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

基本信息

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
项目类别：
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

项目摘要

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.

项目概要总体而言，性少数青少年 (SMY)，特别是西班牙裔性少数青少年 (HSMY)，报告较高与异性恋和性少数同龄人相比，他们的吸毒程度和抑郁症状。此外，对于 HSMY 来说，负面健康结果（例如吸毒）甚至更高，他们向父母透露，不接受他们的性少数青少年。事实上，青年披露启动了一个过渡过程，其中父母可能很难适应青少年成为性少数群体，这可能导致家庭功能不佳（例如，沟通不畅和家庭支持低）。此外，一些家长可能不知道如何支持他们的青少年和青少年可能缺乏管理压力和负面反应所需的技能，这些技能可能会导致产生强烈的心理影响。鉴于这些同时发生的因素的影响，制定并评估以家庭为基础的预防干预措施，以预防或减少 HSMY 带来的不利健康风险脸。干预措施需要考虑 HSMY 及其家人的独特经历，包括种族主义和恐同症、文化价值观、家庭拒绝/支持、家庭功能和个人的相互作用水平变量。目前，尚无针对药物的循证、以家庭为基础的预防干预措施 HSMY 中的使用和抑郁症状。我们的团队已开始致力于填补这一重要的科学空白开发、试点测试并发布针对 HSMY、Familias con 的基于家庭的预防干预措施 Orgullo（骄傲的家庭）。鉴于《Familias con Orgullo》在药物使用和抑郁症状，这项研究的主要目标是在一项随机对照试验中评估 306 HSMY 及其父母，Familias con Orgullo 对预防/减少青少年吸毒的功效（均频率和数量）和抑郁症状。该研究的目的是：目的 1：检验以下药物的功效： Familias con Orgullo 与社区实践相比，在过去 90 天的药物使用减少方面（频率和数量）和 HSMY 的抑郁症状，超过 30 个月。目标 2：检查关系是否干预条件和结果之间部分是由父母对青少年的支持来调节的，父母的接受度、家庭功能、青少年压力和性少数压力（例如歧视）。探索性目标 3：探讨性别和父母对青少年、父母支持的基线水平是否接受度、家庭功能、青少年压力和性少数压力中等干预对青年成果。