面经验丰富的指导团队跨性别人群、儿科跨性别研究、定性方法和干预实施指导他完成研究并成为一名独立研究员的职业发展。根据性别肯定和交叉耻辱模型，该提案重点关注黑人和拉丁跨性别青年（BLTY）面临种族主义和跨性别恐惧症的交叉力量。增加了他们遭受不良心理健康结果的可能性。然而，缺乏相关数据。记录可能导致这些心理健康差异的文化和家庭因素。性别肯定——接受社会对一个人的性别认同的支持和/或医疗以肯定一个人的性别性别——改善跨性别青年的心理健康、文化和父母对性别肯定的影响 BLTY 尚未被描述，探索这些因素可以为支持提供关键信息。 BLTY 及其护理人员通过干预措施旨在解决这些差距。在文献中通过以下具体目标，这些目标将在社区的指导下实现顾问委员会：目标 1：收集定性数据，为文化知情的发展提供信息改善 BLTY 心理健康结果的干预措施包括进行深入访谈。与黑人和拉丁裔跨性别年轻人讨论他们之前性别肯定的经历以及如何他们的照顾者和文化影响了此类经历。这一目标还包括黑人和黑人的焦点小组。拉丁裔护理人员了解性别多样性的文化观点目标 2：培养了解文化的人。 BLTY 是一个促进性别肯定和心理健康的干预措施。 BLTY 和护理人员将为制定文化干预措施提供直接投入，目标 3：通过随机对照试验对干预措施进行试点测试。干预和控制条件将是。向 BLTY 及其护理人员实施，以评估干预措施的可接受性、可行性和在该奖项结束时，万斯博士将应用他的研究对心理健康症状的初步疗效。研究结果，为已开发干预措施的更大随机对照试验开发 R 级拨款申请。