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Social influences on sexual health among Latinx adolescents and emerging adults who identify as LGBTQ+ in an agricultural community

Award Number: R01HD075787
ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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PROJECT SUMMARY/ABSTRACT Rates of sexually transmitted infections (STIs) in California have reached epidemic levels that exceed national rates. Half of these infections occur among youth ages 15–24, and rates are disproportionately higher in sexual and gender minority (SGM) adolescents and young adults (AYA). Latine SGM AYA have been shown to have worse mental, physical, and sexual health outcomes than non-SGM AYA and have experiences of discrimination including racism and homophobia. Yet, research is lacking on the experiences of Latine SGM AYA who reside in rural settings who may have increased concerns around confidentiality and stigma in their communities. This critical gap in evidence has impeded the development of interventions to address the needs of rural Latine SGM AYA to increase their access to preventative sexual health services. The overarching goal of this supplement is to understand social, cultural, and structural influences (social determinants) on sexual health among rural Latine SGM AYA, such as those who identify as lesbian, gay, bisexual, transgender, queer, intersex and other genders or sexualities (LGBTQI+) in emerging adulthood (ages 18–21). This study will be a 1- year research supplement to the A Crecer cohort study (R01HD075787). The parent study follows a cohort of adolescents from age 13 into young adulthood at age 21 in Salinas, California, to understand the social factors that affect sexual health among Latine AYA. In the proposed supplemental study, we will analyze existing data and conduct supplementary data collection by recruiting an additional 50 SGM AYA from the study area through community organizations that serve this population. Currently, about 20% (n=73) of the cohort identifies as SGM. This supplementary data collection will allow us to compare sexual health outcomes by SGM identity and to better understand the experiences of SGM AYA in this area. In Aim 1, we will characterize disparities in sexual health outcomes associated with SGM identity in emerging adulthood. Sexual health outcomes include preventing pregnancy and/or STIs, accessing sexual health services, condom use, dating violence, and satisfaction in sexual relationships. We will analyze quantitative data already collected from the A Crecer Phase 2 cohort and include the supplementary sample to characterize disparities in sexual health outcomes. In Aim 2, we will explore AYA identity development and socio-cultural influences on SGM AYA’s experiences with their sexual relationships, health, and well-being. We will conduct in-depth interviews (~20) with purposively selected SGM AYA to understand their needs for and experiences in caring for their sexual well-being as well as perceived socio-cultural influences on their sexual health and how that has shifted over time as their identity has developed. Our established infrastructure, partnerships, and existing cohort position us for efficient initiation and rigorous implementation of the proposed supplemental study. The focus on disparities in emerging adulthood constitutes a high-priority and often neglected developmental period with opportunities to address gaps in understanding ways to support transitions to adulthood that promote well-being and positive sexual health.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = $692,351 )
2024	2024	RESEARCH TRIANGLE INSTITUTE	3040 CORNWALLIS RD	DURHAM	NC	27709	DURHAM	USA	Child Health and Human Development Extramural Research	000	8	7/3/2024	NON-COMPETING CONTINUATION	$591,844
2024	2024	RESEARCH TRIANGLE INSTITUTE	3040 CORNWALLIS RD	DURHAM	NC	27709	DURHAM	USA	Child Health and Human Development Extramural Research	001	8	8/22/2024	SUPPLEMENT FOR EXPANSION	$100,507
														Subtotal = $692,351

Issue Date FY: 2023 ( Subtotal = $581,079 )
2023	2023	RESEARCH TRIANGLE INSTITUTE	3040 E CORNWALLIS RD	RESEARCH TRIANGLE PARK	NC	27709	DURHAM	USA	Child Health and Human Development Extramural Research	000	7	7/6/2023	NON-COMPETING CONTINUATION	$581,079
														Subtotal = $581,079

Issue Date FY: 2022 ( Subtotal = $596,000 )
2022	2022	RESEARCH TRIANGLE INSTITUTE	3040 E CORNWALLIS RD	RESEARCH TRIANGLE PARK	NC	27709	DURHAM	USA	Child Health and Human Development Extramural Research	001	6	7/6/2022	NON-COMPETING CONTINUATION	$596,000
2022	2021	RESEARCH TRIANGLE INSTITUTE	3040 E CORNWALLIS RD	RESEARCH TRIANGLE PARK	NC	27709	DURHAM	USA	Child Health and Human Development Extramural Research	000	5	12/1/2021	COMPETING CONTINUATION	$0
														Subtotal = $596,000

Issue Date FY: 2021 ( Subtotal = $625,698 )
2021	2021	RESEARCH TRIANGLE INSTITUTE	3040 E CORNWALLIS RD	RESEARCH TRIANGLE PARK	NC	27709	DURHAM	USA	Child Health and Human Development Extramural Research	001	5	9/1/2021	COMPETING CONTINUATION	$630,677
2021	2017	RESEARCH TRIANGLE INSTITUTE	3040 E CORNWALLIS RD	RESEARCH TRIANGLE PARK	NC	27709	DURHAM	USA	Child Health and Human Development Extramural Research	000	4	10/28/2020	SUPPLEMENT FOR EXPANSION	-$4,979
														Subtotal = $625,698

Issue Date FY: 2019 ( Subtotal = $0 )
2019	2017	RESEARCH TRIANGLE INSTITUTE	3040 E CORNWALLIS RD	RESEARCH TRIANGLE PARK	NC	27709	DURHAM	USA	Child Health and Human Development Extramural Research	000	4	4/24/2019	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2017 ( Subtotal = $742,171 )
2017	2017	RESEARCH TRIANGLE INSTITUTE	3040 E CORNWALLIS RD	RESEARCH TRIANGLE PARK	NC	27709	DURHAM	USA	Child Health and Human Development Extramural Research	001	4	6/13/2017	NON-COMPETING CONTINUATION	$61,670
2017	2017	RESEARCH TRIANGLE INSTITUTE	3040 E CORNWALLIS RD	RESEARCH TRIANGLE PARK	NC	27709	DURHAM	USA	Child Health and Human Development Extramural Research	002	4	8/5/2017	SUPPLEMENT FOR EXPANSION	$125,481
2017	2017	RESEARCH TRIANGLE INSTITUTE	3040 E CORNWALLIS RD	RESEARCH TRIANGLE PARK	NC	27709	DURHAM	USA	Child Health and Human Development Extramural Research	000	4	4/26/2017	NON-COMPETING CONTINUATION	$555,020
														Subtotal = $742,171

Issue Date FY: 2016 ( Subtotal = $609,235 )
2016	2016	RESEARCH TRIANGLE INSTITUTE	P.O. BOX 12194	RSCH TRIANGLE PK	NC	27709		USA	Child Health and Human Development Extramural Research	000	3	4/18/2016	NON-COMPETING CONTINUATION	$609,235
														Subtotal = $609,235

Issue Date FY: 2015 ( Subtotal = $611,178 )
2015	2015	RESEARCH TRIANGLE INSTITUTE	P.O. BOX 12194	RSCH TRIANGLE PK	NC	27709		USA	Child Health and Human Development Extramural Research	000	2	4/21/2015	NON-COMPETING CONTINUATION	$611,178
														Subtotal = $611,178

Issue Date FY: 2014 ( Subtotal = $596,956 )
2014	2014	RESEARCH TRIANGLE INSTITUTE	P.O. BOX 12194	RSCH TRIANGLE PK	NC	27709		USA	Child Health and Human Development Extramural Research	000	1	8/1/2014	NEW	$596,956
														Subtotal = $596,956

Grand Total All Awards = $5,054,668

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Social influences on sexual health among Latinx adolescents and emerging adults who identify as LGBTQ+ in an agricultural community

Award Number: R01HD075787

ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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