Understanding Intersectional Discrimination and Adversities among Black Queer Women Living with HIV

了解感染艾滋病毒的黑人酷儿女性的交叉歧视和逆境

• 批准号: 10756693
• 负责人: Sannisha K. Dale
• 金额: $ 7.26万
• 依托单位: UNIVERSITY OF MIAMI CORAL GABLES
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-01 至 2025-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10756693
• 关键词: Adherence; African American; Behavior; Black Populations; Black race; Canada; Caring; Clinical; Communities; Coping Skills; Data; Development; Discrimination; Ethnic Origin; Frequencies; Gender; Grant; HIV; Health; Health Professional; Health Psychology; Health behavior; Homophobia; Individual; Intervention; Interview; Lesbian Gay Bisexual Transgender Queer; Literature; Manuscripts; Mediating; Medical Care Team; Mental Health; Mentors; Mentorship; Monitor; Neighborhood Health Center; Neighborhoods; Outcome; Parents; Personal Satisfaction; Persons; Preparation; Publications; Published Comment; Qualitative Methods; Quality of life; Race; Research; Research Personnel; Resources; Self Efficacy; Sex Orientation; Sexism; Social support; Symptoms; Time; Training; Trauma; Universities; Violence; Viral; Woman; Women' s Group; Writing; black women; career; cisgender; coping; cultural competence; doctoral student; experience; health equity; intersectionality; marginalization; marginalized population; microaggression; parent grant; queer; racial minority; racism; resilience factor; sexual minority women; skills; social stigma; social structure; training opportunity

Background: Black women represent the largest group of women with HIV, both nationally, and locally in Miami, a U.S. HIV epicenter; and 40% are not virally suppressed. Further, they live at the intersection of multiple marginalized identities and within social structures that take a daily toll. Microaggressions are every day and subtle insults via comments, jokes, and behaviors that are demeaning to a marginalized group (e.g. Black individuals, women, people living with HIV, LGBTQ+). Despite their frequency and potential importance, microaggressions have largely been ignored in the scientific literature on Black women living with HIV (BWLWH). Further, little research has been done to understand the experiences of Black cisgender queer women who are living with HIV. Logie et al. found that amongst an ethnically, and sexually diverse group of women living with HIV in Canada, systemic multilevel forms of discrimination such as HIV- related stigma, sexism, racism, and homophobia were interconnected with barriers to HIV-related care, well-being, and development of coping strategies. Among Black queer women living with HIV Logie et al. found that increased levels of quality of life are associated with having control over their HIV care and having a supportive team of healthcare professionals. However, studies are limited among Black queer women living with HIV and no prior studies examining the relationships among microaggressions, discrimination, reoccurring violence, mental health, and HIV outcomes specifically among Black queer women living with HIV in a U.S. epicenter (Miami, FL). Parent Grant: MMAGIC (Monitoring Microaggressions and Adversities to Generate Interventions for Change) focuses on microaggressions and other adversities as negative predictors of HIV viral suppression (main outcome) mediated by mental health symptoms and health behaviors (ART adherence and engagement in care) among Black women. It is longitudinally examining both potential direct effects and moderation by resilience factors at the individual (e.g., self-efficacy), interpersonal (e.g., social support), and neighborhood level (e.g., community health centers). Supplement Research Plan: This project will (a) examine the quantitative data for the queer women in MMAGIC (compared to non-queer women) on microaggressions (LGBTQ-, race-, gender- and HIV-related), macro discrimination (LGBTQ-, race-, gender- and HIV-related), trauma/violence, mental health, and HIV outcomes and observe how the variables relate and change over time and (b) conduct in-depth qualitative interviews with 20-30 of the women on their experiences of intersectional discrimination and microaggressions and how they are navigating these experiences (e.g., helpful coping and resources). Training Plan: This supplement would provide an unmatched training opportunity for Mya Wright, an African American queer PhD student in Clinical Health Psychology at the University of Miami. She will be (a) mentored by renown scholars (Drs. Dale, Bowleg, Logie, and Ironson) in HIV and intersectionality (b) obtain expertise in qualitative methods and advanced quantitative skills for assessing intersectional adversities among Black queer women living with HIV, (c) enhance and develop skills to utilize research findings to inform the development of culturally competent interventions for racial and sexually minoritized women, and (d) strengthen her skills in manuscript preparation, publication, and grant writing.

背景：黑人妇女代表着全国最大的艾滋病毒妇女，无论是在美国还是在美国的本地， 艾滋病中心；和40％的人没有被病毒抑制。此外，它们生活在多个边缘化身份的交汇处 在每天造成损失的社会结构中。微侵略是每天都是通过评论，笑话，微妙的侮辱 以及贬低边缘化群体的行为（例如，黑人，妇女，艾滋病毒感染者， LGBTQ+）。尽管它们的频率和潜在的重要性，但在科学中，微侵略在很大程度上被忽略了 关于艾滋病毒（BWLWH）的黑人妇女的文献。此外，很少进行研究以了解 黑色顺式酷儿妇女的经历。 Logie等。发现在一个种族上， 性别多样化的妇女在加拿大患有艾滋病毒的妇女，有系统的多层次歧视形式，例如艾滋病毒 相关的污名，性别歧视，种族主义和同性恋恐惧症与与HIV相关的护理，幸福感和 制定应对策略。在艾滋病毒Logie等人的黑人酷儿妇女中。发现增加了 生活质量与控制艾滋病毒护理和拥有支持的医疗团队有关 专业人士。但是，研究艾滋病毒的黑人酷儿妇女的研究受到限制，没有事先研究检查 微侵略性，歧视，重新传播暴力，心理健康和艾滋病毒成果之间的关系 特别是在美国震中（佛罗里达州迈阿密）中患有艾滋病毒的黑人酷儿妇女中。父母赠款：mmagic （监视微侵略和逆境以生成变化的干预措施） 其他逆境是由心理健康症状介导的HIV病毒抑制（主要结果）的负面预测因素 黑人妇女中的健康行为（艺术依从性和护理中的敬业度）。它正在纵向研究 弹性因素的潜在直接效果和适度的影响（例如，自我效能感），人际关系（例如社会） 支持）和社区层面（例如社区卫生中心）。补充研究计划：该项目将（a） 检查Mmagic（与非标题妇女相比）在微攻击中的酷儿妇女的定量数据 （LGBTQ-，种族，性别和HIV相关），宏观歧视（LGBTQ-，种族，性别和HIV相关）， 创伤/暴力，心理健康和艾滋病毒结局，并观察变量如何随着时间的流逝而变化和变化，（b） 对20-30名妇女进行交叉歧视的经历，进行深入的定性访谈 微侵略以及它们如何导航这些经验（例如，有用的应对和资源）。培训计划： 这种补充剂将为非裔美国人酷儿博士Mya Wright提供无与伦比的培训机会 迈阿密大学临床健康心理学的学生。她将受到著名学者的指导（dale博士， Bowleg，Logie和Ironson）在艾滋病毒和交叉性中（b）获得定性方法和先进的专业知识 评估艾滋病毒的黑人酷儿妇女评估交叉逆境的定量技能，（c）增强和 开发技能以利用研究结果来告知种族和种族和种族干预措施的发展 性少的妇女，以及（d）增强她在手稿准备，出版和赠款写作方面的技能。