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

基本信息

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
项目类别：
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&apos 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

项目摘要

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：无论是在全国还是在美国迈阿密当地，黑人女性都是感染艾滋病毒的最大女性群体。艾滋病毒震中； 40% 没有受到病毒抑制。此外，他们生活在多种边缘化身份的交汇处以及每天造成损失的社会结构。微侵犯每天都在发生，通过评论、笑话、以及侮辱边缘化群体（例如黑人、妇女、艾滋病毒感染者、 LGBTQ+）。尽管微侵犯发生的频率和潜在的重要性，但在科学界中却基本上被忽视了。关于感染艾滋病毒的黑人妇女 (BWLWH) 的文献。此外，很少有研究来了解感染艾滋病毒的黑人顺性别酷儿女性的经历。洛吉等人。发现在一个种族中，加拿大感染艾滋病毒的妇女群体性别多样化，系统性多层次形式的歧视，例如艾滋病毒- 相关的耻辱、性别歧视、种族主义和恐同症与艾滋病毒相关护理、福祉和治疗的障碍相互关联。制定应对策略。在感染艾滋病毒的黑人酷儿女性中，Logie 等人。发现增加的水平生活质量与对艾滋病毒护理的控制和拥有支持性医疗团队有关专业人士。然而，研究仅限于感染艾滋病毒的黑人酷儿女性，之前也没有研究检验微侵犯、歧视、反复发生的暴力、心理健康和艾滋病毒结果之间的关系特别是在美国疫情中心（佛罗里达州迈阿密）感染艾滋病毒的黑人酷儿女性中。家长资助：MMAGIC （监测微侵犯和逆境以制定变革干预措施）重点关注微侵犯和逆境其他逆境作为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女性的健康行为（ART 坚持和参与护理）。它正在纵向检查两者复原力因素对个人（例如自我效能）、人际交往（例如社交）的潜在直接影响和调节支持）和邻里层面（例如社区卫生中心）。补充研究计划：该项目将（a）检查 MMAGIC 中酷儿女性（与非酷儿女性相比）关于微侵犯的定量数据（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果，并观察变量如何随时间相关和变化；(b) 对 20-30 名妇女进行深入的定性访谈，了解她们遭受交叉歧视和微攻击以及他们如何应对这些经历（例如，有用的应对和资源）。培训计划：该补充品将为非裔美国酷儿博士 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专业的学生。她将受到 (a) 著名学者（Dale 博士、 Bowleg、Logie 和 Ironson）在 HIV 和交叉性方面 (b) 获得定性方法和高级方法方面的专业知识评估感染艾滋病毒的黑人酷儿女性的交叉逆境的定量技能，(c) 加强和培养利用研究结果的技能，为针对种族和种族问题制定文化上有效的干预措施提供信息性少数女性，以及 (d) 加强其手稿准备、出版和资助写作的技能。