1 00:00:05,520 --> 00:00:20,320 >>WELCOME, I'M RADA DAGHER 2 00:00:20,320 --> 00:00:30,840 AND THE CHAIR FOR THE TWO DAYS. 3 00:00:30,840 --> 00:00:34,160 YESTERDAY WE HAD A LIVELY 4 00:00:34,160 --> 00:00:36,120 DISCUSSION TALKING ABOUT THE 5 00:00:36,120 --> 00:00:38,320 DISPARITIES AND WE'LL TALK HOW 6 00:00:38,320 --> 00:00:41,040 IDENTITIES AFFECT THE SGM 7 00:00:41,040 --> 00:00:43,240 POPULATIONS AND DISCUSS 8 00:00:43,240 --> 00:01:01,000 INTERVENTIONS. 9 00:01:01,000 --> 00:01:05,120 I ALSO WOULD LIKE TO SHARE AN 10 00:01:05,120 --> 00:01:10,960 ARTICLE I SAW YESTERDAY I 11 00:01:10,960 --> 00:01:17,840 THOUGHT WOULD BE INTERESTING TO 12 00:01:17,840 --> 00:01:28,320 SHARE TODAY AND GIVE US IDEAS 13 00:01:37,360 --> 00:01:43,200 THE CART IS RESILIENCE AS AN 14 00:01:43,200 --> 00:01:47,200 ADVERSE EVENT AND SAYS MAKE IT'S 15 00:01:47,200 --> 00:01:53,560 AN EXPECTATION THAT HAS BEEN 16 00:01:53,560 --> 00:01:55,440 LEVIED ON EXCLUDED POPULATIONS 17 00:01:55,440 --> 00:02:05,920 AND SO I WOULD INVITE YOU TO 18 00:02:13,040 --> 00:02:14,720 THINK WHAT'S NEEDED FOR THOSE 19 00:02:14,720 --> 00:02:16,000 POPULATIONS WHO ARE RACIAL 20 00:02:16,000 --> 00:02:21,680 ETHNIC MINORITIES AND THINK 21 00:02:21,680 --> 00:02:25,680 ABOUT WHAT ARE SYSTEMIC FACTORS 22 00:02:25,680 --> 00:02:29,840 WE NEED TO INTERVENE ON AND VEER 23 00:02:29,840 --> 00:02:31,080 AWAY FROM THE INDIVIDUAL 24 00:02:31,080 --> 00:02:35,960 RESILIENCE PARADIGM. 25 00:02:35,960 --> 00:02:40,560 I WOULD LIKE TO INTRODUCE MY 26 00:02:40,560 --> 00:02:44,520 COLLEAGUE DR. ERIK RODRIGUEZ WHO 27 00:02:44,520 --> 00:02:47,360 WILL BE SPEAKING AN INTRAMURAL 28 00:02:47,360 --> 00:02:51,040 RESEARCHER AT NHLBI AND WILL BE 29 00:02:51,040 --> 00:02:52,120 MODERATING THE NEXT SESSION. 30 00:02:52,120 --> 00:02:53,160 GO AHEAD. 31 00:02:53,160 --> 00:02:57,280 >>THANK YOU, RADA. 32 00:02:57,280 --> 00:03:07,680 I'M ERIK RODRIGUEZ AN 33 00:03:08,280 --> 00:03:10,680 EPIDEMIOLOGIST AT THE HEART, 34 00:03:10,680 --> 00:03:11,560 LUNG, BLOOD INSTITUTE AND 35 00:03:11,560 --> 00:03:14,360 LOOKING AT INTERSECTIONS BETWEEN 36 00:03:14,360 --> 00:03:15,760 SGM AND OTHER POPULATIONS THAT 37 00:03:15,760 --> 00:03:18,160 EXPERIENCE HEALTH DISPARITIES. 38 00:03:18,160 --> 00:03:21,240 THE ROLE OF TODAY'S SESSION IS 39 00:03:21,240 --> 00:03:22,360 TO DESCRIBE THE PATTERNS AND 40 00:03:22,360 --> 00:03:28,760 DRIVERS OF HEALTH DISPARITIES IN 41 00:03:28,760 --> 00:03:30,320 SGM POPULATIONS WITH 42 00:03:30,320 --> 00:03:32,560 INTERSECTING SOCIAL STATUSES. 43 00:03:32,560 --> 00:03:37,480 WE HAVE THREE SPEAKERS INCLUDING 44 00:03:37,480 --> 00:03:43,600 DR. AGUAYO-ROMERO AND 45 00:03:43,600 --> 00:03:45,160 DR. FLANDERS AND SARAH MURRAY 46 00:03:45,160 --> 00:03:47,040 FROM THE SCHOOL OF PUBLIC 47 00:03:47,040 --> 00:03:50,360 HEALTH. 48 00:03:50,360 --> 00:03:51,160 I BELIEVE WE'LL START WITH 49 00:03:51,160 --> 00:03:52,760 DR. AGUAYO-ROMERO IF YOU'RE 50 00:03:52,760 --> 00:03:55,600 READY. 51 00:03:55,600 --> 00:03:59,920 >>GOOD MORNINGS THE TALK TODAY 52 00:03:59,920 --> 00:04:01,760 I'LL BE TALKING ABOUT HOW THIS 53 00:04:01,760 --> 00:04:03,200 IS EXPERIENCED WITH PEOPLE OF 54 00:04:03,200 --> 00:04:08,360 COLOR CAN AND MORE THAN ANYTHING 55 00:04:08,360 --> 00:04:14,640 I'LL PROVIDE AN OVERVIEW OF THE 56 00:04:14,640 --> 00:04:16,640 EXPERIENCE OF THIS POPULATION 57 00:04:16,640 --> 00:04:18,440 AND IT WILL TAKE MORE TIME TO GO 58 00:04:18,440 --> 00:04:21,840 INTO THE POTENTIAL ITERATIONS OF 59 00:04:21,840 --> 00:04:23,360 LOOKING AT RACE AND OTHER 60 00:04:23,360 --> 00:04:26,080 DIFFERENT RACIAL GROUPS AND 61 00:04:26,080 --> 00:04:27,360 GENDER IDENTITY GROUPS POR 62 00:04:27,360 --> 00:04:31,920 PEOPLE BUT I WANTED TO START BY 63 00:04:31,920 --> 00:04:35,440 TALKING ABOUT I DID HAVE 64 00:04:35,440 --> 00:04:36,800 DISPARITIES AND LOOKING AT 65 00:04:36,800 --> 00:04:39,280 THROUGH THE LENS OF 66 00:04:39,280 --> 00:04:41,360 INTERSECTIONALITY AND BRIEFLY 67 00:04:41,360 --> 00:04:43,040 TALKING ABOUT WHEN YOU TALK 68 00:04:43,040 --> 00:04:46,120 ABOUT THIS WE'RE NOT ONLY 69 00:04:46,120 --> 00:04:48,480 TALKING ABOUT PEOPLE THAT AT THE 70 00:04:48,480 --> 00:04:49,880 INDIVIDUAL LEVEL EXPERIENCE 71 00:04:49,880 --> 00:04:54,120 DISCRIMINATION GIVEN MULTIPLE 72 00:04:54,120 --> 00:04:58,680 MARGINALIZED IDENTITIES BUT THIS 73 00:04:58,680 --> 00:05:01,200 IS PRODUCED BY AND IMPACTED BY 74 00:05:01,200 --> 00:05:02,080 DIFFERENT LEVELS. 75 00:05:02,080 --> 00:05:04,720 WHAT IS THE EXPERIENCE OF THE 76 00:05:04,720 --> 00:05:05,760 INDIVIDUAL LEVEL AS A RESULT OF 77 00:05:05,760 --> 00:05:08,000 THE PERSONAL LEVEL AND 78 00:05:08,000 --> 00:05:12,080 STRUCTURAL LEVEL WHEN THERE'S 79 00:05:12,080 --> 00:05:14,520 POLICIES IN PLACE THAT IMPACT 80 00:05:14,520 --> 00:05:19,800 SPECIFIC POPULATIONS AND 81 00:05:19,800 --> 00:05:24,680 CURRENTLY WE'RE SEEING IMPACT OF 82 00:05:24,680 --> 00:05:27,280 THE TRANSGENDER COMMUNITY 83 00:05:27,280 --> 00:05:28,040 DIRECTLY. 84 00:05:28,040 --> 00:05:29,480 WE'RE SEEING MANY EXAMPLES HOW 85 00:05:29,480 --> 00:05:30,840 AT THE STRUCTURAL LEVEL THERE 86 00:05:30,840 --> 00:05:36,000 ARE ATTEMPTS TO IMPACT THE 87 00:05:36,000 --> 00:05:40,080 HEALTH OF PEOPLE WHEN IT COMES 88 00:05:40,080 --> 00:05:41,800 TO TREATMENT OF CARE. 89 00:05:41,800 --> 00:05:43,560 AND IF WE'RE TALKING ABOUT 90 00:05:43,560 --> 00:05:45,920 PEOPLE OF COLOR THEY'RE NOT ONLY 91 00:05:45,920 --> 00:05:52,080 EXPERIENCING GENDERISM OR TRANS 92 00:05:52,080 --> 00:05:53,240 PHOBIA BUT RACISM. 93 00:05:53,240 --> 00:05:54,920 THEY'RE HEALTH IS GOING TO BE 94 00:05:54,920 --> 00:05:57,040 IMPACTED BY THE INTERLOCKING 95 00:05:57,040 --> 00:05:57,240 SYSTEMS. 96 00:05:57,240 --> 00:05:59,680 THAT SAID, THOSE ARE NOT THE 97 00:05:59,680 --> 00:06:07,960 ONLY TWO SYSTEMS IMPACTING 98 00:06:07,960 --> 00:06:09,880 PEOPLE OF COLOR. 99 00:06:09,880 --> 00:06:12,920 AS WELL SOME STUDIES ALWAYS SEEM 100 00:06:12,920 --> 00:06:17,960 IT FIND THE DISPARITIES GO TO 101 00:06:17,960 --> 00:06:21,200 POVERTY AND EMPLOYMENT AND 102 00:06:21,200 --> 00:06:22,560 HAVING LOWER INCOME WHICH ALSO 103 00:06:22,560 --> 00:06:25,040 SHOWED THE CONNECTION TO ANOTHER 104 00:06:25,040 --> 00:06:25,600 SYSTEM OF OPPRESSION AND 105 00:06:25,600 --> 00:06:35,040 CLASSISM. 106 00:06:35,040 --> 00:06:41,280 AND CLASSES AND ITSELF THOUGH 107 00:06:41,280 --> 00:06:45,320 IT'S ALWAYS SEEN AS DEMOGRAPHIC 108 00:06:45,320 --> 00:06:53,560 OR IMPACT ON THE HEALTH AND HOW 109 00:06:53,560 --> 00:06:56,360 PEOPLE EXPERIENCE THIS IN 110 00:06:56,360 --> 00:07:04,440 SETTINGS. 111 00:07:04,440 --> 00:07:06,440 GOING OVER SOME OF THE MENTAL 112 00:07:06,440 --> 00:07:07,720 HEALTH DISPARITIES. 113 00:07:07,720 --> 00:07:12,960 TO BEGIN WITH, SOME STUDIES THAT 114 00:07:12,960 --> 00:07:18,200 ARE GENDER QUEER FOR THIS CASE 115 00:07:18,200 --> 00:07:25,360 THE WAY THEY LOOKED AT CISGENDER 116 00:07:25,360 --> 00:07:28,840 PEOPLE AND QUEER INDIVIDUALS AND 117 00:07:28,840 --> 00:07:30,160 LOOKING AT THOSE THAT DON'T 118 00:07:30,160 --> 00:07:33,240 ADHERE TO THE BINARY SYSTEM OF 119 00:07:33,240 --> 00:07:37,880 GENDER SO THEY INCLUDING 120 00:07:37,880 --> 00:07:41,520 NON-BINARY INDIVIDUALS AND THEY 121 00:07:41,520 --> 00:07:43,320 FOUND THEY EXPERIENCED MORE 122 00:07:43,320 --> 00:07:45,680 ANXIETY, DEPRESSION, 123 00:07:45,680 --> 00:07:48,320 PSYCHOLOGICAL STRESS AND EATING 124 00:07:48,320 --> 00:07:50,040 DISORDERS AND MAY HAVE BEEN 125 00:07:50,040 --> 00:07:54,200 SEXUALLY ABUSED AND SUBJECTED TO 126 00:07:54,200 --> 00:07:56,960 ADVERSE EVENTS AT HIGHER RATES 127 00:07:56,960 --> 00:07:58,160 AND EXPERIENCE HIGHER 128 00:07:58,160 --> 00:07:58,440 SUICIDALITY. 129 00:07:58,440 --> 00:08:01,160 WHEN WE LOOK AT DIFFERENCES 130 00:08:01,160 --> 00:08:03,440 WITHIN GENDER GROUPS WE SEE 131 00:08:03,440 --> 00:08:05,240 THESE DISPARITIES. 132 00:08:05,240 --> 00:08:06,760 THERE'S BEEN SOME ANALYSIS 133 00:08:06,760 --> 00:08:10,040 LOOKING AT PEOPLE OF COLOR AND 134 00:08:10,040 --> 00:08:12,800 MENTAL HEALTH AND IN THE 135 00:08:12,800 --> 00:08:14,520 LITERATURE WE FOUND THERE'S A 136 00:08:14,520 --> 00:08:18,400 SMALL NUMBER OF ARTICLES THAT 137 00:08:18,400 --> 00:08:20,080 ARE SPECIFIC ABOUT TRANSGENDER 138 00:08:20,080 --> 00:08:21,440 PEOPLE OF COLOR. 139 00:08:21,440 --> 00:08:24,560 THIS IS AN AREA THAT DOESN'T 140 00:08:24,560 --> 00:08:25,640 RECEIVE MUCH ATTENTION. 141 00:08:25,640 --> 00:08:29,360 AND IT'S BEEN IDENTIFIED BY A 142 00:08:29,360 --> 00:08:39,760 COUPLE CONTENT ANALYSIS. 143 00:08:44,080 --> 00:08:47,360 THE EXPERIENCE RHEUMATOID 144 00:08:47,360 --> 00:08:51,800 ARTHRITIS, GOUT, ASTHMA AND 145 00:08:51,800 --> 00:08:53,360 DEPRESSION AND AGAIN I MENTIONED 146 00:08:53,360 --> 00:09:00,320 BEFORE THIS IS RELATED TO HAVING 147 00:09:00,320 --> 00:09:02,720 LOWER INCOME. 148 00:09:02,720 --> 00:09:05,920 OVER ALL THE UNDER 149 00:09:05,920 --> 00:09:07,720 REPRESENTATION OF PHYSICAL 150 00:09:07,720 --> 00:09:09,560 HEALTH RESEARCH WHEN IT COMES TO 151 00:09:09,560 --> 00:09:15,000 RACE AND ETHNICITY. 152 00:09:15,000 --> 00:09:20,080 THERE ARE SOME SAMPLES OR 153 00:09:20,080 --> 00:09:24,120 SURVEYS LOOKING AT THE 154 00:09:24,120 --> 00:09:31,880 INTERSECTION AND THE 2015 155 00:09:31,880 --> 00:09:39,960 TRANSGENDER SERVE IS THE LARGEST 156 00:09:39,960 --> 00:09:42,160 SURVEY AND WE SHOULD SEE MORE 157 00:09:42,160 --> 00:09:45,120 REPORTS LATER THIS YEAR BUT THE 158 00:09:45,120 --> 00:09:46,480 CURRENT REPORT -- THEY ALSO 159 00:09:46,480 --> 00:09:48,080 PROVIDE A REPORT LOOKING AT THE 160 00:09:48,080 --> 00:09:51,080 INTERSECTION OF RACE AND GENDER 161 00:09:51,080 --> 00:09:51,360 IDENTITY. 162 00:09:51,360 --> 00:09:53,200 YOU CAN FIND THE ARE REPORT 163 00:09:53,200 --> 00:09:55,720 AVAILABLE ONLINE AND LOOK AT 164 00:09:55,720 --> 00:10:02,880 BLACK TRANSGENDER PEOPLE, LATINO 165 00:10:02,880 --> 00:10:13,080 INDIVIDU 166 00:10:15,120 --> 00:10:16,800 INDIVIDUALS THERE WERE 167 00:10:16,800 --> 00:10:21,200 DISPARITIES FOUND IN THE SURVEY. 168 00:10:21,200 --> 00:10:23,840 PARTICULARLY IN TERMS OF 169 00:10:23,840 --> 00:10:26,840 INDIVIDUALS NOT HAVING INSURANCE 170 00:10:26,840 --> 00:10:29,640 COMPARED TO THE ENTIRE 171 00:10:29,640 --> 00:10:30,840 U.S. POPULATION. 172 00:10:30,840 --> 00:10:33,640 BLACK TRANSGENDER PEOPLE HAD A 173 00:10:33,640 --> 00:10:35,840 HIGHER RATE OF NOT HAVING 174 00:10:35,840 --> 00:10:36,920 INSURANCE, ALMOST DOUBLE OF THE 175 00:10:36,920 --> 00:10:41,120 U.S. POPULATION AND WE SEE 176 00:10:41,120 --> 00:10:43,760 SIMILAR NUMBERS FOR LATINO 177 00:10:43,760 --> 00:10:46,560 TRANSGENDER AND AMERICAN INDIAN 178 00:10:46,560 --> 00:10:55,600 AND ALASKAN NATIVE INDIVIDUALS. 179 00:10:55,600 --> 00:10:58,760 WE SEE GREATER DISPARITIES IN 180 00:10:58,760 --> 00:11:03,960 HIV AND PSYCHOLOGICAL DISTRESS 181 00:11:03,960 --> 00:11:06,200 AND SUICIDAL ATTEMPTS AND MOST 182 00:11:06,200 --> 00:11:08,600 THE LITERATURE SHOWS THE BIGGEST 183 00:11:08,600 --> 00:11:12,840 DISPARITY HAS TO DO WITH HIV AND 184 00:11:12,840 --> 00:11:14,680 THE MOST IMPACTED POPULATION BY 185 00:11:14,680 --> 00:11:15,680 HIV ARE BLACK TRANSGENDER 186 00:11:15,680 --> 00:11:25,880 INDIVIDUALS. 187 00:11:26,800 --> 00:11:30,600 WHEN IT TO PSYCHOLOGICAL 188 00:11:30,600 --> 00:11:34,640 DISTRESS AND SUICIDALITY THE 189 00:11:34,640 --> 00:11:36,160 RATES ARE EIGHT TIMES HIGHER 190 00:11:36,160 --> 00:11:39,080 THAN U.S. FOR ALL RACIAL GROUPS. 191 00:11:39,080 --> 00:11:42,680 EVEN FOR SUICIDAL ATTEMPTS EVEN 192 00:11:42,680 --> 00:11:50,840 FOR THE WHITE TRANSGENDER GROUP. 193 00:11:50,840 --> 00:11:56,200 THERE'S HIGHLY DOCUMENTED 194 00:11:56,200 --> 00:12:02,520 DISPARITIES. 195 00:12:02,520 --> 00:12:09,320 THERE'S BEEN EFFORTS TO LOOK AT 196 00:12:09,320 --> 00:12:13,080 FUNDING AND GIVEN THE NEED FOR 197 00:12:13,080 --> 00:12:14,800 THIS POPULATION AND THERE AN 198 00:12:14,800 --> 00:12:17,720 INITIATIVE BY THE HEALTH 199 00:12:17,720 --> 00:12:18,320 RESOURCES AND SERVICES 200 00:12:18,320 --> 00:12:20,280 ADMINISTRATION OF IMPLEMENTING 201 00:12:20,280 --> 00:12:23,800 AND EVALUATING INTERVENTIONS. 202 00:12:23,800 --> 00:12:24,640 THEY HAD NINE DEMONSTRATION 203 00:12:24,640 --> 00:12:29,360 PROJECTS IN THE U.S. 204 00:12:29,360 --> 00:12:31,880 AND THAT INCLUDED DIFFERENT 205 00:12:31,880 --> 00:12:35,360 ASPECTS OF DIFFERENT ACTIVITIES. 206 00:12:35,360 --> 00:12:40,360 THERE'S BEEN SOME OF THAT 207 00:12:40,360 --> 00:12:49,400 ALREADY HAPPENING. 208 00:12:49,400 --> 00:12:51,440 AN AREA THAT WASN'T AS EXPLORED 209 00:12:51,440 --> 00:12:52,600 IN THE LITERATURE OR IN THE 210 00:12:52,600 --> 00:12:55,600 HEALTH DISPARITIES LITERATURE 211 00:12:55,600 --> 00:12:57,880 AND IT'S GOTTEN MORE ATTENTION 212 00:12:57,880 --> 00:12:58,840 RECENTLY IN LOOKING AT 213 00:12:58,840 --> 00:13:09,040 RESILIENCE. 214 00:13:14,720 --> 00:13:17,520 I LOOKED AT HIV TESTING AMONG 215 00:13:17,520 --> 00:13:20,120 TRANSGENDER WOMEN OF COLOR USING 216 00:13:20,120 --> 00:13:22,880 THE SURVEY FROM 2015 I LOOKED AT 217 00:13:22,880 --> 00:13:28,360 THE INTERSECTION OF BEING A 218 00:13:28,360 --> 00:13:34,560 TRANSGENDER WOMAN AND THE HIV 219 00:13:34,560 --> 00:13:38,760 TESTING PATTERN AND COMPARING 220 00:13:38,760 --> 00:13:45,320 THOSE WHO TEST ED IN THE PAST 221 00:13:45,320 --> 00:13:47,160 YEAR AND NON-TESTER. 222 00:13:47,160 --> 00:13:53,880 WHEN WE THINK ABOUT EXPERIENCING 223 00:13:53,880 --> 00:13:58,440 DISCRIMINATION WE THING THOSE 224 00:13:58,440 --> 00:14:00,760 HIGHLY MARGINALIZED ARE FROM 225 00:14:00,760 --> 00:14:02,560 MULTIPLE SYSTEMS AND THINK 226 00:14:02,560 --> 00:14:03,520 THEY'LL HAVE WORSE HEALTH 227 00:14:03,520 --> 00:14:05,640 OUTCOMES AND THAT WAS THE 228 00:14:05,640 --> 00:14:05,920 OPPOSITE. 229 00:14:05,920 --> 00:14:12,000 IN THIS STUDY A WOMAN OF COLOR 230 00:14:12,000 --> 00:14:17,080 EXPLORED THE GROUPS EXPERIENCING 231 00:14:17,080 --> 00:14:21,040 RACISM AND CLASSISM HAD HIGHER 232 00:14:21,040 --> 00:14:21,840 PROBABILITIES THEIR WOMEN OF 233 00:14:21,840 --> 00:14:25,440 COLOR FROM OTHER CLASSES. 234 00:14:25,440 --> 00:14:27,640 SO IN THIS CASE THEY WERE 235 00:14:27,640 --> 00:14:29,960 EXPECTED TO HAVE A WORSE OUTCOME 236 00:14:29,960 --> 00:14:34,840 AND THEY WERE THE ONES NOT 237 00:14:34,840 --> 00:14:36,760 GETTING TESTED MORE REGULARLY. 238 00:14:36,760 --> 00:14:39,040 THERE ARE NO CLEAR PATHWAYS WHY 239 00:14:39,040 --> 00:14:43,720 THIS IS HAPPENING AND ONE REASON 240 00:14:43,720 --> 00:14:46,840 IS AND THIS WAS ALSO THE PEOPLE 241 00:14:46,840 --> 00:14:48,880 THAT BELONG IN THIS GROUP THERE 242 00:14:48,880 --> 00:14:50,480 WAS A HIGHER PROBABILITY THERE 243 00:14:50,480 --> 00:14:53,880 WERE BLACK TRANSGENDER PEOPLE 244 00:14:53,880 --> 00:14:55,280 THAT BELONG TO THESE GROUPS. 245 00:14:55,280 --> 00:14:58,920 IT COULD BE A MATTER OF 246 00:14:58,920 --> 00:15:01,280 DIFFERENCES HERE FOREBLACK 247 00:15:01,280 --> 00:15:05,560 TRANSGENDER WOMAN GIVEN THEY'RE 248 00:15:05,560 --> 00:15:10,280 AFFECTED BY THIS AND THERE'S AN 249 00:15:10,280 --> 00:15:20,080 AREA THAT NEEDS ATTENTION AND 250 00:15:20,080 --> 00:15:22,200 THERE'S AN INTERSECTION OF RACE 251 00:15:22,200 --> 00:15:28,240 AND ETHNICITY AND SOME OF AREAS 252 00:15:28,240 --> 00:15:31,280 WE NEED TO EXPLORE MORE THE 253 00:15:31,280 --> 00:15:33,760 PATHWAY ANALYSIS LOOKING AT THE 254 00:15:33,760 --> 00:15:39,040 PATHWAY AND WHY THE DISPARITIES 255 00:15:39,040 --> 00:15:40,120 ARE OCCURRING AMONG SGM 256 00:15:40,120 --> 00:15:41,360 POPULATION AND SOME SAY IT'S 257 00:15:41,360 --> 00:15:44,520 HARDER BECAUSE OF THE SAMPLE 258 00:15:44,520 --> 00:15:47,160 SIZE BUT IT'S HARD WHEN YOU ARE 259 00:15:47,160 --> 00:15:48,360 LOOKING AT THE INTERSECTION. 260 00:15:48,360 --> 00:15:52,960 IT GETS HARDER TO FIND SAMPLE 261 00:15:52,960 --> 00:15:55,200 SIZES BIG ENOUGH TO LOOK AT THE 262 00:15:55,200 --> 00:15:56,240 DIFFERENT SETS AMONG DIFFERENT 263 00:15:56,240 --> 00:15:58,880 RACIAL GROUPS AND ALSO IF YOU 264 00:15:58,880 --> 00:16:02,720 WANT TO LOOK AT MORE REGULARITY 265 00:16:02,720 --> 00:16:06,280 AND DIFFERENCES BETWEEN 266 00:16:06,280 --> 00:16:07,400 TRANSGENDER WOMEN AND MEN AND 267 00:16:07,400 --> 00:16:12,960 THERE'S NOT ENOUGH DATA ON THAT. 268 00:16:12,960 --> 00:16:16,160 HAVING LARGE SURVEYS LIKE THE 269 00:16:16,160 --> 00:16:22,200 U.S. TRANSGENDER SURVEY ALLOWS 270 00:16:22,200 --> 00:16:30,480 FOR THE DISAGGREGATED DATA AND 271 00:16:30,480 --> 00:16:32,040 THERE'S RESEARCH FOCUSSING ON 272 00:16:32,040 --> 00:16:34,520 TRANSGENDER WOMEN AND NOT BINARY 273 00:16:34,520 --> 00:16:40,880 PEOPLE AND THERE'S AN UNDER 274 00:16:40,880 --> 00:16:46,720 REPRESENTATION OF PACIFIC ANDERS 275 00:16:46,720 --> 00:16:49,120 AND OTHER INDIVIDUALS AND WE 276 00:16:49,120 --> 00:16:52,560 MENTIONED THE INTERSECTIONALITY 277 00:16:52,560 --> 00:17:03,040 AT THE TRUCK STRUCTURAL LEVEL. 278 00:17:05,320 --> 00:17:08,680 AND LOOK AT OTHER AREAS THAT 279 00:17:08,680 --> 00:17:10,680 NEED MORE ATTENTION INCLUDE 280 00:17:10,680 --> 00:17:14,200 GIVEN DISPARITIES TEND TO BE 281 00:17:14,200 --> 00:17:16,080 ASSOCIATED WITH ISSUES OF INCOME 282 00:17:16,080 --> 00:17:18,840 AND ACCESS TO HEALTH CARE. 283 00:17:18,840 --> 00:17:21,920 THERE NEEDS TO BE A MORE 284 00:17:21,920 --> 00:17:24,120 INTENTIONAL EXPLORATION OF THE 285 00:17:24,120 --> 00:17:25,320 CLASSISM AND SYSTEM OF 286 00:17:25,320 --> 00:17:27,080 OPPRESSION AMONG TRANSGENDER 287 00:17:27,080 --> 00:17:28,760 PEOPLE OF COLOR AND ABLISM. 288 00:17:28,760 --> 00:17:32,600 AS WE TALK ABOUT HEALTH THERE'S 289 00:17:32,600 --> 00:17:34,600 DIFFERENT A NUMBER OF 290 00:17:34,600 --> 00:17:36,640 TRANSGENDER PEOPLE AND PEOPLE OF 291 00:17:36,640 --> 00:17:38,160 COLOR THAT ARE DISABLED AND 292 00:17:38,160 --> 00:17:45,240 THAT'S AN AREA THAT IS ALSO NOT 293 00:17:45,240 --> 00:17:49,280 EXPLORED ENOUGH. 294 00:17:49,280 --> 00:17:52,160 WE DO NEED A MORE AVENUE OF 295 00:17:52,160 --> 00:17:54,560 LOOKING AT THE PATHWAYS AND WE 296 00:17:54,560 --> 00:17:57,120 NEED MORE INFORMATION LOOKING AT 297 00:17:57,120 --> 00:17:58,960 PATHWAYS RELATED TO RESILIENCE 298 00:17:58,960 --> 00:18:09,240 AND RESISTANCE. 299 00:18:11,520 --> 00:18:13,680 ACCORDING TO THAT I'M ALMOST AT 300 00:18:13,680 --> 00:18:15,840 MY TIME ACCORDING TO MY TIMER. 301 00:18:15,840 --> 00:18:18,240 THANK YOU. 302 00:18:18,240 --> 00:18:20,480 >>THANK YOU, DR. AGUAYO-ROMERO. 303 00:18:20,480 --> 00:18:21,760 WE'LL MOVE ON TO DR. FLANDERS. 304 00:18:21,760 --> 00:18:29,000 ARE YOU READY? 305 00:18:29,000 --> 00:18:37,520 >>YES, THANK YOU. 306 00:18:37,520 --> 00:18:42,200 >>OKAY. 307 00:18:42,200 --> 00:18:47,040 THANK YOU FOR HAVING ME HERE 308 00:18:47,040 --> 00:18:48,880 TODAY AND THANK YOU FOR THE 309 00:18:48,880 --> 00:18:50,320 FIRST PRESENTATION THAT WAS 310 00:18:50,320 --> 00:18:52,080 REALLY INTERESTING AND LOTS OF 311 00:18:52,080 --> 00:18:53,320 IMPORTANT INFORMATION. 312 00:18:53,320 --> 00:18:55,800 SO I AM HERE TO TALK A LITTLE 313 00:18:55,800 --> 00:19:00,920 BIT MORE WITH HEALTH DISPARITIES 314 00:19:00,920 --> 00:19:06,880 RESEARCH WITH BISEXUAL WOMEN OF 315 00:19:06,880 --> 00:19:09,640 COLOR AND I'M COMING FROM 316 00:19:09,640 --> 00:19:17,640 HOLYOKE COLLEGE IN MASSACHUSETTS 317 00:19:17,640 --> 00:19:21,720 AND I'LL TALK ON REPRODUCTIVE 318 00:19:21,720 --> 00:19:23,680 HEALTH AND I'M ALSO STARTING OFF 319 00:19:23,680 --> 00:19:28,120 WITH THINKING ABOUT 320 00:19:28,120 --> 00:19:28,520 INTERSECTIONALITY. 321 00:19:28,520 --> 00:19:30,560 THANK YOU TO DR. AGUAYO-ROMERO 322 00:19:30,560 --> 00:19:32,360 IN GIVING AN EXCELLENT 323 00:19:32,360 --> 00:19:33,920 INTRODUCTION TO HOW 324 00:19:33,920 --> 00:19:35,920 INTERSECTIONALITY AS A FRAMEWORK 325 00:19:35,920 --> 00:19:37,840 CAN BE A POWERFUL TOOL FOR 326 00:19:37,840 --> 00:19:40,200 THINKING ABOUT PUBLIC HEALTH AND 327 00:19:40,200 --> 00:19:45,480 SEXUAL AND GENDER MINORITY 328 00:19:45,480 --> 00:19:48,080 HEALTH AND I THINK ABOUT IT AS A 329 00:19:48,080 --> 00:19:54,440 USEFUL WAY TO HELP BOTH SHANE 330 00:19:54,440 --> 00:19:57,320 QUESTI 331 00:19:57,320 --> 00:20:00,680 QUESTIONS AND TO ASK OURSELVES 332 00:20:00,680 --> 00:20:04,840 WHO IS MISSING AND WHO HAS BEEN 333 00:20:04,840 --> 00:20:07,040 INTENTIONALLY ERASED FROM THE 334 00:20:07,040 --> 00:20:09,440 RESEARCH AND FROM THE 335 00:20:09,440 --> 00:20:13,400 CONVERSATION ABOUT HEALTH AND 336 00:20:13,400 --> 00:20:13,720 WELL-BEING. 337 00:20:13,720 --> 00:20:15,440 WHEN I THINK OF 338 00:20:15,440 --> 00:20:17,360 INTERSECTIONALITY AS IT CONNECTS 339 00:20:17,360 --> 00:20:18,880 TO HEALTH DISPARITIES IN 340 00:20:18,880 --> 00:20:20,600 PARTICULAR IT'S NOT JUST 341 00:20:20,600 --> 00:20:22,000 THINKING ABOUT THAT INDIVIDUAL 342 00:20:22,000 --> 00:20:23,360 LEVEL AND THE INDIVIDUAL 343 00:20:23,360 --> 00:20:23,960 EXPERIENCE. 344 00:20:23,960 --> 00:20:25,480 WE ALL HAVE MULTIPLE IDENTITIES 345 00:20:25,480 --> 00:20:28,600 BUT IT'S REALLY THINKING ABOUT 346 00:20:28,600 --> 00:20:30,520 THAT INTERSECTING SOCIAL POWER 347 00:20:30,520 --> 00:20:34,840 AT A STRUCTURAL LEVEL THAT THEN 348 00:20:34,840 --> 00:20:36,760 SHAPES AND INFLUENCES HOW THE 349 00:20:36,760 --> 00:20:40,080 WORLD SEES US AND HOW WE SEE THE 350 00:20:40,080 --> 00:20:40,320 WORLD. 351 00:20:40,320 --> 00:20:45,000 IT ALSO SHAPES OUR EXPERIENCES 352 00:20:45,000 --> 00:20:47,920 OF HEALTH AND WHAT BARRIERS AND 353 00:20:47,920 --> 00:20:48,520 FACILITATORS WE EXPERIENCE IN 354 00:20:48,520 --> 00:20:55,360 RELATION TO HEALTH. 355 00:20:55,360 --> 00:20:59,560 WHEN I THINK OF THE HEALTH OF 356 00:20:59,560 --> 00:21:02,480 LESBIAN AND BISEXUAL WOMEN OF 357 00:21:02,480 --> 00:21:05,800 COLOR AND WHEN I LOOK AT WORK 358 00:21:05,800 --> 00:21:06,800 FROM COLLEAGUES AROUND 2008 359 00:21:06,800 --> 00:21:16,280 WITHIN THE AREA OF MENTAL HEALTH 360 00:21:16,280 --> 00:21:19,120 STARTED TALKING ABOUT THIS IN 361 00:21:19,120 --> 00:21:19,840 VISIBILITY IN ACADEMIC 362 00:21:19,840 --> 00:21:27,560 LITERATURE AND THE IDEA IS WE 363 00:21:27,560 --> 00:21:30,880 EXPERIENCE ERASURE OF PEOPLE WHO 364 00:21:30,880 --> 00:21:32,480 EXIST AT THE INTERSECTIONS OF 365 00:21:32,480 --> 00:21:33,840 SOCIAL OPPRESSION AND WE'LL TALK 366 00:21:33,840 --> 00:21:37,160 ABOUT THAT MORE IN A MOMENT BUT 367 00:21:37,160 --> 00:21:39,280 WITHIN THE HEALTH RESEARCH FIELD 368 00:21:39,280 --> 00:21:41,800 THAT OFTEN TIMES LOOKS LIKE IF A 369 00:21:41,800 --> 00:21:43,680 COMMUNITY OR GROUP OF PEOPLE, IF 370 00:21:43,680 --> 00:21:46,520 A POPULATION IS ERASED FROM 371 00:21:46,520 --> 00:21:49,280 PUBLIC ACKNOWLEDGEMENT, IT ALSO 372 00:21:49,280 --> 00:21:52,680 MEANS THEY'RE BEING ERASED FROM 373 00:21:52,680 --> 00:21:55,920 HEALTH RESEARCH AND THEREFORE 374 00:21:55,920 --> 00:21:56,640 SOLUTIONS. 375 00:21:56,640 --> 00:22:00,080 TO PARAPHRASE KIMBERLY CRENSHAW, 376 00:22:00,080 --> 00:22:01,800 IF YOU CAN'T SEE A PROBLEM YOU 377 00:22:01,800 --> 00:22:03,760 CAN'T SOLVE THE PROBLEM. 378 00:22:03,760 --> 00:22:06,440 THAT THEN LEADS TO FURTHER 379 00:22:06,440 --> 00:22:08,080 PERPETUATION OF THE HEALTH 380 00:22:08,080 --> 00:22:10,560 INEQUITIES WE SEE. 381 00:22:10,560 --> 00:22:13,360 I'LL START TALKING ABOUT THE 382 00:22:13,360 --> 00:22:14,200 DISPARITIES LITERATURE WITH 383 00:22:14,200 --> 00:22:16,720 MENTAL HEALTH AND MOVE ON TO 384 00:22:16,720 --> 00:22:19,440 TALK ABOUT MORE ABOUT SEXUAL AND 385 00:22:19,440 --> 00:22:23,200 REPRODUCTIVE HEALTH AND THE IDEA 386 00:22:23,200 --> 00:22:25,360 OF INTERSECTIONAL AND 387 00:22:25,360 --> 00:22:26,280 VISIBILITY. 388 00:22:26,280 --> 00:22:28,320 THIS IS SOMETHING WRITTEN ABOUT 389 00:22:28,320 --> 00:22:33,280 AN IDEA OF A PROTOTYPICAL PERSON 390 00:22:33,280 --> 00:22:37,000 THIS GOES BACK TO KIMBERLY 391 00:22:37,000 --> 00:22:40,560 CRENSHAW'S WORK IN THE LATE '80s 392 00:22:40,560 --> 00:22:43,640 AND '90s ABOUT DISCRIMINATION 393 00:22:43,640 --> 00:22:48,080 LAW BUT IF YOU HAVE 394 00:22:48,080 --> 00:22:49,920 DISCRIMINATION LAW THAT PROTECTS 395 00:22:49,920 --> 00:22:51,040 WOMEN AND BLACK WOMEN AND THAT 396 00:22:51,040 --> 00:23:01,560 GETS INTERPRETED AND BLACK WOMEN 397 00:23:03,800 --> 00:23:05,760 OF THE INTERSECTION OF RACISM 398 00:23:05,760 --> 00:23:07,440 AND SEXISM DON'T BENEFIT FROM 399 00:23:07,440 --> 00:23:09,360 THE LAW PROTECTIONS. 400 00:23:09,360 --> 00:23:13,040 SIMILARLY WHEN WE'RE THINKING 401 00:23:13,040 --> 00:23:16,160 ABOUT WHAT A PROTOTYPICAL SEXUAL 402 00:23:16,160 --> 00:23:17,640 MINORITY WOMEN LOOKS LIKE OFTEN 403 00:23:17,640 --> 00:23:18,960 WE THINK OF A WHITE WOMAN. 404 00:23:18,960 --> 00:23:24,000 THAT MEANS WHEN YOU LOOK AT 405 00:23:24,000 --> 00:23:27,440 RESEARCH WITH SEXUAL MINORITY 406 00:23:27,440 --> 00:23:30,960 WOMEN AND BISEXUAL LESBIAN WOMEN 407 00:23:30,960 --> 00:23:34,880 IT OFTEN LOOKS LIKE THE ERASURE 408 00:23:34,880 --> 00:23:38,200 THAT LEADS TO THE ERASURE OF 409 00:23:38,200 --> 00:23:40,240 WOMEN OF COLOR WITHIN THE HEALTH 410 00:23:40,240 --> 00:23:41,600 RESEARCH FIELD AND MENTAL HEALTH 411 00:23:41,600 --> 00:23:47,840 RESEARCH IN PARTICULAR HERE. 412 00:23:47,840 --> 00:23:51,160 CONSTANT ANALYSIS OF 413 00:23:51,160 --> 00:23:56,080 QUANTITATIVE RESEARCH PUBLISHED 414 00:23:56,080 --> 00:23:58,760 ON BISEXUAL MENTAL HEALTH WHICH 415 00:23:58,760 --> 00:24:01,600 IS A COMMUNITY OVERLOOKED OR 416 00:24:01,600 --> 00:24:04,880 OVERRACED AND MONOSEXUAL THE GAI 417 00:24:04,880 --> 00:24:07,800 AND LESBIAN PEOPLE WITHIN A 418 00:24:07,800 --> 00:24:09,880 CONTENT ANALYSIS THAT DID REPORT 419 00:24:09,880 --> 00:24:11,680 SEPARATE DATA FOR BISEXUAL 420 00:24:11,680 --> 00:24:13,920 PEOPLE RELATIVE TO GAI AND 421 00:24:13,920 --> 00:24:16,760 LESBIAN PEOPLE ONLY 7% OF THAT 422 00:24:16,760 --> 00:24:18,840 LITERATURE ACTUALLY REPORTED ON 423 00:24:18,840 --> 00:24:22,320 OUTCOMES FROM PARTICIPANTS OF 424 00:24:22,320 --> 00:24:22,520 COLOR. 425 00:24:22,520 --> 00:24:24,880 HAD SEPARATE DATA REPORTED. 426 00:24:24,880 --> 00:24:28,880 IT IS A SMALL AMOUNT OF RESEARCH 427 00:24:28,880 --> 00:24:30,520 INFORMATION OR RESEARCH 428 00:24:30,520 --> 00:24:31,120 ATTENTION WITHIN THIS PARTICULAR 429 00:24:31,120 --> 00:24:34,400 POPULATION. 430 00:24:34,400 --> 00:24:36,680 TO LOOK AT SOME OF THE RESEARCH 431 00:24:36,680 --> 00:24:37,920 THAT DOES EXIST AROUND SOME 432 00:24:37,920 --> 00:24:42,360 EXISTING DISPARITIES THAT HAVE 433 00:24:42,360 --> 00:24:44,960 COME UP, WE IN RELATION TO 434 00:24:44,960 --> 00:24:46,240 MENTAL HEALTH DO FIND WHEN 435 00:24:46,240 --> 00:24:48,520 YOU'RE LOOKING AT WITHIN THE 436 00:24:48,520 --> 00:24:51,400 SAME RACIAL AND ETHNIC GROUPS 437 00:24:51,400 --> 00:24:55,280 THAT SEXUAL MINORITY FOLKS 438 00:24:55,280 --> 00:24:58,760 WITHIN THOSE GROUPS REPORT WORSE 439 00:24:58,760 --> 00:25:04,040 MENTAL HEALTH OUTCOMES RELATIVE 440 00:25:04,040 --> 00:25:07,880 TO THE SEXUAL MINORITY WOMEN 441 00:25:07,880 --> 00:25:11,280 OVERALL AND WE SEE BLACK AND 442 00:25:11,280 --> 00:25:16,920 LATINA SEXUAL WOMEN AND 443 00:25:16,920 --> 00:25:18,720 INCLUSIVE AND LOOKING AT HIGHER 444 00:25:18,720 --> 00:25:21,400 RATES OF DEPRESSION AND WE 445 00:25:21,400 --> 00:25:25,680 LOOKED SPECIFICALLY AT BISEXUAL 446 00:25:25,680 --> 00:25:28,400 BLACK AND LATINA WOMEN AS WELL. 447 00:25:28,400 --> 00:25:31,280 WHAT I WOULD STATE IT'S 448 00:25:31,280 --> 00:25:32,920 IMPORTANT WHEN WE THINK OF 449 00:25:32,920 --> 00:25:35,440 HEALTH DISPARITIES WHEN WE THINK 450 00:25:35,440 --> 00:25:37,280 OF WOMEN OF COLOR IS TO NOT 451 00:25:37,280 --> 00:25:41,320 ALWAYS GROUP THOSE TO SEXUAL 452 00:25:41,320 --> 00:25:42,320 IDENTITY GROUPS TOGETHER. 453 00:25:42,320 --> 00:25:45,320 THERE'S LOTS OF HEALTH 454 00:25:45,320 --> 00:25:47,000 DIFFERENCES BETWEEN LESBIAN AND 455 00:25:47,000 --> 00:25:50,640 BISEXUAL WOMENOV OVER ALL AND SE 456 00:25:50,640 --> 00:25:55,280 OF THOSE DISPARITIES ARE BEING 457 00:25:55,280 --> 00:25:56,720 PERPETUATED WITHIN RACIAL AND 458 00:25:56,720 --> 00:25:58,440 ETHNIC GROUPS WITHIN THE SEXUAL 459 00:25:58,440 --> 00:26:01,480 ORIENTATION CATEGORIES. 460 00:26:01,480 --> 00:26:04,480 WE ALSO FIND LOOKING AT YOUNGER 461 00:26:04,480 --> 00:26:06,280 BLACK AND LATINA SEXUAL MINORITY 462 00:26:06,280 --> 00:26:10,440 PEOPLE THAT IS INCLUSIVE OF 463 00:26:10,440 --> 00:26:13,400 WOMEN THAT THERE ARE GREATER 464 00:26:13,400 --> 00:26:19,560 SUICIDALITY RATES COMPARED TO 465 00:26:19,560 --> 00:26:20,280 HETROSE 466 00:26:20,280 --> 00:26:22,840 HETROSEXUAL PEERS AND THIS PLACE 467 00:26:22,840 --> 00:26:24,240 A SIGNIFICANT ROLE IN THE 468 00:26:24,240 --> 00:26:28,080 HEIGHTENED VULNERABILITY FOR 469 00:26:28,080 --> 00:26:30,320 EXPERIENCING SUICIDALITY. 470 00:26:30,320 --> 00:26:31,360 SO IN THE SECOND POINT EVEN 471 00:26:31,360 --> 00:26:35,040 TRYING TO CONTROL FOR SOME OF 472 00:26:35,040 --> 00:26:37,880 THE INFLUENCE OF RACIAL 473 00:26:37,880 --> 00:26:39,640 DISCRIMINATION WE SEE SEXUAL 474 00:26:39,640 --> 00:26:42,080 MINORITY DISCRIMINATION AS A 475 00:26:42,080 --> 00:26:44,440 SIGNIFICANT DRIVER OF INCREASING 476 00:26:44,440 --> 00:26:47,560 RISK FOR SUICIDALITY AMONG BLACK 477 00:26:47,560 --> 00:26:49,080 AND HISPANIC SEXUAL MINORITY 478 00:26:49,080 --> 00:26:52,080 ADULTS AND PARTICULARLY IN YOUNG 479 00:26:52,080 --> 00:26:57,200 ADULTHOOD. 480 00:26:57,200 --> 00:27:00,000 SOME OF MY MORE RECENT WORK HAS 481 00:27:00,000 --> 00:27:05,840 BEEN LOOKING AT INTERSECTIONS 482 00:27:05,840 --> 00:27:09,360 BETWEEN CIS WOMEN AND NON-BINARY 483 00:27:09,360 --> 00:27:14,400 GROUPS AND IN PARTICULAR WE 484 00:27:14,400 --> 00:27:17,480 FOUND THERE'S SIGNIFICANT 485 00:27:17,480 --> 00:27:20,000 DIFFERENCES BETWEEN CIS WOMEN 486 00:27:20,000 --> 00:27:21,920 AND NON-BINARY WOMEN WHO 487 00:27:21,920 --> 00:27:23,560 IDENTIFY AS BUY SEXUAL AND IN 488 00:27:23,560 --> 00:27:26,040 PARTICULAR THAT SEEMS TO BE 489 00:27:26,040 --> 00:27:28,000 DRIVEN BY DIFFERENCES BETWEEN 490 00:27:28,000 --> 00:27:31,560 CIS WOMEN OF COLOR WHO ARE 491 00:27:31,560 --> 00:27:36,000 BISEXUAL AND NON-BINARY PEOPLE 492 00:27:36,000 --> 00:27:38,160 WHO ARE BISEXUAL AND IDENTIFY AS 493 00:27:38,160 --> 00:27:40,080 A PERSON OF COLOR. 494 00:27:40,080 --> 00:27:43,800 WE'RE FINDING NUANCES FOR HOW WE 495 00:27:43,800 --> 00:27:45,240 MIGHT UNDERSTAND DIFFERENCES OR 496 00:27:45,240 --> 00:27:48,080 DISPARITIES IN MENTAL HEALTH 497 00:27:48,080 --> 00:27:51,880 OUTCOMES ACROSS CIS WOMEN AND 498 00:27:51,880 --> 00:27:54,600 NON-BINARY FOLKS AS IT 499 00:27:54,600 --> 00:28:00,320 INTERSECTS WITH RAGE AND 500 00:28:00,320 --> 00:28:00,560 ETHNICITY. 501 00:28:00,560 --> 00:28:04,080 I'LL MOVE ON TO SEXUAL AND 502 00:28:04,080 --> 00:28:04,880 REPRODUCTIVE HEALTH. 503 00:28:04,880 --> 00:28:06,880 AGAIN IT'S A LIMITED BODY OF 504 00:28:06,880 --> 00:28:07,840 RESEARCH THAT HAS IDENTIFIED 505 00:28:07,840 --> 00:28:09,440 WHAT SOME OF THOSE DISPARITIES 506 00:28:09,440 --> 00:28:15,240 ARE AT THIS LEVEL OF LOOKING 507 00:28:15,240 --> 00:28:19,280 SPECIFICALLY AT RACIALLY 508 00:28:19,280 --> 00:28:24,120 MINORITY PEOPLE WHO ALSO 509 00:28:24,120 --> 00:28:25,520 IDENTIFY AND THERE ARE BARRIERS 510 00:28:25,520 --> 00:28:28,360 TO MAINTAINING SEXUAL AND 511 00:28:28,360 --> 00:28:32,880 REPRODUCTIVE WELLNESS. 512 00:28:32,880 --> 00:28:40,200 SOME INCLUDE THEY'RE DELAYING 513 00:28:40,200 --> 00:28:44,040 ACCESS TO CARE LIKE PAP EXAMS OR 514 00:28:44,040 --> 00:28:46,040 SEEKING CONTRACEPTIVE CARE OR 515 00:28:46,040 --> 00:28:48,240 SOMETHING LIKE THAT. 516 00:28:48,240 --> 00:28:49,080 SOME REASONS FOR DELAYING CARE 517 00:28:49,080 --> 00:28:51,680 ARE RELATED TO COST AND WE SAW 518 00:28:51,680 --> 00:28:52,880 INFORMATION RELATED TO INSURANCE 519 00:28:52,880 --> 00:28:56,240 AND WE SEE SIMILAR PATTERNS 520 00:28:56,240 --> 00:28:58,280 WITHIN LESBIAN AND BISEXUAL 521 00:28:58,280 --> 00:28:59,960 WOMEN OF COLOR WITH REDUCED 522 00:28:59,960 --> 00:29:00,600 ACCESS TO INSURANCE AND PRIMARY 523 00:29:00,600 --> 00:29:10,720 CARE. 524 00:29:10,960 --> 00:29:14,080 AND ANTICIPATE SIGMA AND THAT'S 525 00:29:14,080 --> 00:29:17,120 A BARRIER TO CARE AND DISTRUST 526 00:29:17,120 --> 00:29:18,600 OF HEALTH CARE SYMPTOMS 527 00:29:18,600 --> 00:29:21,600 JUSTIFIED WITH THE LEVEL OF 528 00:29:21,600 --> 00:29:24,080 INSTITUTIONAL RACISM AND 529 00:29:24,080 --> 00:29:25,720 HETEROSEXISM PERPETUATED WITHIN 530 00:29:25,720 --> 00:29:26,960 OUR CURRENT SYSTEMS. 531 00:29:26,960 --> 00:29:31,520 SOME OF THE SPECIFIC DISPARITY 532 00:29:31,520 --> 00:29:33,680 RESEARCH LOOKS AT BARRIERS 533 00:29:33,680 --> 00:29:37,600 RELATED TO PROVIDER INTERACTIONS 534 00:29:37,600 --> 00:29:39,240 AND I'LL TALK A BIT ABOUT 535 00:29:39,240 --> 00:29:40,880 PREVENTATIVE CARE. 536 00:29:40,880 --> 00:29:43,160 IN TERMS OF BARRIERS THAT ARE 537 00:29:43,160 --> 00:29:46,000 RELATED TO INTERACTIONS WITH 538 00:29:46,000 --> 00:29:48,160 PROVIDERS, RESEARCH HAS FOUND 539 00:29:48,160 --> 00:29:50,840 BLACK AND LATINA SEXUAL MINORITY 540 00:29:50,840 --> 00:29:53,560 WOMEN REPORT LESS OFTEN GETTING 541 00:29:53,560 --> 00:29:55,240 CONTRACEPTIVE COUNSELLING 542 00:29:55,240 --> 00:29:58,120 COMPARED TO WHITE HETEROSEXUAL 543 00:29:58,120 --> 00:29:59,360 COUNTERPARTS. 544 00:29:59,360 --> 00:30:03,880 WE KNOW SEXUAL BEHAVIOR IS NOT 545 00:30:03,880 --> 00:30:05,440 PREDICTED BISEXUAL IDENTITY 546 00:30:05,440 --> 00:30:05,720 ORIENTATION. 547 00:30:05,720 --> 00:30:07,520 THAT MEANS SOME FOLKS ARE NOT 548 00:30:07,520 --> 00:30:11,360 GETTING THE COUNSELING AND CARE 549 00:30:11,360 --> 00:30:13,240 THEY NEED. 550 00:30:13,240 --> 00:30:17,760 WE ALSO FIND REPORTS WITH A LACK 551 00:30:17,760 --> 00:30:20,120 OF SHARED CULTURAL UNDERSTANDING 552 00:30:20,120 --> 00:30:23,280 WITH A WHITE HETEROSEXUAL 553 00:30:23,280 --> 00:30:25,480 PROVIDER CAN LEAD TO 554 00:30:25,480 --> 00:30:26,880 MISINFORMATION, 555 00:30:26,880 --> 00:30:29,440 MISCOMMUNICATION, 556 00:30:29,440 --> 00:30:33,680 MISUNDERSTANDING OF WHAT 557 00:30:33,680 --> 00:30:34,560 SOMEONE'S ACTUAL HEALTH CARE MAY 558 00:30:34,560 --> 00:30:36,760 BE AND WHEN WE LOOK AT A STUDY 559 00:30:36,760 --> 00:30:38,720 OF BLACK TRANS WOMEN WHO WERE 560 00:30:38,720 --> 00:30:42,920 ACROSS SEXUAL IDENTITY BUT 561 00:30:42,920 --> 00:30:48,400 INCLUSIVE OF BISEXUAL LESBIAN 562 00:30:48,400 --> 00:30:49,560 WOMEN AS WELL SOMETIMES THE 563 00:30:49,560 --> 00:30:51,720 COMMUNICATION CAN GET TO A LEVEL 564 00:30:51,720 --> 00:30:53,600 OF DECREASED PARTICIPATION OF 565 00:30:53,600 --> 00:30:55,960 WOMEN COMING IN FOR CARE WHICH 566 00:30:55,960 --> 00:30:59,440 CAN REDUCE ACCESS TO OTHER 567 00:30:59,440 --> 00:31:01,600 SEXUAL AND REPRODUCTIVE HEALTH 568 00:31:01,600 --> 00:31:02,040 RESOURCES. 569 00:31:02,040 --> 00:31:09,600 LOOKING AT PREVENTIVE CARE WE 570 00:31:09,600 --> 00:31:11,160 FIND FOR HPV VACCINATION IS 571 00:31:11,160 --> 00:31:16,080 IMPORTANT BECAUSE IT REDUCES OR 572 00:31:16,080 --> 00:31:21,760 CAN PREVENT THE HPV STRAINS MOST 573 00:31:21,760 --> 00:31:24,120 LINKED TO CERVICAL CANCER AND 574 00:31:24,120 --> 00:31:26,960 THEN WE FIND THAT BLACK LESBIAN 575 00:31:26,960 --> 00:31:31,400 WOMEN ARE THE LEAST LIKELY TO 576 00:31:31,400 --> 00:31:34,040 RECEIVE HPV VACCINATION COMPARED 577 00:31:34,040 --> 00:31:37,280 TO WHITE HETEROSEXUAL PEERS AND 578 00:31:37,280 --> 00:31:39,280 MEANS BLACK WOMEN ARE BEING AT A 579 00:31:39,280 --> 00:31:40,800 HIGHER LEVEL OF VULNERABILITY 580 00:31:40,800 --> 00:31:44,480 FOR THE POTENTIAL FOR CERVICAL 581 00:31:44,480 --> 00:31:46,040 CANCER LATER UPON -- ON. 582 00:31:46,040 --> 00:31:48,600 WE ALSO GO BACK TO THE DELAY OF 583 00:31:48,600 --> 00:31:50,360 ACCESSING CARE WHEN WE LOOK 584 00:31:50,360 --> 00:31:52,520 SPECIFICALLY AT ACCESSING CARE 585 00:31:52,520 --> 00:31:55,000 AROUND BREAST CANCER, BLACK 586 00:31:55,000 --> 00:31:56,800 SEXUAL MINORITY WOMEN ARE LIKELY 587 00:31:56,800 --> 00:31:59,400 TO DELAY ACCESSING THE CARE 588 00:31:59,400 --> 00:32:02,440 COMPARED TO WHITE STRAIGHT WOMEN 589 00:32:02,440 --> 00:32:09,680 AND THAT TOO IS TIED IN WITH 590 00:32:09,680 --> 00:32:19,960 EXPERIENCING DISTRUST OF THE 591 00:32:19,960 --> 00:32:20,920 HEALTH CARE SYSTEM. 592 00:32:20,920 --> 00:32:22,400 MANY KNOW HER AS THE MOTHER OF 593 00:32:22,400 --> 00:32:24,360 PRIDE AND ONE OF THE MOST 594 00:32:24,360 --> 00:32:30,160 SIGNIFICANT FIGURES OF QUEER AND 595 00:32:30,160 --> 00:32:32,840 TRANSACTION ACTIVISM WITHIN OUR 596 00:32:32,840 --> 00:32:36,600 NATION'S HISTORY AND OVER ALL 597 00:32:36,600 --> 00:32:41,440 LESBIAN AND BISEXUAL WOMEN OF 598 00:32:41,440 --> 00:32:43,160 COLOR DESERVE REPRODUCTIVE CARE 599 00:32:43,160 --> 00:32:44,480 AND THAT'S WHAT I HAVE FOR YOU 600 00:32:44,480 --> 00:32:46,680 AND THE REFERENCES ARE INCLUDE 601 00:32:46,680 --> 00:32:47,280 AND I'LL BE MADE AVAILABLE 602 00:32:47,280 --> 00:32:47,480 LATER. 603 00:32:47,480 --> 00:32:57,680 THANK YOU. 604 00:33:13,000 --> 00:33:15,440 >>THE SLIDES WILL BE MADE 605 00:33:15,440 --> 00:33:16,840 AVAILABLE IN TWO WEEKS. 606 00:33:16,840 --> 00:33:20,080 DR. MURRAY, ARE YOU AVAILABLE? 607 00:33:20,080 --> 00:33:30,320 >>YES, HI. 608 00:33:59,960 --> 00:34:03,800 I'M SARAH MURRAY AND I'M 609 00:34:03,800 --> 00:34:04,520 BATTLING LARYNGITIS AND I'LL 610 00:34:04,520 --> 00:34:07,120 TALK ABOUT THE STIGMA OF SOCIAL 611 00:34:07,120 --> 00:34:08,480 DETERMINANT OF MENTAL HEALTH 612 00:34:08,480 --> 00:34:10,040 DISPARITIES EXPERIENCED BISEXUAL 613 00:34:10,040 --> 00:34:11,600 GENDER MINORITIES AND HOW IT 614 00:34:11,600 --> 00:34:13,680 SERVES THE POPULATION IN THE 615 00:34:13,680 --> 00:34:17,040 U.S. 616 00:34:17,040 --> 00:34:20,080 I WON'T SPEND MUCH TIME OVER 617 00:34:20,080 --> 00:34:22,560 THIS BECAUSE I THINK A IT'S 618 00:34:22,560 --> 00:34:23,800 INCREASINGLY WELL ESTABLISHED IN 619 00:34:23,800 --> 00:34:25,440 OUR FIELD AND B SOME OF THE 620 00:34:25,440 --> 00:34:26,720 TALKS YESTERDAY AND JUST NOW 621 00:34:26,720 --> 00:34:28,760 HAVE DONE A FANTASTIC JOB MAKING 622 00:34:28,760 --> 00:34:29,160 THIS CLEAR. 623 00:34:29,160 --> 00:34:31,800 JUST TO REMIND US THAT WE SEE 624 00:34:31,800 --> 00:34:36,360 ELEVATED PROBLEMS OF MENTAL 625 00:34:36,360 --> 00:34:41,320 ILLNESS AND SUICIDE AMONG 626 00:34:41,320 --> 00:34:43,960 BISEXUAL ADULTS OR GENDER 627 00:34:43,960 --> 00:34:46,600 MINORITIES COMPARED TO CISGENDER 628 00:34:46,600 --> 00:34:47,000 FOLKS. 629 00:34:47,000 --> 00:34:50,800 THE 2015 DATA ALSO SHOWN BY 630 00:34:50,800 --> 00:34:55,840 DR. SCHULER YESTERDAY WE'RE 631 00:34:55,840 --> 00:34:56,960 SEE1 IN 632 00:34:56,960 --> 00:34:59,720 3 SEXUAL MINORITY ADULTS 633 00:34:59,720 --> 00:35:04,800 REPORTING MENTAL ILLNESS AND THE 634 00:35:04,800 --> 00:35:07,280 GENDER SURVEY DR. AGUAYO-ROMERO 635 00:35:07,280 --> 00:35:10,040 JUST SHOWED US NEARLY 40% OF 636 00:35:10,040 --> 00:35:12,320 TRANSGENDER ADULTS SHOWING 637 00:35:12,320 --> 00:35:14,200 STRESS COMPARED TO 5% OF THE 638 00:35:14,200 --> 00:35:15,560 GENERAL POPULATION AND 40% ALSO 639 00:35:15,560 --> 00:35:18,000 REPORTED A LIFE TIME SUICIDE 640 00:35:18,000 --> 00:35:20,960 ATTEMPT AND 7% OF PAST YEAR 641 00:35:20,960 --> 00:35:21,800 SUICIDE ATTEMPT. 642 00:35:21,800 --> 00:35:22,400 THESE DISPARITIES ARE 643 00:35:22,400 --> 00:35:27,160 STAGGERING. 644 00:35:27,160 --> 00:35:30,120 HOW DO WE BEGIN TO MAKE SENSE OF 645 00:35:30,120 --> 00:35:32,680 THIS IN MENTAL HEALTH AND 646 00:35:32,680 --> 00:35:33,600 SUICIDE? 647 00:35:33,600 --> 00:35:36,960 WE KNOW STIGMA'S ASSOCIATED WITH 648 00:35:36,960 --> 00:35:38,680 MENTAL HEALTH OUTCOMES AND A 649 00:35:38,680 --> 00:35:42,760 REVIEW IN 2015 IDENTIFIED 650 00:35:42,760 --> 00:35:48,600 STUDIES AMONG TRANSGENDER FOLK 651 00:35:48,600 --> 00:35:54,120 AND MOST THE STUDIES WERE CROSS 652 00:35:54,120 --> 00:35:54,400 SECTIONAL. 653 00:35:54,400 --> 00:35:56,200 WE CONSIDERED STIGMA PROCESSES 654 00:35:56,200 --> 00:35:57,400 FROM THE STRUCTURAL LEVEL TO THE 655 00:35:57,400 --> 00:36:03,200 INDIVIDUAL AND THE WAY THE 656 00:36:03,200 --> 00:36:05,680 PROCESSES AT DIFFERENT LEVELS 657 00:36:05,680 --> 00:36:08,080 DRIVE RISK AND PROBABLY THE MOST 658 00:36:08,080 --> 00:36:09,080 COMMON FRAMEWORK WERE USED TO 659 00:36:09,080 --> 00:36:12,120 TRY TO UNPACK AND CONSIDER THAT 660 00:36:12,120 --> 00:36:14,120 OF MINORITY STRESS WHICH I THINK 661 00:36:14,120 --> 00:36:15,280 MOST PEOPLE WOULD BE FAMILIAR 662 00:36:15,280 --> 00:36:18,360 WITH BUT WE CAN THINK OF THE 663 00:36:18,360 --> 00:36:22,560 PROCESSES AS OCCURRING DISTALLY 664 00:36:22,560 --> 00:36:26,280 AND EXTERNAL AND RANGE FROM CIS 665 00:36:26,280 --> 00:36:28,840 AND HETERONORMATIVE AND STIGMA 666 00:36:28,840 --> 00:36:31,240 REFLECTED UP LAWS AND POLICIES 667 00:36:31,240 --> 00:36:33,640 WE'RE INCREASINGLY SEEING RIGHT 668 00:36:33,640 --> 00:36:34,600 NOW AS WELL AS EXPERIENCES OF 669 00:36:34,600 --> 00:36:35,600 DISCRIMINATION PEOPLE ENCOUNTER 670 00:36:35,600 --> 00:36:37,520 BECAUSE OF THESE THINGS. 671 00:36:37,520 --> 00:36:38,680 THIS INCLUDES MORE DAILY 672 00:36:38,680 --> 00:36:41,440 EXPERIENCES OR WHAT OFTEN GETS 673 00:36:41,440 --> 00:36:42,880 TERMED MICROAGGRESSION. 674 00:36:42,880 --> 00:36:44,120 THOUGH I WANT TO CAUTION THAT 675 00:36:44,120 --> 00:36:46,320 SHOULD NOT BE TAKEN TO MEAN THE 676 00:36:46,320 --> 00:36:47,920 IMPACT OF THESE THINGS ARE SMALL 677 00:36:47,920 --> 00:36:51,800 OR THE MEANING IS LESS 678 00:36:51,800 --> 00:36:53,120 SIGNIFICANT BECAUSE THEY OCCUR 679 00:36:53,120 --> 00:36:53,480 FREQUENTLY. 680 00:36:53,480 --> 00:36:55,320 THE DISTAL PROCESSES SHAPE THE 681 00:36:55,320 --> 00:36:57,720 PROCESSES THAT ARE INTERNAL. 682 00:36:57,720 --> 00:36:59,840 THINGS LIKE THE INTERNALIZATION 683 00:36:59,840 --> 00:37:05,120 OF STIGMA AND ANTICIPATION OF 684 00:37:05,120 --> 00:37:07,280 STIGMA BY MINORITIZED 685 00:37:07,280 --> 00:37:09,640 INDIVIDUALS AND THERE'S A PIECE 686 00:37:09,640 --> 00:37:12,600 BY RICKMAN AND LATNER DESCRIBING 687 00:37:12,600 --> 00:37:13,920 THE CRITICAL PSYCHOLOGICAL 688 00:37:13,920 --> 00:37:16,080 PROCESSES THAT OCCUR IN RESPONSE 689 00:37:16,080 --> 00:37:19,720 TO THESE EXPERIENCES THAT CAN 690 00:37:19,720 --> 00:37:20,800 AFFECT MENTAL HEALTH. 691 00:37:20,800 --> 00:37:23,000 DR. DIAMOND DID A BETTER JOB 692 00:37:23,000 --> 00:37:25,360 THAN I CAN YESTERDAY EXPLAINING 693 00:37:25,360 --> 00:37:26,760 SOME OF THE CONSIDERATIONS. 694 00:37:26,760 --> 00:37:29,240 BUT JUST TO MENTION WE CAN THINK 695 00:37:29,240 --> 00:37:31,760 OF THEM AS FALLING IN MULTIPLE 696 00:37:31,760 --> 00:37:34,880 BUCKETS LIKE COPING AND 697 00:37:34,880 --> 00:37:37,640 EMOTIONAL REGULATION, SOCIAL, 698 00:37:37,640 --> 00:37:39,200 INTERPERSONAL FACTORS AND 699 00:37:39,200 --> 00:37:40,640 COGNITIVE PROCESSES. 700 00:37:40,640 --> 00:37:42,760 FOR INSTANCE HOW IT MATTERS WHEN 701 00:37:42,760 --> 00:37:45,680 YOU'RE ATTENTION IS CONSTANTLY 702 00:37:45,680 --> 00:37:47,280 BEING AVERTED TO MANAGING THE 703 00:37:47,280 --> 00:37:49,880 POWER DYNAMICS AND HIERARCHIES 704 00:37:49,880 --> 00:37:52,040 AND WHAT IT DOES TO ATTENTION. 705 00:37:52,040 --> 00:37:56,160 IF WE THINK OF STIGMA AS LEADING 706 00:37:56,160 --> 00:37:58,120 TO POOR MENTAL HEALTH OUTCOMES 707 00:37:58,120 --> 00:38:02,440 AS IN SUICIDE OR POOR MENTAL 708 00:38:02,440 --> 00:38:03,480 HEALTH THEN LEADING TO SUICIDE 709 00:38:03,480 --> 00:38:06,320 WE TRIED TO UNPACK THE LEFT SIDE 710 00:38:06,320 --> 00:38:11,840 OF THE FIGURE BUT THINK WE KIND 711 00:38:11,840 --> 00:38:18,120 IGNORED THE RIGHT SIDE. 712 00:38:18,120 --> 00:38:19,480 THIS IS WHERE WE CONSIDER THINGS 713 00:38:19,480 --> 00:38:22,880 LIKE IDEATION, BEHAVIORS OR 714 00:38:22,880 --> 00:38:27,320 ACQUIRED CAPABILITY TO ENGAGE IN 715 00:38:27,320 --> 00:38:29,560 SELF-HARM AND ATTEMPTS USING AN 716 00:38:29,560 --> 00:38:31,040 IDEATION TO ACTION FRAME WORK IS 717 00:38:31,040 --> 00:38:35,160 HELPFUL AND THE MOST WIDELY 718 00:38:35,160 --> 00:38:36,720 FRAMEWORK IS THE PSYCHOLOGICAL 719 00:38:36,720 --> 00:38:40,160 THEORY OF SUICIDE HIGHLIGHTING 720 00:38:40,160 --> 00:38:45,600 THE ROLE OF THWARTED 721 00:38:45,600 --> 00:38:47,400 BELONGINGNESS AND RECEIVE 722 00:38:47,400 --> 00:38:48,480 BURDENSOMENESS WHICH CAN BE 723 00:38:48,480 --> 00:38:51,200 UNDERSTOOD TO BE A REACTION TO 724 00:38:51,200 --> 00:38:53,160 THINGS LIKE ECONOMIC 725 00:38:53,160 --> 00:38:54,440 MARGINALIZATION AND FAMILY 726 00:38:54,440 --> 00:38:58,080 CONFLICT AND THEY MAY BE A 727 00:38:58,080 --> 00:39:04,160 RESULT OF THE DISTAL STIGMA AND 728 00:39:04,160 --> 00:39:07,360 THWARTED BELONGINGNESS ARE MORE 729 00:39:07,360 --> 00:39:12,720 PROXIMAL THAN SOME MENTAL 730 00:39:12,720 --> 00:39:15,400 DISORDERS AND DISTRESS AND ONCE 731 00:39:15,400 --> 00:39:16,760 IDEATION EXIST AS A 732 00:39:16,760 --> 00:39:19,240 SENSITIZATION TO LOSS AND PAIN 733 00:39:19,240 --> 00:39:20,400 AND DEATH THAT MAY OCCUR AS A 734 00:39:20,400 --> 00:39:23,640 RESULT OF EXPERIENCING TRAUMA IS 735 00:39:23,640 --> 00:39:24,840 UNDERSTOOD TO CONTRIBUTE 736 00:39:24,840 --> 00:39:26,560 DIRECTLY TO CAPABILITY TO ACT ON 737 00:39:26,560 --> 00:39:29,680 THE IDEATION. 738 00:39:29,680 --> 00:39:34,880 NOTABLY OTHER IDEATION ACTION 739 00:39:34,880 --> 00:39:36,360 THEORIES CAUSED TO CONSIDER 740 00:39:36,360 --> 00:39:37,640 SUBSTANCE USE AND ACCESS TO 741 00:39:37,640 --> 00:39:37,960 NEEDS. 742 00:39:37,960 --> 00:39:41,040 WE'RE STARTING TO SEE SUPPORT 743 00:39:41,040 --> 00:39:44,720 FOR THIS IN STUDIES WITH SEX AND 744 00:39:44,720 --> 00:39:45,480 GENDER MINORITY POPULATIONS AND 745 00:39:45,480 --> 00:39:47,720 THEY LOOKED AT THIS TO 746 00:39:47,720 --> 00:39:49,600 UNDERSTAND SUICIDE EXPERIENCES 747 00:39:49,600 --> 00:39:51,400 EXPERIENCED BY TRANSGENDER FOCUS 748 00:39:51,400 --> 00:39:54,320 AND WHILE DISTAL MINORITY 749 00:39:54,320 --> 00:39:59,160 STRESSORS ACTED THROUGH PROXIMAL 750 00:39:59,160 --> 00:40:01,560 STRESSORS, BELONGINGNESS 751 00:40:01,560 --> 00:40:03,520 MEDIATED THAT AND THOUGH NOT 752 00:40:03,520 --> 00:40:05,440 ENTIRELY CONSISTENT FINDINGS 753 00:40:05,440 --> 00:40:06,760 EXIST WITH SEXUAL MINORITY 754 00:40:06,760 --> 00:40:07,600 FINDINGS BUT OVER ALL THE 755 00:40:07,600 --> 00:40:18,000 STUDIES WERE LIMITED. 756 00:40:20,160 --> 00:40:22,680 AND LOOKING AT SUICIDE THEORIES 757 00:40:22,680 --> 00:40:27,240 HAVE BEEN ENTIRELY BEEN 758 00:40:27,240 --> 00:40:29,840 CROSS-SECTION AND APPLY AN 759 00:40:29,840 --> 00:40:31,520 INTERSECTION LENS WHICH OUR 760 00:40:31,520 --> 00:40:33,120 SPEAKERS HAVE EXPLAINED WHY THAT 761 00:40:33,120 --> 00:40:40,760 IS SO IMPORTANT WHAT DO WE MEAN 762 00:40:40,760 --> 00:40:49,600 BY INTERSECTIONALITY? 763 00:40:49,600 --> 00:40:58,520 AND THIS GOES BACK TO SOJOURNER 764 00:40:58,520 --> 00:41:00,840 TRUTH AND BECAUSE THE WAY BLACK 765 00:41:00,840 --> 00:41:03,160 WOMEN'S WERE EXPERIENCED THE 766 00:41:03,160 --> 00:41:04,480 CONVERGENCE OF THE STRUCTURAL 767 00:41:04,480 --> 00:41:08,000 FORCES OF OPPRESSION ARE UNIQUE 768 00:41:08,000 --> 00:41:09,120 EXPERIENCES THAT ARE NOT THE SUM 769 00:41:09,120 --> 00:41:11,800 OF ITS PARTS AND WE DON'T HAVE 770 00:41:11,800 --> 00:41:13,320 THE FRAMES TO CONSIDER THOSE 771 00:41:13,320 --> 00:41:15,320 EXPERIENCES WITHIN OUR SYSTEMS, 772 00:41:15,320 --> 00:41:17,360 INSTITUTIONS AND RESEARCH WHICH 773 00:41:17,360 --> 00:41:21,400 RESULTS IN ERASUURE AS JUST 774 00:41:21,400 --> 00:41:27,760 EXPLAINED. 775 00:41:27,760 --> 00:41:32,440 AND WHEN WE APPLY THIS LENS TO 776 00:41:32,440 --> 00:41:34,440 YOU SUICIDE SO MUCH OF THE DATA 777 00:41:34,440 --> 00:41:37,320 AND FINDINGS ARE URBAN FOCUSSED. 778 00:41:37,320 --> 00:41:40,080 MUCH MORE LIMITED DATA EXISTED 779 00:41:40,080 --> 00:41:42,880 ON PERSONS RESIDING IN RURAL 780 00:41:42,880 --> 00:41:45,000 CONTEXT AND THE STUDIES IN RURAL 781 00:41:45,000 --> 00:41:46,160 AREAS FOCUS ON YOUTH WHICH IS 782 00:41:46,160 --> 00:41:49,040 IMPORTANT GIVEN THE MENTAL 783 00:41:49,040 --> 00:41:50,320 HEALTH CRISIS WE'RE SEEING AMONG 784 00:41:50,320 --> 00:41:53,120 YOUTH AND IDEATION AND ATTEMPTS 785 00:41:53,120 --> 00:41:54,440 ARE FRIGHTENINGLY HIGH. 786 00:41:54,440 --> 00:41:57,680 THIS FORGETS MOST SUICIDE DEATHS 787 00:41:57,680 --> 00:41:58,440 AMONG SEXUAL MINORITY 788 00:41:58,440 --> 00:41:59,480 INDIVIDUALS AND THE GENERAL 789 00:41:59,480 --> 00:42:01,040 POPULATION ARE AMONG THE MIDDLE 790 00:42:01,040 --> 00:42:04,400 AGED BECAUSE GIVEN AN ATTEMPT, 791 00:42:04,400 --> 00:42:07,040 THERE'S A GREATER LETHALITY 792 00:42:07,040 --> 00:42:09,040 OBSERVED IN THE AGE GROUP. 793 00:42:09,040 --> 00:42:14,520 WE KNOW THIS CHANGES ACROSS THE 794 00:42:14,520 --> 00:42:19,160 LIFE COURT AND NEED TARGETED 795 00:42:19,160 --> 00:42:20,080 INTERVENTION. 796 00:42:20,080 --> 00:42:24,760 WHERE DATA IS NEEDED ON SEXUAL 797 00:42:24,760 --> 00:42:29,080 MINORITY AND MINORITY HEALTH WE 798 00:42:29,080 --> 00:42:31,080 NEED TO LOOK WITHIN CENTER AND 799 00:42:31,080 --> 00:42:33,360 WE NEED TO LOOK AT THE GENERAL 800 00:42:33,360 --> 00:42:34,640 POPULATION AND IS CONSISTENT 801 00:42:34,640 --> 00:42:36,280 WITH GENERAL POPULATION FINDINGS 802 00:42:36,280 --> 00:42:40,920 OF HIGHER UNMET MENTAL HEALTH 803 00:42:40,920 --> 00:42:43,160 NEEDS IN RURAL VERSUS URBAN 804 00:42:43,160 --> 00:42:43,360 AREAS. 805 00:42:43,360 --> 00:42:53,840 WE GO BACK TO THE FRAMEWORK. 806 00:42:59,560 --> 00:43:01,840 AND WE CAN CHECK THE 807 00:43:01,840 --> 00:43:04,200 INTERSECTIONALITY BOX AND THE 808 00:43:04,200 --> 00:43:04,800 SPEAKERS HAVE DESCRIBED WHY 809 00:43:04,800 --> 00:43:09,960 THAT'S NOT IT. 810 00:43:09,960 --> 00:43:12,080 AND WE THINK ABOUT HOW AND WHY 811 00:43:12,080 --> 00:43:13,640 IT MATTERS WE NEED TO THINK WITH 812 00:43:13,640 --> 00:43:15,240 THE WHOLE PROCESS. 813 00:43:15,240 --> 00:43:17,280 IF WE START OVER HERE ON THE 814 00:43:17,280 --> 00:43:18,320 LEFT IN THE DISTAL MINORITY 815 00:43:18,320 --> 00:43:21,080 STRESSORS BOX IT MAY BE THE 816 00:43:21,080 --> 00:43:23,040 POLICY ENVIRONMENT IS VASTLY 817 00:43:23,040 --> 00:43:25,520 DIFFERENT AND MORE RURAL VERSUS 818 00:43:25,520 --> 00:43:27,440 URBAN AREAS WHICH MEANS THE 819 00:43:27,440 --> 00:43:31,040 EXTENT TO WHICH AND HOW 820 00:43:31,040 --> 00:43:32,520 STRUCTURAL STIGMA AGAINST SEXUAL 821 00:43:32,520 --> 00:43:34,160 AND MINORITY PEOPLE MANIFEST IS 822 00:43:34,160 --> 00:43:35,560 DIFFERENT IN IMPORTANT WAYS. 823 00:43:35,560 --> 00:43:37,760 THIS SAY MAP FROM THE MOVEMENT 824 00:43:37,760 --> 00:43:39,680 ADVANCEMENT PROJECT THAT 825 00:43:39,680 --> 00:43:42,040 DOCUMENTS MORE THAN 50 SEXUAL 826 00:43:42,040 --> 00:43:44,440 AND GENDER MINORITY RELATED LAWS 827 00:43:44,440 --> 00:43:48,640 AND SEE THE REGIONAL DIFFERENCES 828 00:43:48,640 --> 00:43:51,720 THAT CORRELATE WITH DEGREE OF 829 00:43:51,720 --> 00:43:53,000 VERALITY. 830 00:43:53,000 --> 00:43:54,440 IN TERMS OF NEGATIVE POLICIES 831 00:43:54,440 --> 00:43:56,080 THAT EXIST OR THE LACK OF 832 00:43:56,080 --> 00:44:05,680 SUPPORTIVE POLICIES. 833 00:44:05,680 --> 00:44:07,960 WE CAN THINK OF OVERLAP AS AN IT 834 00:44:07,960 --> 00:44:13,560 LEADS TO OVER MARGINALIZATION OF 835 00:44:13,560 --> 00:44:16,400 THESE AREAS AND HARDSHIP THAT 836 00:44:16,400 --> 00:44:19,320 MAY IMPACT THESE MINORITIZED 837 00:44:19,320 --> 00:44:21,480 COMMUNITIES AND MAY CONTRIBUTE 838 00:44:21,480 --> 00:44:24,360 TO THINGS LIKE HOPELESSNESS AND 839 00:44:24,360 --> 00:44:27,200 PERCEIVED BURDENSOMENESS AND 840 00:44:27,200 --> 00:44:28,880 LOOK AT SMALL COMMUNITIES WHERE 841 00:44:28,880 --> 00:44:31,960 THERE NOT BE AFFIRMING SPACES OR 842 00:44:31,960 --> 00:44:33,400 ORGANIZATIONS THAT ALLOW SEXUAL 843 00:44:33,400 --> 00:44:35,200 GENDER MINORITY ADULTS TO 844 00:44:35,200 --> 00:44:39,240 CONNECT AND THE POTENTIAL FOR 845 00:44:39,240 --> 00:44:40,840 THWARTED BELONGINGNESS IF THERE 846 00:44:40,840 --> 00:44:43,800 IS THAT CONNECTEDNESS AVAILABLE. 847 00:44:43,800 --> 00:44:47,560 AND SOMETHING OVERLOOKED IN MANY 848 00:44:47,560 --> 00:44:58,040 WAYS IS TO THE ROLE OF REL 849 00:45:02,520 --> 00:45:04,280 RELIGIOSTY AND IN THERE'S OF 850 00:45:04,280 --> 00:45:06,120 SUICIDE IT'S BEEN STUDIED AS A 851 00:45:06,120 --> 00:45:07,160 PROTECTIVE FACTOR AND THERE'S 852 00:45:07,160 --> 00:45:08,080 EVIDENCE TO SUPPORT THIS IN THE 853 00:45:08,080 --> 00:45:10,720 GENERAL POPULATION. 854 00:45:10,720 --> 00:45:12,720 GREATER IMPORTANCE OF RELIGION 855 00:45:12,720 --> 00:45:14,560 WAS FOUND TO BE ASSOCIATED WITH 856 00:45:14,560 --> 00:45:23,960 GREATER IDEATION IN ATTEMPTS AND 857 00:45:23,960 --> 00:45:26,080 IT'S BEEN ASSOCIATED WITH TWICE 858 00:45:26,080 --> 00:45:28,840 THE ODDS OF IDEATION AMONG 859 00:45:28,840 --> 00:45:30,040 GREATER SEXUAL MINORITY PERSONS. 860 00:45:30,040 --> 00:45:32,160 YOU MIGHT IMAGINE IF YOU'RE 861 00:45:32,160 --> 00:45:33,400 RELIGIOUS INSTITUTION IS 862 00:45:33,400 --> 00:45:36,080 ENGAGING IN HARMFUL PRACTICES 863 00:45:36,080 --> 00:45:37,840 AND ENDORSING STIGMATIZING 864 00:45:37,840 --> 00:45:39,120 ATTITUDES THERE MAY NOT BE OTHER 865 00:45:39,120 --> 00:45:41,240 OPTIONS TO ENGAGE IN A RELIGIOUS 866 00:45:41,240 --> 00:45:42,800 SPACE AND FOSTER THOSE THINGS 867 00:45:42,800 --> 00:45:44,960 LIKE IN AN URBAN AREA. 868 00:45:44,960 --> 00:45:47,240 AND WE THINK WITH THE ROLE OF 869 00:45:47,240 --> 00:45:49,320 CRIMINAL HEALTH AND WE 870 00:45:49,320 --> 00:45:53,000 ANTICIPATE ACCESS OF USE WILL BE 871 00:45:53,000 --> 00:45:54,560 MORE CONSTRAINED IN MENTAL 872 00:45:54,560 --> 00:45:58,240 HEALTH SETTINGS AND THE MENTAL 873 00:45:58,240 --> 00:46:04,320 HEALTH PROVIDERS PER CAPITA IS 874 00:46:04,320 --> 00:46:08,600 EXTREMELY LOW IN RURAL AREAS AND 875 00:46:08,600 --> 00:46:10,880 THE CHANCE OF FINDING AFFIRMING 876 00:46:10,880 --> 00:46:12,080 SERVICES COULD BE WORSE. 877 00:46:12,080 --> 00:46:13,160 AND THINKING ABOUT CAPABILITY. 878 00:46:13,160 --> 00:46:15,520 ONE THING WE KNOW IS IMPORTANT 879 00:46:15,520 --> 00:46:18,360 RELATED TO ACCESS IS GUN 880 00:46:18,360 --> 00:46:20,960 OWNERSHIP AND POPULATIONS LIVING 881 00:46:20,960 --> 00:46:23,640 IN RURAL AREAS WE FOUND TO HAVE 882 00:46:23,640 --> 00:46:27,200 LOWER ODDS OF SUBSTANCE USE AND 883 00:46:27,200 --> 00:46:29,400 BINGE DRINKING ALTERNATIVELY. 884 00:46:29,400 --> 00:46:32,720 AT THIS POINT UNFORTUNATELY I 885 00:46:32,720 --> 00:46:34,480 CAN'T SAY GREAT, THERE'S 886 00:46:34,480 --> 00:46:37,080 TERRIBLE GAPS BUT WE COLLECTED 887 00:46:37,080 --> 00:46:38,120 FANTASTIC DATA TO ADDRESS THE 888 00:46:38,120 --> 00:46:39,080 GAPS AND LEARNED IMPORTANT 889 00:46:39,080 --> 00:46:41,280 THINGS BUT I CAN SAY WE'RE 890 00:46:41,280 --> 00:46:45,520 ACTIVELY WORKING ON IT. 891 00:46:45,520 --> 00:46:50,320 WE RECENTLY RECEIVED AN RO1 TO 892 00:46:50,320 --> 00:46:52,400 CONDUCT RESEARCH WITH THIS 893 00:46:52,400 --> 00:46:53,760 POPULATION IN SMALL AND RURAL 894 00:46:53,760 --> 00:46:55,480 AREAS AND TRY TO UNPACK THE 895 00:46:55,480 --> 00:46:57,240 PATHWAYS AND EXPLORE THE 896 00:46:57,240 --> 00:46:59,200 MECHANISMS WITH AN EYE TOWARDS 897 00:46:59,200 --> 00:47:01,200 FINDING SPECIFIC TARGETS FOR 898 00:47:01,200 --> 00:47:02,400 INTERVENTIONS AND THINGS THAT 899 00:47:02,400 --> 00:47:05,240 COULD BE INTERVENED UPON 900 00:47:05,240 --> 00:47:07,600 REMOTELY. 901 00:47:07,600 --> 00:47:10,040 WORKING WITH FOLKS WITH EMORY 902 00:47:10,040 --> 00:47:15,760 UNIVERSITY AND WE'RE SEEKING TO 903 00:47:15,760 --> 00:47:17,520 ENROLL WE HAVE UP TO 2500 904 00:47:17,520 --> 00:47:19,200 INDIVIDUALS HOPEFULLY AND 905 00:47:19,200 --> 00:47:21,440 HOPEFULLY FIVE COHORTS BECAUSE 906 00:47:21,440 --> 00:47:22,800 IT BECAME OBVIOUS IN OUR 907 00:47:22,800 --> 00:47:25,600 DISCUSSIONS WITH OUR TEAM AND 908 00:47:25,600 --> 00:47:27,320 STARTING TO DISCUSS THINGS WITH 909 00:47:27,320 --> 00:47:29,520 MEMBERS WE'RE NOT ADEQUATELY 910 00:47:29,520 --> 00:47:31,600 CONSIDERING THE UNIQUE 911 00:47:31,600 --> 00:47:33,400 EXPERIENCES OF NON-BINARY 912 00:47:33,400 --> 00:47:38,200 INDIVIDUAL AND WE'LL COLLECT 913 00:47:38,200 --> 00:47:39,920 DATA EVERY THREE MONTHS AND WE 914 00:47:39,920 --> 00:47:41,800 HAVE DISCRIMINATION AND DRAMATIC 915 00:47:41,800 --> 00:47:44,080 EXPERIENCES TO THE DISTAL 916 00:47:44,080 --> 00:47:45,400 FACTORS VARY ACROSS SUB GROUPS 917 00:47:45,400 --> 00:47:47,360 OF SEXUAL AND MINORITY PERSONS 918 00:47:47,360 --> 00:47:49,040 AND WHETHER THE EXPOSURE CLASS 919 00:47:49,040 --> 00:47:50,680 ASSOCIATED WITH PREVALENT 920 00:47:50,680 --> 00:47:53,080 DEPRESSION, SUICIDE IDEATION AND 921 00:47:53,080 --> 00:47:54,320 ATTEMPT AT BASELINE. 922 00:47:54,320 --> 00:47:56,520 BUT THEN WE'LL BUILD UPON THAT 923 00:47:56,520 --> 00:47:59,920 TO SEE IF THE CLASSES ARE 924 00:47:59,920 --> 00:48:02,240 ASSOCIATED WITH INCIDENCE 925 00:48:02,240 --> 00:48:03,400 OUTCOMES USING FIXED AND 926 00:48:03,400 --> 00:48:04,360 EXPOSURE CLASSES WITH MEDIATORS 927 00:48:04,360 --> 00:48:06,720 OF THE PATHWAY AND IN ACCORDANCE 928 00:48:06,720 --> 00:48:10,720 WITH WHAT WAS PRESENTED TODAY 929 00:48:10,720 --> 00:48:14,040 AND TRYING TO CONSIDER 930 00:48:14,040 --> 00:48:14,680 HETEROGENEITY AND ASSOCIATIONS 931 00:48:14,680 --> 00:48:17,560 BY SEX AND GENDER MINORITY 932 00:48:17,560 --> 00:48:19,440 SUBGROUP AND HOPEFULLY HAVE THE 933 00:48:19,440 --> 00:48:20,720 POWER TO LOOK MORE AT 934 00:48:20,720 --> 00:48:24,440 INTERSECTING FACTORS OF RACE AND 935 00:48:24,440 --> 00:48:25,920 ETHNICITY GIVEN THE DEARTH OF 936 00:48:25,920 --> 00:48:27,880 RESEARCH ON TRANSGENDER AND 937 00:48:27,880 --> 00:48:29,320 SEXUAL MINORITY PEOPLE OF COLOR 938 00:48:29,320 --> 00:48:31,640 AS HIGHLIGHTED BY TODAY AND 939 00:48:31,640 --> 00:48:35,000 LASTLY BUILDING ON OUR FINDINGS 940 00:48:35,000 --> 00:48:38,120 WE'LL MEASURE PREFERENCES FOR 941 00:48:38,120 --> 00:48:41,000 INTERVENTIONS TAILORED TO RURAL 942 00:48:41,000 --> 00:48:45,440 SEXUAL AND MINORITY PERSONS 943 00:48:45,440 --> 00:48:47,480 EXPERIENCING TRAUMA AND THERE'S 944 00:48:47,480 --> 00:48:48,360 MAJOR GAPS IN UNDERSTANDING 945 00:48:48,360 --> 00:48:50,320 MENTAL HEALTH DISPARITIES FOR 946 00:48:50,320 --> 00:48:51,160 THESE POPULATIONS. 947 00:48:51,160 --> 00:48:54,320 STUDYING MECHANISMS FORMED BY 948 00:48:54,320 --> 00:48:57,520 MINORITY THEORIES IS A PROMISING 949 00:48:57,520 --> 00:48:59,120 APPROACH TO UNPACK AND FIND 950 00:48:59,120 --> 00:49:01,480 TARGETS FOR INTERVENTION. 951 00:49:01,480 --> 00:49:05,320 THERE'S A LACK OF LONGITUDINAL 952 00:49:05,320 --> 00:49:08,680 DATA AND WITH ATTENTION TO 953 00:49:08,680 --> 00:49:10,160 FACTORS THAT MIGHT BE MODIFIABLE 954 00:49:10,160 --> 00:49:11,680 INCLUDING PROTECTIVE FACTORS. 955 00:49:11,680 --> 00:49:18,240 THERE'S REALLY THE LIMITED 956 00:49:18,240 --> 00:49:19,680 HETEROGENEITY OF POPULATION. 957 00:49:19,680 --> 00:49:21,640 AND IT CAN LEAD TO APPROPRIATE 958 00:49:21,640 --> 00:49:23,720 AND FEASIBLE INTERVENTIONS. 959 00:49:23,720 --> 00:49:24,760 THIS IS ONE SMALL STEP BECAUSE 960 00:49:24,760 --> 00:49:26,680 THE GOAL AND THE DREAM IS TO 961 00:49:26,680 --> 00:49:28,320 INTERVENE BOTH ON THE PROCESSES 962 00:49:28,320 --> 00:49:30,680 BUT ALSO ON THE DISTAL FACTORS 963 00:49:30,680 --> 00:49:31,920 THEMSELVES SINCE WE KNOW 964 00:49:31,920 --> 00:49:39,440 STIGMA'S INSIDIOUS AND THE 965 00:49:39,440 --> 00:49:41,760 FUNDAMENTAL CAUSE OF SOME THESE 966 00:49:41,760 --> 00:49:42,560 ISSUES AND MOVING FORWARD IS 967 00:49:42,560 --> 00:49:46,360 IMPORTANT. 968 00:49:46,360 --> 00:49:47,800 >>THANK YOU, DR. MURRAY. 969 00:49:47,800 --> 00:49:49,800 AT THIS POINT I'D LIKE TO INVITE 970 00:49:49,800 --> 00:49:52,440 ALL THE PANELISTS TO TURN ON 971 00:49:52,440 --> 00:49:53,680 THEIR VIDEO AND INVITE QUESTIONS 972 00:49:53,680 --> 00:50:04,000 FROM THE AUDIENCE. 973 00:50:06,200 --> 00:50:07,720 WHILE WE'RE WAITING FOR OUR 974 00:50:07,720 --> 00:50:12,960 FIRST QUESTION I CAN GET US 975 00:50:12,960 --> 00:50:16,040 START 976 00:50:16,040 --> 00:50:18,200 STARTED I'D LIKE TO REFLECT ON 977 00:50:18,200 --> 00:50:20,480 THE INTRODUCTORY COMMENT ABOUT 978 00:50:20,480 --> 00:50:20,800 RESILIENCE. 979 00:50:20,800 --> 00:50:23,920 HOW SHOULD RESILIENCE BE STUDIED 980 00:50:23,920 --> 00:50:27,040 GIVEN THAT RESEARCH UP TO TODAY 981 00:50:27,040 --> 00:50:30,520 CAN BE VIEWED AS FURTHER 982 00:50:30,520 --> 00:50:31,480 BURDENING MINORITIZED 983 00:50:31,480 --> 00:50:33,160 POPULATIONS TO DEAL WITH STIGMA 984 00:50:33,160 --> 00:50:36,360 RACISM AS MENTIONED IN OUR 985 00:50:36,360 --> 00:50:37,480 CURRENT PRESENTATIONS TO DEAL 986 00:50:37,480 --> 00:50:40,320 WITH THE FACTORS ON AN 987 00:50:40,320 --> 00:50:43,040 INDIVIDUAL LEVEL INSTEAD OF 988 00:50:43,040 --> 00:50:44,400 ELIMINATING RACIST AND 989 00:50:44,400 --> 00:50:45,600 DISCRIMINATORY EXPERIENCES AND 990 00:50:45,600 --> 00:50:46,200 STRUCTURES IN THE CONTEXT OF 991 00:50:46,200 --> 00:50:51,760 YOUR WORK. 992 00:50:51,760 --> 00:50:53,000 HOW WOULD YOU VIEW RESILIENCE 993 00:50:53,000 --> 00:50:53,800 AND HOW SHOULD IT BE STUDIED IN 994 00:50:53,800 --> 00:51:01,840 THE FUTURE? 995 00:51:01,840 --> 00:51:04,680 >>I'M HAPPY TO KICK IT OFF AND 996 00:51:04,680 --> 00:51:08,280 HAVE OTHERS JUMP IN. 997 00:51:08,280 --> 00:51:14,080 I THINK OF IT AS A BOTH/AND 998 00:51:14,080 --> 00:51:14,520 SITUATION. 999 00:51:14,520 --> 00:51:17,880 LIKE THERE'S A PERPETUAL POLE 1000 00:51:17,880 --> 00:51:20,400 BETWEEN REFORM AND REVOLUTION 1001 00:51:20,400 --> 00:51:21,880 AND FEEL LIKE THINKING ABOUT 1002 00:51:21,880 --> 00:51:22,720 INDIVIDUAL RESILIENCE IS 1003 00:51:22,720 --> 00:51:25,880 THINKING ABOUT THE REFORM 1004 00:51:25,880 --> 00:51:26,200 ELEMENT. 1005 00:51:26,200 --> 00:51:30,920 IT'S THE DOWN STREAM BANDAGE FOR 1006 00:51:30,920 --> 00:51:35,480 THE UPSTREAM LARGER STRUCTURAL 1007 00:51:35,480 --> 00:51:36,080 DETERMINATES. 1008 00:51:36,080 --> 00:51:37,280 IT'S A NECESSARY COPING 1009 00:51:37,280 --> 00:51:38,640 MECHANISM MANY OF US HAVE 1010 00:51:38,640 --> 00:51:43,880 DEVELOPED OUT OF NEED. 1011 00:51:43,880 --> 00:51:46,520 THAT MEANS WE STILL NEED TO WORK 1012 00:51:46,520 --> 00:51:50,480 TOWARDS DISMANTLING THE LARGER 1013 00:51:50,480 --> 00:51:51,120 STRUCTURES THAT CAUSE IT TO BE 1014 00:51:51,120 --> 00:51:57,680 NECESSARY IN THE FIRST PLACE. 1015 00:51:57,680 --> 00:51:59,200 I'LL STOP THERE AND LET OTHERS 1016 00:51:59,200 --> 00:52:02,720 JUMP IN. 1017 00:52:02,720 --> 00:52:07,480 >>I'LL ADD AND I'LL PARAPHRASE 1018 00:52:07,480 --> 00:52:11,920 MY FRIEND TALKED ABOUT 1019 00:52:11,920 --> 00:52:13,480 RESILIENCE IS A RESPONSE TO 1020 00:52:13,480 --> 00:52:15,640 OPPRESSION AND THERE WAS A PAPER 1021 00:52:15,640 --> 00:52:21,600 I JUST LOOKED AT PUBLISHED BY 1022 00:52:21,600 --> 00:52:23,160 HER WHERE THEY LOOKED AT 1023 00:52:23,160 --> 00:52:26,280 RESILIENCE AND USING THE ANALOGY 1024 00:52:26,280 --> 00:52:29,280 OF SCAR TISSUE AND HOW HAVING TO 1025 00:52:29,280 --> 00:52:30,720 DEAL WITH THE ECONOMIC -- IT 1026 00:52:30,720 --> 00:52:33,000 ONLY HAPPENS ONCE YOU HAVE 1027 00:52:33,000 --> 00:52:35,200 EXPERIENCED OPPRESSION. 1028 00:52:35,200 --> 00:52:37,800 AND I THINK GIVEN ON THE 1029 00:52:37,800 --> 00:52:41,080 INDIVIDUAL LEVEL A LOT OF IT IS 1030 00:52:41,080 --> 00:52:44,400 COPING MECHANISM ALSO COMES FROM 1031 00:52:44,400 --> 00:52:46,200 LOWERING THE IMPACT OF SOCIAL 1032 00:52:46,200 --> 00:52:51,560 SUPPORT GIVEN IN THIS COMMUNITY 1033 00:52:51,560 --> 00:52:53,920 THERE'S A BIG ASPECT OF SUPPORT 1034 00:52:53,920 --> 00:53:00,240 FROM PEERS AND FAMILY. 1035 00:53:00,240 --> 00:53:02,440 >>I ABSOLUTELY AGREE WITH WHAT 1036 00:53:02,440 --> 00:53:05,000 BOTH MY COLLEAGUES HAVE SAID AND 1037 00:53:05,000 --> 00:53:10,560 SOME THINGS POINTED TO ARE SO 1038 00:53:10,560 --> 00:53:21,080 IMPORTANT IN TERMS OF ADDRESSING 1039 00:53:25,960 --> 00:53:28,120 AND YOU LOOK THROUGH THE 1040 00:53:28,120 --> 00:53:29,560 QUESTIONNAIRE AND IT'S ALL 1041 00:53:29,560 --> 00:53:30,920 NEGATIVE AND EXPOSURE AND TRAUMA 1042 00:53:30,920 --> 00:53:32,880 AND STIGMA AND THOSE THINGS ARE 1043 00:53:32,880 --> 00:53:35,440 IMPORTANT BECAUSE YOU HAVE TO 1044 00:53:35,440 --> 00:53:37,160 STOP AND ASK YOURSELF WHERE IS 1045 00:53:37,160 --> 00:53:38,640 THE SPACE FOR JOY. 1046 00:53:38,640 --> 00:53:42,000 WHERE'S THE SPACE FOR PRIDE? 1047 00:53:42,000 --> 00:53:43,720 AND THOSE AREN'T NECESSARY -- 1048 00:53:43,720 --> 00:53:45,200 THOSE DON'T HAVE TO ALWAYS BE 1049 00:53:45,200 --> 00:53:50,360 VIEWED IN A RESILIENCE FRAME. 1050 00:53:50,360 --> 00:53:51,640 WE DON'T WANT TO LEAVE OUT THE 1051 00:53:51,640 --> 00:53:53,800 SPACE FOR PEOPLE TO BE ABLE -- 1052 00:53:53,800 --> 00:53:57,160 AND WE SHOULD STUDY THINGS LIKE 1053 00:53:57,160 --> 00:53:57,480 FLOURISHING? 1054 00:53:57,480 --> 00:54:03,200 WHERE ARE PEOPLE DOING WELL AND 1055 00:54:03,200 --> 00:54:12,800 FLOURISHING? 1056 00:54:12,800 --> 00:54:14,600 THE CAUSE OF RESILIENCE IS 1057 00:54:14,600 --> 00:54:16,560 PROBLEMATIC IN THAT YOU PUT THE 1058 00:54:16,560 --> 00:54:19,200 BURDEN ON PEOPLE WHO EXPERIENCE 1059 00:54:19,200 --> 00:54:20,200 STIGMA DISCRIMINATION TO DEAL 1060 00:54:20,200 --> 00:54:22,280 WITH IT AND IT'S NOT APPROPRIATE 1061 00:54:22,280 --> 00:54:24,120 BUT I TRY TO REMIND MYSELF WE 1062 00:54:24,120 --> 00:54:26,480 ALSO HAVE TO MAKE SPACE TO SEE 1063 00:54:26,480 --> 00:54:27,320 THINGS LIKE JOY AND UNDERSTAND 1064 00:54:27,320 --> 00:54:29,920 JOY AND FLOURISHING AND PEOPLE 1065 00:54:29,920 --> 00:54:31,280 TALKED ABOUT YESTERDAY HEALTHY 1066 00:54:31,280 --> 00:54:33,240 DATING AND THINKING ABOUT SEX AS 1067 00:54:33,240 --> 00:54:34,240 A POSITIVE WONDERFUL EXPERIENCE 1068 00:54:34,240 --> 00:54:34,720 FOR PEOPLE. 1069 00:54:34,720 --> 00:54:43,280 THESE ARE IMPORTANT THINGS. 1070 00:54:43,280 --> 00:54:46,920 >>THANK YOU FOR THAT. 1071 00:54:46,920 --> 00:54:48,640 AND THERE'S MORE A COMPLETE 1072 00:54:48,640 --> 00:54:51,160 THEME OF BREAKING OUT OF BAD 1073 00:54:51,160 --> 00:54:56,480 HABITS AND STUDYING RISK FACTORS 1074 00:54:56,480 --> 00:55:01,720 AS INCREASED RISK IN RISK 1075 00:55:01,720 --> 00:55:04,400 FACTORS PEOPLE ARE ENGAGING OR 1076 00:55:04,400 --> 00:55:07,800 EXPOSED TO ON A STRUCTURAL 1077 00:55:07,800 --> 00:55:09,480 SOCIETAL LEVEL THAN AN 1078 00:55:09,480 --> 00:55:16,440 INDIVIDUAL PERM -- PERSONAL 1079 00:55:16,440 --> 00:55:17,280 QUESTION AND THE NEXT QUESTION 1080 00:55:17,280 --> 00:55:18,960 COMES FROM THE VIDEOCAST FOR 1081 00:55:18,960 --> 00:55:20,600 DR. MURRAY I'LL GROUP TOGETHER. 1082 00:55:20,600 --> 00:55:23,040 ONE, WHAT METHODS HAVE YOU FOUND 1083 00:55:23,040 --> 00:55:26,040 TO BE HELPFUL IN RECRUITING 1084 00:55:26,040 --> 00:55:27,840 RURAL SGM POPULATIONS AND THIS 1085 00:55:27,840 --> 00:55:33,640 PERSON IS PREPARING TO LAUNCH A 1086 00:55:33,640 --> 00:55:34,960 STUDY WHAT ARE SUGGESTIONS OF 1087 00:55:34,960 --> 00:55:36,800 MEASURES TO LOOK AT AND THREE 1088 00:55:36,800 --> 00:55:38,560 CAN THEY GET YOUR CONTACT 1089 00:55:38,560 --> 00:55:39,080 INFORMATION. 1090 00:55:39,080 --> 00:55:49,240 THEY'D LOVE TO CONNECT WITH YOU. 1091 00:55:49,240 --> 00:55:50,800 >>CONTACT INFORMATION I'LL 1092 00:55:50,800 --> 00:55:54,320 STICK IN THE CHAT WHEN I'M DONE 1093 00:55:54,320 --> 00:55:56,000 BECAUSE I CAN'T DO TWO THINGS AT 1094 00:55:56,000 --> 00:55:58,640 ONCE AND I LOVE THESE TOPICS. 1095 00:55:58,640 --> 00:56:01,400 FULL HONESTY I'M NOT THE EXPERT 1096 00:56:01,400 --> 00:56:03,360 IN THE RECRUITMENT. 1097 00:56:03,360 --> 00:56:06,000 OUR COLLEAGUES AT EMORY HAVE FAR 1098 00:56:06,000 --> 00:56:07,480 MORE EXPERIENCE AND TRAVIS 1099 00:56:07,480 --> 00:56:09,480 SANCHEZ AT EMORY UNIVERSITY. 1100 00:56:09,480 --> 00:56:10,800 WHAT I WOULD HIGHLIGHT IS 1101 00:56:10,800 --> 00:56:14,680 THERE'S BEEN A REAL NEED TO BE 1102 00:56:14,680 --> 00:56:17,320 NIMBLE IN THE CONTEXT OF 1103 00:56:17,320 --> 00:56:18,080 POST-PANDEMIC LIFE WHERE SO MUCH 1104 00:56:18,080 --> 00:56:20,160 HAS MOVED ONLINE AND WHERE 1105 00:56:20,160 --> 00:56:22,680 ONLINE RECRUITMENT WAS A MORE 1106 00:56:22,680 --> 00:56:23,640 OPEN SPACE BEFORE HAND. 1107 00:56:23,640 --> 00:56:27,080 I THINK THERE'S AN OVERWHEL 1108 00:56:27,080 --> 00:56:29,720 OVERWHELMINGNESS OF RECRUITMENT 1109 00:56:29,720 --> 00:56:31,440 ONLINE AND IT'S PUSHING US BACK 1110 00:56:31,440 --> 00:56:35,040 IT OUR ROOTS OF CONNECTION WITH 1111 00:56:35,040 --> 00:56:36,280 COMMUNITY ORGANIZATIONS IN 1112 00:56:36,280 --> 00:56:37,680 ADDITION TO ONLINE APPROACHES 1113 00:56:37,680 --> 00:56:40,920 AND WORKING IN COLLABORATION 1114 00:56:40,920 --> 00:56:46,400 WITH COMMUNITIES TO ENABLE 1115 00:56:46,400 --> 00:56:47,800 RECRUITMENT AND THE MESSAGE TO 1116 00:56:47,800 --> 00:56:50,320 GET OUT THERE AND ALSO SHIFTING 1117 00:56:50,320 --> 00:56:52,840 THE PLATFORMS WE USE CONSTANTLY 1118 00:56:52,840 --> 00:56:57,240 BECAUSE PLATFORMS THAT USED TO 1119 00:56:57,240 --> 00:56:58,880 RECRUIT A DIVERSE POPULATION ARE 1120 00:56:58,880 --> 00:57:00,000 INCREASINGLY RECRUITING OLDER 1121 00:57:00,000 --> 00:57:02,480 AND WHITER POPULATIONS FOR US. 1122 00:57:02,480 --> 00:57:03,320 THAT'S A WHOLE OTHER 1123 00:57:03,320 --> 00:57:05,400 CONVERSATION I'D BE HAPPY TO 1124 00:57:05,400 --> 00:57:08,240 ENGAGE WITH IN MORE DETAIL BUT I 1125 00:57:08,240 --> 00:57:09,960 THINK NIMBLENESS AND CONNECTION 1126 00:57:09,960 --> 00:57:10,920 AND REAL CONNECTION HAS BEEN 1127 00:57:10,920 --> 00:57:21,240 REALLY IMPORTANT. 1128 00:57:28,360 --> 00:57:31,520 >>WHAT MEASURE HAVE YOU FOUND 1129 00:57:31,520 --> 00:57:34,560 HELPFUL IN RECRUITING THE SGM 1130 00:57:34,560 --> 00:57:35,480 POPULATIONS AND SUGGESTIONS FOR 1131 00:57:35,480 --> 00:57:36,120 MEASURES THAT SHOULD BE LOOKED 1132 00:57:36,120 --> 00:57:44,760 AT. 1133 00:57:44,760 --> 00:57:47,560 >>I SEE THIS. 1134 00:57:47,560 --> 00:57:49,560 THIS IS REALLY CHALLENGING IN 1135 00:57:49,560 --> 00:57:51,360 TERMS OF THE MOVEMENT OF PEOPLE 1136 00:57:51,360 --> 00:57:53,520 BECAUSE WE MIGHT EXPECT PEOPLE 1137 00:57:53,520 --> 00:57:55,440 HAVE MOVED IN AND OUT OF 1138 00:57:55,440 --> 00:57:56,880 COMMUNITIES OVER TIME AND THIS 1139 00:57:56,880 --> 00:58:02,240 IS SOMETHING WE'RE TRYING TO 1140 00:58:02,240 --> 00:58:04,200 TRACK BUT IT'S ONE OF MY 1141 00:58:04,200 --> 00:58:05,960 CONCERNS IS FIGURING OUT HOW TO 1142 00:58:05,960 --> 00:58:07,800 TRACK PEOPLE IN AND OUT OF THE 1143 00:58:07,800 --> 00:58:08,000 SPACE. 1144 00:58:08,000 --> 00:58:09,680 NOT NECESSARILY THE LOGISTICS OF 1145 00:58:09,680 --> 00:58:12,160 RETAINING PEOPLE BUT HOW TO 1146 00:58:12,160 --> 00:58:13,920 CHARACTERIZE TIMING AND EXPOSURE 1147 00:58:13,920 --> 00:58:16,440 AND WHAT THAT MEANS TO MIGRATE 1148 00:58:16,440 --> 00:58:18,960 TO LOST SUPPORT IN ONE WAY AND 1149 00:58:18,960 --> 00:58:20,000 MAYBE GAIN MORE GROUP SUPPORT IN 1150 00:58:20,000 --> 00:58:25,160 OTHER WAYS AS YOU SAID. 1151 00:58:25,160 --> 00:58:26,680 AND RIGHT NOW WE'RE MOSTLY 1152 00:58:26,680 --> 00:58:28,120 LOOKING AT IN GROUP SUPPORT 1153 00:58:28,120 --> 00:58:29,160 BECAUSE WE EXPECT THAT TO BE 1154 00:58:29,160 --> 00:58:30,720 PARTICULARLY IMPACTED IN RURAL 1155 00:58:30,720 --> 00:58:32,040 AREAS BUT I RECOGNIZE WHAT 1156 00:58:32,040 --> 00:58:33,560 YOU'RE SEEING IN TERMS OF THE 1157 00:58:33,560 --> 00:58:35,160 REAL IMPORTANCE OF THAT SHIFT 1158 00:58:35,160 --> 00:58:36,080 AND DYNAMIC. 1159 00:58:36,080 --> 00:58:38,560 IT'S A CHALLENGE. 1160 00:58:38,560 --> 00:58:42,000 >>THANK YOU, DR. MURRAY. 1161 00:58:42,000 --> 00:58:45,960 THERE'S ONE COMMENT I'LL GO TO 1162 00:58:45,960 --> 00:58:47,520 OUR NEXT QUESTION. 1163 00:58:47,520 --> 00:58:48,640 ONE INDIVIDUAL MENTIONED WIN 1164 00:58:48,640 --> 00:58:51,440 BARRIER I NOTED TO STUDYING 1165 00:58:51,440 --> 00:58:54,080 RESILIENCE, JOY COPING IS THE 1166 00:58:54,080 --> 00:58:56,280 FOCUS ON MOST FUNDING ON RISK 1167 00:58:56,280 --> 00:58:59,800 EXPOSURE ALL THE NEGATIVE 1168 00:58:59,800 --> 00:59:00,040 THINGS. 1169 00:59:00,040 --> 00:59:01,560 I'M SURE THAT'S A COMMENT FOR US 1170 00:59:01,560 --> 00:59:02,120 AT NIH. 1171 00:59:02,120 --> 00:59:04,080 THE NEXT QUESTION IS WHAT IS THE 1172 00:59:04,080 --> 00:59:05,560 MOST -- I BELIEVE THIS IS 1173 00:59:05,560 --> 00:59:07,080 DIRECTED TO EVERYONE, WHAT IS 1174 00:59:07,080 --> 00:59:10,040 THE MOST EFFECTIVE EDUCATIONAL 1175 00:59:10,040 --> 00:59:12,480 RESOURCE AVAILABLE TO SEXUAL 1176 00:59:12,480 --> 00:59:16,680 MINORITIES TO DEAL WITH STRESS 1177 00:59:16,680 --> 00:59:46,120 AGENTS? 1178 00:59:46,120 --> 00:59:47,400 >>IT CAN AFFECT PEOPLE 1179 00:59:47,400 --> 00:59:48,760 DIFFERENTLY AND THE WAYS IN 1180 00:59:48,760 --> 00:59:51,360 WHICH THOSE STRESSORS MANIFEST. 1181 00:59:51,360 --> 00:59:54,040 WHAT CAN BE REALLY HELPFUL FOR 1182 00:59:54,040 --> 00:59:55,320 SOME FOLKS IS GOING TO BE LESS 1183 00:59:55,320 --> 01:00:01,040 HELPFUL FOR OTHERS. 1184 01:00:01,040 --> 01:00:07,000 I WILL PUT IN A PLUG FOR WHEN 1185 01:00:07,000 --> 01:00:10,680 WE'RE THINKING ABOUT BISEXUAL 1186 01:00:10,680 --> 01:00:13,560 MENTAL HEALTH INCLUDING BISEXUAL 1187 01:00:13,560 --> 01:00:17,440 FOLKS OF COLOR THAT THERE ARE 1188 01:00:17,440 --> 01:00:18,720 ZERO DEVELOPMENTAL HEALTH 1189 01:00:18,720 --> 01:00:21,360 INTERVENTIONS THAT ADDRESS 1190 01:00:21,360 --> 01:00:23,000 STIGMA SO A LOT OF IT IS -- IT'S 1191 01:00:23,000 --> 01:00:25,440 NOT THERE. 1192 01:00:25,440 --> 01:00:26,640 IT DOESN'T EXIST. 1193 01:00:26,640 --> 01:00:29,360 THAT'S A HARD THING TO DEAL WITH 1194 01:00:29,360 --> 01:00:29,680 TOO. 1195 01:00:29,680 --> 01:00:32,360 >>I THINK THERE'S LITERATURE 1196 01:00:32,360 --> 01:00:34,320 AND BOOKS THAT ADDRESS RACIAL 1197 01:00:34,320 --> 01:00:35,800 TRAUMA AND STRESS. 1198 01:00:35,800 --> 01:00:38,040 I THINK SOME OF THE TOOLS 1199 01:00:38,040 --> 01:00:39,640 PROVIDED THERE CAN BE ALSO 1200 01:00:39,640 --> 01:00:43,680 APPLIED TO CERTAIN PIECES OF 1201 01:00:43,680 --> 01:00:48,320 BEING A SEXUAL MINORITY BUT 1202 01:00:48,320 --> 01:00:48,840 HAVEN'T SEEN THE SAME 1203 01:00:48,840 --> 01:00:59,080 INTERSECTION. 1204 01:01:00,080 --> 01:01:01,520 >> 1205 01:01:01,520 --> 01:01:03,880 >>ARE YOU INCORPORATING 1206 01:01:03,880 --> 01:01:09,000 MEASURES OF IN GRUP -- GROUP AND 1207 01:01:09,000 --> 01:01:11,240 OUT GROUP AND ARE THERE INGROUP 1208 01:01:11,240 --> 01:01:17,160 VERSUS YOUD -- OUTSIDE DYNAMICS 1209 01:01:17,160 --> 01:01:18,080 AT PLAY. 1210 01:01:18,080 --> 01:01:21,560 >>THIS IS THE QUESTION I TRIED 1211 01:01:21,560 --> 01:01:24,320 TO ANSWER BEFORE AND MISSED IT 1212 01:01:24,320 --> 01:01:25,720 SPECIFIC TO RURAL COMMUNITIES SO 1213 01:01:25,720 --> 01:01:26,520 I'M HAPPY TO ANSWER THE QUESTION 1214 01:01:26,520 --> 01:01:35,120 I MISSED. 1215 01:01:35,120 --> 01:01:38,000 WE FOUND IMPORTANT DIFFERENCES 1216 01:01:38,000 --> 01:01:39,440 IN THE WAYS MEASURES PERFORM OF 1217 01:01:39,440 --> 01:01:44,640 STIGMA ACROSS CONTEXTS THAT VARY 1218 01:01:44,640 --> 01:01:47,880 NATIONALLY SO WE'VE LOOKED FOR 1219 01:01:47,880 --> 01:01:50,280 SUB-SAHARAN AFRICA AND HAVE 1220 01:01:50,280 --> 01:01:51,200 STIGMA MEASURES BASED ON DATA 1221 01:01:51,200 --> 01:01:53,680 FROM MULTIPLE PLACES AND 1222 01:01:53,680 --> 01:01:54,800 MULTIPLE LOCATIONS STUDYING AND 1223 01:01:54,800 --> 01:01:58,200 SEEMED TO HAVE CONTENT VALIDITY 1224 01:01:58,200 --> 01:02:00,560 AND FACE VALIDITY BUT WHEN WE 1225 01:02:00,560 --> 01:02:02,120 LOOKED AT IT THERE WERE 1226 01:02:02,120 --> 01:02:03,960 MEASUREMENT ARTIFACTS THAT WERE 1227 01:02:03,960 --> 01:02:05,760 IMPORTANT IN INTERPRETING OVER 1228 01:02:05,760 --> 01:02:07,560 ALL LEVELS OF STIGMA IN THE 1229 01:02:07,560 --> 01:02:10,600 RELATIONSHIPS AND MAKING 1230 01:02:10,600 --> 01:02:10,920 COMPARISONS. 1231 01:02:10,920 --> 01:02:12,320 THERE'S NOT A LOT OF MEASURES 1232 01:02:12,320 --> 01:02:14,080 SPECIFICALLY DEVELOPED FOR RURAL 1233 01:02:14,080 --> 01:02:15,600 POPULATIONS BUT WHAT I WOULD 1234 01:02:15,600 --> 01:02:18,120 SUGGEST IS SOME OF THESE GREAT 1235 01:02:18,120 --> 01:02:20,120 MEASURES MORE RECENTLY COMING 1236 01:02:20,120 --> 01:02:23,680 OUT LIKE THE INTERSECTIONAL 1237 01:02:23,680 --> 01:02:25,560 STIGMA, DISCRIMINATION INDEX I 1238 01:02:25,560 --> 01:02:27,400 WOULD JUST ENCOURAGE PEOPLE AS 1239 01:02:27,400 --> 01:02:29,960 THEY USE THESE POPULATIONS LIKE 1240 01:02:29,960 --> 01:02:30,840 FOR INSTANCE SOUTH DAKOTA TO 1241 01:02:30,840 --> 01:02:32,320 LOOK AT THE MEASUREMENT AND TAKE 1242 01:02:32,320 --> 01:02:35,440 THE TIME TO LOOK TO SEE HOW IT'S 1243 01:02:35,440 --> 01:02:36,400 PERFORMING AND HOW IT COMPARES 1244 01:02:36,400 --> 01:02:40,800 BECAUSE I THINK WE OFTEN ASSUME 1245 01:02:40,800 --> 01:02:44,360 WE'RE MAKING COMPARISONS ACROSS 1246 01:02:44,360 --> 01:02:46,080 SUB GROUPS OF SEXUAL MINORITY 1247 01:02:46,080 --> 01:02:48,080 AND RACIAL ETHNIC GROUPS AND 1248 01:02:48,080 --> 01:02:50,360 CONTEXT THAT MAY NOT ALWAYS BE 1249 01:02:50,360 --> 01:02:52,000 APPROPRIATE GIVEN ISSUES OF 1250 01:02:52,000 --> 01:02:52,320 MEASUREMENT. 1251 01:02:52,320 --> 01:02:53,800 I THINK IT'S A GREAT QUESTION. 1252 01:02:53,800 --> 01:03:01,080 I'M HAPPY TO TALK MORE ABOUT. 1253 01:03:01,080 --> 01:03:02,800 >>THANK YOU FOR KEEPING TRACK 1254 01:03:02,800 --> 01:03:03,200 OF THE QUESTIONS. 1255 01:03:03,200 --> 01:03:05,240 THE NEXT QUESTION, WHAT ARE 1256 01:03:05,240 --> 01:03:07,560 EXAMPLES OF STRUCTURAL 1257 01:03:07,560 --> 01:03:10,120 INTERVENTIONS THAT MAY INCREASE 1258 01:03:10,120 --> 01:03:12,680 PEER OR FRIEND SUPPORT AMONG 1259 01:03:12,680 --> 01:03:18,360 TRANS AND NON BINARY YOUTH OF 1260 01:03:18,360 --> 01:03:27,160 COL 1261 01:03:27,160 --> 01:03:27,360 COLOR. 1262 01:03:27,360 --> 01:03:27,480 S 1263 01:03:27,480 --> 01:03:31,640 >>THERE'S BEEN INTERVENTIONS 1264 01:03:31,640 --> 01:03:37,320 THAT ARE COMMUNITY LED TO 1265 01:03:37,320 --> 01:03:42,000 ADDRESS SOME OF THE ASKS WHEN IT 1266 01:03:42,000 --> 01:03:43,160 COMES TO TRANSGENDER WOMEN OF 1267 01:03:43,160 --> 01:03:53,400 COLOR AND HIV. 1268 01:03:57,440 --> 01:04:00,560 >>ARE OTHERS FAMILIAR WITH 1269 01:04:00,560 --> 01:04:00,880 INTERVENTIONS. 1270 01:04:00,880 --> 01:04:03,120 >>WHEN YOU THINK OF THE 1271 01:04:03,120 --> 01:04:05,840 INTERVENTION ON PEERS -- I THINK 1272 01:04:05,840 --> 01:04:07,760 SO MUCH OF THE STRUCTURAL LEVEL 1273 01:04:07,760 --> 01:04:09,400 WILL RELATE TO ADVOCACY AND 1274 01:04:09,400 --> 01:04:10,600 CHANGES AROUND POLICIES AND 1275 01:04:10,600 --> 01:04:12,880 AROUND INSTITUTIONS IN TERMS OF 1276 01:04:12,880 --> 01:04:16,360 GIVING INSTITUTIONS THE FRAMES 1277 01:04:16,360 --> 01:04:17,560 TO UNDERSTAND THE UNIQUE NEEDS 1278 01:04:17,560 --> 01:04:19,280 AND EXPERIENCES OF THESE 1279 01:04:19,280 --> 01:04:19,560 POPULATIONS. 1280 01:04:19,560 --> 01:04:23,200 THAT GOES BACK TO HOW WE TRAIN 1281 01:04:23,200 --> 01:04:24,360 DOCTORS AND THE THINGS WE TALKED 1282 01:04:24,360 --> 01:04:25,640 ABOUT YESTERDAY IN TERMS OF WHAT 1283 01:04:25,640 --> 01:04:28,360 PEOPLE ENCOUNTER WITHIN THE 1284 01:04:28,360 --> 01:04:30,240 HEALTH SYSTEMS AND WHAT THOSE 1285 01:04:30,240 --> 01:04:33,000 POLICIES AND PROCEDURES ARE AND 1286 01:04:33,000 --> 01:04:36,160 OUR INSTITUTIONS IN TERMS OF 1287 01:04:36,160 --> 01:04:40,680 THINGS LIKE YOU KNOW HOW EASY 1288 01:04:40,680 --> 01:04:42,760 TOSS HAVE YOUR NAME BADGE THAT 1289 01:04:42,760 --> 01:04:44,520 REFLECT YOUR NAME. 1290 01:04:44,520 --> 01:04:47,400 THESE THINGS THAT ARE IMPORTANT 1291 01:04:47,400 --> 01:04:52,400 STRUCTURAL FACTORS ACROSS 1292 01:04:52,400 --> 01:04:55,280 COMMUNITY ARE -- THAT DON'T 1293 01:04:55,280 --> 01:04:56,120 NECESSARILY RELATE TO PEER 1294 01:04:56,120 --> 01:04:57,880 SUPPORT PER SE BUT IF WE TALK 1295 01:04:57,880 --> 01:04:59,600 ABOUT THE STRUCTURAL FACTORS AND 1296 01:04:59,600 --> 01:05:01,440 THE WAY THINGS INTERACT WHEN 1297 01:05:01,440 --> 01:05:03,240 SPACES BECOME MORE AFFIRMING WE 1298 01:05:03,240 --> 01:05:04,720 MIGHT BE ABLE TO EXPECT WE CAN 1299 01:05:04,720 --> 01:05:07,120 DO A BETTER JOB OF SHIFTING AND 1300 01:05:07,120 --> 01:05:09,360 CHANGING ATTITUDES THAT RELATE 1301 01:05:09,360 --> 01:05:10,920 TO THE INTERPERSONAL ASPECTS AND 1302 01:05:10,920 --> 01:05:12,760 RELATIONSHIPS AND ONE THING WE 1303 01:05:12,760 --> 01:05:15,760 KNOW FROM THE BROADER STIGMA 1304 01:05:15,760 --> 01:05:18,120 LITERATURE IS EDUCATION EFFORTS, 1305 01:05:18,120 --> 01:05:21,120 PERIOD, LIKE TO REDUCE STIGMA, 1306 01:05:21,120 --> 01:05:25,280 SENSITIZING IN TERMS OF BY 1307 01:05:25,280 --> 01:05:26,800 GIVING INFORMATION TENDS TO HAVE 1308 01:05:26,800 --> 01:05:28,760 LIMITED EFFECTIVENESS DEPENDING 1309 01:05:28,760 --> 01:05:33,600 ON THE POPULATION AND ISSUE AND 1310 01:05:33,600 --> 01:05:35,520 OFTEN WHAT WE NEED IS 1311 01:05:35,520 --> 01:05:36,600 CONTACT-BASED INTERVENTIONS WHEN 1312 01:05:36,600 --> 01:05:38,480 DONE IN APPROPRIATE WAYS AND THE 1313 01:05:38,480 --> 01:05:40,920 DYNAMIC IN THOSE INTERVENTIONS 1314 01:05:40,920 --> 01:05:41,200 MATTER. 1315 01:05:41,200 --> 01:05:46,240 FOR PEOPLE TO BE IN GROUP AND 1316 01:05:46,240 --> 01:05:47,120 TALKING ABOUT LIVED EXPERIENCE 1317 01:05:47,120 --> 01:05:50,280 OF A STIGMATIZED CONDITION. 1318 01:05:50,280 --> 01:05:51,920 THAT PROGRAMMING AND 1319 01:05:51,920 --> 01:05:53,840 INTERVENTION CAN BE MUCH MORE 1320 01:05:53,840 --> 01:05:54,720 POWERFUL THAN JUST INFORMATION 1321 01:05:54,720 --> 01:05:56,680 GIVING THOUGH WE TEND TO FALL 1322 01:05:56,680 --> 01:05:57,320 BACK ON INFORMATION GIVING AS A 1323 01:05:57,320 --> 01:06:01,440 STRATEGY. 1324 01:06:01,440 --> 01:06:04,560 >>WITH THAT I'D LIKE TO THANK 1325 01:06:04,560 --> 01:06:07,360 EVERYONE AND THE PANELISTS AND 1326 01:06:07,360 --> 01:06:09,360 FOR YOUR COMMENTS AND ANSWERS 1327 01:06:09,360 --> 01:06:10,560 AND EVERYONE'S QUESTION. 1328 01:06:10,560 --> 01:06:13,640 THERE WAS ANOTHER QUESTION WE 1329 01:06:13,640 --> 01:06:15,800 DIDN'T GET TO SO MY APOLOGIES. 1330 01:06:15,800 --> 01:06:17,280 WE'RE TWO MINUTES OVER AND I'D 1331 01:06:17,280 --> 01:06:24,080 LIKE TO PASS IT ON TO OUR NEXT 1332 01:06:24,080 --> 01:06:27,560 MODERATOR, MY COLLEAGUE, CYST 1333 01:06:27,560 --> 01:06:33,680 BARNHART AT THE SEX SGM OFFICE. 1334 01:06:33,680 --> 01:06:37,480 >>I'M A POLICY ANALYST WITH THE 1335 01:06:37,480 --> 01:06:37,800 OFFICE HERE. 1336 01:06:37,800 --> 01:06:40,360 IT'S MY PLEASURE AND PRIVILEGE 1337 01:06:40,360 --> 01:06:43,680 TO SERVE AS MODERATOR FOR THE 1338 01:06:43,680 --> 01:06:44,760 SESSION WE'LL CONTINUE TO 1339 01:06:44,760 --> 01:06:46,280 EXPLORE INTERSECTIONALITY AND 1340 01:06:46,280 --> 01:06:50,520 THE IMPACT ON HEALTH OUTCOMES 1341 01:06:50,520 --> 01:06:53,960 AND OUT IT GOES TO IDENTITIES 1342 01:06:53,960 --> 01:06:56,120 AND EXPERIENCES AND SOCIAL 1343 01:06:56,120 --> 01:06:57,520 CATEGORIES AND STATUSES. 1344 01:06:57,520 --> 01:06:59,880 WE HAVE THREE PANELISTS WHO WILL 1345 01:06:59,880 --> 01:07:03,360 SHARE THOUGHT PROVOKING CONTENT 1346 01:07:03,360 --> 01:07:05,200 ON THE COMMENTS. 1347 01:07:05,200 --> 01:07:13,800 DR. JACKSON AND DR. KUSHALNAGAR 1348 01:07:13,800 --> 01:07:15,920 AND DR. WALTERS. 1349 01:07:15,920 --> 01:07:17,040 THE FIRST SPEAKER WILL BE 1350 01:07:17,040 --> 01:07:18,240 DR. JACKSON. 1351 01:07:18,240 --> 01:07:19,280 WHEN YOU'RE READY THE VIRTUAL 1352 01:07:19,280 --> 01:07:24,960 FLOOR IS YOURS. 1353 01:07:24,960 --> 01:07:26,760 >>A PLEASURE TO BE WITH YOU FOR 1354 01:07:26,760 --> 01:07:29,240 THE CONTINUATION OF WHAT'S 1355 01:07:29,240 --> 01:07:35,800 ALREADY A STIMULATING DISCUSSION 1356 01:07:35,800 --> 01:07:39,840 AND I'LL GIVE AN EXAMPLE ON 1357 01:07:39,840 --> 01:07:40,560 INTERSECTIONAL EXPERIENCES AND 1358 01:07:40,560 --> 01:07:43,640 WHAT THEY HAVE TO DO WITH THE 1359 01:07:43,640 --> 01:07:45,960 HEALTH OF BLACK QUEER FOLKS AND 1360 01:07:45,960 --> 01:07:48,120 A QUICK REMINDER OF THINGS YOU 1361 01:07:48,120 --> 01:07:49,400 ALREADY HEARD ABOUT. 1362 01:07:49,400 --> 01:07:52,160 ONE, AS YOU ALL KNOW OUR LIVES 1363 01:07:52,160 --> 01:07:54,120 ARE SHAPED BY NUMEROUS 1364 01:07:54,120 --> 01:07:58,080 CATEGORIES OF DIFFERENCE AND 1365 01:07:58,080 --> 01:08:04,920 OPPRESSION NOT JUST EVEN AMONG 1366 01:08:04,920 --> 01:08:07,720 LGBTQ FOLKS AND THEIR LIVES ARE 1367 01:08:07,720 --> 01:08:15,440 SHAPED BY THIS AND WITH AN AN 1368 01:08:15,440 --> 01:08:16,960 EXCEPTIONS OVER ALL THE MOST 1369 01:08:16,960 --> 01:08:18,880 OPPRESSION AND STIGMA YOU FACE 1370 01:08:18,880 --> 01:08:21,960 THE WORSE OFF YOU TEND TO FARE 1371 01:08:21,960 --> 01:08:23,720 WITH PHYSICAL HEALTH AND DISEASE 1372 01:08:23,720 --> 01:08:25,760 RISK FACTORS AND PHYSIOLOGICAL 1373 01:08:25,760 --> 01:08:26,040 RESPONSES. 1374 01:08:26,040 --> 01:08:27,520 AND ONE OF THE WAYS WE 1375 01:08:27,520 --> 01:08:28,520 UNDERSTAND THAT WHICH HAS BEEN 1376 01:08:28,520 --> 01:08:30,840 SAID A NUMBER OF TIMES TODAY AND 1377 01:08:30,840 --> 01:08:32,800 YESTERDAY IS THROUGH FRAMEWORKS 1378 01:08:32,800 --> 01:08:34,480 LIKE MINORITY STRESS THEORY 1379 01:08:34,480 --> 01:08:39,720 WHICH AS YOU KNOW SUGGEST THOSE 1380 01:08:39,720 --> 01:08:44,640 DISTAL STRESSORS WITH THE 1381 01:08:44,640 --> 01:08:47,960 INTERNAL STRESSORS AND NOT COPED 1382 01:08:47,960 --> 01:08:49,360 WITH OVER TIME CAN LEAD TO 1383 01:08:49,360 --> 01:08:50,000 PROBLEMS WITH HEALTH. 1384 01:08:50,000 --> 01:08:52,040 SO THE QUESTION I WANT TO ASK 1385 01:08:52,040 --> 01:08:53,760 NOW THAT I'VE REVIEWED THOSE 1386 01:08:53,760 --> 01:08:55,320 PIECES YOU ALREADY HEARD ABOUT, 1387 01:08:55,320 --> 01:08:57,560 WHAT DOES THIS HAVE TO DO WITH 1388 01:08:57,560 --> 01:09:00,360 THE HEALTH DISPARITY SPACE BY 1389 01:09:00,360 --> 01:09:03,480 FOLKS BOTH BLACK AND SEXUAL 1390 01:09:03,480 --> 01:09:03,800 MINORITIES. 1391 01:09:03,800 --> 01:09:06,560 THE LITERATURE ON HEALTH 1392 01:09:06,560 --> 01:09:07,280 DISPARITIES AMONG BLACK PEOPLE 1393 01:09:07,280 --> 01:09:10,680 IS MIXED WHEN IT COMES TO HOW IT 1394 01:09:10,680 --> 01:09:13,280 COMPARES TO WHITE QUEER FOLKSES 1395 01:09:13,280 --> 01:09:15,920 WITH SOME STUDIES SHOWING 1396 01:09:15,920 --> 01:09:17,360 GREATER RESILIENCE, SOME RISK 1397 01:09:17,360 --> 01:09:18,960 AND I WANT TO TALK ABOUT A 1398 01:09:18,960 --> 01:09:21,920 COUPLE ALARMING MENTAL HEALTH 1399 01:09:21,920 --> 01:09:22,200 DISPARITIES. 1400 01:09:22,200 --> 01:09:24,280 SOME HAVE SHOWN AN INCREASED 1401 01:09:24,280 --> 01:09:26,920 RISK OF SUICIDE AMONG BLACK 1402 01:09:26,920 --> 01:09:28,160 QUEER FOLKS COMPARED TO WHITE 1403 01:09:28,160 --> 01:09:29,920 QUEER COUNTERPARTS AND IN 1404 01:09:29,920 --> 01:09:32,480 ADDITION AMONG THOSE WHO REPORT 1405 01:09:32,480 --> 01:09:34,280 EXPERIENCING SEXUAL MINORITY 1406 01:09:34,280 --> 01:09:38,720 STRESS THAT SEEMS TO LAND HARDER 1407 01:09:38,720 --> 01:09:40,120 AMONG BLACK LGBTQ FOLKS WHEN 1408 01:09:40,120 --> 01:09:42,680 THEY ENDORSE THAT A HIGHER ODDS 1409 01:09:42,680 --> 01:09:44,000 OF SUICIDE ATTEMPT COMPARED TO 1410 01:09:44,000 --> 01:09:45,640 THEIR WHITE COUNTERPARTS. 1411 01:09:45,640 --> 01:09:48,960 A PLACE WHERE THE RESEARCH IS 1412 01:09:48,960 --> 01:09:50,960 MORE CONSISTENT IS IN GENERAL 1413 01:09:50,960 --> 01:09:52,360 BLACK LGBTQ FOLKS FACE HIGHER 1414 01:09:52,360 --> 01:09:54,600 RATES OF PSYCHIATRIC DISORDERS 1415 01:09:54,600 --> 01:09:57,360 COMPARED TO BLACK HETEROSEXUALS. 1416 01:09:57,360 --> 01:09:59,680 DESPITE THE HEALTH DISPARITIES 1417 01:09:59,680 --> 01:10:03,000 WE TEND TO SEE THE MAJORITY OF 1418 01:10:03,000 --> 01:10:05,600 SGM RESEARCH FOCUSES ON ONE 1419 01:10:05,600 --> 01:10:07,560 ASPECT OF STIGMA AND ISOLATION 1420 01:10:07,560 --> 01:10:09,320 FROM OTHERS AND WHEN STUDIES 1421 01:10:09,320 --> 01:10:12,360 LOOK AT THEM IN TANDEM THEY ARE 1422 01:10:12,360 --> 01:10:15,640 LOOKED AT ADDITIVELY OPPOSED TO 1423 01:10:15,640 --> 01:10:18,120 INTERSECTIONALLY OFTEN BECAUSE 1424 01:10:18,120 --> 01:10:19,680 WE LACK GOOD MEASURES TO 1425 01:10:19,680 --> 01:10:21,840 UNDERSTAND THE TEXTURE AND 1426 01:10:21,840 --> 01:10:23,880 EXPERIENCE OF INTERSECTIONALITY 1427 01:10:23,880 --> 01:10:24,560 IN EVERYDAY LIFE. 1428 01:10:24,560 --> 01:10:27,640 I STARTED USING THE WORD BUT 1429 01:10:27,640 --> 01:10:34,360 INTERSECTIONAL ITY GIVES US A 1430 01:10:34,360 --> 01:10:36,600 TOOL TO UNDERSTAND HOW FOLKS 1431 01:10:36,600 --> 01:10:38,480 UNIQUE RISKS, RESILIENCES AND 1432 01:10:38,480 --> 01:10:40,040 OVER ALL EXPERIENCES AND SOCIAL 1433 01:10:40,040 --> 01:10:42,280 PROCESSES ARE SHAPED BY MULTIPLE 1434 01:10:42,280 --> 01:10:43,560 DOMAINS OF POWER AND SAYS OF 1435 01:10:43,560 --> 01:10:45,080 COURSE OUR EXPERIENCE OF 1436 01:10:45,080 --> 01:10:46,360 OPPRESSION ARE GREATER THAN THE 1437 01:10:46,360 --> 01:10:49,520 SUM OF ITS PARTS AND IF WE WANT 1438 01:10:49,520 --> 01:10:51,680 TO UNDERSTAND THAT INTERLOCKING 1439 01:10:51,680 --> 01:10:53,320 NATURE OF STIGMA AND OPPRESSION 1440 01:10:53,320 --> 01:10:56,800 THEN WE NEED TO STUDY STIGMA AND 1441 01:10:56,800 --> 01:10:58,560 OPPRESSION IN A SIMULTANEOUS 1442 01:10:58,560 --> 01:10:59,360 INTEGRATED MANNER. 1443 01:10:59,360 --> 01:11:01,400 THAT TAKES US BACK TO THE 1444 01:11:01,400 --> 01:11:02,960 QUESTION OF THE QUESTION OF 1445 01:11:02,960 --> 01:11:04,320 MINORITY STRESS THEORY. 1446 01:11:04,320 --> 01:11:07,440 WHEN I START TO HOLD THIS 1447 01:11:07,440 --> 01:11:09,840 FRAMEWORK UP TO THE LENS OF 1448 01:11:09,840 --> 01:11:11,440 INTERSECTIONALITY QUESTIONS COME 1449 01:11:11,440 --> 01:11:12,440 TO MIND. 1450 01:11:12,440 --> 01:11:14,040 WHAT ABOUT PEOPLE WHO FACE 1451 01:11:14,040 --> 01:11:16,640 MULTIPLE FORMS OF STIGMA? 1452 01:11:16,640 --> 01:11:19,480 HOW DOES RACE FIT IN AND HOW 1453 01:11:19,480 --> 01:11:21,400 DOES INTERSECTIONAL FORMS OF 1454 01:11:21,400 --> 01:11:22,880 DISTAL AND PROXIMAL STRESS LOOK 1455 01:11:22,880 --> 01:11:25,520 LIKE AND CAN THAT HELP US BETTER 1456 01:11:25,520 --> 01:11:26,520 UNDERSTAND STIGMA AMONG QUEER 1457 01:11:26,520 --> 01:11:27,200 PEOPLE OF COLOR? 1458 01:11:27,200 --> 01:11:29,560 I WANT TO GIVE YOU ONE RESEARCH 1459 01:11:29,560 --> 01:11:30,760 EXAMPLE OF HOW AND MY COLLEAGUES 1460 01:11:30,760 --> 01:11:34,040 ATTEMPTED TO ANSWER THIS 1461 01:11:34,040 --> 01:11:34,320 QUESTION. 1462 01:11:34,320 --> 01:11:36,440 IN THIS STUDY WE AIM TO LOOK AT 1463 01:11:36,440 --> 01:11:38,840 MINORITY STRESS THEORY AND THE 1464 01:11:38,840 --> 01:11:39,840 PSYCHOLOGICAL MEDIATION 1465 01:11:39,840 --> 01:11:40,120 FRAMEWORK. 1466 01:11:40,120 --> 01:11:44,680 BUT DO IT IN A WAY THAT 1467 01:11:44,680 --> 01:11:46,720 ENCOMPASSES STRESS PROCESS. 1468 01:11:46,720 --> 01:11:48,320 PER THAT CONVERSATION WE WERE 1469 01:11:48,320 --> 01:11:50,720 ALSO INTERESTED IN POSITIVE 1470 01:11:50,720 --> 01:11:52,280 EXPERIENCES OF INTERSECTIONALITY 1471 01:11:52,280 --> 01:11:53,680 AND JOY AND WANTED TO LOOK AT 1472 01:11:53,680 --> 01:11:55,320 HOW THIS OCCURS OVER TIME. 1473 01:11:55,320 --> 01:11:56,760 WE KNOW THERE'S A BODY OF 1474 01:11:56,760 --> 01:11:59,280 RESEARCH THAT LOOKS AT DAILY 1475 01:11:59,280 --> 01:12:00,720 EXPERIENCES IN STIGMA AND STRESS 1476 01:12:00,720 --> 01:12:02,920 AND WE SEE STUDIES ACROSS RACE, 1477 01:12:02,920 --> 01:12:04,880 GENDER AND SEXUAL ORIENTATION 1478 01:12:04,880 --> 01:12:07,800 THAT HAVE LOOKED AT THAT AND 1479 01:12:07,800 --> 01:12:08,760 OVER ALL THEY'VE DEVELOPED A 1480 01:12:08,760 --> 01:12:10,600 SMALL BUT GREG BODY OF 1481 01:12:10,600 --> 01:12:12,600 LITERATURE SHOWING STIGMA AND 1482 01:12:12,600 --> 01:12:15,720 ASPECTS OF HEALTH EBB AND FLOW 1483 01:12:15,720 --> 01:12:17,760 TOGETHER AND SOMETIMES THEY HAVE 1484 01:12:17,760 --> 01:12:19,360 A TEMPORAL AFFECT SUCH THAT 1485 01:12:19,360 --> 01:12:21,000 EXPERIENCING TRANS PHOBIA ON 1486 01:12:21,000 --> 01:12:24,840 MONDAY MAY LEAD TO AN INCREASE 1487 01:12:24,840 --> 01:12:25,600 IN DEPRESSION OR SUBSTANCE USE 1488 01:12:25,600 --> 01:12:27,880 OR RISK TAKING ON TUESDAY. 1489 01:12:27,880 --> 01:12:29,840 LET'S TALK ABOUT HOW I LOOKED AT 1490 01:12:29,840 --> 01:12:31,520 THAT AND THE STUDIES I HAD TO 1491 01:12:31,520 --> 01:12:31,760 CONSIDER. 1492 01:12:31,760 --> 01:12:34,200 THIS IS LIKE A REMIXED VERSION 1493 01:12:34,200 --> 01:12:35,960 OF THAT MINORITY STRESS MODEL I 1494 01:12:35,960 --> 01:12:39,160 HAD UP EARLIER SHOWING DISTAL 1495 01:12:39,160 --> 01:12:41,640 AND PROXIMAL STRESSORS ARE 1496 01:12:41,640 --> 01:12:44,680 THOUGHT TO LOOK AT OUTCOMES SUCH 1497 01:12:44,680 --> 01:12:46,600 AS LIKE LOGICAL DISTRESS. 1498 01:12:46,600 --> 01:12:48,840 INCREASINGLY WE UNDERSTAND THOSE 1499 01:12:48,840 --> 01:12:52,040 DISTAL STRESSORS CAUSE AN UPTICK 1500 01:12:52,040 --> 01:12:54,840 IN INTERNAL STRESS PROCESSES 1501 01:12:54,840 --> 01:12:57,400 WHICH SERVES AS A MEDIATOR 1502 01:12:57,400 --> 01:13:00,480 BETWEEN STIGMA AND PSYCHOLOGICAL 1503 01:13:00,480 --> 01:13:00,960 EXPRESS. 1504 01:13:00,960 --> 01:13:03,520 IN ADDITION OTHER WORK HAS TOLD 1505 01:13:03,520 --> 01:13:05,360 US IT'S NOT JUST PROXIMAL STRESS 1506 01:13:05,360 --> 01:13:08,320 PROCESS GET ELEVATED WHEN PEOPLE 1507 01:13:08,320 --> 01:13:12,000 EXPERIENCE HEIGHTENED STIGMA BUT 1508 01:13:12,000 --> 01:13:13,800 ENVIRONMENTAL STIGMA CAN 1509 01:13:13,800 --> 01:13:14,760 INCREASE GENERAL STRESS 1510 01:13:14,760 --> 01:13:18,680 PROCESSES SUCH AS POORER SOCIAL 1511 01:13:18,680 --> 01:13:20,800 SUPPORT, EMOTIONAL DYSREGULATION 1512 01:13:20,800 --> 01:13:23,600 OR RUMINATION WHICH I'LL TALK 1513 01:13:23,600 --> 01:13:25,400 ABOUT TODAY AND THERE'S A SECOND 1514 01:13:25,400 --> 01:13:27,040 NON-IDENTIFIED PATHWAY RELATED 1515 01:13:27,040 --> 01:13:29,000 TO PSYCHOLOGICAL DISTRESS. 1516 01:13:29,000 --> 01:13:30,680 MY CHALLENGE WAS THIS, WHAT 1517 01:13:30,680 --> 01:13:33,600 WOULD INTERSECTIONAL VERSIONS OF 1518 01:13:33,600 --> 01:13:35,560 DISTAL AND PROXIMAL STRESS LOOK 1519 01:13:35,560 --> 01:13:36,960 LIKE IF I WANTED TO TEST THEM IN 1520 01:13:36,960 --> 01:13:38,400 THE MODEL AND START WITH THE 1521 01:13:38,400 --> 01:13:40,520 QUESTION OF DISTAL STRESS. 1522 01:13:40,520 --> 01:13:43,320 I CREATED A VARIABLE CALLED 1523 01:13:43,320 --> 01:13:45,160 NEGATIVE INTERSECTIONAL 1524 01:13:45,160 --> 01:13:47,720 EXPERIENCES I TODAY FIND AS ANY 1525 01:13:47,720 --> 01:13:49,160 DISTAL STIGMA RELATED STRESSOR 1526 01:13:49,160 --> 01:13:52,760 SMALL OR BIG THAT ARISES DUE TO 1527 01:13:52,760 --> 01:13:53,880 ONE'S UNIQUE SOCIAL POSITION AND 1528 01:13:53,880 --> 01:13:55,160 THE RISK IT POSES. 1529 01:13:55,160 --> 01:13:57,560 WHAT ARE THE EXPERIENCES OF 1530 01:13:57,560 --> 01:13:59,880 STIGMA AND OPPRESSION YOU 1531 01:13:59,880 --> 01:14:02,840 EXPERIENCE BECAUSE OF BEING BOTH 1532 01:14:02,840 --> 01:14:03,360 BLACK AND QUEER? 1533 01:14:03,360 --> 01:14:05,040 LET'S PLOP THAT INTO THE BUCKET 1534 01:14:05,040 --> 01:14:05,880 IN THE MODEL. 1535 01:14:05,880 --> 01:14:09,640 THE SECOND QUESTION IS WHAT 1536 01:14:09,640 --> 01:14:13,720 MIGHT BE AN APPROPRIATE 1537 01:14:13,720 --> 01:14:15,680 APPROXIMATE STRESS PROCESS AND I 1538 01:14:15,680 --> 01:14:20,120 LOOKED AT THE QUEER FOLKS OF 1539 01:14:20,120 --> 01:14:22,720 COLOR DEVELOPMENT AND MORALES 1540 01:14:22,720 --> 01:14:24,760 HAS AN IDENTITY DEVELOPMENT IN 1541 01:14:24,760 --> 01:14:26,800 WHICH THE THIRD STAGE IS CALLED 1542 01:14:26,800 --> 01:14:28,520 CONFLICTS AND ALLEGIANCE. 1543 01:14:28,520 --> 01:14:31,480 THAT'S ONE'S INTERNAL SENSE OR 1544 01:14:31,480 --> 01:14:34,240 STRUGGLE OR DISSONANCE. 1545 01:14:34,240 --> 01:14:34,880 THEY'RE FEELING LIKE THEIR 1546 01:14:34,880 --> 01:14:37,560 RACIAL IDENTITY AND SEXUAL 1547 01:14:37,560 --> 01:14:40,400 ORIENTATION ARE INCOMPATIBLE. 1548 01:14:40,400 --> 01:14:44,120 THIS HAS GOTTEN ATTENTION BUT 1549 01:14:44,120 --> 01:14:45,840 UNTIL RECENTLY HASN'T RECEIVED 1550 01:14:45,840 --> 01:14:47,560 EMPIRICAL INVESTIGATION AND IT 1551 01:14:47,560 --> 01:14:49,200 CAN EXPLAIN THE EARLIER 1552 01:14:49,200 --> 01:14:50,240 DISPARITIES I SPOKE ABOUT SUCH 1553 01:14:50,240 --> 01:14:51,120 AS WITH SUICIDE. 1554 01:14:51,120 --> 01:14:54,000 WHAT WE KNOW IS THE DISPARITIES 1555 01:14:54,000 --> 01:14:56,680 ARE BIGGEST IN LATE ADOLESCENCE 1556 01:14:56,680 --> 01:14:58,200 AND EARLY ADULTHOOD. 1557 01:14:58,200 --> 01:14:59,400 MY COLLEAGUES AND I HAVE 1558 01:14:59,400 --> 01:15:01,360 DEVELOPED A MEASURE OF IDENTITY 1559 01:15:01,360 --> 01:15:03,600 CONFLICT WHICH IS A SIX-ITEM 1560 01:15:03,600 --> 01:15:05,640 SCALE THAT HELPS US UNDERSTAND 1561 01:15:05,640 --> 01:15:07,520 THE EXPERIENCE OF DISTRESS ONE 1562 01:15:07,520 --> 01:15:09,440 HAS OR CONFLICT ONE FEELS 1563 01:15:09,440 --> 01:15:11,880 BETWEEN THEIR RACIAL AND ETHNIC 1564 01:15:11,880 --> 01:15:12,680 IDENTITY. 1565 01:15:12,680 --> 01:15:14,160 I USED THE IDENTIFY BLACK AND 1566 01:15:14,160 --> 01:15:20,800 THEIR SEXUAL ORIENTATION. 1567 01:15:20,800 --> 01:15:23,720 AND BLACK WE'RE FOLKS WHEN 1568 01:15:23,720 --> 01:15:25,160 COMPARED TO BLACK AND WHITE 1569 01:15:25,160 --> 01:15:32,120 STRAIGHT FOLKS HAVE ITEN -- 1570 01:15:32,120 --> 01:15:40,120 HEIGHTENED LEVELS SHOWING IT'S A 1571 01:15:40,120 --> 01:15:43,440 DISTAL-PROXIMAL PHENOMENON AND 1572 01:15:43,440 --> 01:15:48,520 THOUGHT TO BE FITTING THE MODEL 1573 01:15:48,520 --> 01:15:54,040 AND THEORIZED TO HAVE IMPACT ON 1574 01:15:54,040 --> 01:15:55,600 NEGATIVE AFFECT AND CAUSING MORE 1575 01:15:55,600 --> 01:16:03,840 ANXIETY, ANGER AND IN ONE MODEL 1576 01:16:03,840 --> 01:16:05,360 SHOWN TO HAVE GREATER RATES. 1577 01:16:05,360 --> 01:16:07,200 ON A DAY TO DAY BASIS I TEST THE 1578 01:16:07,200 --> 01:16:07,840 TWO MODELS. 1579 01:16:07,840 --> 01:16:11,520 EVERY DAY I WONDERED ON DAYS 1580 01:16:11,520 --> 01:16:13,480 FEATURING A NEGATIVE 1581 01:16:13,480 --> 01:16:17,400 INTERSECTIONAL EXPERIENCE DO 1582 01:16:17,400 --> 01:16:19,680 RESPONDENTS REPORT GREATER USING 1583 01:16:19,680 --> 01:16:22,080 THE MEASURE AND IS THAT 1584 01:16:22,080 --> 01:16:23,960 RELATIONSHIP MEDIATED OR 1585 01:16:23,960 --> 01:16:25,720 EXPLAINED BY HIGHER RATES OF 1586 01:16:25,720 --> 01:16:27,920 IDENTITY CONFLICT IN THE TOP AND 1587 01:16:27,920 --> 01:16:30,600 TESTED WHETHER IT'S EXPLAINED BY 1588 01:16:30,600 --> 01:16:31,600 HIGHER RATES OF NEGATIVE 1589 01:16:31,600 --> 01:16:31,920 RUMINATION. 1590 01:16:31,920 --> 01:16:37,600 IN ADDITION, I MEASURED AND 1591 01:16:37,600 --> 01:16:38,200 CONTROLLED FOR NON 1592 01:16:38,200 --> 01:16:40,200 INTERSECTIONAL NEGATIVE 1593 01:16:40,200 --> 01:16:40,960 EXPERIENCES. 1594 01:16:40,960 --> 01:16:47,440 REGULAR OLD RACISM THAT DOESN'T 1595 01:16:47,440 --> 01:16:49,640 FEEL INTERSECTIONAL OR OTHER 1596 01:16:49,640 --> 01:16:52,320 EXPERIENCES LIKE I FLUNKED A 1597 01:16:52,320 --> 01:16:55,280 TEST OR FELL ON ICE AND IT WAS 1598 01:16:55,280 --> 01:16:55,640 EMBARRASSING. 1599 01:16:55,640 --> 01:17:03,080 THEN I THOUGHT ABOUT LOVE AND 1600 01:17:03,080 --> 01:17:07,880 ALL THE JOY I HAVE AS A BLACK 1601 01:17:07,880 --> 01:17:10,440 GAY PERSON AND THE JOY 1602 01:17:10,440 --> 01:17:12,880 EXPERIENCE NOT DESPITE OF THE 1603 01:17:12,880 --> 01:17:14,600 BLACKNESS AND QUEERNESS BUT 1604 01:17:14,600 --> 01:17:16,400 BECAUSE OF THIS AND I WANTED TO 1605 01:17:16,400 --> 01:17:17,920 LOOK AT THESE AS WELL AND 1606 01:17:17,920 --> 01:17:20,120 CREATED A MIRROR IMAGE SET OF 1607 01:17:20,120 --> 01:17:23,560 MODELS TO TEST WHERE I LOOKED AT 1608 01:17:23,560 --> 01:17:25,240 EVER DAY MEASURED POSITIVE 1609 01:17:25,240 --> 01:17:27,120 EXPERIENCES AND SAW WHETHER THEY 1610 01:17:27,120 --> 01:17:29,280 HAD A RELATIONSHIP TO POSITIVE 1611 01:17:29,280 --> 01:17:30,520 AFFECT AND WHETHER THEY WERE 1612 01:17:30,520 --> 01:17:32,520 MEDIATED BY THINGS LIKE A 1613 01:17:32,520 --> 01:17:34,840 DECREASE IN IDENTITY CONFLICT OR 1614 01:17:34,840 --> 01:17:36,960 INCREASE IN WHAT WE CALL 1615 01:17:36,960 --> 01:17:38,360 POSITIVE RUMINATION WE CAN BE 1616 01:17:38,360 --> 01:17:48,880 THOUGHT OF AS SAVORING AND I 1617 01:17:48,880 --> 01:17:52,840 USED A DAILY DIARY AND IT CAN BE 1618 01:17:52,840 --> 01:17:54,400 QUALITATIVE, QUANTITATIVE OR 1619 01:17:54,400 --> 01:17:55,840 MIXED METHODS. 1620 01:17:55,840 --> 01:17:59,280 IT HELPS REDUCE RECALL BIAS OR 1621 01:17:59,280 --> 01:18:01,880 RETROSPECTIVE MEMORY BIAS. 1622 01:18:01,880 --> 01:18:03,720 PEOPLE ONLY HAVE TO FOCUS ON THE 1623 01:18:03,720 --> 01:18:05,280 LAST 24 HOURS NOT THE LAST YEAR 1624 01:18:05,280 --> 01:18:06,120 OR ENTIRE LIFE. 1625 01:18:06,120 --> 01:18:09,040 IT ALLOWS FOR ME TO LOOK AT WHAT 1626 01:18:09,040 --> 01:18:13,240 HAPPENS WITHIN PARTICIPANTS AND 1627 01:18:13,240 --> 01:18:15,080 NOT JUST BETWEEN THEM AND EVERY 1628 01:18:15,080 --> 01:18:16,800 DAY WE SENT LINKS TO THE 1629 01:18:16,800 --> 01:18:18,200 PARTICIPANTS TO FILL OUT THE 1630 01:18:18,200 --> 01:18:19,680 DAILY SURVEY AND THEY WERE PAID 1631 01:18:19,680 --> 01:18:21,040 PER SURVEY AND FILLED UP TO 1632 01:18:21,040 --> 01:18:21,680 SEVEN. 1633 01:18:21,680 --> 01:18:22,840 I'M NOT GOING TO GO THROUGH ALL 1634 01:18:22,840 --> 01:18:24,240 THE MEASURES FOR THE SAKE OF 1635 01:18:24,240 --> 01:18:28,120 TIME BUT I WANTED TO LET YOU 1636 01:18:28,120 --> 01:18:29,880 KNOW HOW WE MEASURED THE 1637 01:18:29,880 --> 01:18:30,520 INTERSECTIONAL EXPERIENCE. 1638 01:18:30,520 --> 01:18:33,360 I'LL JUST READ THE TOP LINE FOR 1639 01:18:33,360 --> 01:18:33,880 NEGATIVE EXPERIENCE. 1640 01:18:33,880 --> 01:18:35,120 EVERY DAY PARTICIPANTS WERE 1641 01:18:35,120 --> 01:18:36,960 ASKED, TAKE A MOMENT AND REFLECT 1642 01:18:36,960 --> 01:18:40,320 ON WHETHER YOU EXPERIENCED ANY 1643 01:18:40,320 --> 01:18:42,480 NEGATIVE EVENTS OR SITUATIONS 1644 01:18:42,480 --> 01:18:46,880 THAT WERE RELATED TO BEING BOTH 1645 01:18:46,880 --> 01:18:51,200 BLACK AND LGBT. 1646 01:18:51,200 --> 01:18:53,200 CONSIDER MINOR EXPERIENCES. 1647 01:18:53,200 --> 01:18:55,640 CAN YOU THINK OF A NEGATIVE 1648 01:18:55,640 --> 01:18:56,960 EVENT FROM TODAY. 1649 01:18:56,960 --> 01:18:58,640 THIS WAS A YES/NO QUESTION. 1650 01:18:58,640 --> 01:19:00,440 IF YES THEY WERE ASKED TO 1651 01:19:00,440 --> 01:19:02,080 DESCRIBE IT AND CATEGORIZE IT 1652 01:19:02,080 --> 01:19:04,560 BASED ON CATEGORIES WE CREATED. 1653 01:19:04,560 --> 01:19:06,880 THE SAME QUESTION WAS ASKED FOR 1654 01:19:06,880 --> 01:19:08,240 POSITIVE INTERSECTIONAL 1655 01:19:08,240 --> 01:19:08,520 EXPERIENCES. 1656 01:19:08,520 --> 01:19:09,160 HERE ARE THE RESULTS. 1657 01:19:09,160 --> 01:19:13,760 ACROSS 849 STUDY DAYS WE FOUND 1658 01:19:13,760 --> 01:19:17,560 OVER 10% FEATURED A NEGATIVE 1659 01:19:17,560 --> 01:19:18,960 INTERSECTIONAL EVENT. 1660 01:19:18,960 --> 01:19:21,080 I'M IN A DANCE CLASS. 1661 01:19:21,080 --> 01:19:22,360 IN ORDER TO GET TO IT I HAVE TO 1662 01:19:22,360 --> 01:19:24,240 WALK THROUGH THE GYM. 1663 01:19:24,240 --> 01:19:26,960 TODAY THE BASKETBALL TEAM WAS 1664 01:19:26,960 --> 01:19:29,040 PRACTICING AND WHEN THEY SAW ME 1665 01:19:29,040 --> 01:19:33,240 HEADING TO CLASS THEY MADE CRUDE 1666 01:19:33,240 --> 01:19:34,640 HOMOPHOBIC COMMENTS AND THEY 1667 01:19:34,640 --> 01:19:38,440 WERE BLACK AND I'M SURE I SHOOT 1668 01:19:38,440 --> 01:19:40,760 HOOPS AROUND THEM. 1669 01:19:40,760 --> 01:19:44,080 AND I WAS AT A BAR AND I FOUND I 1670 01:19:44,080 --> 01:19:47,920 WAS BEING IGNORED AND A FOUND IN 1671 01:19:47,920 --> 01:19:51,520 VISIBLE AND UNDESIRABLE IN A BAR 1672 01:19:51,520 --> 01:19:53,640 OF MOSTLY CISGENDER MALES AND I 1673 01:19:53,640 --> 01:19:56,120 THOUGHT I'D FEEL THIS WAY BUT 1674 01:19:56,120 --> 01:19:57,400 ALWAYS HOPED IT'D BE DIFFERENT. 1675 01:19:57,400 --> 01:20:00,720 ON DAYS FEATURING A NEGATIVE 1676 01:20:00,720 --> 01:20:02,880 INTERSECTIONAL EVENT THERE WAS A 1677 01:20:02,880 --> 01:20:04,800 RELATED INCREASE IN NEGATIVE 1678 01:20:04,800 --> 01:20:05,040 AFFECT. 1679 01:20:05,040 --> 01:20:08,640 ON DAYS FEATURING A NEGATIVE 1680 01:20:08,640 --> 01:20:10,280 EVENT THESE WERE CORRELATED ALL 1681 01:20:10,280 --> 01:20:12,160 HAPPENING AT THE SAME TIME BUT 1682 01:20:12,160 --> 01:20:14,520 THAT DOESN'T NECESSARILY MEAN 1683 01:20:14,520 --> 01:20:16,080 THERE WAS A MEDIATION HOWEVER, 1684 01:20:16,080 --> 01:20:18,240 WHEN WE RAN THE MODEL IT WAS 1685 01:20:18,240 --> 01:20:20,200 FOUND TO BE SIGNIFICANT MEANING 1686 01:20:20,200 --> 01:20:23,880 THE DAILY EBB AND FLOW BETWEEN 1687 01:20:23,880 --> 01:20:25,440 NEGATIVE INTERSECTIONAL EVENTS 1688 01:20:25,440 --> 01:20:26,920 AND AFFECT WAS BEING EXPLAINED 1689 01:20:26,920 --> 01:20:28,120 IN PART BY A CHANGE IN IDENTITY 1690 01:20:28,120 --> 01:20:36,160 CONFLICT. 1691 01:20:36,160 --> 01:20:39,040 FOR NEGATIVE RUMINATION IT WAS A 1692 01:20:39,040 --> 01:20:41,040 SIGNIFICANT MEDIATION MEANING 1693 01:20:41,040 --> 01:20:43,000 NEGATIVE RUMINATION IN GENERAL 1694 01:20:43,000 --> 01:20:45,880 NOT JUST ABOUT THIS EVENT WAS 1695 01:20:45,880 --> 01:20:48,120 EXPLAINING SOME OF THE DAILY EBB 1696 01:20:48,120 --> 01:20:50,520 AND FLOW BETWEEN NEGATIVE 1697 01:20:50,520 --> 01:20:52,880 INTERSECTIONAL EVENTS AND 1698 01:20:52,880 --> 01:20:53,960 AFFECT. 1699 01:20:53,960 --> 01:20:57,960 INTERESTINGLY REGARDING POSITIVE 1700 01:20:57,960 --> 01:21:03,320 INTERSECTIONAL EVENTS. 1701 01:21:03,320 --> 01:21:05,200 AND ON POSITIVE DAYS I WAS PROUD 1702 01:21:05,200 --> 01:21:08,040 TO DISCUSS THE INTERSECTION OF 1703 01:21:08,040 --> 01:21:12,640 EXPERIENCES OF BLACK AND LGBT 1704 01:21:12,640 --> 01:21:18,880 PEOPLE AND A SPOKE TO MY 1705 01:21:18,880 --> 01:21:21,160 GRANDMOTHER ABOUT HER GAY 1706 01:21:21,160 --> 01:21:23,840 FRIENDS' EXPERIENCES IN THE 1707 01:21:23,840 --> 01:21:26,760 1960s AND 1970s. 1708 01:21:26,760 --> 01:21:28,160 ANOTHER SAID I HAVE RECENTLY 1709 01:21:28,160 --> 01:21:31,800 STARTED TALKING TO ANOTHER BLACK 1710 01:21:31,800 --> 01:21:39,480 GIRL WHO IS BISEXUAL. 1711 01:21:39,480 --> 01:21:40,200 WE FOUND SOME INTERESTING 1712 01:21:40,200 --> 01:21:41,280 COMPLEX INTERSECTIONAL 1713 01:21:41,280 --> 01:21:42,640 EXPERIENCES SUCH AS THIS ONE 1714 01:21:42,640 --> 01:21:44,120 THAT SAID AN APPOINTMENT WITH MY 1715 01:21:44,120 --> 01:21:46,080 DOCTOR STARTED WITH ME HAVING A 1716 01:21:46,080 --> 01:21:49,320 LONG WAIT IN A CRAMPED 1717 01:21:49,320 --> 01:21:50,720 RECEPTIONIST ROOM WITH ALL BLACK 1718 01:21:50,720 --> 01:21:51,880 PATIENTS. 1719 01:21:51,880 --> 01:21:55,200 WHILE WAITING THERE WAS A TV 1720 01:21:55,200 --> 01:22:01,120 PROGRAM ABOUT MARRIAGE EQUITY IT 1721 01:22:01,120 --> 01:22:02,320 PROMPTED A PATIENT TO MAKE 1722 01:22:02,320 --> 01:22:03,920 NEGATIVE COMMENTS. 1723 01:22:03,920 --> 01:22:07,880 I OPENED MY MOUTH TO COUNTER HER 1724 01:22:07,880 --> 01:22:09,400 COMMENTS BUT SEVERAL PEOPLE BEAT 1725 01:22:09,400 --> 01:22:11,600 ME TOO IT AND READ HER UP ONE 1726 01:22:11,600 --> 01:22:14,800 SIDE AND DOWN THE OTHER AND THE 1727 01:22:14,800 --> 01:22:17,520 DISCUSSION CONTINUED AND I WAS 1728 01:22:17,520 --> 01:22:18,480 ABLE TO CONTINUE IN THE 1729 01:22:18,480 --> 01:22:19,480 PARTICIPATION ABOUT LOTS OF 1730 01:22:19,480 --> 01:22:21,240 DISCUSSION ABOUT MARRIAGE 1731 01:22:21,240 --> 01:22:21,440 EQUITY. 1732 01:22:21,440 --> 01:22:24,400 THIS WAS BY A BISEXUAL MALE AGE 1733 01:22:24,400 --> 01:22:24,680 71. 1734 01:22:24,680 --> 01:22:26,360 AND SHOWS DESPITE THE FACT FOR 1735 01:22:26,360 --> 01:22:28,080 SOME PEOPLE IT MAY HAVE BEEN 1736 01:22:28,080 --> 01:22:30,160 NEGATIVE FOR THIS PERSON IT WAS 1737 01:22:30,160 --> 01:22:33,160 POSITIVE AND WE USED THAT 1738 01:22:33,160 --> 01:22:34,120 SUBJECTIVE MEASURE OF STRESS. 1739 01:22:34,120 --> 01:22:35,920 LET'S LOOK AT THE FINAL RESULTS. 1740 01:22:35,920 --> 01:22:37,680 I'M PROUD TO SAY THIS IS THE 1741 01:22:37,680 --> 01:22:41,000 ONLY STUDY TO SHOW AMONG BLACK 1742 01:22:41,000 --> 01:22:41,960 QUEER FOLKS POSITIVE 1743 01:22:41,960 --> 01:22:43,760 INTERSECTIONAL EXPERIENCES ON A 1744 01:22:43,760 --> 01:22:46,200 DAY TO DAY BASES ARE RELATED TO 1745 01:22:46,200 --> 01:22:46,840 POSITIVE AFFECT. 1746 01:22:46,840 --> 01:22:48,120 HOWEVER, THESE WERE NOT RELATED 1747 01:22:48,120 --> 01:22:50,240 TO A DECREASE IN IDENTITY 1748 01:22:50,240 --> 01:22:51,040 CONFLICT AND THIS MEDIATION 1749 01:22:51,040 --> 01:22:53,440 MODEL WAS NOT SIGNIFICANT. 1750 01:22:53,440 --> 01:22:56,640 WHEN IT COMES TO POSITIVE 1751 01:22:56,640 --> 01:22:58,720 RUMINATION WE FOUND A MEDIATION 1752 01:22:58,720 --> 01:22:59,240 EFFECT. 1753 01:22:59,240 --> 01:23:02,000 NOT ONLY WAS POSITIVE RUMINATION 1754 01:23:02,000 --> 01:23:03,400 RELATED TO NEGATIVE 1755 01:23:03,400 --> 01:23:05,640 INTERSECTIONAL EVENTS AND AFFECT 1756 01:23:05,640 --> 01:23:07,720 BUT A MODEL MEANING WHEN WE PUT 1757 01:23:07,720 --> 01:23:09,320 THIS IN THE MODEL THE MAIN 1758 01:23:09,320 --> 01:23:10,720 AFFECT BECAME NON SIGNIFICANT. 1759 01:23:10,720 --> 01:23:11,920 IF YOU WANT TO LEARN MORE ABOUT 1760 01:23:11,920 --> 01:23:14,200 THE METHOD OF STUDYING 1761 01:23:14,200 --> 01:23:16,160 INTERSECTIONAL EXPERIENCES USING 1762 01:23:16,160 --> 01:23:18,400 THE MIXED METHOD SAMPLING 1763 01:23:18,400 --> 01:23:20,040 APPROACH, YOU CAN LOOK AT THE 1764 01:23:20,040 --> 01:23:25,080 STUDY WHERE WE EXPAND THE MODEL 1765 01:23:25,080 --> 01:23:30,200 AND INCLUDE QUOTES FROM A STUDY 1766 01:23:30,200 --> 01:23:32,480 ON QUEER FOLKS AND SOME 1767 01:23:32,480 --> 01:23:33,600 ACKNOWLEDGEMENT ON THOSE WHO 1768 01:23:33,600 --> 01:23:34,720 HELPED WITH FUNDING AND SUPPORT 1769 01:23:34,720 --> 01:23:36,160 AND A LOOK FORWARD TO CHATTING 1770 01:23:36,160 --> 01:23:37,480 WITH YOU ALL ON THE OTHER SIDE 1771 01:23:37,480 --> 01:23:38,200 OF THE PRESENTATIONS ABOUT THIS. 1772 01:23:38,200 --> 01:23:48,600 THANK YOU FOR YOUR TIME. 1773 01:23:53,880 --> 01:23:54,400 >>THANK YOU. 1774 01:23:54,400 --> 01:23:57,840 AND IT'S NICE TO SEE THE 1775 01:23:57,840 --> 01:23:59,560 RESEARCH IN EFFECT. 1776 01:23:59,560 --> 01:24:04,600 NEXT UP WE HAVE DR. KUSHALNAGAR. 1777 01:24:04,600 --> 01:24:05,240 WHENEVER YOU'RE READY, TAKE IT 1778 01:24:05,240 --> 01:24:11,960 AWAY. 1779 01:24:11,960 --> 01:24:13,760 >>HELLO AND GOOD MORNING. 1780 01:24:13,760 --> 01:24:18,760 I'MY HAPPY TO TALK ABOUT MY 1781 01:24:18,760 --> 01:24:21,920 WORK IN DEAF PEOPLE AND DEAF AND 1782 01:24:21,920 --> 01:24:28,120 SEXUAL MINORITIES AND HEAR FROM 1783 01:24:28,120 --> 01:24:38,520 GALLAUDET UNIVERSITY. 1784 01:24:38,520 --> 01:24:41,080 I WANT TO TALK FOR A MOMENT IN 1785 01:24:41,080 --> 01:24:43,840 GENERAL ABOUT THE DEAF 1786 01:24:43,840 --> 01:24:44,120 COMMUNITY. 1787 01:24:44,120 --> 01:24:47,280 AS YOU MAY KNOW DEAF AND HARD OF 1788 01:24:47,280 --> 01:24:49,360 HEARING PEOPLE WHO USE ASL 1789 01:24:49,360 --> 01:24:54,400 EXPERIENCE HEALTH DISPARITIES 1790 01:24:54,400 --> 01:24:59,400 COMPARED TO OTHER GROUPS. 1791 01:24:59,400 --> 01:25:01,760 ESPECIALLY WHO THOSE WHO HAVE 1792 01:25:01,760 --> 01:25:06,000 ENGLISH FLUENCY AND ABLE TO 1793 01:25:06,000 --> 01:25:07,160 FUNCTION IN SOCIETY. 1794 01:25:07,160 --> 01:25:11,400 ISSUES COME UP BETWEEN MEDICAL 1795 01:25:11,400 --> 01:25:13,760 PROVIDERS AND PATIENT WHO'S ARE 1796 01:25:13,760 --> 01:25:16,080 DEAF, BLIND OR HARD OF HEARING. 1797 01:25:16,080 --> 01:25:17,240 THERE'S INCIDENTAL INFORMATION 1798 01:25:17,240 --> 01:25:18,880 AVAILABLE ON THE RADIO, FOR 1799 01:25:18,880 --> 01:25:20,600 EXAMPLE, ON TELEVISION THAT AT 1800 01:25:20,600 --> 01:25:23,960 LEAST IN THE PAST USED TO NOT BE 1801 01:25:23,960 --> 01:25:26,200 CAPTIONED. 1802 01:25:26,200 --> 01:25:27,280 COMMERCIALS, CLINICAL TRIALS, 1803 01:25:27,280 --> 01:25:28,880 VARIOUS DRUGS WITH NO CAPTIONING 1804 01:25:28,880 --> 01:25:30,560 ON THE COMMERCIALS. 1805 01:25:30,560 --> 01:25:31,640 THESE ARE MISSED OPPORTUNITIES 1806 01:25:31,640 --> 01:25:34,000 FOR DEAF PEOPLE TO ACCESS HEALTH 1807 01:25:34,000 --> 01:25:35,000 INFORMATION. 1808 01:25:35,000 --> 01:25:37,160 IT'S A LITTLE BIT BETTER THESE 1809 01:25:37,160 --> 01:25:37,680 DAYS BUT THE ISSUES STILL 1810 01:25:37,680 --> 01:25:39,360 PERSIST. 1811 01:25:39,360 --> 01:25:43,640 THERE ALSO USED TO BE A LACK OF 1812 01:25:43,640 --> 01:25:44,720 QUALIFIED INTERPRETERS FOR 1813 01:25:44,720 --> 01:25:46,680 HEALTH EXPERIENCES FOR THE DEAF 1814 01:25:46,680 --> 01:25:47,320 COMMUNITY. 1815 01:25:47,320 --> 01:25:49,240 THAT'S ALSO IMPROVED BUT CAN 1816 01:25:49,240 --> 01:25:50,240 STILL BE AN ISSUE. 1817 01:25:50,240 --> 01:25:55,400 AT THIS POINT FOCUSSING ON OUR 1818 01:25:55,400 --> 01:25:56,560 CENTER FOR DEAF HEALTH EQUITY WE 1819 01:25:56,560 --> 01:26:02,760 TOOK A SAMPLE OF OVER 550 DEAF 1820 01:26:02,760 --> 01:26:08,680 AND BLIND INDIVIDUALS USING ASL 1821 01:26:08,680 --> 01:26:13,640 AND SOME WERE BIPOC AND 74 WERE 1822 01:26:13,640 --> 01:26:14,760 TRANS, NON BINARY OR GENDER 1823 01:26:14,760 --> 01:26:18,280 QUEER. 1824 01:26:18,280 --> 01:26:20,480 THESE ARE FAIRLY LARGE NUMBERS 1825 01:26:20,480 --> 01:26:22,400 FOR THE ASL USER COMMUNITY. 1826 01:26:22,400 --> 01:26:23,200 THIS IS THE LARGEST STUDY TO 1827 01:26:23,200 --> 01:26:27,920 DATE. 1828 01:26:27,920 --> 01:26:35,080 A QUICK SUMMARY OF OUR FINDING. 1829 01:26:35,080 --> 01:26:36,720 SIMILAR TO OTHER PRESENTERS THAT 1830 01:26:36,720 --> 01:26:41,520 HAVE GONE FORWARD WE SAW A 1831 01:26:41,520 --> 01:26:43,360 DISPARITY BETWEEN SGM 1832 01:26:43,360 --> 01:26:44,840 COMMUNITIES AND NON-SGM 1833 01:26:44,840 --> 01:26:47,360 COMMUNITIES AND IN TERMS OF ONE 1834 01:26:47,360 --> 01:26:53,360 DISEASE, ASTHMA, ARTHRITIS, DES 1835 01:26:53,360 --> 01:26:54,560 DEPRESSION AND ANXIETY. 1836 01:26:54,560 --> 01:26:58,520 WE FOUND DISPARITIES AMONG 1837 01:26:58,520 --> 01:27:00,840 TRANSGENDER HEALTH AND 1838 01:27:00,840 --> 01:27:02,120 TRANSGENDER ASL AND 1839 01:27:02,120 --> 01:27:08,160 NON-TRANSGENDER. 1840 01:27:08,160 --> 01:27:09,880 WE ALSO FOUND DISPARITIES 1841 01:27:09,880 --> 01:27:12,200 BETWEEN ASL USERS WHO IDENTIFY 1842 01:27:12,200 --> 01:27:14,680 AS BINARY VERSUS NON BINARY. 1843 01:27:14,680 --> 01:27:17,480 THE STUDY INCLUDED SOME 1844 01:27:17,480 --> 01:27:19,640 INDIVIDUALS WHO IDENTIFIED AS 1845 01:27:19,640 --> 01:27:23,160 TRANSGENDER, SOME 1846 01:27:23,160 --> 01:27:24,800 NON-TRANSGENDER, SOME LGBTQ. 1847 01:27:24,800 --> 01:27:25,760 THERE WAS A DIVERSE RANGE OF 1848 01:27:25,760 --> 01:27:36,200 PARTICIPANTS. 1849 01:27:36,200 --> 01:27:37,800 A LOT OF THESE HAVE TO DO WITH 1850 01:27:37,800 --> 01:27:39,480 ACCESS TO INFORMATION AND THE 1851 01:27:39,480 --> 01:27:40,360 LACK THEREOF. 1852 01:27:40,360 --> 01:27:41,560 THEY MAY NOT HAVE HAD 1853 01:27:41,560 --> 01:27:42,200 OPPORTUNITIES TO TALK ABOUT 1854 01:27:42,200 --> 01:27:42,920 THEIR IDENTITIES WITH THEIR 1855 01:27:42,920 --> 01:27:45,040 PEERS. 1856 01:27:45,040 --> 01:27:46,880 THERE MAY BE LESS UNDERSTANDING 1857 01:27:46,880 --> 01:27:49,000 OF THEIR IDENTITY WHICH COULD 1858 01:27:49,000 --> 01:27:49,600 IMPACT HOW THEY RESPOND WITHIN 1859 01:27:49,600 --> 01:27:53,520 THESE STUDIES. 1860 01:27:53,520 --> 01:27:56,640 MOVING ON TO THE RELATIONSHIP 1861 01:27:56,640 --> 01:27:58,120 BETWEEN PATIENTS AND PHYSICIANS 1862 01:27:58,120 --> 01:28:00,960 AS MENTIONED EARLIER THERE'S 1863 01:28:00,960 --> 01:28:03,080 OFTEN ISSUES BETWEEN PATIENTS IN 1864 01:28:03,080 --> 01:28:04,400 TERMS OF COMMUNICATION WITH DEAF 1865 01:28:04,400 --> 01:28:07,440 PATIENTS AND THIS CAN IMPACT THE 1866 01:28:07,440 --> 01:28:08,320 RELATIONSHIP WITH THEIR 1867 01:28:08,320 --> 01:28:13,000 IDENTITY. 1868 01:28:13,000 --> 01:28:15,200 LOOKING AT THE RELATIONSHIP 1869 01:28:15,200 --> 01:28:21,200 BETWEEN PATIENTS WHO IDENTIFY AS 1870 01:28:21,200 --> 01:28:23,240 LGBTQ AND DEAF, THEY MAY HAVE AN 1871 01:28:23,240 --> 01:28:25,040 INTERPRETER IN THE ROOM WHO 1872 01:28:25,040 --> 01:28:28,760 SHARES THAT IDENTITY. 1873 01:28:28,760 --> 01:28:31,680 BUT IN FACT A SHARED I'D TIE OR 1874 01:28:31,680 --> 01:28:32,960 LACK THEREOF BETWEEN THE PATIENT 1875 01:28:32,960 --> 01:28:36,280 AND INTERPRETER DID NOT HAVE AN 1876 01:28:36,280 --> 01:28:37,760 IMPACT ON THE PATIENT'S 1877 01:28:37,760 --> 01:28:39,920 WILLINGNESS TO DISCLOSE THEIR 1878 01:28:39,920 --> 01:28:41,480 SEXUAL IDENTITY OR GENDER 1879 01:28:41,480 --> 01:28:44,560 IDENTITY TO THEIR PROVIDER. 1880 01:28:44,560 --> 01:28:47,360 WE FOUND DEAF PEOPLE WHO 1881 01:28:47,360 --> 01:28:52,320 IDENTIFIED AS GAY OR LESBIAN 1882 01:28:52,320 --> 01:28:54,440 WERE MORE COMFORTABLE 1883 01:28:54,440 --> 01:28:55,560 IDENTIFYING THESE TO THEIR 1884 01:28:55,560 --> 01:28:58,440 PROVIDER AND THOSE WHO WERE BUY 1885 01:28:58,440 --> 01:29:01,120 SEXUAL OR QUEER DID NOT FEEL 1886 01:29:01,120 --> 01:29:02,040 COMFORTABLE DISCLOSING. 1887 01:29:02,040 --> 01:29:04,560 THERE ARE SEVERAL FACTORS UNIQUE 1888 01:29:04,560 --> 01:29:08,680 TO DEAF INDIVIDUALS WHO 1889 01:29:08,680 --> 01:29:11,360 IDENTIFIED AS GM. 1890 01:29:11,360 --> 01:29:11,800 IDENTITY, STIGMA, 1891 01:29:11,800 --> 01:29:12,600 SELF-ACCEPTANCE AND QUALITY OF 1892 01:29:12,600 --> 01:29:16,440 LIFE. 1893 01:29:16,440 --> 01:29:20,040 EACH OF WHICH CAN VARY WHETHER 1894 01:29:20,040 --> 01:29:22,280 WITHIN THE DEAF COMMUNITY OR THE 1895 01:29:22,280 --> 01:29:24,720 LARGER COMMUNITY. 1896 01:29:24,720 --> 01:29:32,320 SOME FEEL MORE ACCEPTED IN THE 1897 01:29:32,320 --> 01:29:34,640 LGBTQ COMMUNITY THAN IN THE DEAF 1898 01:29:34,640 --> 01:29:38,440 COMMUNITY AS WITH A PERSON THAT 1899 01:29:38,440 --> 01:29:41,280 IDENTIFIES AS LGBTQ AND THERE'S 1900 01:29:41,280 --> 01:29:42,360 STILL EDUCATION TO BE DONE AND 1901 01:29:42,360 --> 01:29:45,640 STIGMA ABOUT THE INDIVIDUALS WHO 1902 01:29:45,640 --> 01:29:50,160 IDENTIFY AS SGM WHERE AS IN THE 1903 01:29:50,160 --> 01:29:51,720 SGM COMMUNITY AS OTHERS HAVE 1904 01:29:51,720 --> 01:29:57,160 MENTIONED THEY MAY BE MORE 1905 01:29:57,160 --> 01:29:59,600 ACCEPTING OF AN INDIVIDUAL AS 1906 01:29:59,600 --> 01:30:02,800 DEAF THAN THE LARGER MAINSTREAM 1907 01:30:02,800 --> 01:30:03,840 COMMUNITY. 1908 01:30:03,840 --> 01:30:09,320 AND WHICH IS TO SAY IF SOMEONE 1909 01:30:09,320 --> 01:30:15,200 GOES INTO A BAR AND ANY BAR THEY 1910 01:30:15,200 --> 01:30:19,000 MAY FEEL UNCOMFORTABLE BEING 1911 01:30:19,000 --> 01:30:27,200 DEAF IN THAT ENVIRONMENT. 1912 01:30:27,200 --> 01:30:28,720 EVEN IF THERE'S DEAF PEOPLE IN 1913 01:30:28,720 --> 01:30:31,240 THE BAR THEY MAY FEEL LESS 1914 01:30:31,240 --> 01:30:32,280 ACCEPTED THAN GOING INTO AN 1915 01:30:32,280 --> 01:30:33,320 ENVIRONMENT WHERE THEY HAVE 1916 01:30:33,320 --> 01:30:36,120 OTHER SGM INDIVIDUALS OF THAT 1917 01:30:36,120 --> 01:30:41,680 CONTEXT. 1918 01:30:41,680 --> 01:30:43,240 IN THE GAY BAR THEY MAY FEEL 1919 01:30:43,240 --> 01:30:45,480 MORE ACCEPTED PROBABLY BECAUSE 1920 01:30:45,480 --> 01:30:46,880 BOTH GROUPS IDENTIFY AS 1921 01:30:46,880 --> 01:30:47,200 MINORITIES. 1922 01:30:47,200 --> 01:30:50,160 SO MINORITY MAY BE MORE LIKELY 1923 01:30:50,160 --> 01:30:52,360 TO ACCEPT A DIFFERENT MINORITY 1924 01:30:52,360 --> 01:30:54,120 IN THAT CONTEXT THAN A 1925 01:30:54,120 --> 01:30:54,840 MAINSTREAM BAR. 1926 01:30:54,840 --> 01:30:57,600 I HAVE A LARGE BODY OF RESEARCH 1927 01:30:57,600 --> 01:31:00,120 I'M TRYING TO DISTILL DOWN FOR 1928 01:31:00,120 --> 01:31:00,960 THE PURPOSES OF THIS 1929 01:31:00,960 --> 01:31:02,480 PRESENTATION AND HOW TO MAKE 1930 01:31:02,480 --> 01:31:04,560 RESEARCH INCLUSIVE OF SGM 1931 01:31:04,560 --> 01:31:05,080 INDIVIDUALS WITH SENSORY 1932 01:31:05,080 --> 01:31:15,320 DISABILITIES. 1933 01:31:17,440 --> 01:31:17,920 DEAF PEOPLE MISS A LOT OF 1934 01:31:17,920 --> 01:31:21,280 INCIDENTAL AUDITORY INFORMATION 1935 01:31:21,280 --> 01:31:23,560 AND HAVE LACK OF ACCESS. 1936 01:31:23,560 --> 01:31:24,720 BECAUSE OF THAT MISSED 1937 01:31:24,720 --> 01:31:28,240 INFORMATION GROWING UP THEY MAY 1938 01:31:28,240 --> 01:31:31,080 HAVE A SENSE OF PARANOIA OR NOT 1939 01:31:31,080 --> 01:31:33,360 REALLY KNOWING WHO AND WHAT IS 1940 01:31:33,360 --> 01:31:41,720 GOING ON AROUND THEM. 1941 01:31:41,720 --> 01:31:43,760 THEY'VE HAD THE EXPERIENCE 1942 01:31:43,760 --> 01:31:46,120 THROUGHOUT THEIR LIVES OF 1943 01:31:46,120 --> 01:31:48,120 RESEARCH ON THEM HAVING BEEN 1944 01:31:48,120 --> 01:31:49,800 EXPLOITED AND PUBLISHED WITHOUT 1945 01:31:49,800 --> 01:31:50,240 THEIR CONSENT. 1946 01:31:50,240 --> 01:31:51,920 SO IT'S SO IMPORTANT WITH THE 1947 01:31:51,920 --> 01:31:53,840 DEAF POPULATION AND MORE 1948 01:31:53,840 --> 01:31:58,360 IMPORTANT FOR THOSE DEAF WHO 1949 01:31:58,360 --> 01:32:00,080 IDENTIFY AS SGM TO PROVIDE 1950 01:32:00,080 --> 01:32:01,520 COMPREHENSIVE INFORMATION TO 1951 01:32:01,520 --> 01:32:03,200 THEM. 1952 01:32:03,200 --> 01:32:04,560 THAT TIME INVESTED IN 1953 01:32:04,560 --> 01:32:06,000 CONVERSATION IN DEVELOPING TRUST 1954 01:32:06,000 --> 01:32:07,560 IN A RELATIONSHIP BETWEEN THAT 1955 01:32:07,560 --> 01:32:17,880 STUDY IS CRUCIAL. 1956 01:32:19,880 --> 01:32:22,840 COLD FLYERS IN OUR COMMUNITY 1957 01:32:22,840 --> 01:32:24,000 HAVE NOT BEEN AS SUCCESSFUL FOR 1958 01:32:24,000 --> 01:32:27,480 US AS MORE ONE-ON-ONE CONTACT 1959 01:32:27,480 --> 01:32:34,120 AND DIRECT ASL PROVIDED. 1960 01:32:34,120 --> 01:32:36,680 THERE'S A RANGE WITHIN THE DEAF 1961 01:32:36,680 --> 01:32:39,320 COMMUNITY IN TERM OF ENGLISH 1962 01:32:39,320 --> 01:32:41,160 FLUENCY, EDUCATION AND SO FORTH. 1963 01:32:41,160 --> 01:32:45,000 MANY DEAF PEOPLE WHO 1964 01:32:45,000 --> 01:32:47,600 UNFORTUNATELY ARE UNDER 1965 01:32:47,600 --> 01:32:49,400 PRIVILEGED AND LESS FLUENT IN 1966 01:32:49,400 --> 01:32:51,640 ENGLISH OR MAY HAVE EXPERIENCED 1967 01:32:51,640 --> 01:32:52,520 LESS ACCESS TO INFORMATION, 1968 01:32:52,520 --> 01:32:54,480 THOSE ARE THE COMMUNITIES THAT 1969 01:32:54,480 --> 01:32:58,320 WE ARE FOCUSSING ON IN TERMS OF 1970 01:32:58,320 --> 01:33:02,120 EQUITABLE OUTCOMES AND PROVING 1971 01:33:02,120 --> 01:33:08,160 OPPORTUNITIES FOR CONSENT 1972 01:33:08,160 --> 01:33:10,880 THROUGH THESE. 1973 01:33:10,880 --> 01:33:13,600 SO THEY'RE OFFERING MULTIPLE 1974 01:33:13,600 --> 01:33:14,400 TOWNS MAKE AN INFORMED DECISION 1975 01:33:14,400 --> 01:33:16,240 AS TO PARTICIPATE OR DECLINE AS 1976 01:33:16,240 --> 01:33:20,600 SHOWN HERE. 1977 01:33:20,600 --> 01:33:23,080 WE IT IS THEIR RIGHT TO DECIDE 1978 01:33:23,080 --> 01:33:25,440 WHETHER TO JOIN OR CONTINUE OR 1979 01:33:25,440 --> 01:33:26,040 WITHDRAW FROM A STUDY AT ANY 1980 01:33:26,040 --> 01:33:29,120 TIME. 1981 01:33:29,120 --> 01:33:33,080 THIS PROCESS HELPS BUILD TRUST 1982 01:33:33,080 --> 01:33:38,400 AND HELPS US GET RETURN 1983 01:33:38,400 --> 01:33:43,600 PARTICIPANTS IN OUR STUDY. 1984 01:33:43,600 --> 01:33:47,360 ANOTHER SUGGESTION IS TO MAKE 1985 01:33:47,360 --> 01:33:49,760 YOUR MATERIAL ACCEPTABLE BOTH IN 1986 01:33:49,760 --> 01:33:50,880 ASL AND ENGLISH. 1987 01:33:50,880 --> 01:34:01,440 HERE WE SEE A VIDEO THIS REDUCES 1988 01:34:08,280 --> 01:34:09,880 FRUSTRATION AND HELPS US 1989 01:34:09,880 --> 01:34:10,520 MAINTAIN OUR PARTICIPANTS IN OUR 1990 01:34:10,520 --> 01:34:17,320 STUDY. 1991 01:34:17,320 --> 01:34:19,520 YOU CAN CONTACT GALLAUDET 1992 01:34:19,520 --> 01:34:22,840 UNIVERSITY AND WE'D BE HAPPY IT 1993 01:34:22,840 --> 01:34:24,760 HELP YOU DEVELOP THOSE 1994 01:34:24,760 --> 01:34:26,600 MATERIALS. 1995 01:34:26,600 --> 01:34:27,600 ANOTHER ISSUE IS THE DEAF 1996 01:34:27,600 --> 01:34:30,000 COMMUNITY VALUES KNOWING WHO ARE 1997 01:34:30,000 --> 01:34:30,800 THE INDIVIDUALS THEY'RE SEEING 1998 01:34:30,800 --> 01:34:33,440 IN THE PUBLICITY AND THE 1999 01:34:33,440 --> 01:34:34,040 MATERIALS THAT WE ARE PUTTING 2000 01:34:34,040 --> 01:34:37,840 OUT. 2001 01:34:37,840 --> 01:34:42,960 THAT TRUST IS A HUGE FACTOR IN 2002 01:34:42,960 --> 01:34:44,440 HELPING PEOPLE FEEL COMFORTABLE 2003 01:34:44,440 --> 01:34:48,120 JOINING OUR STUDY. 2004 01:34:48,120 --> 01:34:51,760 BEING FAMILIAR WITH THE DEAF 2005 01:34:51,760 --> 01:34:52,520 PERSON THEY SEE HELPS THEM IN 2006 01:34:52,520 --> 01:34:59,200 THEIR MINDS. 2007 01:34:59,200 --> 01:35:03,200 AND I RECOMMEND INVESTING IN ASL 2008 01:35:03,200 --> 01:35:08,560 VIDEOS WITH A PAID ASL NARRATOR 2009 01:35:08,560 --> 01:35:11,400 PAID FOR THEIR TIME AND IT TAKES 2010 01:35:11,400 --> 01:35:13,320 TIME TO EDIT AND LET ME GIVE YOU 2011 01:35:13,320 --> 01:35:23,880 AN EXAMPLE WHAT THAT LOOKS LIKE. 2012 01:35:38,680 --> 01:35:45,800 WE REALIZED IT WASN'T INCLUSIVE 2013 01:35:45,800 --> 01:35:48,320 AND REQUESTED FUND FROM THE 2014 01:35:48,320 --> 01:35:52,120 NATIONAL INSTITUTES OF HEALTH 2015 01:35:52,120 --> 01:35:52,840 FOR ADDITIONAL FUNDING. 2016 01:35:52,840 --> 01:35:54,920 . 2017 01:35:54,920 --> 01:35:57,000 EXISTING HEALTH RESEARCH ON DEAF 2018 01:35:57,000 --> 01:36:00,960 POPULATIONS OFTEN OMITTED DEAF 2019 01:36:00,960 --> 01:36:02,360 LGBTQ. 2020 01:36:02,360 --> 01:36:06,920 IT'S MOURN TO KNOW DEAF LGBTQ 2021 01:36:06,920 --> 01:36:09,680 NEEDS AND ISSUES MAY BE 2022 01:36:09,680 --> 01:36:11,480 DIFFERENT FROM THEIR 2023 01:36:11,480 --> 01:36:12,480 HETEROSEXUAL COUNTERPARTS AND 2024 01:36:12,480 --> 01:36:15,040 IMPORTANT TO STUDY AND CONSIDER 2025 01:36:15,040 --> 01:36:21,080 THE UNIQUE CONCERNS AND NEEDS OF 2026 01:36:21,080 --> 01:36:23,160 DISTINCT GROUPS OF THESE 2027 01:36:23,160 --> 01:36:26,120 POPULATIONS AND DEAF LESBIANS AN 2028 01:36:26,120 --> 01:36:29,480 DEAF GAY MEN, ETCETERA. 2029 01:36:29,480 --> 01:36:31,440 OUR PARTICIPANT POOL SO FAR IS 2030 01:36:31,440 --> 01:36:33,040 66 MALE PARTICIPANTS WHO 2031 01:36:33,040 --> 01:36:36,360 IDENTIFY AS GAY, BUY SEXUAL AND 2032 01:36:36,360 --> 01:36:40,680 SEXUAL QUEER OR ANOTHER 2033 01:36:40,680 --> 01:36:40,960 IDENTITY. 2034 01:36:40,960 --> 01:36:44,120 28 PARTICIPANTS WHO IDENTIFIED 2035 01:36:44,120 --> 01:36:52,760 AS TRANSGENDER OR GENDER QUEER 2036 01:36:52,760 --> 01:36:54,440 85 FEMALE PARTICIPANTS WHO 2037 01:36:54,440 --> 01:36:59,600 IDENTIFY AS LESBIAN, GAY, BUY 2038 01:36:59,600 --> 01:37:02,520 SEXUAL, PANSEXUAL OR QUEER OR 2039 01:37:02,520 --> 01:37:12,880 OTHER IDENTITIES. 2040 01:37:13,400 --> 01:37:14,600 YOU MAY BE THINKING -- I'LL STOP 2041 01:37:14,600 --> 01:37:24,800 IT THERE. 2042 01:37:26,040 --> 01:37:30,520 >>WHAT YOU JUST VIEWED THERE 2043 01:37:30,520 --> 01:37:34,960 THERE WERE A LOT OF VISUALS 2044 01:37:34,960 --> 01:37:35,640 INCORPORATED AND INDIVIDUAL AS 2045 01:37:35,640 --> 01:37:42,400 NARRATORS AND THIS IS THE FIRST 2046 01:37:42,400 --> 01:37:44,160 VIDEO OF THIS TYPE WE'VE 2047 01:37:44,160 --> 01:37:46,800 DEVELOPED AND KEEP US IN MIND 2048 01:37:46,800 --> 01:37:48,400 WITH YOUR PLAN AND WHEN YOU DO 2049 01:37:48,400 --> 01:37:50,120 THE DATA ANALYSIS MAKE SURE YOU 2050 01:37:50,120 --> 01:37:52,080 TREAT THE DATA SEPARATELY. 2051 01:37:52,080 --> 01:37:53,680 DON'T LUMP EVERYONE INTO A 2052 01:37:53,680 --> 01:37:54,840 SINGLE GROUP AND OTHER 2053 01:37:54,840 --> 01:37:55,680 PRESENTERS HAVE ALREADY 2054 01:37:55,680 --> 01:37:58,200 MENTIONED THIS ASPECT SO I WON'T 2055 01:37:58,200 --> 01:37:59,440 REPEAT THEIR COMMENTS. 2056 01:37:59,440 --> 01:38:02,560 I DID SHOW MY E-MAIL AT THE END 2057 01:38:02,560 --> 01:38:03,440 OF MY PRESENTATION AND PLEASE 2058 01:38:03,440 --> 01:38:04,480 FEEL FREE TO CONTACT ME AND 2059 01:38:04,480 --> 01:38:13,960 THANK YOU FOR YOUR ATTENTION. 2060 01:38:13,960 --> 01:38:19,200 >>THANK YOU FOR THE VIDEO AND 2061 01:38:19,200 --> 01:38:26,280 FANTASTIC PRESENTATION AND FOR 2062 01:38:26,280 --> 01:38:28,800 THOSE WHO MAY HAVE OTHER SEXUAL 2063 01:38:28,800 --> 01:38:29,080 IDENTITIES. 2064 01:38:29,080 --> 01:38:30,840 WE NEED MORE RESEARCH AND AS A 2065 01:38:30,840 --> 01:38:32,640 FORMER SUPPLEMENTAL AWARDEE I'M 2066 01:38:32,640 --> 01:38:34,520 PROUD TO HAVE YOU CONDUCTING THE 2067 01:38:34,520 --> 01:38:34,720 WORK. 2068 01:38:34,720 --> 01:38:37,640 NEXT I'D LIKE TO MOVE TO 2069 01:38:37,640 --> 01:38:38,480 DR. WALTERS. 2070 01:38:38,480 --> 01:38:48,800 THE FLOOR IS YOURS. 2071 01:39:04,480 --> 01:39:06,120 >>GREAT. 2072 01:39:06,120 --> 01:39:08,160 GOOD AFTERNOON OR MORNING. 2073 01:39:08,160 --> 01:39:10,520 I'M LOSING TRACK ON EAST 2074 01:39:10,520 --> 01:39:13,480 COAST/WEST COAST TIME AND I'M 2075 01:39:13,480 --> 01:39:18,560 HERE TO SHARE ABOUT HEALTH 2076 01:39:18,560 --> 01:39:20,120 EQUITIES AMONG THE ALASKA NATIVE 2077 01:39:20,120 --> 01:39:24,120 POPULATION AND I'LL USE THE TERM 2078 01:39:24,120 --> 01:39:27,560 TWO SPIRIT FOR TODAY. 2079 01:39:27,560 --> 01:39:29,520 FIRST, I WANT TO INSPIRED BY ALL 2080 01:39:29,520 --> 01:39:32,880 THE CONVERSATIONS YESTERDAY AND 2081 01:39:32,880 --> 01:39:34,080 TALKING ABOUT THE IMPORTANCE OF 2082 01:39:34,080 --> 01:39:36,080 AND TODAY FOCUSSING ON 2083 01:39:36,080 --> 01:39:38,280 RESILIENCE AND LOOKING AT ISSUES 2084 01:39:38,280 --> 01:39:39,680 OF THRIVANCE WHICH I'LL TALK 2085 01:39:39,680 --> 01:39:41,480 ABOUT TODAY WITH OUR 2086 01:39:41,480 --> 01:39:42,480 POPULATIONS, I WANT TO SHARE 2087 01:39:42,480 --> 01:39:47,200 FIRST A STORY AND THIS IS A 2088 01:39:47,200 --> 01:39:50,480 STORY THAT COMES FROM 2089 01:39:50,480 --> 01:39:53,960 DR. JENGING AND SHE'S ALSO 2090 01:39:53,960 --> 01:39:56,160 CHOCTAW AND I WANT TO SET THE 2091 01:39:56,160 --> 01:39:58,120 CONTEXT FOR WHAT A WANT TO TALK 2092 01:39:58,120 --> 01:40:00,600 ABOUT IN TALKING ABOUT 2093 01:40:00,600 --> 01:40:02,200 DISPARITIES IN THE TWO-SPIRIT 2094 01:40:02,200 --> 01:40:02,640 POPULATIONS. 2095 01:40:02,640 --> 01:40:08,400 THIS IS A STORY OF APANUKFILA. 2096 01:40:08,400 --> 01:40:10,640 A LONG TIME AGO TWO CHILDREN 2097 01:40:10,640 --> 01:40:12,680 WERE ORPHANED AND THE OLDER 2098 01:40:12,680 --> 01:40:14,400 SISTER HUNTED AND PROVIDED FOOD 2099 01:40:14,400 --> 01:40:24,120 AND THEY WERE WELL BUT ONE DAY 2100 01:40:24,120 --> 01:40:27,800 THE CLOUDS CAME AND THE WINDS 2101 01:40:27,800 --> 01:40:29,680 ROARED AND THERE WAS DEVASTATION 2102 01:40:29,680 --> 01:40:30,160 TO THE VILLAGES. 2103 01:40:30,160 --> 01:40:33,640 THE BOY WAS SO WORRIED ABOUT HIS 2104 01:40:33,640 --> 01:40:34,640 SISTER BECAUSE SHE DIDN'T COME 2105 01:40:34,640 --> 01:40:37,520 BACK AND SET OFF TO FIND HER AND 2106 01:40:37,520 --> 01:40:39,600 FOUND SOMEONE CALLING IN A TREE 2107 01:40:39,600 --> 01:40:41,800 AND CLIMBED UP AND FOUND HIS 2108 01:40:41,800 --> 01:40:44,240 SISTER AND SHE SAID GO AWAY, BE 2109 01:40:44,240 --> 01:40:44,560 SAFE. 2110 01:40:44,560 --> 01:40:47,280 GET AWAY FROM AWAY AND HE BEGGED 2111 01:40:47,280 --> 01:40:49,040 HER TO COME DOWN BUT SHE COULD 2112 01:40:49,040 --> 01:40:53,880 NOT AND EXPLAINED DURING HER 2113 01:40:53,880 --> 01:41:00,680 LAST HUNTING EXPEDITION SHE WAS 2114 01:41:00,680 --> 01:41:03,360 VIOLATED BY THE MEN OF ANOTHER 2115 01:41:03,360 --> 01:41:05,240 VILLAGE AND SAID GET OUT YOU'RE 2116 01:41:05,240 --> 01:41:06,680 NOT SAFE HER. 2117 01:41:06,680 --> 01:41:08,840 I MAY TURN INTO A WIND AGAIN AND 2118 01:41:08,840 --> 01:41:12,040 HE BEGGED HER TO COME HOME WITH 2119 01:41:12,040 --> 01:41:16,160 HIM BECAUSE HE LOVED HER BUT SHE 2120 01:41:16,160 --> 01:41:18,160 REFUSED BUT TRANSFERRED TO HIM 2121 01:41:18,160 --> 01:41:20,120 HER HUNTING SKILLS. 2122 01:41:20,120 --> 01:41:22,840 SHE'S WAS AN INCREDIBLE HUNTER 2123 01:41:22,840 --> 01:41:24,440 AND THE YOUNG BOY FREQUENTLY 2124 01:41:24,440 --> 01:41:27,120 VISITED HIS SISTER AND WHILE SHE 2125 01:41:27,120 --> 01:41:29,320 RAGED OVER THE LAND HE BECAME 2126 01:41:29,320 --> 01:41:31,160 KNOWN AS THE BEST HUNTER IN THE 2127 01:41:31,160 --> 01:41:35,360 REGION AND SHARED HIS MEAT WITH 2128 01:41:35,360 --> 01:41:41,360 EVERYBODY AND AS HIS REPUTATION 2129 01:41:41,360 --> 01:41:43,480 SPREAD HE BECAME KNOWN AND HE 2130 01:41:43,480 --> 01:41:46,280 VISITED HIS SISTER AND SHE SAID 2131 01:41:46,280 --> 01:41:49,160 SHE WAS LONELY AND MET WITH AN 2132 01:41:49,160 --> 01:41:51,720 UNCLE OF A PROSPECTIVE WIFE AND 2133 01:41:51,720 --> 01:41:52,720 ASKED FOR HER HAND IN MARRIAGE 2134 01:41:52,720 --> 01:41:54,080 AND SHE AGREED BUT WHEN THEY 2135 01:41:54,080 --> 01:41:57,760 LEFT THE VILLAGE HE SAID 2136 01:41:57,760 --> 01:41:59,520 ACTUALLY I HAVE A HITCH. 2137 01:41:59,520 --> 01:42:02,760 I'M ASKING ON BEHALF OF MY 2138 01:42:02,760 --> 01:42:07,280 SISTER WHO HAPPENS TO BE THE 2139 01:42:07,280 --> 01:42:09,760 WHIRLWIND AND SHE SAID I'LL 2140 01:42:09,760 --> 01:42:12,320 CHECK IT OUT AND WE'LL SEE IF 2141 01:42:12,320 --> 01:42:15,440 I'M A MATCH AND THEY MET AND 2142 01:42:15,440 --> 01:42:19,440 AGREED TO MARRY AND THEY GREW A 2143 01:42:19,440 --> 01:42:21,840 STRONG PARTNERSHIP AND SHE WAS 2144 01:42:21,840 --> 01:42:23,480 ABLE TO TRANSFORM HER PAIN AND 2145 01:42:23,480 --> 01:42:25,000 BEGIN TO HEAL. 2146 01:42:25,000 --> 01:42:27,360 AS SHE HEALED HER POWER OF 2147 01:42:27,360 --> 01:42:31,280 WHIRLWIND TURNED INTO A 2148 01:42:31,280 --> 01:42:33,920 RESTORING BALANCE WITH THE EARTH 2149 01:42:33,920 --> 01:42:37,320 AND CREATED VEGETATION ON THE 2150 01:42:37,320 --> 01:42:39,240 LAND AND HER ROLE TRANSFORMED 2151 01:42:39,240 --> 01:42:41,320 THE EARTH SO LIFE CAN BEGIN 2152 01:42:41,320 --> 01:42:41,600 AGAIN. 2153 01:42:41,600 --> 01:42:46,680 ONE DAY HER BROTHER VISITED AND 2154 01:42:46,680 --> 01:42:49,400 SAID TO OTHERS TO PLACE THE BACK 2155 01:42:49,400 --> 01:42:53,920 SIDE TO HOME TO MISS THEIR HOMES 2156 01:42:53,920 --> 01:43:01,920 AND TO THIS DATA BACK -- DAY 2157 01:43:01,920 --> 01:43:03,280 TOBACCO IS TURNED DOWN DURING A 2158 01:43:03,280 --> 01:43:05,760 STORM TO THIS DAY. 2159 01:43:05,760 --> 01:43:08,160 SHE REMINDS US OF THE 2160 01:43:08,160 --> 01:43:09,520 TRANSFORMATIVE POWER OF LOVE AND 2161 01:43:09,520 --> 01:43:12,840 HEALING FROM TRAUMA AND WE HAVE 2162 01:43:12,840 --> 01:43:14,800 STORIES, WE HAVE INDIGENOUS 2163 01:43:14,800 --> 01:43:16,600 STORIES OF THE TRANSFORMATIVE 2164 01:43:16,600 --> 01:43:20,080 POWER DESPITE COLONIALISM'S 2165 01:43:20,080 --> 01:43:21,960 ATTEMPT AT OUR ERASURE. 2166 01:43:21,960 --> 01:43:24,200 WE HAVE A HISTORY OF DEALING 2167 01:43:24,200 --> 01:43:30,080 WITH HIGH-LEVELS OF 2168 01:43:30,080 --> 01:43:30,720 DISPROPORTIONATELY EXPOSURE TO 2169 01:43:30,720 --> 01:43:34,280 TRAUMAS AND THERE'S AN EXAMPLE 2170 01:43:34,280 --> 01:43:37,280 OF A BOARDING SCHOOL NATIVE IN 2171 01:43:37,280 --> 01:43:40,960 BOARDING SCHOOLS ESPECIALLY TWO 2172 01:43:40,960 --> 01:43:43,920 SPIRITS WELL ANY EXPRESSION OF 2173 01:43:43,920 --> 01:43:46,640 LOVE IN BOARDING SCHOOL WAS MET 2174 01:43:46,640 --> 01:43:50,240 WITH PUNISHMENT AND GENDER NON 2175 01:43:50,240 --> 01:43:51,200 CONFORMITY AS WELL AND WHEN BOYS 2176 01:43:51,200 --> 01:43:52,680 RAN AWAY FROM BOARDING SCHOOL 2177 01:43:52,680 --> 01:43:54,120 AND WERE CAUGHT, THEY WOULD BE 2178 01:43:54,120 --> 01:43:57,720 BROUGHT BACK AND FORCED TO WEAR 2179 01:43:57,720 --> 01:44:00,800 GIRLS DRESSES AS A FORM OF 2180 01:44:00,800 --> 01:44:01,080 HUMILIATION. 2181 01:44:01,080 --> 01:44:09,440 THAT'S RECONFIGURING A PRACTICE 2182 01:44:09,440 --> 01:44:19,960 OF GENDER AND THERE WERE HETRO 2183 01:44:23,000 --> 01:44:25,200 NORMATIVE WESTERN CHRISTIAN 2184 01:44:25,200 --> 01:44:28,400 NORMS AND OTHERS HAD THE BURD 2185 01:44:28,400 --> 01:44:31,200 END OF THESE EVENTS AND WE 2186 01:44:31,200 --> 01:44:33,320 STUDIED THE TWO-SPIRIT 2187 01:44:33,320 --> 01:44:36,440 POPULATIONS AND WE FOUND 85% OF 2188 01:44:36,440 --> 01:44:38,120 THE WOMEN HAD EXPERIENCED SOME 2189 01:44:38,120 --> 01:44:40,080 KIND OF LIFE TIME SEXUAL ASSAULT 2190 01:44:40,080 --> 01:44:42,800 AND 75% EXPERIENCED SOME KIND OF 2191 01:44:42,800 --> 01:44:43,880 PHYSICAL ASSAULT. 2192 01:44:43,880 --> 01:44:45,600 WE'RE TALKING ABOUT HIGH LEVELS 2193 01:44:45,600 --> 01:44:46,920 OF TRAUMA WE STILL EXPERIENCE 2194 01:44:46,920 --> 01:44:47,920 NOT JUST HISTORICALLY. 2195 01:44:47,920 --> 01:44:49,680 THIS IS MANIFESTED IN SOME OF 2196 01:44:49,680 --> 01:44:52,240 OUR HEALTH ISSUES THAT ARISE. 2197 01:44:52,240 --> 01:44:57,600 WE HAVE HIGH LEVELS OF MENTAL 2198 01:44:57,600 --> 01:45:07,760 HEALTH BURDEN AND WE SELECTED 2199 01:45:07,760 --> 01:45:10,960 PEOPLE WITHIN THE SAMPLING AND 2200 01:45:10,960 --> 01:45:13,000 THE DATA IS AS CLOSE TO 2201 01:45:13,000 --> 01:45:14,600 APPROXIMATION AS WE CAN GET FOR 2202 01:45:14,600 --> 01:45:16,120 A RANDOM SAMPLE. 2203 01:45:16,120 --> 01:45:18,600 OVER A THIRD OF OUR SAMPLE HAD 2204 01:45:18,600 --> 01:45:20,840 HIGH LEVELS OF SUICIDALITY WITH 2205 01:45:20,840 --> 01:45:25,240 40% OF TRANS AND 39% OF WOMEN 2206 01:45:25,240 --> 01:45:27,560 AND 21% OF MEN ATTEMPTED 2207 01:45:27,560 --> 01:45:27,760 SUICIDE. 2208 01:45:27,760 --> 01:45:30,040 POOR HEALTH, HIV PREVALENCE WAS 2209 01:45:30,040 --> 01:45:32,360 HEDGE 1 OF 3 OF MEN WHO HAVE SEX 2210 01:45:32,360 --> 01:45:34,000 WITH MEN AND TRANS MEN AND WOMEN 2211 01:45:34,000 --> 01:45:37,720 AND 15% OF WOMEN WHO HAVE SEX 2212 01:45:37,720 --> 01:45:40,000 WITH WOMEN WERE LIVING WITH HIV. 2213 01:45:40,000 --> 01:45:40,520 YOU DON'T HEAR ABOUT THE 2214 01:45:40,520 --> 01:45:44,600 NUMBERS. 2215 01:45:44,600 --> 01:45:48,200 PEOPLE WERE PRETTY WELL EDUCATED 2216 01:45:48,200 --> 01:45:50,680 AND PEOPLE STILL WERE STRUGGLING 2217 01:45:50,680 --> 01:45:52,520 WITH POVERTY AND TO NOTE PEOPLE 2218 01:45:52,520 --> 01:45:55,920 WHO HAD HAD PARENTS WHO 2219 01:45:55,920 --> 01:45:58,640 EXPERIENCED HISTORIC EVENTS SUCH 2220 01:45:58,640 --> 01:46:02,720 AS BOARDING SCHOOL AND 80% HAD 2221 01:46:02,720 --> 01:46:06,000 SOME KIND OF PTSD. 2222 01:46:06,000 --> 01:46:09,600 TO CONTEXTUALIZE WHY THIS LEADS 2223 01:46:09,600 --> 01:46:11,200 TO POOR HEALTH AND THEN GET TO 2224 01:46:11,200 --> 01:46:13,840 THE RESILIENCE PART. 2225 01:46:13,840 --> 01:46:15,240 HISTORICALLY TRAUMATIC EVENTS 2226 01:46:15,240 --> 01:46:16,920 ARE DESIGN AND IT'S A LONGER 2227 01:46:16,920 --> 01:46:19,320 STORY TO GET INTO BUT THEY'RE 2228 01:46:19,320 --> 01:46:24,120 DESIGN TO ERADICATE PEOPLE, 2229 01:46:24,120 --> 01:46:26,560 ERADICATE THEIR LIFE WAYS 2230 01:46:26,560 --> 01:46:31,040 THROUGH ETHNOCIDE AND 2231 01:46:31,040 --> 01:46:32,520 ERADICATING THOUGHT WAYS HOW WE 2232 01:46:32,520 --> 01:46:34,120 THINK ABOUT OURSELVES OUR VIEWS 2233 01:46:34,120 --> 01:46:36,640 AND INDIGENOUS KNOWLEDGES. 2234 01:46:36,640 --> 01:46:42,400 AND THESE ARE CONCEPTUALIZED AS 2235 01:46:42,400 --> 01:46:44,040 COLLECTIVE AND THE EXAMPLE IS 2236 01:46:44,040 --> 01:46:46,600 THE BOARDING SCHOOL WHERE HETRO 2237 01:46:46,600 --> 01:46:48,120 NORMATIVE PRACTICES WERE THE 2238 01:46:48,120 --> 01:46:51,440 ONLY TOLERATED PRACTICES AND 2239 01:46:51,440 --> 01:46:52,280 CHRISTIANITY REPLACED 2240 01:46:52,280 --> 01:46:54,120 TRADITIONAL UNDERSTANDINGS OF 2241 01:46:54,120 --> 01:46:56,280 WORLD VIEWS DURING THAT PERIOD. 2242 01:46:56,280 --> 01:46:58,120 AND IF YOU'RE WONDERING DID 2243 01:46:58,120 --> 01:47:00,360 THESE THINGS HAVE AN IMPACT IN 2244 01:47:00,360 --> 01:47:03,040 OUR STUDY WE FOUND THEY DID. 2245 01:47:03,040 --> 01:47:05,600 EVEN AFTER CONTROLLING FOR LIFE 2246 01:47:05,600 --> 01:47:09,760 TIME PHYSICAL AND SEXUAL ABUSE 2247 01:47:09,760 --> 01:47:10,960 AND SERVICE AFTER A GENERATION 2248 01:47:10,960 --> 01:47:13,200 OF TRAUMA AND IF THE PERSON 2249 01:47:13,200 --> 01:47:14,800 EXPERIENCED HISTORICALLY 2250 01:47:14,800 --> 01:47:15,720 TRAUMATIC EVENTS AFTER 2251 01:47:15,720 --> 01:47:17,000 CONTROLLING FOR THOSE THINGS WE 2252 01:47:17,000 --> 01:47:22,440 FOUND THE EFFECTIVE LIFE TIME 2253 01:47:22,440 --> 01:47:24,600 TRAUMA ON TRAUMATIC EVENTS IN 2254 01:47:24,600 --> 01:47:25,880 PREVIOUS GENERATIONS STILL 2255 01:47:25,880 --> 01:47:29,440 CONTINUED TO HAVE AN EFFECT 2256 01:47:29,440 --> 01:47:31,800 TODAY WITH OVER ALL TRAUMA 2257 01:47:31,800 --> 01:47:35,520 ACROSS MULTIPLE GENERATIONS 2258 01:47:35,520 --> 01:47:38,040 ASSOCIATED WITH GREATER PTSD AND 2259 01:47:38,040 --> 01:47:40,360 GREATER ALCOHOL AND SUBSTANCE 2260 01:47:40,360 --> 01:47:42,760 ABUSE AND LAND BASED 2261 01:47:42,760 --> 01:47:45,960 HISTORICALLY TRAUMATIC EVENTS, 2262 01:47:45,960 --> 01:47:48,080 DESECRATION OF BURIAL SITES AND 2263 01:47:48,080 --> 01:47:50,040 THOSE ALSO ACCOUNTED FOR SOME 2264 01:47:50,040 --> 01:47:50,600 VARIANCE IN MENTAL HEALTH 2265 01:47:50,600 --> 01:48:00,760 OUTCOMES. 2266 01:48:06,000 --> 01:48:06,720 WE HAVEN'T TALKED THROUGH A 2267 01:48:06,720 --> 01:48:09,640 XROOE COMPREHENSIVE IDEA OF HOW 2268 01:48:09,640 --> 01:48:12,960 HAS HISTORICALLY DRAMATIC EVENTS 2269 01:48:12,960 --> 01:48:14,400 IMPACTED OUR WELL BEING AND 2270 01:48:14,400 --> 01:48:17,200 THOUGH OUR RESEARCH HAS SHOWN 2271 01:48:17,200 --> 01:48:18,680 HISTORICAL TRAUMA OF NATIVE 2272 01:48:18,680 --> 01:48:20,080 AMERICANS ARE ASSOCIATED WITH 2273 01:48:20,080 --> 01:48:22,640 CONTEMPORARY MENTAL HEALTH AND 2274 01:48:22,640 --> 01:48:24,200 PHYSICAL HEALTH OUTCOMES, I 2275 01:48:24,200 --> 01:48:26,680 THINK THAT ALSO HAS IMPLICATIONS 2276 01:48:26,680 --> 01:48:34,480 FOR INTERGENERATIONAL TRAUMA IN 2277 01:48:34,480 --> 01:48:38,600 LGBTQ COMMUNITIES AND LGBTQ 2278 01:48:38,600 --> 01:48:39,440 POPULATIONS STILL EXPERIENCE 2279 01:48:39,440 --> 01:48:40,960 SOME HISTORICALLY TRAUMATIC 2280 01:48:40,960 --> 01:48:41,480 EVENTS. 2281 01:48:41,480 --> 01:48:43,720 I THINK THAT'S AN AREA OF 2282 01:48:43,720 --> 01:48:44,480 FURTHER STUDY AND DISCUSSION 2283 01:48:44,480 --> 01:48:46,760 DOWN THE LINE BUT THE BOTTOM 2284 01:48:46,760 --> 01:48:48,000 LINE, THESE KINDS OF 2285 01:48:48,000 --> 01:48:50,640 HISTORICALLY TRAUMATIC EVENTS 2286 01:48:50,640 --> 01:48:52,160 PRODUCED DISRUPTIONS IN THREE 2287 01:48:52,160 --> 01:48:54,960 MAJOR AREAS HOW WE TALK AND 2288 01:48:54,960 --> 01:48:57,400 THINK ABOUT OURSELVES AND 2289 01:48:57,400 --> 01:48:59,600 NARRATE OUR STORIES AND DISRUPTS 2290 01:48:59,600 --> 01:49:00,760 OUR WAYS OF BEING IN TERMS OF 2291 01:49:00,760 --> 01:49:02,640 OUR BODIES AND CULTURES AND TIES 2292 01:49:02,640 --> 01:49:05,760 TO LAND AND PLACE AND DISRUPTS 2293 01:49:05,760 --> 01:49:07,280 OUR KNOWLEDGE SYSTEMS AND 2294 01:49:07,280 --> 01:49:09,440 ABILITY TO CONNECT TO OUR 2295 01:49:09,440 --> 01:49:11,440 ORIGINAL STORIES AN ANCIENT 2296 01:49:11,440 --> 01:49:14,320 TEACHING TEACH US HOW TO LIVE 2297 01:49:14,320 --> 01:49:14,520 WELL. 2298 01:49:14,520 --> 01:49:18,520 IN DEVELOPING INTERVENTIONS AT 2299 01:49:18,520 --> 01:49:19,640 THE COMMUNITY LEVEL AND THEY 2300 01:49:19,640 --> 01:49:22,040 WENT THROUGH THE THREE ELEMENTS 2301 01:49:22,040 --> 01:49:23,760 IN HEALTH PROMOTION 2302 01:49:23,760 --> 01:49:26,520 INTERVENTIONS RESTORING AND 2303 01:49:26,520 --> 01:49:27,520 DRAWING FROM ORIGINAL 2304 01:49:27,520 --> 01:49:29,600 CONSTRUCTION AND HOW DO WE DRAW 2305 01:49:29,600 --> 01:49:34,200 FROM ANCIENT TEACHINGS AND 2306 01:49:34,200 --> 01:49:35,920 RESTORING RELATIONAL WAYS OF 2307 01:49:35,920 --> 01:49:37,880 BEING AND HOW RERESTORE OUR 2308 01:49:37,880 --> 01:49:39,120 LIVES THROUGH STRATEGIES AND 2309 01:49:39,120 --> 01:49:41,400 THEY'RE INCLUDED IN OUR 2310 01:49:41,400 --> 01:49:42,560 INTERVENTIONS. 2311 01:49:42,560 --> 01:49:45,560 AND SO IN TERMS OF THE LGBTQ 2312 01:49:45,560 --> 01:49:50,280 COMMUNITY AND THE TWO-SPIRIT 2313 01:49:50,280 --> 01:49:53,960 STUDY WE LOOKED AT QUALITATIVE 2314 01:49:53,960 --> 01:49:56,440 NARRATIVE AND EXPANDING OUR 2315 01:49:56,440 --> 01:49:58,680 RESEARCH INTO MORE QUALITATIVE 2316 01:49:58,680 --> 01:50:02,280 AREA TO GET AT THE MORE 2317 01:50:02,280 --> 01:50:03,040 INTERSECTIONAL PIECES AND 2318 01:50:03,040 --> 01:50:06,400 RESILIENCY AND AREAS OF STRENGTH 2319 01:50:06,400 --> 01:50:08,040 AND WE DEVELOP AND PROMOTE THAT 2320 01:50:08,040 --> 01:50:12,120 AND IDENTIFYING WHO IS DOING 2321 01:50:12,120 --> 01:50:14,000 WELL AND HOW. 2322 01:50:14,000 --> 01:50:17,600 AND THERE WAS A CONCEPT CALLED 2323 01:50:17,600 --> 01:50:17,880 THRIVANCE. 2324 01:50:17,880 --> 01:50:23,400 IF YOU THINK WEAVING, THERE'S A 2325 01:50:23,400 --> 01:50:33,640 WARP AND WEPT. 2326 01:51:06,440 --> 01:51:08,960 AND THERE'S REJECTION OF 2327 01:51:08,960 --> 01:51:09,920 INTERNALIZATION OF THE MESSAGES 2328 01:51:09,920 --> 01:51:12,200 AND ENGAGING IN THE COLONIZATION 2329 01:51:12,200 --> 01:51:14,680 PRACTICES ON A DAILY LEVEL. 2330 01:51:14,680 --> 01:51:17,080 WE THINK ABOUT THAT WARP AND 2331 01:51:17,080 --> 01:51:19,280 WEPT COMING TOGETHER AND THAT 2332 01:51:19,280 --> 01:51:20,640 PRODUCE WHAT'S WE CALL 2333 01:51:20,640 --> 01:51:20,880 THRIVANCE. 2334 01:51:20,880 --> 01:51:24,640 SO TURNING TO OUR QUALITATIVE 2335 01:51:24,640 --> 01:51:25,760 INTERVIEWS WITH TWO SPIRIT WOMEN 2336 01:51:25,760 --> 01:51:27,160 AND I'M FOCUSSING ON WOMEN 2337 01:51:27,160 --> 01:51:28,440 BECAUSE WE DON'T GET A LOT OF 2338 01:51:28,440 --> 01:51:31,680 ATTENTION IN THE LITERATURE. 2339 01:51:31,680 --> 01:51:38,960 THIS IS PART OF SPEAKING TO THE 2340 01:51:38,960 --> 01:51:39,600 INVISIBILITY AND THERE'S BEEN 2341 01:51:39,600 --> 01:51:43,480 DATA THAT WE'RE LOOKING FOR. 2342 01:51:43,480 --> 01:51:44,360 WE USED THE TRADITIONAL VOICE 2343 01:51:44,360 --> 01:51:50,600 CENTER ADD -- CENTERED APPROACH 2344 01:51:50,600 --> 01:51:52,560 AND LOOK AT I AND WE STATEMENT 2345 01:51:52,560 --> 01:51:54,920 AND THEY STATEMENTS. 2346 01:51:54,920 --> 01:51:59,480 WE PULL OUT AND IT CREATES A 2347 01:51:59,480 --> 01:52:01,120 FORM OF DATA ANALYSIS TO DIVE IN 2348 01:52:01,120 --> 01:52:02,520 THE DATA DEEPER. 2349 01:52:02,520 --> 01:52:04,800 I'M GOING SHARE WITH YOU THE 2350 01:52:04,800 --> 01:52:05,000 FORMS. 2351 01:52:05,000 --> 01:52:07,680 NOT SURPRISINGLY WE WERE ABLE TO 2352 01:52:07,680 --> 01:52:09,160 ORGANIZE THE FINDINGS AROUND 2353 01:52:09,160 --> 01:52:13,720 THOSE THREE ELEMENTS THAT ARE SO 2354 01:52:13,720 --> 01:52:15,120 IMPORTANT FOR THRIVANCE AND 2355 01:52:15,120 --> 01:52:17,320 HEALTH AND WELL BEING AND 2356 01:52:17,320 --> 01:52:18,400 LOOKING AT INSTRUCTIONS AND WAYS 2357 01:52:18,400 --> 01:52:20,120 OF BEING IN THE WORLD AND 2358 01:52:20,120 --> 01:52:21,160 TRANSFORMATION AND THE OTHER 2359 01:52:21,160 --> 01:52:22,320 ELEMENT IN THE DATA WAS 2360 01:52:22,320 --> 01:52:24,880 IMPORTANCE OF CEREMONY AND 2361 01:52:24,880 --> 01:52:25,840 SPIRITUALITY. 2362 01:52:25,840 --> 01:52:29,680 FIRST TO ACKNOWLEDGE OUR TRAUMA 2363 01:52:29,680 --> 01:52:32,280 AND TO SET THE CONTEXT IN WHICH 2364 01:52:32,280 --> 01:52:33,240 TO UNDERSTAND HEALTH 2365 01:52:33,240 --> 01:52:35,680 EXPERIENCES. 2366 01:52:35,680 --> 01:52:37,640 THIS IS AN EXAMPLE AND THESE ARE 2367 01:52:37,640 --> 01:52:40,280 ALL PSEUDONYMS AND NO NAMES ARE 2368 01:52:40,280 --> 01:52:43,640 USED HERE. 2369 01:52:43,640 --> 01:52:45,600 THIS ONE PERSON SAYS BEEN A 2370 01:52:45,600 --> 01:52:48,000 WHOLE PHENOMENON OF DISASTER AND 2371 01:52:48,000 --> 01:52:50,640 HUGE TRAUMA TOLD THEY WERE LESS 2372 01:52:50,640 --> 01:52:55,560 THAN AND WOMEN HAD NO PLACE. 2373 01:52:55,560 --> 01:53:00,960 THE MEN WERE FILLED WITH ALCOHOL 2374 01:53:00,960 --> 01:53:03,800 AND ANY SPIRITUAL THING WAS 2375 01:53:03,800 --> 01:53:06,480 MURDERED AND THE ONLY THING THAT 2376 01:53:06,480 --> 01:53:07,440 STAYED WERE SPIRIT. 2377 01:53:07,440 --> 01:53:09,680 AND THEY WERE SUPPOSED TO TAKE 2378 01:53:09,680 --> 01:53:10,760 CARE OF THE COMMUNITY. 2379 01:53:10,760 --> 01:53:12,280 HERE THEY'RE TOLD YOU'RE 2380 01:53:12,280 --> 01:53:12,520 NOTHING. 2381 01:53:12,520 --> 01:53:13,160 YOU'RE STUPID. 2382 01:53:13,160 --> 01:53:15,520 YOU DON'T HAVE RIGHT TO LIVE. 2383 01:53:15,520 --> 01:53:16,680 WHAT ARE YOU? 2384 01:53:16,680 --> 01:53:18,120 TWO SPIRITS BACK THEN WERE 2385 01:53:18,120 --> 01:53:21,520 LOOKING AT A COMMUNITY WHO 2386 01:53:21,520 --> 01:53:23,600 ALREADY HATED THE SIGHT OF 2387 01:53:23,600 --> 01:53:23,880 INDIANS. 2388 01:53:23,880 --> 01:53:25,040 I'M SURE THE HISTORICAL TRAUMA 2389 01:53:25,040 --> 01:53:25,840 WAS THERE. 2390 01:53:25,840 --> 01:53:27,840 I THINK WE ALL FEEL THE DISTRUST 2391 01:53:27,840 --> 01:53:29,360 AND CARE AROUND THE DOMINANCE IN 2392 01:53:29,360 --> 01:53:30,280 OUR LIVES. 2393 01:53:30,280 --> 01:53:32,440 THE TWO SPIRIT PEOPLE BACK THEN 2394 01:53:32,440 --> 01:53:33,480 WERE PROBABLY MEETING 2395 01:53:33,480 --> 01:53:35,040 UNDERGROUND OR ELIMINATED UNTIL 2396 01:53:35,040 --> 01:53:38,040 THERE WAS A TIME OTHER PEOPLE 2397 01:53:38,040 --> 01:53:39,480 COULD RECOGNIZE THEM, TWO 2398 01:53:39,480 --> 01:53:40,640 SPIRITS THEMSELVES. 2399 01:53:40,640 --> 01:53:42,080 HERE'S A THEME DRAWING FROM SOME 2400 01:53:42,080 --> 01:53:47,560 OF THE ORIGINAL INSTRUCTIONS. 2401 01:53:47,560 --> 01:53:49,880 AND MY NATIVE PEOPLE ACCEPTED ME 2402 01:53:49,880 --> 01:53:51,160 AND LOVED ME. 2403 01:53:51,160 --> 01:53:53,440 IT WASN'T JUST THE FAMILY. 2404 01:53:53,440 --> 01:53:56,120 IT WAS THE WHOLE TRIBE. 2405 01:53:56,120 --> 01:53:58,800 IT DOESN'T MATTER THE SEXUAL 2406 01:53:58,800 --> 01:53:59,520 ORIENTATION. 2407 01:53:59,520 --> 01:54:02,520 THEY WERE TREATED AS WELL AS 2408 01:54:02,520 --> 01:54:05,800 ANYBODY ELSE OTHER TIME SIMPLY 2409 01:54:05,800 --> 01:54:11,280 BECAUSE THEY WERE GOOD HEALTHFUL 2410 01:54:11,280 --> 01:54:21,760 PRODUCTIVE PEOPLE AND AND I 2411 01:54:26,120 --> 01:54:29,000 DON'T KNOW WHY BUT ANOTHER SAYS 2412 01:54:29,000 --> 01:54:37,040 BEFORE COLONIZERS CAME AND TAKE 2413 01:54:37,040 --> 01:54:38,680 CARE OF THE DEAD AFTER THEY'RE 2414 01:54:38,680 --> 01:54:38,880 GONE. 2415 01:54:38,880 --> 01:54:41,280 I FEEL THAT'S WHAT I DO, 2416 01:54:41,280 --> 01:54:42,680 TEACHING, FEELING. 2417 01:54:42,680 --> 01:54:44,080 I ALWAYS FELT COLD IN THAT 2418 01:54:44,080 --> 01:54:45,880 DIRECTION. 2419 01:54:45,880 --> 01:54:48,400 I HAD FRIENDS DYING IN THE EARLY 2420 01:54:48,400 --> 01:54:52,400 '80s AND I WAS THERE BECAUSE 2421 01:54:52,400 --> 01:54:56,960 NOBODY ELSE WOULD TOUCH THEM. 2422 01:54:56,960 --> 01:55:00,480 THE LOVE COMES NATURALLY. 2423 01:55:00,480 --> 01:55:02,560 I'VE GROWN WHO I AM SUPPOSED TO 2424 01:55:02,560 --> 01:55:02,800 BE. 2425 01:55:02,800 --> 01:55:05,200 I THINK I WAS PUT HERE FOR A 2426 01:55:05,200 --> 01:55:05,600 REASON. 2427 01:55:05,600 --> 01:55:07,400 MY ANCESTORS PLACED ME HERE FOR 2428 01:55:07,400 --> 01:55:16,840 A REASON AN MY GRANDMA KNEW IT. 2429 01:55:16,840 --> 01:55:20,960 AND THERE'S GRANDMA'S LOVE AND 2430 01:55:20,960 --> 01:55:23,080 THIS IS IMPORTANT AND THIS SHOWS 2431 01:55:23,080 --> 01:55:26,400 THE IMPORTANCE OF RELATIONALITY 2432 01:55:26,400 --> 01:55:30,680 AND THE ONE OR TWO ELDERS IN A 2433 01:55:30,680 --> 01:55:32,960 COMMUNITY THAT HELP TREMENDOUSLY 2434 01:55:32,960 --> 01:55:36,600 WITH A PERSON'S WELL BEING. 2435 01:55:36,600 --> 01:55:37,960 SHE SAID SOMEBODY GAVE US THEIR 2436 01:55:37,960 --> 01:55:38,240 SPIRIT. 2437 01:55:38,240 --> 01:55:40,040 WE HAVE THE SPIRIT ALREADY BUT 2438 01:55:40,040 --> 01:55:41,760 WE WELCOME INTO THE WORLD 2439 01:55:41,760 --> 01:55:44,040 SOMEONE WHO KEEPS REMINDING YOU 2440 01:55:44,040 --> 01:55:44,480 BELONG. 2441 01:55:44,480 --> 01:55:46,400 THAT THING THAT SAVED ME IS I 2442 01:55:46,400 --> 01:55:48,960 WAS ALWAYS GIVEN A LOT OF LOVE. 2443 01:55:48,960 --> 01:55:52,080 IT WASN'T ALL HUGS AND SMOOCHES. 2444 01:55:52,080 --> 01:55:55,000 MY GRANDMA USED TO GET ME A CUP 2445 01:55:55,000 --> 01:55:55,480 OF TEA. 2446 01:55:55,480 --> 01:55:56,320 IT GAVE ME PURPOSE. 2447 01:55:56,320 --> 01:55:57,800 IT GAVE ME A CHANCE TO TAKE CARE 2448 01:55:57,800 --> 01:55:59,880 OF MY GRANDMA. 2449 01:55:59,880 --> 01:56:02,280 IT TAUGHT ME ABOUT GIVING. 2450 01:56:02,280 --> 01:56:05,400 I WATCH HER GIVE FOOD TO PEOPLE 2451 01:56:05,400 --> 01:56:08,400 AND WE NEVER HORDED THINGS THAT 2452 01:56:08,400 --> 01:56:10,520 COULD BE USED BY OTHER PEOPLE. 2453 01:56:10,520 --> 01:56:16,240 AND I WANT TO END ON THE ONE 2454 01:56:16,240 --> 01:56:18,080 PIECE ABOUT THE IMPORTANCE OF 2455 01:56:18,080 --> 01:56:23,560 ORIGINAL INSTRUCTIONS TIED TO 2456 01:56:23,560 --> 01:56:28,680 CEREMONY AND WELL BEING. 2457 01:56:28,680 --> 01:56:30,560 YOU HAVE TO MEET IT HALFWAY TO 2458 01:56:30,560 --> 01:56:33,960 HAVE THE POWER TO TRANSFORM. 2459 01:56:33,960 --> 01:56:34,960 THIS CAME IN THE LAST FORM I 2460 01:56:34,960 --> 01:56:38,640 WANT TO SHARE WITH YOU. 2461 01:56:38,640 --> 01:56:40,000 I REMEMBER WHEN I WAS GOING 2462 01:56:40,000 --> 01:56:41,680 THROUGH A TOUGH TIME AND WENT 2463 01:56:41,680 --> 01:56:44,120 HOME AND SO DISJOINTED AND 2464 01:56:44,120 --> 01:56:45,000 ANGRY. 2465 01:56:45,000 --> 01:56:47,240 MY GRANDMOTHER GAVE ME A BIG HUG 2466 01:56:47,240 --> 01:56:49,320 AND SAID YEP, YOU'VE COME HOME. 2467 01:56:49,320 --> 01:56:50,960 I WENT TO THE CABIN AND SAID I 2468 01:56:50,960 --> 01:56:52,040 NEED YOUR HELP. 2469 01:56:52,040 --> 01:56:54,080 SHE SAID GO FAST, CEREMONIAL 2470 01:56:54,080 --> 01:56:54,280 FAST. 2471 01:56:54,280 --> 01:56:56,800 I SAID I DON'T WANT TO GO FAST. 2472 01:56:56,800 --> 01:56:59,080 I DON'T WA TO AND SHE SAID YOU 2473 01:56:59,080 --> 01:57:01,040 HAVE TO AND I WAS MAD GOING UP 2474 01:57:01,040 --> 01:57:02,800 THE TRAIL AND THAT WENT ON FOR 2475 01:57:02,800 --> 01:57:03,000 DAYS. 2476 01:57:03,000 --> 01:57:04,840 EACH TIME I WENT SHE SAID GO 2477 01:57:04,840 --> 01:57:05,040 FAST. 2478 01:57:05,040 --> 01:57:07,240 I DON'T WANT TO DO IT. 2479 01:57:07,240 --> 01:57:10,280 I SAID I DON'T WANT IT HEAR WHAT 2480 01:57:10,280 --> 01:57:12,080 THE SPIRIT HAS TO SAY, SHE 2481 01:57:12,080 --> 01:57:12,320 LAUGHED. 2482 01:57:12,320 --> 01:57:16,800 I WANT TO HEAR IT FROM YOU. 2483 01:57:16,800 --> 01:57:18,120 I WANT HUMAN NOT SPIRIT 2484 01:57:18,120 --> 01:57:18,400 INTERACTION. 2485 01:57:18,400 --> 01:57:19,640 I DIDN'T WANT TO DO ANYTHING OR 2486 01:57:19,640 --> 01:57:21,640 SIT DOWN TO DINNER. 2487 01:57:21,640 --> 01:57:23,640 I WAS SO PISSED AND ON THE 2488 01:57:23,640 --> 01:57:25,360 FOURTH DAY I GOT UP AND 2489 01:57:25,360 --> 01:57:26,480 SOMETHING CLICKED INTO PLACE AND 2490 01:57:26,480 --> 01:57:28,040 A WENT TO THE CABIN AND SHE SAID 2491 01:57:28,040 --> 01:57:28,720 COME HERE. 2492 01:57:28,720 --> 01:57:31,000 I'LL MARK THE PLACE FOR YOU. 2493 01:57:31,000 --> 01:57:33,080 A CEREMONIAL PLACE OUTSIDE THE 2494 01:57:33,080 --> 01:57:33,280 CLASS. 2495 01:57:33,280 --> 01:57:33,920 SHE DID. 2496 01:57:33,920 --> 01:57:36,080 THERE WAS A TOUGH TIME AND I WAS 2497 01:57:36,080 --> 01:57:36,360 UNFORTUNATE. 2498 01:57:36,360 --> 01:57:37,320 I'M GLAD I WENT OUT. 2499 01:57:37,320 --> 01:57:39,160 I RECEIVED WHAT A NEEDED TO GET 2500 01:57:39,160 --> 01:57:39,880 THROUGH. 2501 01:57:39,880 --> 01:57:41,000 IT WAS SIMPLE. 2502 01:57:41,000 --> 01:57:43,960 I SAY THANKS FOR ANOTHER DAY OF 2503 01:57:43,960 --> 01:57:45,120 LIFE AND BREATH. 2504 01:57:45,120 --> 01:57:48,280 IT'S THE SIMPLE THINGS THAT GET 2505 01:57:48,280 --> 01:57:50,320 ME THROUGH THE TOUGH TIMES, 2506 01:57:50,320 --> 01:57:52,000 FAMILY AND FRIENDS AND PEOPLE 2507 01:57:52,000 --> 01:57:53,480 WITH LIKE MINDS TO HELP YOU GET 2508 01:57:53,480 --> 01:57:55,440 THROUGH THE TOUGH TIMES. 2509 01:57:55,440 --> 01:57:57,960 I'LL END THERE AND WANT TO 2510 01:57:57,960 --> 01:58:00,320 HIGHLIGHT AS WE TALK ABOUT 2511 01:58:00,320 --> 01:58:01,600 MOVING FORWARD WITH OUR RESEARCH 2512 01:58:01,600 --> 01:58:03,720 AND COMMUNITIES DEVELOPING 2513 01:58:03,720 --> 01:58:04,600 POSITIVE HEALTH PROMOTION 2514 01:58:04,600 --> 01:58:06,080 INTERVENTION WE NEED TO THINK 2515 01:58:06,080 --> 01:58:08,480 ABOUT THE ORIGINAL INSTRUCTIONS 2516 01:58:08,480 --> 01:58:10,240 AND THE IMPORTANCE OF RELATIONAL 2517 01:58:10,240 --> 01:58:13,160 WAYS OF BEING AND TRANSFORMING 2518 01:58:13,160 --> 01:58:14,520 OUR LIVES FROM OUR POINTS OF 2519 01:58:14,520 --> 01:58:17,360 VIEW AND I THINK IT'S IMPORTANT 2520 01:58:17,360 --> 01:58:19,280 WE PARTICIPATE AND SHARE AND 2521 01:58:19,280 --> 01:58:21,440 BRING OUT THESE STORIES. 2522 01:58:21,440 --> 01:58:23,640 THESE STORIES HELP US THINK 2523 01:58:23,640 --> 01:58:27,800 THROUGH MORE INTERSECTIONALLY 2524 01:58:27,800 --> 01:58:30,040 AND THE INCREDIBLE STRENGTH OUR 2525 01:58:30,040 --> 01:58:32,160 COMMUNITIES HAVE DESPITE THE 2526 01:58:32,160 --> 01:58:33,880 COLONIALISM AND WHAT WE STILL 2527 01:58:33,880 --> 01:58:35,440 NAVIGATE TO THIS DAY. 2528 01:58:35,440 --> 01:58:37,920 THANK YOU FOR ALLOWING ME TO SAR 2529 01:58:37,920 --> 01:58:42,400 THAT WITH YOU. 2530 01:58:42,400 --> 01:58:44,680 >>THANK YOU SO MUCH. 2531 01:58:44,680 --> 01:58:46,360 THANK YOU FOR SHARING STORIES 2532 01:58:46,360 --> 01:58:49,760 AND PROVIDING THE CONTEXT AROUND 2533 01:58:49,760 --> 01:58:53,360 TWO SPIRIT AND THE PEOPLE AND 2534 01:58:53,360 --> 01:58:57,200 HOW IT BREEDS DISRUPTION AND 2535 01:58:57,200 --> 01:58:59,880 OFFERING STRATEGIES TO RAISE UP 2536 01:58:59,880 --> 01:59:01,160 AND THANK YOU AND THANK 2537 01:59:01,160 --> 01:59:02,680 EVERYBODY FOR BEING APART OF 2538 01:59:02,680 --> 01:59:03,000 THIS PANEL. 2539 01:59:03,000 --> 01:59:07,800 WE HAVE SOME TIME FOR Q&A. 2540 01:59:07,800 --> 01:59:09,280 WE CAN MOVE INTO THAT SECTION. 2541 01:59:09,280 --> 01:59:11,920 IF YOU HAVE ANY QUESTIONS SEND 2542 01:59:11,920 --> 01:59:15,080 THROUGH THE NIMHD MAILBOX OR 2543 01:59:15,080 --> 01:59:16,120 PANELISTS IF YOU HAVE ANYTHING 2544 01:59:16,120 --> 01:59:26,480 PUT IT INTO THE CHAT. 2545 01:59:49,960 --> 01:59:56,560 >>AND CAN YOU TALK ABOUT 2546 01:59:56,560 --> 02:00:00,000 IMPROVING OUR UNDERSTAND AND 2547 02:00:00,000 --> 02:00:03,400 ADDRESS INTERSECTIONAL STIGMA 2548 02:00:03,400 --> 02:00:04,400 WHICH IS A DRIVER FOR THESE 2549 02:00:04,400 --> 02:00:14,640 POPULATIONS. 2550 02:00:22,560 --> 02:00:24,800 >>I THINK WHAT WE'VE BEEN 2551 02:00:24,800 --> 02:00:27,400 MOVING INTO AND IT'S FOR 2552 02:00:27,400 --> 02:00:28,720 INDIGENOUS PEOPLE PART OF 2553 02:00:28,720 --> 02:00:30,600 COLONIALISM AND TRAUMA IS TO 2554 02:00:30,600 --> 02:00:32,480 DISRUPT OUR RELATIONSHIP TO LAND 2555 02:00:32,480 --> 02:00:33,960 AND PLACE AND ONE THING OUR 2556 02:00:33,960 --> 02:00:35,400 COMMUNITIES ARE STARTING TO TALK 2557 02:00:35,400 --> 02:00:37,600 ABOUT IS DOING MORE LAND-BASED 2558 02:00:37,600 --> 02:00:40,640 HEALING AND ACTIVITIES THAT GET 2559 02:00:40,640 --> 02:00:44,600 US OUTSIDE TYPICAL EXPERIENCES 2560 02:00:44,600 --> 02:00:46,160 AND SHIFT OUR THINKING AND 2561 02:00:46,160 --> 02:00:49,320 PROVIDES AN OPPORTUNITY FOR US 2562 02:00:49,320 --> 02:00:52,040 TO MOVE FASTER THROUGH THE 2563 02:00:52,040 --> 02:00:52,680 HEALING PROCESS. 2564 02:00:52,680 --> 02:00:55,000 ON THE OTHER HAND I ALSO THINK 2565 02:00:55,000 --> 02:00:57,400 IT'S CRITICAL TO CONNECT WITH 2566 02:00:57,400 --> 02:00:59,200 AND WORK WITHIN OTHER SPACES 2567 02:00:59,200 --> 02:01:01,560 WHICH OUR COMMUNITIES ARE 2568 02:01:01,560 --> 02:01:05,200 CONNECTED AND FIND OPPORTUNITIES 2569 02:01:05,200 --> 02:01:07,360 TO THRIVE AND CHURCH MAY BE A 2570 02:01:07,360 --> 02:01:07,640 POSSIBILITY. 2571 02:01:07,640 --> 02:01:09,480 MORE LIKELY IT'S COMMUNITY-BASED 2572 02:01:09,480 --> 02:01:10,800 CENTERS AND CULTURAL SPACES THAT 2573 02:01:10,800 --> 02:01:12,640 WE HAVE IN OUR COMMUNITIES THAT 2574 02:01:12,640 --> 02:01:13,920 WE HAVE ACCESS TO. 2575 02:01:13,920 --> 02:01:24,040 YEAH. 2576 02:01:27,480 --> 02:01:30,160 >>I WOULD SAY THE SAME FOR OUR 2577 02:01:30,160 --> 02:01:31,400 COMMUNITIES AS WELL. 2578 02:01:31,400 --> 02:01:32,920 IT IS IMPORTANT TO HAVE THAT 2579 02:01:32,920 --> 02:01:35,520 RELATIONSHIP COMMUNITY AND TO BE 2580 02:01:35,520 --> 02:01:37,040 ABLE TO IDENTIFY COMMUNITY 2581 02:01:37,040 --> 02:01:42,240 BEFORE YOU FEEL COMFORTABLE 2582 02:01:42,240 --> 02:01:42,800 PARTICIPATING -- HEARING 2583 02:01:42,800 --> 02:01:49,240 ACTUALLY EITHER WAY. 2584 02:01:49,240 --> 02:01:51,600 >>I DON'T HAVE A LOT TO ADD 2585 02:01:51,600 --> 02:01:54,600 EXCEPT SAY I DON'T KNOW OF ANY 2586 02:01:54,600 --> 02:01:56,560 LARGE SCALE NATIONAL LEVEL 2587 02:01:56,560 --> 02:01:57,920 INTERVENTIONS WORKING TO SUPPORT 2588 02:01:57,920 --> 02:02:00,520 LGBTQ FOLKS OF COLOR IN SCHOOLS 2589 02:02:00,520 --> 02:02:03,520 OR THROUGH FATHER INSTITUTIONS, 2590 02:02:03,520 --> 02:02:03,800 ETCETERA. 2591 02:02:03,800 --> 02:02:09,560 BUT I DO KNOW AS SOMEBODY WHO 2592 02:02:09,560 --> 02:02:11,360 BEFORE I PURSUED MY CURRENT WORK 2593 02:02:11,360 --> 02:02:15,560 AS A RESEARCHER I USED TO WORK 2594 02:02:15,560 --> 02:02:19,040 IN A NONPROFIT SECTOR TO REDUCE 2595 02:02:19,040 --> 02:02:20,520 PREJUDICE AND CONFLICT AMONG 2596 02:02:20,520 --> 02:02:21,960 TEENAGERS AND FROM BEING IN THAT 2597 02:02:21,960 --> 02:02:24,120 WORLD SO LONG AND CONTINUING TO 2598 02:02:24,120 --> 02:02:26,000 DO CONSULTING WORK WITH 2599 02:02:26,000 --> 02:02:28,720 NONPROFITS DOING THAT WORK, 2600 02:02:28,720 --> 02:02:30,040 THERE'S A NUMBER OF INTERESTING 2601 02:02:30,040 --> 02:02:31,320 AND EXCITING INTERVENTIONS THAT 2602 02:02:31,320 --> 02:02:34,440 ARE HAPPENING OUTSIDE OF OUR 2603 02:02:34,440 --> 02:02:36,360 WORLD OF RESEARCH AND I THINK 2604 02:02:36,360 --> 02:02:37,600 THE OPPORTUNITY IS THERE IN THE 2605 02:02:37,600 --> 02:02:40,760 FUTURE FOR MORE PARTNERSHIPS 2606 02:02:40,760 --> 02:02:41,360 BETWEEN THESE COMMUNITY 2607 02:02:41,360 --> 02:02:42,400 ORGANIZATIONS THAT ARE ON THE 2608 02:02:42,400 --> 02:02:44,240 GROUND DOING THIS WORK. 2609 02:02:44,240 --> 02:02:46,360 JUST ONE EXAMPLE I USED TO WORK 2610 02:02:46,360 --> 02:02:48,000 WITH AN ORGANIZATION OR KNOW OF 2611 02:02:48,000 --> 02:02:49,760 AN ORGANIZATION I COLLABORATED 2612 02:02:49,760 --> 02:02:54,080 WITH IN ADDITION TO THE GSAs IN 2613 02:02:54,080 --> 02:02:55,840 SCHOOL OR THE RACIAL ETHNIC 2614 02:02:55,840 --> 02:02:57,760 AFFINITY GROUPS, THEY HAD A 2615 02:02:57,760 --> 02:02:59,080 PROGRAM THEY TOOK INTO SCHOOLS 2616 02:02:59,080 --> 02:03:00,720 CALLED MERGING IDENTITIES. 2617 02:03:00,720 --> 02:03:03,000 THIS IS NO LONGER EXISTING BUT 2618 02:03:03,000 --> 02:03:05,280 WAS IN SOME WAYS WORKING ON THE 2619 02:03:05,280 --> 02:03:09,440 VERY CONSTRUCT I RAISED OF 2620 02:03:09,440 --> 02:03:10,400 IDENTITY CONFLICT MANY LGBTQ 2621 02:03:10,400 --> 02:03:13,200 FOLKS WHO ARE PEOPLE OF COLOR 2622 02:03:13,200 --> 02:03:15,560 FACE AND HOW DO WE RECONCILE AND 2623 02:03:15,560 --> 02:03:17,560 INTEGRATE THESE TWO REALLY 2624 02:03:17,560 --> 02:03:28,280 SALIENT AND OFTEN SIGTIGMATIZED 2625 02:03:29,240 --> 02:03:29,440 PEOPLE. 2626 02:03:29,440 --> 02:03:31,840 AND THE KEY IS TO BRING OUR 2627 02:03:31,840 --> 02:03:33,000 SCIENTIFIC MINDS AND RESEARCH 2628 02:03:33,000 --> 02:03:35,080 RIGOR TO LEARN WHAT'S WORKING 2629 02:03:35,080 --> 02:03:38,440 ALREADY AND BUILD UPON THAT AND 2630 02:03:38,440 --> 02:03:40,320 UPSCALE IT TO OTHER ENVIRONMENTS 2631 02:03:40,320 --> 02:03:44,520 SO THEY CAN ALSO BENEFIT. 2632 02:03:44,520 --> 02:03:47,720 >>VERY TRUE. 2633 02:03:47,720 --> 02:03:48,880 I COULDN'T AGREE MORE. 2634 02:03:48,880 --> 02:03:50,960 WE HAVE A QUESTION FOR 2635 02:03:50,960 --> 02:03:53,720 DR. KUSHALNAGAR. 2636 02:03:53,720 --> 02:03:57,960 THANK YOU FOR YOUR TALK ON ADULT 2637 02:03:57,960 --> 02:04:03,640 DEAF LGBTQ ADULTS AND ARE THERE 2638 02:04:03,640 --> 02:04:08,040 SENSORIES OTHER THAN DEAFNESS 2639 02:04:08,040 --> 02:04:11,360 SUCH AS BLINDNESS AND IS THERE 2640 02:04:11,360 --> 02:04:12,000 ADVOCACY AND INFORMATION AGAINST 2641 02:04:12,000 --> 02:04:21,560 MINORITY STRESS? 2642 02:04:21,560 --> 02:04:23,160 >>WONDERFUL QUESTION, I'M SO 2643 02:04:23,160 --> 02:04:23,960 HAPPY YOU ASKED. 2644 02:04:23,960 --> 02:04:25,680 MY EXPERIENCE AND KNOWLEDGE IS 2645 02:04:25,680 --> 02:04:31,120 LIMITED TO PEOPLE WITH SENSORY 2646 02:04:31,120 --> 02:04:34,920 DISABILITIES AND IT'S HEAVILY 2647 02:04:34,920 --> 02:04:40,880 RELATED TO LINGUISTIC ACCESS. 2648 02:04:40,880 --> 02:04:41,920 THOSE GENERALLY BLIND ARE 2649 02:04:41,920 --> 02:04:47,560 ENGLISH SPEAKING AND CAN ACCESS 2650 02:04:47,560 --> 02:04:48,400 AUDITORY INFORMATION AND NOT 2651 02:04:48,400 --> 02:04:53,200 SURE OUR FINDINGS CAN BE 2652 02:04:53,200 --> 02:04:55,400 FOCUSSED ON THIS BECAUSE WE LOOK 2653 02:04:55,400 --> 02:04:57,280 AT LANGUAGE ACCESS AND FOR THOSE 2654 02:04:57,280 --> 02:04:59,040 WHO HAVE AUTISM BUT MAYBE HAVE 2655 02:04:59,040 --> 02:05:00,440 SOCIAL ISSUES NOT SURE I CAN 2656 02:05:00,440 --> 02:05:01,000 ANSWER THAT. 2657 02:05:01,000 --> 02:05:03,280 IT WOULD BE GREAT TO DO MORE 2658 02:05:03,280 --> 02:05:05,200 RESEARCH INTO THOSE ISSUES AND 2659 02:05:05,200 --> 02:05:08,520 FIND IF THERE ARE ANY 2660 02:05:08,520 --> 02:05:10,080 COMMONALITIES AMONG THOSE WHO 2661 02:05:10,080 --> 02:05:11,640 HAVE SENSORY DISABILITIES AND 2662 02:05:11,640 --> 02:05:16,080 OTHER TYPES OF DISABILITIES. 2663 02:05:16,080 --> 02:05:16,480 GREAT QUESTION. 2664 02:05:16,480 --> 02:05:18,120 THANK YOU FOR THAT. 2665 02:05:18,120 --> 02:05:21,320 >>ANOTHER MESSAGE IN THE CHAT, 2666 02:05:21,320 --> 02:05:21,600 DR. WALTER. 2667 02:05:21,600 --> 02:05:22,480 THANK YOU. 2668 02:05:22,480 --> 02:05:28,320 HOW CAN WE APPLY THIS TO NATIVE, 2669 02:05:28,320 --> 02:05:31,120 LGBTQ BIRTHING AND PARENTING 2670 02:05:31,120 --> 02:05:36,800 PEOPLE GIVEN HOW FEMINIZING AND 2671 02:05:36,800 --> 02:05:37,400 GENDER BIRTH IS. 2672 02:05:37,400 --> 02:05:40,680 >>THAT'S A GOOD QUESTION. 2673 02:05:40,680 --> 02:05:41,840 GOING BACK TO ORIGINAL 2674 02:05:41,840 --> 02:05:44,120 INSTRUCTION AND TEACHINGS WE 2675 02:05:44,120 --> 02:05:45,960 HAVE ACROSS MANY TRIBES AND I 2676 02:05:45,960 --> 02:05:47,480 SAY ALWAYS GO BACK TO THE 2677 02:05:47,480 --> 02:05:50,760 SPECIFIC TRIBE YOU'RE WORKING 2678 02:05:50,760 --> 02:05:53,560 WITH OR A PART OF BUT SOMETIMES 2679 02:05:53,560 --> 02:05:55,800 IT'S HARD TO GET ACCESS TO THE 2680 02:05:55,800 --> 02:05:57,000 BIRTHING PRACTICES AND THERE'S 2681 02:05:57,000 --> 02:06:00,120 GREAT WORK ON BIRTHING PRACTICES 2682 02:06:00,120 --> 02:06:02,520 ACROSS THE BOARD. 2683 02:06:02,520 --> 02:06:04,200 PARENTING PRACTICES IN 2684 02:06:04,200 --> 02:06:10,040 PARTICULAR, CROSS A NUMBER OF 2685 02:06:10,040 --> 02:06:12,000 TRIBES AND APPROXIMATELY 140 2686 02:06:12,000 --> 02:06:14,440 TRIBES THAT ONE PARTICULAR ROLE 2687 02:06:14,440 --> 02:06:15,800 TWO SPIRIT FEEL FULFILL IN 2688 02:06:15,800 --> 02:06:17,320 COMMUNITY IS PARENTING CHILDREN 2689 02:06:17,320 --> 02:06:18,440 AND BEING THE EXPERT PARENT TO 2690 02:06:18,440 --> 02:06:21,080 THE COMMUNITY AND HAVING A ROLE 2691 02:06:21,080 --> 02:06:23,680 OF NURTURING OTHERS EVEN TO THE 2692 02:06:23,680 --> 02:06:25,320 POINT OF SOME TWO SPIRITS WENT 2693 02:06:25,320 --> 02:06:27,720 TO THE BATTLEFIELD AND THEY WERE 2694 02:06:27,720 --> 02:06:29,040 RESPONSIBLE FOR THE CARE GIVING 2695 02:06:29,040 --> 02:06:29,760 OF PEOPLE AS WELL. 2696 02:06:29,760 --> 02:06:33,040 THAT NURTURING ROLE OR CARE 2697 02:06:33,040 --> 02:06:36,280 GIVING ROLE WAS VERY IMPORTANT 2698 02:06:36,280 --> 02:06:38,560 AND AN EXAMPLE WHEN I WAS DOING 2699 02:06:38,560 --> 02:06:41,600 OUR TWO SPIRIT HONOR PROJECT 2700 02:06:41,600 --> 02:06:46,000 STUDY I ASKED A COLLEAGUE WHO IS 2701 02:06:46,000 --> 02:06:47,640 TWO SPIRIT IN OKLAHOMA IN A 2702 02:06:47,640 --> 02:06:50,000 TRADITIONAL COMMUNITY AND A SAID 2703 02:06:50,000 --> 02:06:52,440 WHAT'S IT LIKE BEING GAY IN THAT 2704 02:06:52,440 --> 02:06:55,320 COMMUNITY AND SAID WELL I'M ONLY 2705 02:06:55,320 --> 02:06:59,000 GAY IN TULSA BUT I'M HAPPY IN MY 2706 02:06:59,000 --> 02:06:59,840 COMMUNITY. 2707 02:06:59,840 --> 02:07:01,840 HE'S THE ONE THAT TAKES CARE OF 2708 02:07:01,840 --> 02:07:06,640 THE CHILDREN AND DOES THE 2709 02:07:06,640 --> 02:07:09,000 BEADWORK OR THE COMMUNITY AND HE 2710 02:07:09,000 --> 02:07:10,920 UNDERSTOOD HIS ROLE AS BEING 2711 02:07:10,920 --> 02:07:11,840 NURTURING AND LOVING AND VERY 2712 02:07:11,840 --> 02:07:13,600 MUCH ACCEPTED. 2713 02:07:13,600 --> 02:07:16,400 SO THIS CONCEPT OF GAY IN THE 2714 02:07:16,400 --> 02:07:18,040 WESTERN FRAMEWORK WAS WHEN HE 2715 02:07:18,040 --> 02:07:22,280 WENT TO TULSA. 2716 02:07:22,280 --> 02:07:23,680 I THINK IT'S A GREAT OPPORTUNITY 2717 02:07:23,680 --> 02:07:25,400 TO BUILD ON THAT. 2718 02:07:25,400 --> 02:07:26,600 IN TERMS OF SPECIFIC BIRTHING 2719 02:07:26,600 --> 02:07:31,080 AND PARENTING PRACTICES, IT'S 2720 02:07:31,080 --> 02:07:33,360 UNIQUE TO THE TRIBES AND STORIES 2721 02:07:33,360 --> 02:07:36,440 AND THE OTTER STORY OF IT 2722 02:07:36,440 --> 02:07:37,840 TELLING YOU WHEN THE BIRTH WILL 2723 02:07:37,840 --> 02:07:39,120 HAPPEN BECAUSE THE BABY MOVE AND 2724 02:07:39,120 --> 02:07:41,960 THERE'S A STORY ABOUT THE 2725 02:07:41,960 --> 02:07:44,440 IMPORTANCE OF THE WATER AND 2726 02:07:44,440 --> 02:07:46,560 THERE'S STORIES AROUND THAT 2727 02:07:46,560 --> 02:07:50,040 THAT'S NOT NECESSARILY TIED TO 2728 02:07:50,040 --> 02:07:50,280 GENDER. 2729 02:07:50,280 --> 02:07:53,200 A LOT OF OUR NATIVE LANGUAGES IN 2730 02:07:53,200 --> 02:07:57,360 CHOCTAW WE DON'T HAVE A HE AND 2731 02:07:57,360 --> 02:07:57,640 SHE. 2732 02:07:57,640 --> 02:08:01,360 THERE'S BODIES AND IDENTITIES 2733 02:08:01,360 --> 02:08:03,440 AND EXPRESSIONS. 2734 02:08:03,440 --> 02:08:04,640 IDENTITY AND EXPRESSION DOESN'T 2735 02:08:04,640 --> 02:08:05,920 NECESSARILY HAVE TO MATCH. 2736 02:08:05,920 --> 02:08:07,200 WHAT YOUR BODY AND GIVE TO THE 2737 02:08:07,200 --> 02:08:08,000 WORLD IS PART OF WHAT WE ALL 2738 02:08:08,000 --> 02:08:11,120 LOVE. 2739 02:08:11,120 --> 02:08:12,960 SO I HOPE THAT HELPS A LITTLE 2740 02:08:12,960 --> 02:08:13,640 BIT IN TERMS OF UNDERSTANDING 2741 02:08:13,640 --> 02:08:23,200 THE COMPLEXITY. 2742 02:08:23,200 --> 02:08:23,960 >>THANK YOU. 2743 02:08:23,960 --> 02:08:25,520 I WANT TO BE MINDFUL SO 2744 02:08:25,520 --> 02:08:26,720 EVERYBODY GETS A BREAK AND MAYBE 2745 02:08:26,720 --> 02:08:27,840 WE CAN SHARE THAT WITH THE 2746 02:08:27,840 --> 02:08:31,640 PERSON. 2747 02:08:31,640 --> 02:08:33,080 AND IN CLOSING THANK YOU FOR 2748 02:08:33,080 --> 02:08:36,080 YOUR UNIQUE TAKES ON THIS 2749 02:08:36,080 --> 02:08:38,480 COMPLEX BUT IMPORTANT ASPECT OF 2750 02:08:38,480 --> 02:08:41,920 RESEARCH AND LIVELIHOOD AND 2751 02:08:41,920 --> 02:08:44,360 GENERAL EXPERIENCES OF SGM 2752 02:08:44,360 --> 02:08:45,400 PEOPLE AND PEOPLE WRIT LARGE. 2753 02:08:45,400 --> 02:08:47,720 THANK YOU SO MUCH FOR YOUR TIME 2754 02:08:47,720 --> 02:08:49,480 AND WE APPRECIATE YOU HAVING YOU 2755 02:08:49,480 --> 02:08:51,160 HERE AND HOPEFULLY WE'LL GET TO 2756 02:08:51,160 --> 02:08:53,920 SEE YOU LATER FOR BREAKOUT 2757 02:08:53,920 --> 02:08:55,280 SESSIONS OR STAY FOR THE OTHER 2758 02:08:55,280 --> 02:08:59,160 FOLLOWING SESSIONS BUT IN THE 2759 02:08:59,160 --> 02:09:01,280 MEANTIME WE'LL TAKE A BREAK TO 2760 02:09:01,280 --> 02:09:01,880 12:15 AND SEE YOU BACK AFTER 2761 02:09:01,880 --> 02:09:09,360 THAT. 2762 02:09:09,360 --> 02:09:32,800 >>WELCOME BACK. 2763 02:09:32,800 --> 02:09:38,680 FIRST WE'LL START BY DR 2764 02:09:38,680 --> 02:09:40,800 DRDR 2765 02:09:40,800 --> 02:09:42,360 DRDR. BA 2766 02:09:42,360 --> 02:09:46,480 DR. BAUERMEISTER AT THE 2767 02:09:46,480 --> 02:09:54,520 UNIVERSITY OF PENNSYLVANIA. 2768 02:09:54,520 --> 02:09:57,960 >>THANK YOU. 2769 02:09:57,960 --> 02:09:59,200 GOOD AFTERNOON. 2770 02:09:59,200 --> 02:10:00,760 IT'S A PLEASURE TO JOIN THIS 2771 02:10:00,760 --> 02:10:04,600 EXCITING TWO-DAY WORKSHOP. 2772 02:10:04,600 --> 02:10:05,440 I'M LEARNING A LOT. 2773 02:10:05,440 --> 02:10:10,560 IT'S A PRIVILEGE. 2774 02:10:10,560 --> 02:10:13,440 I WANT TO WANT TO LOOK AT THE 2775 02:10:13,440 --> 02:10:14,320 OPPORTUNITIES REGARDING 2776 02:10:14,320 --> 02:10:15,840 INTERVENTION RESEARCH AND IT WAS 2777 02:10:15,840 --> 02:10:17,640 QUITE A DAUNTING TASK AND 2778 02:10:17,640 --> 02:10:19,640 CHANCES ARE AFTER 15 MINUTES 2779 02:10:19,640 --> 02:10:23,040 I'LL SKIM THE SURFACE BUT IN THE 2780 02:10:23,040 --> 02:10:25,600 NEXT 15 MINUTES OR SO WE HAVE 2781 02:10:25,600 --> 02:10:28,720 TOGETHER I'M GOING HIGHLIGHT SIX 2782 02:10:28,720 --> 02:10:30,320 KEY AREAS RIPE FOR INTERVENTION 2783 02:10:30,320 --> 02:10:31,240 AND GROWTH WITH RESEARCH AND 2784 02:10:31,240 --> 02:10:33,720 WHAT I TRIED TO DO IS MAP THE 2785 02:10:33,720 --> 02:10:35,520 AREAS TO THE INTERVENTION 2786 02:10:35,520 --> 02:10:37,160 DEVELOPMENT PROCESS INCLUDING 2787 02:10:37,160 --> 02:10:38,880 IDENTIFYING THE PROBLEM OR THE 2788 02:10:38,880 --> 02:10:39,920 SOLUTION, DEFINING THE 2789 02:10:39,920 --> 02:10:41,600 POPULATION OF INTEREST, FRAMING 2790 02:10:41,600 --> 02:10:44,160 THE PREMISE AND ALIGNMENT WITH 2791 02:10:44,160 --> 02:10:44,920 EVIDENCE-BASED INTERVENTION 2792 02:10:44,920 --> 02:10:46,280 STRATEGIES AND FINALLY THINKING 2793 02:10:46,280 --> 02:10:49,640 ABOUT EVALUATION AND DESIGN. 2794 02:10:49,640 --> 02:10:51,080 NOW, GIVEN TO THE OPPORTUNITY 2795 02:10:51,080 --> 02:10:53,080 FOR THE TALK I WANT TO SHARE 2796 02:10:53,080 --> 02:10:56,560 OTHER CONSIDERATIONS UNIQUE TO 2797 02:10:56,560 --> 02:11:00,480 SGM RESEARCH I THINK COULD AC 2798 02:11:00,480 --> 02:11:03,720 ACCELERATE THE STATE OF THE 2799 02:11:03,720 --> 02:11:03,920 SCIENCE. 2800 02:11:03,920 --> 02:11:06,440 WHEN I THINK OF THE STATE OF THE 2801 02:11:06,440 --> 02:11:08,160 SCIENCE I THINK OF THE 2802 02:11:08,160 --> 02:11:09,760 MULTI-LEVEL FACTORS CONTRIBUTING 2803 02:11:09,760 --> 02:11:12,720 TO SGM FACT AND HOW TO INTERVENE 2804 02:11:12,720 --> 02:11:14,120 EFFECTIVELY. 2805 02:11:14,120 --> 02:11:18,040 I'LL MAKE A SHAMELESS PLUG TO 2806 02:11:18,040 --> 02:11:21,000 LOOK AT THE FRAMEWORK AS A WAY 2807 02:11:21,000 --> 02:11:24,840 TO GUIDE FUTURE SCIENCE FOR SGM 2808 02:11:24,840 --> 02:11:25,080 HEALTH. 2809 02:11:25,080 --> 02:11:27,800 WE LOOK AT FEDERAL PRIORITIES 2810 02:11:27,800 --> 02:11:31,360 SEEKING TO IMPROVE HEALTH OF SGM 2811 02:11:31,360 --> 02:11:33,000 PEOPLE AND A WAS GRATEFUL FOR 2812 02:11:33,000 --> 02:11:35,400 SOME OF THE CONVERSATION THAT 2813 02:11:35,400 --> 02:11:38,120 STARTED YESTERDAY AND HERE'S A 2814 02:11:38,120 --> 02:11:41,360 FEDERAL INITIATIVE THAT SETS 2815 02:11:41,360 --> 02:11:43,520 TARGETS FOR LGBTQ HEALTH SET IN 2816 02:11:43,520 --> 02:11:45,280 FIVE KEY AREAS FOR THIS PROJECT. 2817 02:11:45,280 --> 02:11:48,400 THE FIRST IS THINKING ABOUT 2818 02:11:48,400 --> 02:11:52,920 BULLYING FOR ADD LESS -- 2819 02:11:52,920 --> 02:11:55,440 ADOLESCENTS AND ALCOHOL USE AND 2820 02:11:55,440 --> 02:11:56,760 MENTAL HEALTH AND HIV AND OTHER 2821 02:11:56,760 --> 02:12:00,720 SEXUALLY TRANSMITTED INFECTIONS 2822 02:12:00,720 --> 02:12:04,960 AND THE INCLUSION OF DATA AND 2823 02:12:04,960 --> 02:12:11,680 THERE'S INDICATORS FOCUSSED ON 2824 02:12:11,680 --> 02:12:12,840 CISGENDER AND SPECIFIC 2825 02:12:12,840 --> 02:12:17,760 INDICATORS AND OF THE INDICATORS 2826 02:12:17,760 --> 02:12:22,600 CURRENT LY TRACKED OF NOTE NONE 2827 02:12:22,600 --> 02:12:25,040 OF THE TRANS SPECIFIC INDICATORS 2828 02:12:25,040 --> 02:12:26,560 HAVE PROGRESSED. 2829 02:12:26,560 --> 02:12:29,400 ALONG SIDE THE TARGETS SET 2830 02:12:29,400 --> 02:12:30,160 FORWARD WE CAN THINK OF THE 2831 02:12:30,160 --> 02:12:32,560 NATIONAL ACADEMY AND THEIR 2020 2832 02:12:32,560 --> 02:12:36,120 REPORT ON THE STATE OF SCIENCE 2833 02:12:36,120 --> 02:12:39,040 FOR LGBTQ PEOPLE LOOKING AT 2834 02:12:39,040 --> 02:12:40,000 CORRELATES THAT REQUIRE 2835 02:12:40,000 --> 02:12:41,120 ATTENTION GIVEN THE RELATIONSHIP 2836 02:12:41,120 --> 02:12:44,600 FOR THE HEALTH AND WELL BEING OF 2837 02:12:44,600 --> 02:12:47,720 OUR COMMUNITIES INCLUDING HEALTH 2838 02:12:47,720 --> 02:12:52,480 CARE, ECONOMIC STABILITY, 2839 02:12:52,480 --> 02:13:03,040 EDUCATION, FAMIAL RELATIONSHIPS 2840 02:13:08,920 --> 02:13:10,560 AND I WANT TO TAKE A MOMENT TO 2841 02:13:10,560 --> 02:13:13,360 THANK THE TEAM AT NIH FOR 2842 02:13:13,360 --> 02:13:17,480 PROVIDING THE ANALYSIS OF 2843 02:13:17,480 --> 02:13:19,240 NIH-FUNDED STUDIES AS I HELPS 2844 02:13:19,240 --> 02:13:20,280 THINK ABOUT THE RESEARCH. 2845 02:13:20,280 --> 02:13:22,320 THIS COMES FROM THE 2020 2846 02:13:22,320 --> 02:13:24,160 PORTFOLIO ANALYSIS AND THE TOTAL 2847 02:13:24,160 --> 02:13:25,800 NUMBER OF SGM PROJECTED 2848 02:13:25,800 --> 02:13:30,160 INCREASED BY 66% SINCE GOING 2849 02:13:30,160 --> 02:13:33,280 FROM 300 TO OVER 500 PROJECTS 2850 02:13:33,280 --> 02:13:36,480 WHICH IS EXCITING TRACTION WE 2851 02:13:36,480 --> 02:13:37,280 ARE GAINING IN OUR SCIENTIFIC 2852 02:13:37,280 --> 02:13:38,480 AGENDA AND I WANT TO TALK ABOUT 2853 02:13:38,480 --> 02:13:41,840 THE PLACES WE CAN GROW MORE. 2854 02:13:41,840 --> 02:13:44,960 APPROXIMATELY A THIRD OF THE 2855 02:13:44,960 --> 02:13:46,280 STUDIES CATEGORIZED WERE PROOF 2856 02:13:46,280 --> 02:13:49,560 OF CONCEPTS OR IDENTIFIED AS 2857 02:13:49,560 --> 02:13:50,840 PILOT TRIALS AND ANOTHER THIRD 2858 02:13:50,840 --> 02:13:53,160 OF THOSE PROJECTS WERE EITHER 2859 02:13:53,160 --> 02:13:54,960 RANDOMIZED TRIALS OR 2860 02:13:54,960 --> 02:13:57,360 NON-RANDOMIZED INTERVENTION 2861 02:13:57,360 --> 02:13:57,720 STUDIES. 2862 02:13:57,720 --> 02:13:59,600 HOWEVER, EXISTING FUNDED 2863 02:13:59,600 --> 02:14:01,600 PROJECTS THAT FOCUS ON SGM 2864 02:14:01,600 --> 02:14:03,000 POPULATIONS WHETHER THEY BE 2865 02:14:03,000 --> 02:14:05,840 DESCRIPTIVE OR INTERVENTIONAL IN 2866 02:14:05,840 --> 02:14:08,760 NEARBY WERE NOT ACCURATELY 2867 02:14:08,760 --> 02:14:09,960 REPRESENTED ACROSS SGM 2868 02:14:09,960 --> 02:14:12,360 CATEGORIES BY AGE GROUPS OR 2869 02:14:12,360 --> 02:14:15,280 RACIAL ETHNIC GROUPS OR OTHER 2870 02:14:15,280 --> 02:14:18,480 SOCIAL FACTORS. 2871 02:14:18,480 --> 02:14:22,120 THESE SOCIAL DETERMINATES OF 2872 02:14:22,120 --> 02:14:24,920 HEALTH WERE LOOKED AT TEST AND 2873 02:14:24,920 --> 02:14:29,320 SCALE AND BEING EVALUATED BY ALL 2874 02:14:29,320 --> 02:14:29,960 SGM PEOPLE NO MATTER WHERE THEY 2875 02:14:29,960 --> 02:14:31,320 LIVE. 2876 02:14:31,320 --> 02:14:34,160 AND THE EXPLORATION OF 2877 02:14:34,160 --> 02:14:35,200 INTERVENTION RESEARCH THROUGH 2878 02:14:35,200 --> 02:14:37,520 NIH WILL REQUIRE SEVERAL 2879 02:14:37,520 --> 02:14:38,960 CONSIDERATIONS INCLUDING 2880 02:14:38,960 --> 02:14:41,720 INCLUSION OF SGM PEOPLE IN 2881 02:14:41,720 --> 02:14:42,560 INTERVENTION RESEARCH AND WE 2882 02:14:42,560 --> 02:14:44,320 LOOKED AROUND SAMPLE SIZES. 2883 02:14:44,320 --> 02:14:46,800 BEFORE WE TALK ABOUT POWER AND 2884 02:14:46,800 --> 02:14:48,480 SAMPLE SIZE I WANT TO REMIND US 2885 02:14:48,480 --> 02:14:50,080 THERE ARE FOUR KEY QUESTIONS 2886 02:14:50,080 --> 02:14:52,080 AROUND HOW AND WITH WHOM WE'RE 2887 02:14:52,080 --> 02:14:52,920 DESIGNING DISPARITIES RESEARCH 2888 02:14:52,920 --> 02:14:56,520 INTERVENTIONS. 2889 02:14:56,520 --> 02:15:00,360 FIRST, WHAT HEALTH DISPARITY 2890 02:15:00,360 --> 02:15:00,840 INTERVENTION RESEARCH 2891 02:15:00,840 --> 02:15:02,160 OPPORTUNITIES FOR SGM PEOPLE AND 2892 02:15:02,160 --> 02:15:04,400 INTERVENTION RESEARCH WITHOUT 2893 02:15:04,400 --> 02:15:08,200 THE NEED FOR A CISGENDER OR 2894 02:15:08,200 --> 02:15:09,520 HETRO COMPARATOR AND WHAT 2895 02:15:09,520 --> 02:15:10,800 OPPORTUNITIES ARE THERE TO 2896 02:15:10,800 --> 02:15:11,640 UNDERSTAND DIFFERENTIAL 2897 02:15:11,640 --> 02:15:13,600 INTERVENTION TAILORING, 2898 02:15:13,600 --> 02:15:15,080 FEASIBILITY, ACCEPTABILITY, 2899 02:15:15,080 --> 02:15:17,440 EFFICACY AND EFFECTIVENESS 2900 02:15:17,440 --> 02:15:19,720 ACROSS SGM GROUPS INCLUSIVE OF 2901 02:15:19,720 --> 02:15:21,400 DIFFERENCES IN VARIABILITY BY 2902 02:15:21,400 --> 02:15:23,120 RACE, ETHNICITY, AGE, RACE, 2903 02:15:23,120 --> 02:15:25,320 ETCETERA. 2904 02:15:25,320 --> 02:15:28,600 WHEN IS IT APPROPRIATE TO MAKE 2905 02:15:28,600 --> 02:15:29,320 INTERVENTION COMPARISONS BETWEEN 2906 02:15:29,320 --> 02:15:33,040 MAJORITY AND MINORITY GROUPS AND 2907 02:15:33,040 --> 02:15:35,960 IN PARTICULAR WHERE MY SGM 2908 02:15:35,960 --> 02:15:37,880 INTERVENTION RESEARCH OFFER 2909 02:15:37,880 --> 02:15:41,880 INSIGHTS THAT CAN BE TRANSFERRED 2910 02:15:41,880 --> 02:15:44,200 AND SCALE TO CISGENDER 2911 02:15:44,200 --> 02:15:46,240 HETEROSEXUAL COMMUNITIES AND 2912 02:15:46,240 --> 02:15:47,320 BESIDES THINKING OF PARTICIPANTS 2913 02:15:47,320 --> 02:15:49,040 IN INTERVENTIONS, WHAT 2914 02:15:49,040 --> 02:15:51,440 STAKEHOLDERS NEED TO BE INCLUDED 2915 02:15:51,440 --> 02:15:54,280 TO ENSURE EQUITABLE OF 2916 02:15:54,280 --> 02:15:55,880 EVIDENCE-BASED INTERVENTIONS. 2917 02:15:55,880 --> 02:15:58,160 AND ONE CHALLENGE WE FACE IN 2918 02:15:58,160 --> 02:15:59,400 INTERVENTION RESEARCH HAS BEEN 2919 02:15:59,400 --> 02:16:00,920 HIGHLIGHTED IN PRIOR TALKS IS 2920 02:16:00,920 --> 02:16:03,200 THE IDEA OF SUFFICIENT SAMPLE 2921 02:16:03,200 --> 02:16:04,520 SIZE TO DETECT AND DESIGN 2922 02:16:04,520 --> 02:16:06,480 MEANINGFUL EFFECTS. 2923 02:16:06,480 --> 02:16:09,880 I'D LIKE TO THINK OF SAMPLE SIZE 2924 02:16:09,880 --> 02:16:11,840 AND POWER AS IT RELATES TO THE 2925 02:16:11,840 --> 02:16:12,240 CHALLENGE. 2926 02:16:12,240 --> 02:16:13,480 HOW CAN WE SECURE THE 2927 02:16:13,480 --> 02:16:16,560 APPROPRIATE RESEARCHES TO 2928 02:16:16,560 --> 02:16:17,680 OVERCOME SAMPLING AND 2929 02:16:17,680 --> 02:16:19,080 REPRESENTATIONAL CHALLENGES AND 2930 02:16:19,080 --> 02:16:21,640 AT THE END I'LL SPEAK TO IDEAS 2931 02:16:21,640 --> 02:16:23,960 REGARDING FUNDING MECHANISMS AND 2932 02:16:23,960 --> 02:16:25,080 PARTNERSHIPS THAT MAY HELP SOLVE 2933 02:16:25,080 --> 02:16:26,160 SOME CONCERNS. 2934 02:16:26,160 --> 02:16:27,920 I WANT TO STOP FOR A SECOND AND 2935 02:16:27,920 --> 02:16:32,320 THINK OF THE VALUE OF HARMONIZED 2936 02:16:32,320 --> 02:16:34,440 MEASURES AND THE VALUE OUTSIDE 2937 02:16:34,440 --> 02:16:36,840 OF INVESTIGATOR INITIATED 2938 02:16:36,840 --> 02:16:37,120 PROJECTS. 2939 02:16:37,120 --> 02:16:40,120 THERE'S AN OPPORTUNITY TO CREATE 2940 02:16:40,120 --> 02:16:43,760 A COST-PROTOCOL DATA BANK, IF 2941 02:16:43,760 --> 02:16:45,680 YOU WILL, BY WHICH ALL NIH 2942 02:16:45,680 --> 02:16:48,200 STUDIES AND INTERVENTIONS 2943 02:16:48,200 --> 02:16:49,120 PROVIDING PRELIMINARY EVIDENCE 2944 02:16:49,120 --> 02:16:50,960 BY INCLUDING SGM HARMONIZED 2945 02:16:50,960 --> 02:16:51,440 INDICATORS. 2946 02:16:51,440 --> 02:16:55,360 THIS APPROACH MAY HELP PROVIDE 2947 02:16:55,360 --> 02:16:57,080 FIRST PRELIMINARY DATA FOR SGM 2948 02:16:57,080 --> 02:16:58,680 RESEARCHERS TO THINK WHETHER 2949 02:16:58,680 --> 02:17:00,280 THERE'S ALREADY SOME SIGNAL THAT 2950 02:17:00,280 --> 02:17:02,480 AN INTERVENTION THAT HAS BEEN 2951 02:17:02,480 --> 02:17:04,920 BUILT FOR ANOTHER PURPOSE IS 2952 02:17:04,920 --> 02:17:07,440 ACCEPTABLE AND FEASIBLE FOR SGM 2953 02:17:07,440 --> 02:17:11,680 PEOPLE CIRCUMVENTING THE NEED TO 2954 02:17:11,680 --> 02:17:16,000 REINVENT THE INVENTION WHEEL AND 2955 02:17:16,000 --> 02:17:22,280 OFFERS OPPORTUNITIES FOR 2956 02:17:22,280 --> 02:17:24,040 CROSS-PROTOCOL LEARNING AND IN 2957 02:17:24,040 --> 02:17:27,680 RECRUITING SGM PARTICIPANTS, A 2958 02:17:27,680 --> 02:17:32,000 PLATFORM COULD HELP MAP OUT SGM 2959 02:17:32,000 --> 02:17:37,520 DATA TO ALLOW FOR TIF ANALYSIS. 2960 02:17:37,520 --> 02:17:40,400 AND I'LL POINT BACK TO THE 2961 02:17:40,400 --> 02:17:42,000 CONSENSUS REPORTS ON HARMONIZED 2962 02:17:42,000 --> 02:17:43,920 DATA AROUND VALUES THAT MAY HELP 2963 02:17:43,920 --> 02:17:47,800 UNDERSTAND INCLUSIVENESS, 2964 02:17:47,800 --> 02:17:53,400 DECISION, AUTONOMY AND PRIVACY. 2965 02:17:53,400 --> 02:17:57,160 AND THERE'S HEALTH DISPARITIES 2966 02:17:57,160 --> 02:17:59,800 AS EXPLAINED ON THE LEFT SIDE 2967 02:17:59,800 --> 02:18:04,400 AND IT REMAINS CRUCIAL WE START 2968 02:18:04,400 --> 02:18:05,480 MAPPING THE RESEARCH ON 2969 02:18:05,480 --> 02:18:10,080 DETERMINATES OF HEALTH AND WELL 2970 02:18:10,080 --> 02:18:12,120 BEING AND WE NEED TO START BEING 2971 02:18:12,120 --> 02:18:14,680 MORE CAREFUL HOW TO CREATE A 2972 02:18:14,680 --> 02:18:21,760 ROAD MAP ACCESSIBLE TO ALL 2973 02:18:21,760 --> 02:18:24,560 VARIABLES CAN BE MARIED TO 2974 02:18:24,560 --> 02:18:26,000 INTERVENTIONS AND MECHANISMS. 2975 02:18:26,000 --> 02:18:27,640 WHETHER IT'S INDIVIDUALLY OR 2976 02:18:27,640 --> 02:18:28,200 ACROSS DIFFERENT LEVELS OF 2977 02:18:28,200 --> 02:18:30,760 INTERVENTION. 2978 02:18:30,760 --> 02:18:33,160 THIS MAPPING EXERCISE WOULD HELP 2979 02:18:33,160 --> 02:18:36,640 AMPLIFY THE CONSTELLATION FROM 2980 02:18:36,640 --> 02:18:38,640 INTERVENTION AT A FASTER PACE 2981 02:18:38,640 --> 02:18:42,880 AND CREATE A SECURE OR GROWING 2982 02:18:42,880 --> 02:18:44,480 EVIDENCE BASED INVENTORY OF WHAT 2983 02:18:44,480 --> 02:18:47,200 SOLID AND RIGOROUS LEVEL 2984 02:18:47,200 --> 02:18:47,760 INTERVENTION THEORIES AND 2985 02:18:47,760 --> 02:18:50,520 STRATEGY LINKED TO IMPROVEMENTS 2986 02:18:50,520 --> 02:18:53,160 IN ALL OR IN SOME SGM 2987 02:18:53,160 --> 02:18:59,400 POPULATIONS. 2988 02:18:59,400 --> 02:19:00,880 AND YOU HAVE THEORIES AND 2989 02:19:00,880 --> 02:19:02,400 INTERVENTION THEORIES AND 2990 02:19:02,400 --> 02:19:04,680 APPROACHES AND WE HAVE TO THINK 2991 02:19:04,680 --> 02:19:06,840 OF KEY INTERVENTION DELIVERY 2992 02:19:06,840 --> 02:19:08,440 MODES INCLUDING BIO MEDICAL 2993 02:19:08,440 --> 02:19:10,320 INTERVENTIONS, DIGITAL 2994 02:19:10,320 --> 02:19:13,000 INTERVENTIONS, ECOLOGICAL 2995 02:19:13,000 --> 02:19:16,400 INTERVENTIONS, COMMUNITY 2996 02:19:16,400 --> 02:19:17,800 INTERVENTIONS, MULTI-LEVEL 2997 02:19:17,800 --> 02:19:20,560 INTERVENTIONS AND SOME TOPICS 2998 02:19:20,560 --> 02:19:22,200 HAVE COME UP BUT I'M EXCITED FOR 2999 02:19:22,200 --> 02:19:24,240 THE REMAINING OF THE DAY AS SOME 3000 02:19:24,240 --> 02:19:25,160 COLLEAGUES WILL BE TALKING ABOUT 3001 02:19:25,160 --> 02:19:29,160 THE ISSUES. 3002 02:19:29,160 --> 02:19:37,000 THERE'S ALSO AN OPPORTUNITY FOR 3003 02:19:37,000 --> 02:19:39,920 METHODOLOGIC INTERVENTION. 3004 02:19:39,920 --> 02:19:41,440 WE CAN THINK ABOUT ADAPTIVE 3005 02:19:41,440 --> 02:19:44,800 DESIGNS OR INTERVENTIONS THAT 3006 02:19:44,800 --> 02:19:46,800 CAN BE DEPLOYED TO THINK ABOUT 3007 02:19:46,800 --> 02:19:49,400 HOW TO INCREASE STRATEGY 3008 02:19:49,400 --> 02:19:51,880 INTENSITY IF THE INTERIM OUTCOME 3009 02:19:51,880 --> 02:19:53,000 TARGETS WE'RE INTERESTED IN 3010 02:19:53,000 --> 02:19:54,320 AREN'T BEING MET SIMILAR TO A 3011 02:19:54,320 --> 02:19:55,200 SMART DESIGN. 3012 02:19:55,200 --> 02:19:57,840 WE CAN THINK OF MULTI-LEVEL 3013 02:19:57,840 --> 02:19:59,360 APPROACHES LIKE HYBRID 3014 02:19:59,360 --> 02:20:01,160 IMPLEMENTATION TRIALS AS TALKED 3015 02:20:01,160 --> 02:20:01,760 ABOUT YESTERDAY TO HELP 3016 02:20:01,760 --> 02:20:05,320 UNDERSTAND EFFECTIVENESS OF AN 3017 02:20:05,320 --> 02:20:07,000 INTERVENTION AND IMPLEMENTATION 3018 02:20:07,000 --> 02:20:07,920 OPPORTUNITIES TO SCALE AND 3019 02:20:07,920 --> 02:20:09,000 SUSTAIN THE WORK IN THE REAL 3020 02:20:09,000 --> 02:20:09,400 WORLD. 3021 02:20:09,400 --> 02:20:12,040 WE CAN THINK OF FAMILY LEVEL 3022 02:20:12,040 --> 02:20:14,600 INTERVENTIONS FOR PARENTS AND 3023 02:20:14,600 --> 02:20:16,840 YOUTH AND PERHAPS OTHER MEMBERS 3024 02:20:16,840 --> 02:20:18,160 AROUND HEALTH IMPROVEMENT. 3025 02:20:18,160 --> 02:20:21,400 WE CAN THINK ABOUT BIG DATA AND 3026 02:20:21,400 --> 02:20:22,240 INFORMATICS. 3027 02:20:22,240 --> 02:20:25,080 HOW CAN WE BEST USE BIO 3028 02:20:25,080 --> 02:20:26,000 INFORMATIC TOOLS TO ASSESS 3029 02:20:26,000 --> 02:20:29,520 WHETHER CLINICAL SAFETY OR 3030 02:20:29,520 --> 02:20:31,320 EFFECTIVENESS IS DIFFERING 3031 02:20:31,320 --> 02:20:33,840 ACROSS SGM POPULATIONS AND 3032 02:20:33,840 --> 02:20:35,360 HEALTH CARE AND THAT CAN 3033 02:20:35,360 --> 02:20:37,240 ACTIVATE QUALITY IMPROVEMENT AND 3034 02:20:37,240 --> 02:20:39,360 CONTROL TEAMS TO REVIEW THEIR 3035 02:20:39,360 --> 02:20:42,400 PROTOCOLS AND PUT TOGETHER RAPID 3036 02:20:42,400 --> 02:20:43,120 IMPROVEMENTS TO EQUITABLY 3037 02:20:43,120 --> 02:20:45,480 ADDRESS DELIVERY OF CARE. 3038 02:20:45,480 --> 02:20:47,240 FINALLY, WE STARTED TALKING 3039 02:20:47,240 --> 02:20:49,800 ABOUT STRUCTURAL LEVEL 3040 02:20:49,800 --> 02:20:54,440 INDICATORS AND POLICIES ON 3041 02:20:54,440 --> 02:20:54,920 CONSTRAINT ANALYSIS. 3042 02:20:54,920 --> 02:21:01,720 IT'S EXCITING TO THINK ABOUT 3043 02:21:01,720 --> 02:21:06,560 DIFFERENCE AND DIFFERENCES 3044 02:21:06,560 --> 02:21:12,360 DESIGN OR IN LOOKING AT WHAT 3045 02:21:12,360 --> 02:21:13,720 STRATEGIES WOULD LEAD TO MORE 3046 02:21:13,720 --> 02:21:18,760 POPULATION-LEVEL IMPROVEMENTS. 3047 02:21:18,760 --> 02:21:20,600 FINALLY, I RECOGNIZE THIS WILL 3048 02:21:20,600 --> 02:21:24,040 REQUIRE VARIOUS MECHANISMS TO 3049 02:21:24,040 --> 02:21:25,640 SUPPORT THE WORK THROUGH 3050 02:21:25,640 --> 02:21:28,200 TRADITIONAL ARM MECHANISMS AND 3051 02:21:28,200 --> 02:21:30,840 MAY ADDRESS SOME OF THE EXISTING 3052 02:21:30,840 --> 02:21:32,680 AND MORE STRUCTURAL CHALLENGES 3053 02:21:32,680 --> 02:21:34,400 RAISED INCLUDING THE RECRUITMENT 3054 02:21:34,400 --> 02:21:35,600 OF DIVERSE POPULATIONS ACROSS 3055 02:21:35,600 --> 02:21:39,160 THE U.S. AND GLOBALLY AND 3056 02:21:39,160 --> 02:21:46,240 HARMONIZATION OF EFFORTS IN A 3057 02:21:46,240 --> 02:21:49,920 SYNERGIZED WAY AND THERE'S A U4 3058 02:21:49,920 --> 02:21:51,840 MECHANISM AND THE 3059 02:21:51,840 --> 02:21:53,360 ACROSS-INSTITUTE NETWORKS AND WE 3060 02:21:53,360 --> 02:21:57,240 HAVE THE HIV PREVENTION TRIALS 3061 02:21:57,240 --> 02:22:01,080 NETWORK OR EVEN THE NIMHD WITH 3062 02:22:01,080 --> 02:22:05,360 NHLBI INITIATIVE TO ENSURE 3063 02:22:05,360 --> 02:22:07,080 COMMUNITY RESEARCH. 3064 02:22:07,080 --> 02:22:09,320 I'D BE REMISS TO TALK ABOUT NIH 3065 02:22:09,320 --> 02:22:10,800 IN A VACUUM. 3066 02:22:10,800 --> 02:22:12,520 I THINK IT'S IMPORTANT FOR ALL 3067 02:22:12,520 --> 02:22:14,480 OF TO US THINK ABOUT STRATEGIC 3068 02:22:14,480 --> 02:22:17,160 PARTNERSHIPS WITH THE COMMUNITY 3069 02:22:17,160 --> 02:22:19,320 SECTOR AND BUSINESS PARTNERS 3070 02:22:19,320 --> 02:22:23,400 THROUGH SBIR AND STTR MECHANISMS 3071 02:22:23,400 --> 02:22:27,720 TO BRIDGE BETWEEN OUR SILOS AND 3072 02:22:27,720 --> 02:22:29,560 HEALTH CARE SECTORS. 3073 02:22:29,560 --> 02:22:31,040 I THINK IT WILL ACCELERATE OUR 3074 02:22:31,040 --> 02:22:33,120 COLLECTIVE IMPACT. 3075 02:22:33,120 --> 02:22:35,520 AS WE THINK ABOUT SITUATING THE 3076 02:22:35,520 --> 02:22:36,160 CURRENT OPPORTUNITIES FOR 3077 02:22:36,160 --> 02:22:37,960 INTERVENTION RESEARCH I WANT TO 3078 02:22:37,960 --> 02:22:39,520 TAKE A MOMENT TO POINT YOU TO 3079 02:22:39,520 --> 02:22:41,520 THE PORTFOLIO ANALYSIS AND TALK 3080 02:22:41,520 --> 02:22:45,640 ABOUT THE PIPELINE OF WHERE WE 3081 02:22:45,640 --> 02:22:45,920 ARE. 3082 02:22:45,920 --> 02:22:52,680 THE NIH TOTAL FISCAL YEAR 3083 02:22:52,680 --> 02:22:55,000 REVIEWED NEW GRANTS HAD BEEN 3084 02:22:55,000 --> 02:22:58,000 SECURED WHICH WOULD SUGGEST OF 3085 02:22:58,000 --> 02:23:02,560 THE 500 PROJECTS GEARED TOWARDS 3086 02:23:02,560 --> 02:23:04,880 SGM POPULATION IT'S 1% OF ALL 3087 02:23:04,880 --> 02:23:05,600 FUNDED RESEARCH LOOKING AT SGM 3088 02:23:05,600 --> 02:23:09,600 HEALTH. 3089 02:23:09,600 --> 02:23:11,520 GIVEN THESE BACK OF THE ENVELOPE 3090 02:23:11,520 --> 02:23:12,760 ESTIMATES AND THE PROPORTION OF 3091 02:23:12,760 --> 02:23:15,200 NIH FUNDED PROJECTS FOCUSSED ON 3092 02:23:15,200 --> 02:23:16,640 SGM POPULATIONS AS NOTED IN THE 3093 02:23:16,640 --> 02:23:17,720 TABLE FROM THE PORTFOLIO 3094 02:23:17,720 --> 02:23:19,000 ANALYSIS, WE ALL COLLECTIVELY 3095 02:23:19,000 --> 02:23:21,280 HAVE A RESPONSIBILITY TO MOVE 3096 02:23:21,280 --> 02:23:21,920 IMPLEMENTATION AND INTERVENTION 3097 02:23:21,920 --> 02:23:23,560 SCIENCE FORWARD. 3098 02:23:23,560 --> 02:23:25,720 AS SCIENTISTS WE NEED TO 3099 02:23:25,720 --> 02:23:27,400 CONTINUE TO SUBMIT INTERVENTION 3100 02:23:27,400 --> 02:23:28,400 SCIENCE APPLICATIONS TO BRING 3101 02:23:28,400 --> 02:23:30,800 THE PERCENTAGE OF PROJECTS AT 3102 02:23:30,800 --> 02:23:31,760 NIH UP. 3103 02:23:31,760 --> 02:23:34,120 IF WE DON'T SUBMIT IT CAN'T BE 3104 02:23:34,120 --> 02:23:35,880 REVIEWED OR CONSIDERED FOR 3105 02:23:35,880 --> 02:23:36,160 FUNDING. 3106 02:23:36,160 --> 02:23:38,440 MY HOPE IS AS GREATER NUMBER OF 3107 02:23:38,440 --> 02:23:40,960 FOLKS START THINKING ABOUT SGM 3108 02:23:40,960 --> 02:23:42,880 HEALTH AS A VIABLE AREA OF 3109 02:23:42,880 --> 02:23:43,480 RESEARCH, WE WOULD START 3110 02:23:43,480 --> 02:23:44,640 INCREASING THE NUMBER OF 3111 02:23:44,640 --> 02:23:46,240 PROJECTS ALLOCATED TO MIRROR THE 3112 02:23:46,240 --> 02:23:48,920 HEALTH NEEDS OF OUR COMMUNITIES. 3113 02:23:48,920 --> 02:23:50,920 NOW, LONG SIDE MORE APPLICATIONS 3114 02:23:50,920 --> 02:23:53,560 IT REMAINS CRUCIAL INTERVENTION 3115 02:23:53,560 --> 02:23:55,000 RESEARCH WITH AND FOR SGM PEOPLE 3116 02:23:55,000 --> 02:23:57,000 ARE EMBEDDED ACROSS DIFFERENT 3117 02:23:57,000 --> 02:23:58,360 INSTITUTES AND CENTERS. 3118 02:23:58,360 --> 02:24:00,760 THERE'S STILL MUCH WE DON'T KNOW 3119 02:24:00,760 --> 02:24:03,760 REGARDING HOW TO IDENTIFY AND 3120 02:24:03,760 --> 02:24:05,840 ADDRESS SGM HEALTH DISPARITIES 3121 02:24:05,840 --> 02:24:11,560 AND INEQUITIES. 3122 02:24:11,560 --> 02:24:16,520 IN SUM, THE FIELD OF 3123 02:24:16,520 --> 02:24:18,080 INTERVENTION RESEARCH IS RIPE 3124 02:24:18,080 --> 02:24:21,280 FOR INTERVENTION. 3125 02:24:21,280 --> 02:24:23,400 WE HAVE DATA FOR REPRESENTATION 3126 02:24:23,400 --> 02:24:29,720 AND AS A WAY OF ACCELERATING THE 3127 02:24:29,720 --> 02:24:33,600 STATE OF THE SCIENCE AND TAILOR 3128 02:24:33,600 --> 02:24:35,720 THE NEEDS ACROSS THE SGM 3129 02:24:35,720 --> 02:24:36,000 CONTINUUM. 3130 02:24:36,000 --> 02:24:38,640 WE NEED BETTER THEORETICAL WORK 3131 02:24:38,640 --> 02:24:41,040 HOW TO MAP DETERMINATE SCIENCE 3132 02:24:41,040 --> 02:24:42,520 WITH INTERVENTION SCIENCE TO 3133 02:24:42,520 --> 02:24:43,840 BUILD BETTER INTERVENTIONS AND 3134 02:24:43,840 --> 02:24:45,240 BE ABLE TO REPLICATE THEM. 3135 02:24:45,240 --> 02:24:47,600 I'M EXCITED FOR ALL THE 3136 02:24:47,600 --> 02:24:49,000 INNOVATIONS COMING IN THE LARGER 3137 02:24:49,000 --> 02:24:52,720 FIELDS OF STUDY THAT HAVE HUGE 3138 02:24:52,720 --> 02:24:59,480 APPALACHIAN -- APPLICATIONS AND 3139 02:24:59,480 --> 02:25:01,880 CALL FOR MULTIPLE PARTNERSHIPS 3140 02:25:01,880 --> 02:25:03,360 TO GROW TOGETHER AND ADVANCE SGM 3141 02:25:03,360 --> 02:25:04,080 HEALTH SOLUTION. 3142 02:25:04,080 --> 02:25:05,800 WITH THAT I'LL LEAVE MY CONTACT 3143 02:25:05,800 --> 02:25:07,680 INFORMATION HERE AND LOOK 3144 02:25:07,680 --> 02:25:09,880 FORWARD TO DISCUSSING THESE AND 3145 02:25:09,880 --> 02:25:10,720 OTHER TOPICS DURING OUR Q&A. 3146 02:25:10,720 --> 02:25:20,880 THANK YOU. 3147 02:25:25,920 --> 02:25:32,880 >>THANK YOU, THAT WAS A GREAT 3148 02:25:32,880 --> 02:25:33,200 PRESENTATION. 3149 02:25:33,200 --> 02:25:33,800 VERY THOUGHT PROVOKING. 3150 02:25:33,800 --> 02:25:39,440 NEXT WE HAVE DR. PACHANKIS TO 3151 02:25:39,440 --> 02:25:42,000 TALK ABOUT LGBTQ AFFIRMATIVE 3152 02:25:42,000 --> 02:25:47,840 COGNITIVE THERAPY FROM THEORY TO 3153 02:25:47,840 --> 02:25:49,320 TRIALS TO IMPLEMENTATION. 3154 02:25:49,320 --> 02:25:59,840 >>WE SEE THE PRESENTER NOTES. 3155 02:26:02,520 --> 02:26:12,560 AUTO 3156 02:26:31,480 --> 02:26:35,480 >>I'LL FOCUS ON MENTAL HEALTH 3157 02:26:35,480 --> 02:26:41,360 AND LGBTQ AFFIRMATIVE BEHAVIORAL 3158 02:26:41,360 --> 02:26:42,360 THERAPY ONE OF THE FEW 3159 02:26:42,360 --> 02:26:44,080 EVIDENCE-BASED THERAPIES FOR 3160 02:26:44,080 --> 02:26:47,280 IMPROVING SGM PEOPLE'S MENTAL 3161 02:26:47,280 --> 02:26:47,520 HEALTH. 3162 02:26:47,520 --> 02:26:49,360 AND I'LL REVIEW THE RESEARCH 3163 02:26:49,360 --> 02:26:51,600 SUPPORT AND THEN EFFORTS TO 3164 02:26:51,600 --> 02:26:54,240 IMPLEMENT THIS INTERVENTION. 3165 02:26:54,240 --> 02:27:00,560 FOR LGBTQ PEOPLE WE KNOW THE 3166 02:27:00,560 --> 02:27:06,200 MOST INFLUENCE IS SOCIETAL AND 3167 02:27:06,200 --> 02:27:08,520 WE ALSO KNOW THAT THE FIELD HAS 3168 02:27:08,520 --> 02:27:10,600 COME A LONG WAY AND RELATIVELY 3169 02:27:10,600 --> 02:27:13,360 QUICKLY IN TERMS OF ESTABLISHING 3170 02:27:13,360 --> 02:27:17,160 A LINK BETWEEN STRUCTURAL STIGMA 3171 02:27:17,160 --> 02:27:20,360 AND STRESS SENSITIVE OUTCOMES 3172 02:27:20,360 --> 02:27:27,240 LIKE DES -- DEPRESSION AND 3173 02:27:27,240 --> 02:27:31,840 OTHER IMPLICATIONS AND OTHER 3174 02:27:31,840 --> 02:27:36,000 FORMS OF STIGMA. 3175 02:27:36,000 --> 02:27:37,880 AND EXPOSURE GIVES RISE TO 3176 02:27:37,880 --> 02:27:40,320 INCLUDING BULLYING, PARENTAL 3177 02:27:40,320 --> 02:27:41,960 NON-ACCEPTANCE AND 3178 02:27:41,960 --> 02:27:44,080 DISCRIMINATION REPRESENT THE 3179 02:27:44,080 --> 02:27:45,640 MOST IMPORTANT TARGET 3180 02:27:45,640 --> 02:27:47,000 INTERVENTION THAT PLACE THE ONUS 3181 02:27:47,000 --> 02:27:51,160 FOR CHANGE ON STRUCTURES AND 3182 02:27:51,160 --> 02:27:57,120 UPSTREAM CAUSES YET AS LONG AS 3183 02:27:57,120 --> 02:28:02,040 THEY EXIST WE KNOW UP STREAM 3184 02:28:02,040 --> 02:28:04,720 MINORITY STRESSORS LIKE PARENTAL 3185 02:28:04,720 --> 02:28:06,640 NON ACCEPTANCE ARE ASSOCIATED 3186 02:28:06,640 --> 02:28:10,280 WITH IDENTITY CONCEALMENT, 3187 02:28:10,280 --> 02:28:14,000 INTERNALIZED STIGMA AND 3188 02:28:14,000 --> 02:28:17,080 SUPPRESSION AND SHAME AND EVEN 3189 02:28:17,080 --> 02:28:18,920 INFLAMMATION WHICH A LARGE BODY 3190 02:28:18,920 --> 02:28:22,400 CAN PREDICT MENTAL HEALTH RISK. 3191 02:28:22,400 --> 02:28:26,200 BECAUSE THESE MINORITY STRESS 3192 02:28:26,200 --> 02:28:26,920 ADAPTATIONS REPRESENT COGNITIVE 3193 02:28:26,920 --> 02:28:28,640 EFFECTIVE REACTIONS WITHIN THE 3194 02:28:28,640 --> 02:28:30,800 PERSON THEY CAN BE AFFIRMATIVELY 3195 02:28:30,800 --> 02:28:34,960 ADDRESSED THROUGH MENTAL HEALTH 3196 02:28:34,960 --> 02:28:35,240 SERVICES. 3197 02:28:35,240 --> 02:28:37,120 THOUGH THE IDEAL INTERVENTION 3198 02:28:37,120 --> 02:28:41,880 TARGET WOULD BE THE UP STREAM 3199 02:28:41,880 --> 02:28:44,120 FACTORS THE REACTION TO MINORITY 3200 02:28:44,120 --> 02:28:45,400 STRESS REPRESENT AN IMPORTANT 3201 02:28:45,400 --> 02:28:47,600 SOURCE OF INTERVENTION AS LONG 3202 02:28:47,600 --> 02:28:50,920 AS THE UP STREAM FACTORS EXIST. 3203 02:28:50,920 --> 02:28:53,480 OUR TEAM AT YALE AND OTHER 3204 02:28:53,480 --> 02:28:55,280 COLLEAGUES AROUND THE U.S. AND 3205 02:28:55,280 --> 02:28:56,400 AROUND THE WORLD HAVE BEEN IN 3206 02:28:56,400 --> 02:28:58,560 THE PROCESS OF DEVELOPING AND 3207 02:28:58,560 --> 02:29:04,000 TESTING THE EFFICACY OF AN 3208 02:29:04,000 --> 02:29:06,640 INTERVENTION THAT RESPOND TO 3209 02:29:06,640 --> 02:29:08,800 STIGMA AND IMPROVE REACTION TO 3210 02:29:08,800 --> 02:29:10,080 MENTAL HEALTH. 3211 02:29:10,080 --> 02:29:13,040 WE INTERVIEWED NUMEROUS MENTAL 3212 02:29:13,040 --> 02:29:15,480 HEALTH PROVIDERS WHO SPENT THEIR 3213 02:29:15,480 --> 02:29:16,920 CAREERS WORKING WITH LGBTQ 3214 02:29:16,920 --> 02:29:17,160 PEOPLE. 3215 02:29:17,160 --> 02:29:22,480 WE ASKED THEM HOW WE SHOULD 3216 02:29:22,480 --> 02:29:25,000 ADAPT STANDARD AND PRACTICE 3217 02:29:25,000 --> 02:29:28,560 CALLED CBT TO SUPPORT LGBTQ 3218 02:29:28,560 --> 02:29:30,560 INDIVIDUAL'S MENTAL HEALTH AND 3219 02:29:30,560 --> 02:29:32,880 MET WITH PEOPLE EXPERIENCING 3220 02:29:32,880 --> 02:29:35,960 DEPRESSION, SUBSTANCE ABUSE AND 3221 02:29:35,960 --> 02:29:36,960 SUICIDALITY IN THIS POPULATION 3222 02:29:36,960 --> 02:29:40,400 AND THEY TALKED ABOUT HOW THEY 3223 02:29:40,400 --> 02:29:44,880 HAD SEEN LGBTQ PEOPLE GROW 3224 02:29:44,880 --> 02:29:47,440 DESPITE THE PAIN OF STIGMA AND 3225 02:29:47,440 --> 02:29:49,240 LEARNING EMPOWERING WAYS TO 3226 02:29:49,240 --> 02:29:51,600 STAND UP AGAINST STIGMA AND 3227 02:29:51,600 --> 02:29:53,800 LEARNING WAYS OF THINKING AN 3228 02:29:53,800 --> 02:29:56,400 BEHAVING AND FINDING SUPPORT AND 3229 02:29:56,400 --> 02:29:57,640 A PURPOSE WITHIN THE LGBTQ 3230 02:29:57,640 --> 02:29:58,440 COMMUNITY. 3231 02:29:58,440 --> 02:30:00,360 WE PACKAGED THE RESEARCH 3232 02:30:00,360 --> 02:30:03,560 FINDINGS AND STORIES AND THE 3233 02:30:03,560 --> 02:30:08,640 COMMUNITY INTO A CBT TREATMENT 3234 02:30:08,640 --> 02:30:11,440 MANUAL FOR LGBTQ PEOPLE AND 3235 02:30:11,440 --> 02:30:15,360 THERAPISTS TO LOOK AT HOW IT 3236 02:30:15,360 --> 02:30:18,560 MANIFESTS IN THEIR LIVES AND 3237 02:30:18,560 --> 02:30:24,320 IMPACTS THEIR MENTAL HEALTH AND 3238 02:30:24,320 --> 02:30:27,960 IT'S BEEN PACKAGED INTO A 3239 02:30:27,960 --> 02:30:29,240 TREATMENT MANUAL SPECIFICALLY 3240 02:30:29,240 --> 02:30:31,080 THAT ADDRESSES MINORITY STRESS 3241 02:30:31,080 --> 02:30:36,160 AND THE UNIQUE MENTAL HEALTH 3242 02:30:36,160 --> 02:30:38,840 DETERMINATES THAT LGBTQ PEOPLE 3243 02:30:38,840 --> 02:30:39,040 FACE. 3244 02:30:39,040 --> 02:30:41,760 WE TESTED THIS IN RANDOMIZED 3245 02:30:41,760 --> 02:30:43,080 CONTROL TRIALS REPRESENTING 3246 02:30:43,080 --> 02:30:46,200 MONTH THE FIRST RCTs OF THE 3247 02:30:46,200 --> 02:30:49,200 MENTAL HEALTH IS PSYCHO THERAPY 3248 02:30:49,200 --> 02:30:50,560 INTERVENTION FOR LGBTQ PEOPLE. 3249 02:30:50,560 --> 02:30:52,480 I DON'T HAVE THE TIME TO GO INTO 3250 02:30:52,480 --> 02:30:53,880 THE TREATMENT BUT IT'S GUIDED BY 3251 02:30:53,880 --> 02:30:57,120 A PERSONALLY TAILORED MINORITY 3252 02:30:57,120 --> 02:31:00,080 STRESS CASE CONCEPTUALIZATION 3253 02:31:00,080 --> 02:31:02,440 THAT SPECIFIES TECHNIQUES FOR 3254 02:31:02,440 --> 02:31:03,920 ADDRESSING THE WAYS MINORITY 3255 02:31:03,920 --> 02:31:05,400 STRESS CAN BE COMPROMISED IN 3256 02:31:05,400 --> 02:31:07,280 PEOPLE'S MENTAL HEALTH SUCH AS 3257 02:31:07,280 --> 02:31:09,840 RAISING AWARENESS OF THE 3258 02:31:09,840 --> 02:31:14,200 EMOTIONAL CONSEQUENCES OF 3259 02:31:14,200 --> 02:31:15,800 MINORITY STRESS AND RAISING 3260 02:31:15,800 --> 02:31:18,680 AWARENESS OF THE EXISTENCE OF 3261 02:31:18,680 --> 02:31:25,720 FORMS OF STRESS AND THE WAYS OF 3262 02:31:25,720 --> 02:31:28,800 COPING EMOTIONALLY INCLUDING 3263 02:31:28,800 --> 02:31:31,680 BEHAVIORAL TENDENCIES LIKE 3264 02:31:31,680 --> 02:31:33,360 DRINKING OR SELF-HARM OR OTHER 3265 02:31:33,360 --> 02:31:38,840 WAYS OF EMOTIONALLY NUMBING AND 3266 02:31:38,840 --> 02:31:40,480 COPING WITH STRESS AND THE 3267 02:31:40,480 --> 02:31:42,440 SOCIAL WITHDRAWAL TENDENCIES 3268 02:31:42,440 --> 02:31:48,160 MINORITY STRESS CAN INSTILL. 3269 02:31:48,160 --> 02:31:52,640 REWORKING PHOBIC CULTURAL I 3270 02:31:52,640 --> 02:31:57,440 IDEOLOGY AND THE VERACITY OF THE 3271 02:31:57,440 --> 02:32:01,680 INTERNALIZATION AND BELIEFS OF 3272 02:32:01,680 --> 02:32:05,120 ONE'S INFERIORITY OR THAT 3273 02:32:05,120 --> 02:32:07,520 THEY'LL BE ALONE FOREVER OR 3274 02:32:07,520 --> 02:32:08,560 UNLOVEABLE. 3275 02:32:08,560 --> 02:32:11,120 AND FINALLY INTENTIONALLY 3276 02:32:11,120 --> 02:32:12,120 BUILDING ON VIEWS OF SOCIAL 3277 02:32:12,120 --> 02:32:15,960 SAFETY BY BUILDING SUPPORTIVE 3278 02:32:15,960 --> 02:32:19,600 COMMUNITY AND PLACING ONE SELF 3279 02:32:19,600 --> 02:32:21,800 WITHIN THE COMMUNITY AND THESE 3280 02:32:21,800 --> 02:32:22,640 ARE SKILLS THAT HELP LGBTQ 3281 02:32:22,640 --> 02:32:26,520 PEOPLE OVERCOME MANY OF THE 3282 02:32:26,520 --> 02:32:32,680 DEEPLY INTERNALIZED WAYS OF 3283 02:32:32,680 --> 02:32:35,480 THINKING AND WE FIRST TESTED THE 3284 02:32:35,480 --> 02:32:37,880 TREATMENT IN A SMALL WEIGHTLESS 3285 02:32:37,880 --> 02:32:40,800 CONTROL TRIAL WITH 63 YOUNG AND 3286 02:32:40,800 --> 02:32:42,120 BISEXUAL MEN IN NEW YORK CITY. 3287 02:32:42,120 --> 02:32:45,600 THIS SAY RACIALLY, ETHNICALLY 3288 02:32:45,600 --> 02:32:47,280 AND SOCIO ECONOMICALLY DIVERSE 3289 02:32:47,280 --> 02:32:48,720 SAMPLE AND THE LINES IN BLUE 3290 02:32:48,720 --> 02:32:51,800 SHOWED THE AFFECTS FOR TREATMENT 3291 02:32:51,800 --> 02:32:52,920 TO THREE MONTHS AFTER TREATMENT 3292 02:32:52,920 --> 02:32:54,560 COMPARED TO THE LINES IN GRAY 3293 02:32:54,560 --> 02:32:59,240 WHICH SHOWED THE AFFECTS AND 3294 02:32:59,240 --> 02:33:01,160 SHOWED REDUCTION IN WAIT LIST 3295 02:33:01,160 --> 02:33:07,600 AND DEPRESSION AND ANXIETY AND 3296 02:33:07,600 --> 02:33:08,960 PROBLEMATIC ALCOHOL USE AND 3297 02:33:08,960 --> 02:33:10,640 SEXUAL RISK BEHAVIOR. 3298 02:33:10,640 --> 02:33:13,520 WE THEN DELIVERED THE TREATMENT 3299 02:33:13,520 --> 02:33:16,000 TO 60 YOUNG QUEER WOMEN ALSO IN 3300 02:33:16,000 --> 02:33:18,440 NEW YORK CITY IN A WAITLIST 3301 02:33:18,440 --> 02:33:21,000 CONTROL TRIAL IN WAS DIVERSE IN 3302 02:33:21,000 --> 02:33:24,160 TERMS OF GENDER IDENTITY AND 3303 02:33:24,160 --> 02:33:25,120 SOCIALLY ECONOMICALLY DIVERSE 3304 02:33:25,120 --> 02:33:27,800 AND THE TREATMENT SIMILAR TO THE 3305 02:33:27,800 --> 02:33:30,280 FIRST STUDY WITH MEN WAS 3306 02:33:30,280 --> 02:33:31,360 ASSOCIATED WITH GREATER 3307 02:33:31,360 --> 02:33:35,920 REDUCTION IN DEPRESSION, ANXIETY 3308 02:33:35,920 --> 02:33:38,240 AND PROBLEMATIC ALCOHOL USE 3309 02:33:38,240 --> 02:33:38,520 PATTERNS. 3310 02:33:38,520 --> 02:33:46,000 WE THEN ASKED KWL -- WHETHER IT 3311 02:33:46,000 --> 02:33:48,400 MAY BE MORE EFFICACIOUS AND WITH 3312 02:33:48,400 --> 02:33:54,560 MEN IN MIAMI AND THE MAJORITY 3313 02:33:54,560 --> 02:33:56,480 IDENTIFIED AS LATINO OR BLACK WE 3314 02:33:56,480 --> 02:33:58,520 GOT SUPPORTIVE COUNSELLING IN 3315 02:33:58,520 --> 02:34:01,720 THE COMMUNITY AND NOT CBT BASED 3316 02:34:01,720 --> 02:34:02,840 OR INFORMED BY MINORITY STRESS 3317 02:34:02,840 --> 02:34:04,160 THEORY AND COMPARED THE 3318 02:34:04,160 --> 02:34:06,440 TREATMENT TO SINGLE SESSION HIV 3319 02:34:06,440 --> 02:34:12,280 TESTING AND SAMPLING AND FOUND 3320 02:34:12,280 --> 02:34:16,920 CBT WAS ASSOCIATED WITH SMALLER 3321 02:34:16,920 --> 02:34:19,480 RISK AND AFFECT SIZES WERE 3322 02:34:19,480 --> 02:34:21,360 LARGEST FOR SUBSTANCE USE 3323 02:34:21,360 --> 02:34:26,720 PROBLEMS WITH LGBTQ AFFIRMATIVE 3324 02:34:26,720 --> 02:34:29,600 CBT WITH MORE IMPACT THAN THE 3325 02:34:29,600 --> 02:34:32,320 OTHER CONDITIONS AND BASED ON 3326 02:34:32,320 --> 02:34:34,200 THE TRANSDIAGNOSTIC TREATMENT 3327 02:34:34,200 --> 02:34:36,760 LOOKING AT THE THEORIES 3328 02:34:36,760 --> 02:34:38,400 UNDERLYING THE RISK OF THE FULL 3329 02:34:38,400 --> 02:34:41,160 SPECTRUM OF STRESS SENSITIVE 3330 02:34:41,160 --> 02:34:43,560 DISORDERS WE CREATED A 3331 02:34:43,560 --> 02:34:45,840 COMORBIDITY AFFECT WHICH WAS THE 3332 02:34:45,840 --> 02:34:47,920 SUM OF THE PRESENCE OF 3333 02:34:47,920 --> 02:34:50,560 DEPRESSION, ANXIETY, HIV AND 3334 02:34:50,560 --> 02:34:54,520 SUBSTANCE USE PROBLEM AND FOUND 3335 02:34:54,520 --> 02:34:55,680 IT REDUCED COMORBIDITY ACROSS 3336 02:34:55,680 --> 02:34:57,320 THE OUTCOMES. 3337 02:34:57,320 --> 02:35:00,640 WE THEN USED A TREATMENT AFFECT 3338 02:35:00,640 --> 02:35:04,840 HETEROGENEITY ANALYSIS TO LOOK 3339 02:35:04,840 --> 02:35:10,720 AT THE MODERATORS OF CBT WE 3340 02:35:10,720 --> 02:35:13,520 LOOKED AT THE 12ISTS TO DELIVER 3341 02:35:13,520 --> 02:35:14,960 THE TREATMENT ACROSS THE TRIAL 3342 02:35:14,960 --> 02:35:18,640 TO NOMINATE ANY AND ALL FACTORS 3343 02:35:18,640 --> 02:35:22,760 THEY THOUGHT SOME COULD BENEFIT 3344 02:35:22,760 --> 02:35:28,520 FROM OTHER AND THEY SUGGESTED 20 3345 02:35:28,520 --> 02:35:31,880 MODERATORS AND IDENTIFY THE TOP 3346 02:35:31,880 --> 02:35:32,160 MODERATORS. 3347 02:35:32,160 --> 02:35:34,160 WE PRE REGISTERED THIS WITH THE 3348 02:35:34,160 --> 02:35:35,680 PRIMARY OUTCOME BEING THE 3349 02:35:35,680 --> 02:35:37,480 COMORBIDITY INDEX I SHOWED ON 3350 02:35:37,480 --> 02:35:38,560 THE PREVIOUS SLIDE. 3351 02:35:38,560 --> 02:35:42,320 AND ONLY ONE MODERATOR EMERGED 3352 02:35:42,320 --> 02:35:45,200 NAMELY RACE AND ETHNICITY SUCH 3353 02:35:45,200 --> 02:35:52,720 AS LATINO AND BLACK PARTICIPANTS 3354 02:35:52,720 --> 02:35:57,600 RECEIVED MORE BENEFIT THAN WHITE 3355 02:35:57,600 --> 02:35:58,360 PARTICIPANTS. 3356 02:35:58,360 --> 02:36:01,120 WHILE WE HAVEN'T YET EMPIRICALLY 3357 02:36:01,120 --> 02:36:02,680 ESTABLISHED REASONS WE KNOW 3358 02:36:02,680 --> 02:36:03,720 BLACK AND LATINO PARTICIPANTS 3359 02:36:03,720 --> 02:36:05,960 SEEM MORE AMENABLE TO THE FOCUS 3360 02:36:05,960 --> 02:36:07,000 OF THE TREATMENT PERHAPS BECAUSE 3361 02:36:07,000 --> 02:36:09,960 THEY WERE ABLE TO DRAW ON THE 3362 02:36:09,960 --> 02:36:10,800 RACIAL SOCIALIZATION EXPERIENCE 3363 02:36:10,800 --> 02:36:14,840 TO INCORPORATE THE LESSONS OF 3364 02:36:14,840 --> 02:36:22,560 AFFIRMATIVE LGBTQ OR IT MIGHT 3365 02:36:22,560 --> 02:36:25,200 ENCOMPASS THE IDENTITIES WHERE 3366 02:36:25,200 --> 02:36:28,520 THEY'RE NOT SEPARATABLE AND 3367 02:36:28,520 --> 02:36:34,040 LEARNING WAYS TO COPE WITH LGBTQ 3368 02:36:34,040 --> 02:36:35,720 STRESS MAY APPLY TO RACIALLY 3369 02:36:35,720 --> 02:36:37,320 HOSTILE SITUATIONS. 3370 02:36:37,320 --> 02:36:39,800 WE THEN TESTED WHETHER THE 3371 02:36:39,800 --> 02:36:41,880 TREATMENT CAN ALSO LEND ITSELF 3372 02:36:41,880 --> 02:36:44,480 TO MORE EFFICIENT REACH BY USING 3373 02:36:44,480 --> 02:36:48,440 AN ASYNCHRONOUS FORM WHERE LGBTQ 3374 02:36:48,440 --> 02:36:50,280 YOUNG PEOPLE IN THE U.S. CAN 3375 02:36:50,280 --> 02:36:53,240 RECEIVE 10 WEEKS OF THE CONTENT 3376 02:36:53,240 --> 02:36:55,560 ABOUT MINORITY STRESS AND CBT 3377 02:36:55,560 --> 02:36:58,320 SKILLS FOR ADDRESSING IMPACT AND 3378 02:36:58,320 --> 02:37:01,200 READ THE MATERIAL ONLINE AND TRY 3379 02:37:01,200 --> 02:37:04,640 THE SKILLS IN THEIR LIVES AND 3380 02:37:04,640 --> 02:37:05,960 RECEIVE WEEKLY FEEDBACK. 3381 02:37:05,960 --> 02:37:08,240 WE COMPARED THE TREATMENT TO 3382 02:37:08,240 --> 02:37:10,600 WEEKLY TRACKING FOR MOOD AND 3383 02:37:10,600 --> 02:37:16,800 STRESS AMONG 120 SGM YOUTH AND 3384 02:37:16,800 --> 02:37:24,080 YOUNG ADULTS AND THE ASENK 3385 02:37:28,160 --> 02:37:35,880 WE DID FIND THE TREATMENT WAS 3386 02:37:35,880 --> 02:37:41,000 EFFECTIVE AND BENEFITTED MORE 3387 02:37:41,000 --> 02:37:44,720 FROM THIS ASYNCHRONOUS CBT 3388 02:37:44,720 --> 02:37:48,880 COMPARED TO WEEKLY MONITORING. 3389 02:37:48,880 --> 02:37:50,240 MOTIVATED BY THE POSSIBILITY 3390 02:37:50,240 --> 02:37:51,960 SUCH INTERVENTIONS WORK 3391 02:37:51,960 --> 02:37:52,960 PARTICULARLY WELL IN STIGMA 3392 02:37:52,960 --> 02:37:57,400 ENVIRONMENTS WE TESTED WHETHER 3393 02:37:57,400 --> 02:38:01,240 THIS DELIVERED AFFIRMATIVE CBT 3394 02:38:01,240 --> 02:38:04,280 MAY BE SUITABLE FOR CHINESE 3395 02:38:04,280 --> 02:38:08,400 YOUNG MEN IN A PROVINCE IN CHINA 3396 02:38:08,400 --> 02:38:14,160 IN A STUDY CO-LED WITH OUR 3397 02:38:14,160 --> 02:38:15,960 COLLEGIATE CENTRAL SOUTH 3398 02:38:15,960 --> 02:38:17,760 UNIVERSITY IN THE PROVINCE. 3399 02:38:17,760 --> 02:38:23,520 THE QUALITATIVE WORK REVEALS 3400 02:38:23,520 --> 02:38:26,600 YOUNG LGBTQ PEOPLE RENOUNCE 3401 02:38:26,600 --> 02:38:29,120 BEING MARRIED AND OTHER FORMS OF 3402 02:38:29,120 --> 02:38:30,640 STRESS. 3403 02:38:30,640 --> 02:38:32,000 WE FOUND THE TREATMENT DID EXERT 3404 02:38:32,000 --> 02:38:33,440 SIGNIFICANT AND STRONGER EFFECTS 3405 02:38:33,440 --> 02:38:35,200 THAN MOOD TRACKING WITH THIS 3406 02:38:35,200 --> 02:38:36,640 POPULATION AND CONTEXT FOR 3407 02:38:36,640 --> 02:38:38,840 DEPRESSION, ANXIETY AND ALCOHOL 3408 02:38:38,840 --> 02:38:39,680 USE. 3409 02:38:39,680 --> 02:38:41,280 IN THE FUTURE THEREFORE THE 3410 02:38:41,280 --> 02:38:42,920 FIELD MIGHT WISH TO CONTINUE 3411 02:38:42,920 --> 02:38:45,720 STUDYING FOR WHOM AND UNDER WHAT 3412 02:38:45,720 --> 02:38:46,880 CONDITIONS THIS EFFICIENT 3413 02:38:46,880 --> 02:38:50,160 MODALITY MAY BE MOST EFFECTIVE 3414 02:38:50,160 --> 02:38:52,120 IN THE TERMS OF COST COMPARED TO 3415 02:38:52,120 --> 02:38:54,440 THE MORE COSTLY INDIVIDUALLY 3416 02:38:54,440 --> 02:38:55,800 DELIVERED VERSIONS OF THE 3417 02:38:55,800 --> 02:39:02,240 TREATMENT TO ENSURE THE BEST 3418 02:39:02,240 --> 02:39:08,560 TREATMENT MODALITY AND WE LOOK 3419 02:39:08,560 --> 02:39:10,720 AT CBT IN A WAY THAT RESONATES 3420 02:39:10,720 --> 02:39:12,880 WITH LOCAL COMMUNITIES AND 3421 02:39:12,880 --> 02:39:14,040 SUSTAINABLE IN THE COMMUNITIES. 3422 02:39:14,040 --> 02:39:17,040 THE U.S. HAS AN IDEAL NETWORK OF 3423 02:39:17,040 --> 02:39:23,400 SETTINGS IN WHICH TO IMPLEMENT 3424 02:39:23,400 --> 02:39:33,960 THIS AND REACH THE LGBTQ PEOPLE 3425 02:39:35,000 --> 02:39:37,520 WHO MAY NOT OTHERWISE RECEIVE 3426 02:39:37,520 --> 02:39:39,760 CARE INCLUDING INDIVIDUALS WITH 3427 02:39:39,760 --> 02:39:40,960 LOWER INCOMES AND LGBTQ PEOPLE 3428 02:39:40,960 --> 02:39:42,080 OF COLOR. 3429 02:39:42,080 --> 02:39:43,880 WE PARTNERED WITH THE 3430 02:39:43,880 --> 02:39:45,440 COORDINATING HUB OF THE 300 3431 02:39:45,440 --> 02:39:47,120 CENTER TO SURVEY THE DIRECTORS 3432 02:39:47,120 --> 02:39:49,240 AND CEOs TO ASSESS THEIR 3433 02:39:49,240 --> 02:39:51,720 CAPACITY TO IMPLEMENT LGBTQ 3434 02:39:51,720 --> 02:39:54,280 AFFIRMATIVE CBT. 3435 02:39:54,280 --> 02:39:56,320 MOST REPORTED ROOM TO IMPROVE 3436 02:39:56,320 --> 02:40:02,280 MENTAL HEALTH SERVICES AND THAT 3437 02:40:02,280 --> 02:40:10,840 THEIR STAFF CAN RECEIVE TRAINING 3438 02:40:10,840 --> 02:40:12,240 AND ALL INDICATED THEY'D GIVE 3439 02:40:12,240 --> 02:40:15,480 TRAINING AND WE USED IMPLEM 3440 02:40:15,480 --> 02:40:18,360 IMPLEMENTATION TIMING. 3441 02:40:18,360 --> 02:40:22,840 WE HAD AN 11-WEEK TRAINING IN 3442 02:40:22,840 --> 02:40:29,920 ZBT TO 130 MENTAL HEALTH 3443 02:40:29,920 --> 02:40:31,320 PROVIDERS AND LOOKING AT THE 3444 02:40:31,320 --> 02:40:33,040 LINES OF BLUE FROM THREE TO 3445 02:40:33,040 --> 02:40:34,040 THREE MONTHS AFTER COMPARED TO 3446 02:40:34,040 --> 02:40:35,440 THE LINES IN RED ON THE WAIT 3447 02:40:35,440 --> 02:40:40,400 LIST WE SAW IMPROVEMENTS IN THE 3448 02:40:40,400 --> 02:40:44,800 PROVIDERS' ABILITY TO DELIVER 3449 02:40:44,800 --> 02:40:49,120 LGBTQ AFFIRMATIVE AND THE CBT 3450 02:40:49,120 --> 02:40:51,280 TREATMENT AND PRESENTED THEM 3451 02:40:51,280 --> 02:40:55,560 WITH VIDEOS CREATED BY ACTORS IN 3452 02:40:55,560 --> 02:40:58,760 WHICH THEY'RE ROLE PLAYING 3453 02:40:58,760 --> 02:41:01,000 CLIENTS THAT ARE LGBTQ AND 3454 02:41:01,000 --> 02:41:03,440 THROUGH MASS CODING OF THE TAPES 3455 02:41:03,440 --> 02:41:05,720 WE SHOWED THERAPISTS 3456 02:41:05,720 --> 02:41:08,640 DEMONSTRATED MORE CONSISTENT AND 3457 02:41:08,640 --> 02:41:12,480 FATHERFUL DELIVERY OF LGBTQ 3458 02:41:12,480 --> 02:41:15,960 AFFIRMATIVE CBT. 3459 02:41:15,960 --> 02:41:17,400 IN CONCLUSION IN THE STANCE FROM 3460 02:41:17,400 --> 02:41:18,880 MENTAL HEALTH WAS AT THE 3461 02:41:18,880 --> 02:41:21,040 FOREFRONT OF THE COMMUNITY'S 3462 02:41:21,040 --> 02:41:23,240 DEMAND AND THE FIELD HAS COME A 3463 02:41:23,240 --> 02:41:26,800 LONG WAY IN PROVIDE SCIENTIFIC 3464 02:41:26,800 --> 02:41:28,400 EVIDENCE BASE AND THE CBT 3465 02:41:28,400 --> 02:41:31,440 TREATMENT IS EFFICACIOUS AND 3466 02:41:31,440 --> 02:41:33,320 CAPABILITY OF IMPLEMENTATION 3467 02:41:33,320 --> 02:41:36,640 INCLUDING HIGH STIGMA SETTINGS 3468 02:41:36,640 --> 02:41:36,920 WORLDWIDE. 3469 02:41:36,920 --> 02:41:39,000 I WANT TO ACKNOWLEDGE THE 3470 02:41:39,000 --> 02:41:41,160 RESEARCH TEAMS DOING THE WORK. 3471 02:41:41,160 --> 02:41:45,680 THANK YOU. 3472 02:41:45,680 --> 02:41:46,320 >>THANK YOU. 3473 02:41:46,320 --> 02:41:46,840 GREAT PRESENTATION. 3474 02:41:46,840 --> 02:41:51,600 NOW I WOULD LIKE TO INTRODUCE 3475 02:41:51,600 --> 02:41:55,120 DR. STEVEN WHO WILL TALK ABOUT 3476 02:41:55,120 --> 02:41:56,040 OPTIMIZING INTERVENTION TO 3477 02:41:56,040 --> 02:41:59,480 ADDRESS STRUCTURE RISK AND 3478 02:41:59,480 --> 02:42:00,640 SUBSTANCE USE AMONG SEXUAL AND 3479 02:42:00,640 --> 02:42:11,120 GENDER MINORITY POPULATIONS. 3480 02:42:24,800 --> 02:42:25,800 >>THANKS TO THE ORGANIZERS. 3481 02:42:25,800 --> 02:42:28,160 THE LAST TWO DAYS HAVE BEEN 3482 02:42:28,160 --> 02:42:29,640 AMAZING AND I WOULD HAVE 3483 02:42:29,640 --> 02:42:31,440 PROBABLY GIVEN A DIFFERENT TALK 3484 02:42:31,440 --> 02:42:33,160 IF I HAD KNOWN THE PRESENTERS IN 3485 02:42:33,160 --> 02:42:35,880 THE SPACE. 3486 02:42:35,880 --> 02:42:43,360 I'LL TRY TO CONNECTITEXTULIZE T 3487 02:42:43,360 --> 02:42:44,720 AMOUNT OF INTERVENTION DATA AND 3488 02:42:44,720 --> 02:42:47,400 THE OPPORTUNITIES THAT EXIST TO 3489 02:42:47,400 --> 02:42:49,920 STUDY SEX AND GENDER DIVERSE 3490 02:42:49,920 --> 02:42:51,320 COMMUNITY NEEDS BETTER IN THE 3491 02:42:51,320 --> 02:42:54,160 CONTEXT OF HIV PREVENTION 3492 02:42:54,160 --> 02:42:55,800 RESEARCH USING THE SYSTEMIC 3493 02:42:55,800 --> 02:42:56,040 REVIEWS. 3494 02:42:56,040 --> 02:42:58,280 THOUGH WE HEARD SO MUCH AMAZING 3495 02:42:58,280 --> 02:42:59,840 STIGMA MITIGATION WORK, I'LL 3496 02:42:59,840 --> 02:43:00,880 TALK THROUGH THE STATE OF THE 3497 02:43:00,880 --> 02:43:05,840 FIELD IN TERMS OF PUBLISHED 3498 02:43:05,840 --> 02:43:08,520 LITERATURE AND PROVIDE SOME DATA 3499 02:43:08,520 --> 02:43:12,200 DOMESTICALLY ORIENTED WITH 3500 02:43:12,200 --> 02:43:13,360 SUBSTANCE USE TREND AND THE 3501 02:43:13,360 --> 02:43:14,000 RELATIONSHIP AND OPPORTUNITIES 3502 02:43:14,000 --> 02:43:15,680 FOR INTERVENTIONS BOTH IN THE 3503 02:43:15,680 --> 02:43:17,720 CONTEXT OF MENTAL HEALTH AND 3504 02:43:17,720 --> 02:43:19,920 SUBSTANCE USE THAT REMAIN 3505 02:43:19,920 --> 02:43:21,480 RELEVANT IN 2023. 3506 02:43:21,480 --> 02:43:24,320 FIRST I'LL BRIEFLY SAY THE LIVE 3507 02:43:24,320 --> 02:43:26,800 DATABASE OF COLLABORATION IS 3508 02:43:26,800 --> 02:43:29,280 BETWEEN OURSELVES, WASHINGTON 3509 02:43:29,280 --> 02:43:31,120 UNIVERSITY AND NYU AND OTHERS 3510 02:43:31,120 --> 02:43:33,320 AND CATEGORIZED ALL INTERVENTION 3511 02:43:33,320 --> 02:43:35,400 RESEARCH THAT'S BEEN DONE SINCE 3512 02:43:35,400 --> 02:43:39,880 2004 FOCUSSING ON LOW AND MIDDLE 3513 02:43:39,880 --> 02:43:40,760 INCOME COUNTRIES. 3514 02:43:40,760 --> 02:43:44,280 THERE'S OTHERS FOCUSSED ON 3515 02:43:44,280 --> 02:43:46,400 HIGH-INCOME SETTINGS. 3516 02:43:46,400 --> 02:43:51,360 THIS IS ANY POPULATION OR STUDY 3517 02:43:51,360 --> 02:43:52,640 DESIGN AND CLASSIFY THE 3518 02:43:52,640 --> 02:43:54,360 STRATEGIES USING THE PROCTOR 3519 02:43:54,360 --> 02:43:56,040 FRAMEWORK AS WELL AS THE CASCADE 3520 02:43:56,040 --> 02:44:00,800 TARGET. 3521 02:44:00,800 --> 02:44:03,040 IT PROVIDES AN OPPORTUNITY TO 3522 02:44:03,040 --> 02:44:05,160 FOCUS ON SEXUAL AND GENDER 3523 02:44:05,160 --> 02:44:15,520 MINORITY COMMUNITIES. 3524 02:44:38,840 --> 02:44:40,880 SUMMARIZE THIS AND THEY'RE 3525 02:44:40,880 --> 02:44:42,240 FOCUSSED ON CAPACITY BUILDING AS 3526 02:44:42,240 --> 02:44:48,680 A DELIVERY OF TRAINING AND 3527 02:44:48,680 --> 02:44:49,160 EDUCATION. 3528 02:44:49,160 --> 02:44:59,600 THE AND WE HEARD THERE'S 3529 02:45:08,040 --> 02:45:10,640 VIRTUALLY ZERO VENTIONS FOCUSSED 3530 02:45:10,640 --> 02:45:12,840 ON POLICY MAKERS AND IT'S 3531 02:45:12,840 --> 02:45:14,440 NOTABLE WE HEARD SO MUCH 3532 02:45:14,440 --> 02:45:15,680 DOMESTICALLY AND INTERNATIONALLY 3533 02:45:15,680 --> 02:45:21,240 ABOUT THE INTERVENTIONS IN THE 3534 02:45:21,240 --> 02:45:31,760 ARENA OF POLICY AND THIS ALLOWS 3535 02:45:35,360 --> 02:45:38,040 FOR THESE COMMUNITIES AND WE 3536 02:45:38,040 --> 02:45:40,120 HAVE LIMITED RESEARCH ON 3537 02:45:40,120 --> 02:45:42,400 CISGENDER GAY MEN AND LITTLE 3538 02:45:42,400 --> 02:45:46,280 INTERVENTION WORK IN SETTINGS 3539 02:45:46,280 --> 02:45:47,240 FOCUSSED ON TRANSGENDER 3540 02:45:47,240 --> 02:45:48,080 COMMUNITIES WHEN IT DIDN'T MAKE 3541 02:45:48,080 --> 02:45:49,000 THE TABLE. 3542 02:45:49,000 --> 02:45:51,160 MOST THE WORK IS WHERE THEY'RE 3543 02:45:51,160 --> 02:45:52,760 NOT CLASSIFYING WHO THEY'RE 3544 02:45:52,760 --> 02:45:54,200 INTENDED TO SERVE AND WE HEARD 3545 02:45:54,200 --> 02:45:59,520 SO MUCH OVER THE LAST FEW DAYS 3546 02:45:59,520 --> 02:46:02,320 AND ALSO AROUND THE IMPORTANCE 3547 02:46:02,320 --> 02:46:04,640 OF SPECIFYING AND ADDRESSING 3548 02:46:04,640 --> 02:46:07,120 FOLKS WHERE THEIR NEEDS ARE AT 3549 02:46:07,120 --> 02:46:08,440 AN INDIVIDUAL NETWORK AND 3550 02:46:08,440 --> 02:46:11,280 STRUCTURE LEVEL AND AREN'T DOING 3551 02:46:11,280 --> 02:46:12,800 THAT EVEN AS RECENTLY ADD THIS 3552 02:46:12,800 --> 02:46:13,000 YEAR. 3553 02:46:13,000 --> 02:46:17,040 IN TERMS OF WHAT WE'RE DOING FOR 3554 02:46:17,040 --> 02:46:18,520 PARTICULARLY FOR SEXUAL AND 3555 02:46:18,520 --> 02:46:19,480 GENDER DIVERSE COMMUNITIES MOST 3556 02:46:19,480 --> 02:46:21,120 THE INTERVENTIONS ARE FOCUSSED 3557 02:46:21,120 --> 02:46:22,440 ON THE COMMUNITIES THEMSELVES 3558 02:46:22,440 --> 02:46:24,360 AND THERE'S A DISCONNECT FROM 3559 02:46:24,360 --> 02:46:25,840 WHAT WE HEARD WHERE A LOT OF THE 3560 02:46:25,840 --> 02:46:27,520 ISSUES AND IN FACT MANY WOULD 3561 02:46:27,520 --> 02:46:31,080 ARGUE THE MAJORITY ARE AT THE 3562 02:46:31,080 --> 02:46:34,640 SYSTEM LEVEL OR WITH HEALTH CARE 3563 02:46:34,640 --> 02:46:37,520 ORGANIZATIONS AND PROVIDERS AND 3564 02:46:37,520 --> 02:46:38,920 THOSE REPRESENT STILL THE 3565 02:46:38,920 --> 02:46:40,120 MINORITY OF INTERVENTION TARGETS 3566 02:46:40,120 --> 02:46:40,960 IN TERMS OF WHAT IT IS THEY'RE 3567 02:46:40,960 --> 02:46:44,360 TRYING TO CHANGE. 3568 02:46:44,360 --> 02:46:50,200 AND MAPPING OUT THE MOST RECENT 3569 02:46:50,200 --> 02:46:51,560 DATA YOU'LL SEE IN GRAY ARE 3570 02:46:51,560 --> 02:46:54,360 AREAS WHERE THERE'S NO STUDIES 3571 02:46:54,360 --> 02:46:56,920 AVAILABLE AS RECENTLY AS THE END 3572 02:46:56,920 --> 02:46:58,920 OF 2022. 3573 02:46:58,920 --> 02:47:01,840 LARGE SLOTS OF CENTRAL AND 3574 02:47:01,840 --> 02:47:03,840 NORTHERN AFRICA, MIDDLE EAST, 3575 02:47:03,840 --> 02:47:08,240 LARGE PARTS OF ASIA AND SOUTH 3576 02:47:08,240 --> 02:47:09,880 AMERICA WHERE WE HAVE DATA IN 3577 02:47:09,880 --> 02:47:13,800 TERMS OF THE BURDEN OF STIGMA 3578 02:47:13,800 --> 02:47:17,840 AND MENTAL HEALTH OUTCOMES HAVE 3579 02:47:17,840 --> 02:47:20,440 LIMITED DATA ON INTERVENTION AND 3580 02:47:20,440 --> 02:47:24,560 THE VAST MAJORITY OF STUDIES ARE 3581 02:47:24,560 --> 02:47:25,160 DONE IN SOUTH AFRICA AND EAST 3582 02:47:25,160 --> 02:47:27,680 AFRICA. 3583 02:47:27,680 --> 02:47:29,160 AND LIMITED IN MOST SETTINGS 3584 02:47:29,160 --> 02:47:39,480 AROUND THE WORLD. 3585 02:48:53,960 --> 02:48:56,320 LEVEL INTERVENTIONS AND PEER-LED 3586 02:48:56,320 --> 02:48:58,080 GROUP SESSIONS, CLINICAL IN 3587 02:48:58,080 --> 02:49:00,400 TERMS OF HEALTH CARE WORKER 3588 02:49:00,400 --> 02:49:02,520 TRAINING AND POST-CLINICAL WEB 3589 02:49:02,520 --> 02:49:05,080 BASE AND TRYING TO INCREASE 3590 02:49:05,080 --> 02:49:05,800 NETWORKING AMONGST COMMUNITIES 3591 02:49:05,800 --> 02:49:06,480 OF GAY MEN. 3592 02:49:06,480 --> 02:49:09,840 IT WAS INTENDED TO ADDRESS 3593 02:49:09,840 --> 02:49:13,680 DIFFERENT LEVELS OF STIGMA IN 3594 02:49:13,680 --> 02:49:17,360 TERMED OF PERCEIVED ANTICIPATED 3595 02:49:17,360 --> 02:49:19,840 STIGMAS AND WHEN PEOPLE WERE IN 3596 02:49:19,840 --> 02:49:24,040 THE HEALTH CARE SETTING AND POST 3597 02:49:24,040 --> 02:49:26,440 CLINICAL IN RESILIENCE AND 3598 02:49:26,440 --> 02:49:26,920 STIGMA. 3599 02:49:26,920 --> 02:49:28,520 WE HAD STIGMA MEASURES AND 3600 02:49:28,520 --> 02:49:29,360 TREATMENT AND VIRAL LOAD 3601 02:49:29,360 --> 02:49:39,520 OUTCOMES. 3602 02:49:40,000 --> 02:49:42,040 AM WE ENROLLED ABOUT 200 IN THE 3603 02:49:42,040 --> 02:49:44,360 TRIAL AND FOLLOWED THEM ABOUT 3604 02:49:44,360 --> 02:49:48,760 TWO YEARS. 3605 02:49:48,760 --> 02:49:53,040 AND WE SAW INCREASES IN THE 3606 02:49:53,040 --> 02:49:54,040 ANTICIPATED STIGMA AND THEY WERE 3607 02:49:54,040 --> 02:49:56,680 FAR LESS LIKELY AFRAID TO SEEK 3608 02:49:56,680 --> 02:49:58,040 HEALTH CARE BY DOING THE 3609 02:49:58,040 --> 02:49:59,720 COMMUNITY LEVEL OUTREACH AND FAR 3610 02:49:59,720 --> 02:50:05,160 LESS FOLKS AVOIDING HEALTH CARE 3611 02:50:05,160 --> 02:50:09,800 BUT AND THESE WERE WITH REGULAR 3612 02:50:09,800 --> 02:50:14,440 TRAINING WITH THE MINISTRY OF 3613 02:50:14,440 --> 02:50:16,480 HELP AND COMMUNITY-BASED GROUPS 3614 02:50:16,480 --> 02:50:18,640 AND SAW INCREASES IN FOLKS WHERE 3615 02:50:18,640 --> 02:50:22,080 THEY WERE MORE LIKELY TO SEEK 3616 02:50:22,080 --> 02:50:32,800 CARE AND HEAR PEOPLE GOSSIP IIN. 3617 02:51:00,760 --> 02:51:05,720 AND THERE WAS A RECENT REVIEW 3618 02:51:05,720 --> 02:51:07,720 THAT HAS BEEN AND OTHERS LOOKING 3619 02:51:07,720 --> 02:51:09,320 AT THE STATUS OF HEALTH RELATED 3620 02:51:09,320 --> 02:51:10,360 DATA FOR TRANSGENDER COMMUNITIES 3621 02:51:10,360 --> 02:51:12,560 AROUND THE WORLD. 3622 02:51:12,560 --> 02:51:14,560 WE HEARD SUCH RICH DATA 3623 02:51:14,560 --> 02:51:18,800 PRESENTED FROM THE U.S. MOSTLY 3624 02:51:18,800 --> 02:51:20,240 REFLECTED THAT THE VAST MAJORITY 3625 02:51:20,240 --> 02:51:22,040 OF DATA WAS COLLECTED IN THE 3626 02:51:22,040 --> 02:51:24,280 UNITED STATES WITH FAR LESS DATA 3627 02:51:24,280 --> 02:51:25,440 IN WESTERN AND NORTHERN EUROPE 3628 02:51:25,440 --> 02:51:27,960 AND MOST THE WORLD REMAINS 3629 02:51:27,960 --> 02:51:31,440 UNCHARTERED IN THE BURDENS OF 3630 02:51:31,440 --> 02:51:32,680 CHRONIC DISEASE AND INFECTIOUS 3631 02:51:32,680 --> 02:51:34,680 DISEASE AND MENTAL HEALTH AND NO 3632 02:51:34,680 --> 02:51:36,120 INTERVENTION STUDIES IN LOW AND 3633 02:51:36,120 --> 02:51:42,320 INCOME STUDIES. 3634 02:51:42,320 --> 02:51:43,480 AND ALSO A TREMENDOUS 3635 02:51:43,480 --> 02:51:45,040 OPPORTUNITY IN TERMS OF BETTER 3636 02:51:45,040 --> 02:51:45,920 SERVING TRANSGENDER COMMUNITIES 3637 02:51:45,920 --> 02:51:50,600 AROUND THE WORLD. 3638 02:51:50,600 --> 02:51:53,800 TALKING ABOUT MORE DOMESTIC DATA 3639 02:51:53,800 --> 02:51:55,880 AND TRENDS IN SUBSTANCE USE. 3640 02:51:55,880 --> 02:52:00,480 FOR THIS I'LL LEVERAGE DATA FROM 3641 02:52:00,480 --> 02:52:04,160 THE AMOS SERVE LED BY EMORY AND 3642 02:52:04,160 --> 02:52:06,000 WORKING WITH A FOCUS ON ADDING 3643 02:52:06,000 --> 02:52:07,960 STIGMA INDICATORS INTO THIS. 3644 02:52:07,960 --> 02:52:11,160 THE ELIGIBILITY FOR THIS SURVEY 3645 02:52:11,160 --> 02:52:16,120 IS BEING OVER15 YEARS BEING A 3646 02:52:16,120 --> 02:52:17,880 CISGENDER MEN AND NEVER HAVING 3647 02:52:17,880 --> 02:52:20,440 HAD SEX WITH ANOTHER MAN AND 3648 02:52:20,440 --> 02:52:23,160 IT'S AN ANNUAL CROSS-SEXUAL 3649 02:52:23,160 --> 02:52:25,400 SURVEY AND I'LL NOTE IT'S BEEN 3650 02:52:25,400 --> 02:52:26,600 PREDOMINANTLY A WHITE SAMPLE. 3651 02:52:26,600 --> 02:52:30,000 THERE'S BEEN CHALLENGES IN TERMS 3652 02:52:30,000 --> 02:52:31,960 OF ACHIEVING BETTER RACIAL 3653 02:52:31,960 --> 02:52:32,840 DIVERSITY THOUGH IT'S BEEN 3654 02:52:32,840 --> 02:52:36,080 BETTER OVER THE YEARS AND 70% 3655 02:52:36,080 --> 02:52:41,800 WHITE AND 6% BLACK AND OTHER 3656 02:52:41,800 --> 02:52:42,920 BLACK AND AFRICAN AMERICAN AND 3657 02:52:42,920 --> 02:52:45,240 14% HISPANIC. 3658 02:52:45,240 --> 02:52:47,160 THE CHALLENGES WE SAW IN THE 3659 02:52:47,160 --> 02:52:50,360 DATA SUSTAINED IS THAT THERE'S A 3660 02:52:50,360 --> 02:52:52,360 SIGNIFICANT TREND TOWARDS 3661 02:52:52,360 --> 02:52:54,520 INCREASING SUBSTANCE USE BOTH 3662 02:52:54,520 --> 02:52:55,600 MARIJUANA AMONG PEOPLE LIVING 3663 02:52:55,600 --> 02:53:00,200 WITH HIV AND PEOPLE AT RISK FOR 3664 02:53:00,200 --> 02:53:00,680 HIV. 3665 02:53:00,680 --> 02:53:03,360 EVEN WHERE THERE AREN'T 3666 02:53:03,360 --> 02:53:05,480 SIGNIFICANT INCREASE WE'VE SEEN 3667 02:53:05,480 --> 02:53:08,560 NO DECREASES. 3668 02:53:08,560 --> 02:53:10,800 WHILE MARIJUANA IS THE MOST 3669 02:53:10,800 --> 02:53:12,480 COMMON DRUG AND FOLKS REPORTING 3670 02:53:12,480 --> 02:53:15,200 COCAINE AND PAIN KILLERS. 3671 02:53:15,200 --> 02:53:16,120 I WANT TO EMPHASIZE WHILE THERE 3672 02:53:16,120 --> 02:53:18,160 ARE INCREASING AMOUNTS OF 3673 02:53:18,160 --> 02:53:20,120 INTERVENTIONS AND SERVICES IN 3674 02:53:20,120 --> 02:53:23,520 THE CONTEXT OF SUBSTANCE USE WE 3675 02:53:23,520 --> 02:53:24,680 ONLY SEE INCREASE STATISTICALLY 3676 02:53:24,680 --> 02:53:28,160 SO IN SOME SETTINGS PARTICULARLY 3677 02:53:28,160 --> 02:53:30,400 IN THE SOUTH OF THE U.S. IN 3678 02:53:30,400 --> 02:53:31,720 MARIJUANA AND OTHER DRUGS OR 3679 02:53:31,720 --> 02:53:33,360 SUSTAINED DRUG USE OF OTHER 3680 02:53:33,360 --> 02:53:36,920 DRUGS BOTH AMONG PEOPLE AT RISK 3681 02:53:36,920 --> 02:53:40,360 FOR AND LIVING WITH HIV. 3682 02:53:40,360 --> 02:53:46,120 LOOKING AT THE 2020 AMOS SAMPLE 3683 02:53:46,120 --> 02:53:49,520 WE HAVE A GROUP OF PEOPLE WITH 3684 02:53:49,520 --> 02:53:52,480 SUICIDAL IDEATION AND WE SAW 3685 02:53:52,480 --> 02:53:53,640 SIGNIFICANT BURDENS OF SUBSTANCE 3686 02:53:53,640 --> 02:53:55,520 USE OVER ALL AND WHAT WAS 3687 02:53:55,520 --> 02:53:57,320 POWERFUL IN THE DATA WERE THE 3688 02:53:57,320 --> 02:53:59,560 CLEAR RELATIONSHIPS BETWEEN 3689 02:53:59,560 --> 02:54:01,880 FOLKS WHO SOUGHT IDEATION WHO 3690 02:54:01,880 --> 02:54:05,080 REPORTED SUICIDAL ATTEMPTS AND 3691 02:54:05,080 --> 02:54:06,360 FOR THOSE WITH SUBSTANCE USE 3692 02:54:06,360 --> 02:54:09,360 THERE'S MORE THAN TWO TIMES OF 3693 02:54:09,360 --> 02:54:11,920 INCREASE OF SUICIDE IN THE LAST 3694 02:54:11,920 --> 02:54:14,240 YEAR AND SAME WITH MARIJUANA USE 3695 02:54:14,240 --> 02:54:17,000 AND ALCOHOL USE AND SHOWING THE 3696 02:54:17,000 --> 02:54:18,240 IMPORTANCE AND UNDER ADDRESSED 3697 02:54:18,240 --> 02:54:19,440 INTERVENTIONS IN THE CONTEXT OF 3698 02:54:19,440 --> 02:54:21,000 SUBSTANCE USE AND PSYCHOLOGICAL 3699 02:54:21,000 --> 02:54:29,480 DISTRESS. 3700 02:54:29,480 --> 02:54:31,160 FOR FOLKS IN THE 2020 STUDY HALF 3701 02:54:31,160 --> 02:54:34,120 THE SAMPLE WAS RANDOMIZED 3702 02:54:34,120 --> 02:54:36,200 INCLUDING PTSD SYMPTOM SCALE AND 3703 02:54:36,200 --> 02:54:39,320 SAW CLEAR RELATIONSHIPS WITH 3704 02:54:39,320 --> 02:54:41,240 MONTHLY LISTED DRUG USE AND 3705 02:54:41,240 --> 02:54:45,040 PERVASIVE AND INTRUSIVE AVOID 3706 02:54:45,040 --> 02:54:47,280 AND THE PTSD SYMPTOM PATTERN. 3707 02:54:47,280 --> 02:54:52,080 THAT WAS ASSOCIATED WITH ILLICIT 3708 02:54:52,080 --> 02:54:54,520 DRUG USE MARIJUANA AND HIGH RISK 3709 02:54:54,520 --> 02:54:56,320 ALCOHOL USE AND THAT WAS THE 3710 02:54:56,320 --> 02:54:58,520 CASE AMONG PEOPLE LIVING WITH 3711 02:54:58,520 --> 02:55:03,560 HIV AND THOSE OPENLY LIVING WITH 3712 02:55:03,560 --> 02:55:14,000 HIV AND SAW HIGH BURDENS OF 3713 02:55:14,000 --> 02:55:19,520 ILLICIT DRUG USE AND PERVASIVE 3714 02:55:19,520 --> 02:55:23,520 PTSD SYMPTOMS AMONG CISGENDER 3715 02:55:23,520 --> 02:55:29,280 MEN, GAY MEN LIVING WITH HIV. 3716 02:55:29,280 --> 02:55:32,720 AND THIS IS A BIG TALK IN A 3717 02:55:32,720 --> 02:55:43,160 SHORT TIME BUT AS A 2022 3718 02:55:43,920 --> 02:55:48,640 PUBLISHED STUDY FEW FOCUSES ON 3719 02:55:48,640 --> 02:55:55,200 AND GENDER MINORITIES AND THEY 3720 02:55:55,200 --> 02:55:56,880 HAVE NOT ADDRESSED POLICY MAKERS 3721 02:55:56,880 --> 02:55:59,160 FROM ALL WE HEARD OVER THE LAST 3722 02:55:59,160 --> 02:56:01,960 FEW DAYS FEELS LIKE A GREAT 3723 02:56:01,960 --> 02:56:02,280 DISCONNECT. 3724 02:56:02,280 --> 02:56:03,880 THE STATE OF STIGMA INTERVENTION 3725 02:56:03,880 --> 02:56:06,000 RESEARCH AND HERE FOCUSSED ON 3726 02:56:06,000 --> 02:56:08,920 PUBLISHED RESEARCH IS REALLY 3727 02:56:08,920 --> 02:56:11,800 LIMITED IN RELATION TO WHAT 3728 02:56:11,800 --> 02:56:14,160 WE'VE SEEN ON THE STIGMA ON 3729 02:56:14,160 --> 02:56:15,960 BURDEN ON SEXUAL AND GENDER 3730 02:56:15,960 --> 02:56:17,600 DIVERSE COMMUNITIES AND THE 3731 02:56:17,600 --> 02:56:19,080 DISCONNECT IS THERE AND WE HEARD 3732 02:56:19,080 --> 02:56:22,680 OF MORE STUDIES THAT WILL SOON 3733 02:56:22,680 --> 02:56:23,320 BE IN THE LITERATURE BUT NOT TO 3734 02:56:23,320 --> 02:56:26,960 DATE. 3735 02:56:26,960 --> 02:56:29,480 IT'S AN OPPORTUNITY FOR 3736 02:56:29,480 --> 02:56:30,760 INTERVENTION WHEN WE LOOK AT 3737 02:56:30,760 --> 02:56:33,440 TRENDS GOING BACK FROM 2013 TO 3738 02:56:33,440 --> 02:56:35,920 NOW WE CONTINUE TO SEE SUSTAINED 3739 02:56:35,920 --> 02:56:39,600 OR INCREASING AMOUNT OF 3740 02:56:39,600 --> 02:56:40,840 SUBSTANCE ABUSE WHICH OFFERS AN 3741 02:56:40,840 --> 02:56:42,760 OPPORTUNITY FOR INTERVENTION AND 3742 02:56:42,760 --> 02:56:50,680 THE UNTREATED CHILDHOOD TRAUMAS, 3743 02:56:50,680 --> 02:56:54,640 PTSD AND SUICIDAL IDEATION AND 3744 02:56:54,640 --> 02:56:55,840 TEAMS. 3745 02:56:55,840 --> 02:56:57,600 I WANT TO THANK THE STIGMA TEAM 3746 02:56:57,600 --> 02:57:03,080 AT HOPKINS AND EMORY. 3747 02:57:03,080 --> 02:57:13,640 THE WORK WAS DONE BY THIS TEAM. 3748 02:57:14,680 --> 02:57:19,320 THANKS VERY MUCH. 3749 02:57:19,320 --> 02:57:20,280 >>THANK YOU, FOR A GREAT 3750 02:57:20,280 --> 02:57:22,640 PRESENTATION. 3751 02:57:22,640 --> 02:57:25,600 NOW I'D LIKE TO INTRODUCE 3752 02:57:25,600 --> 02:57:30,360 DR. AGENOR TALKING ABOUT 3753 02:57:30,360 --> 02:57:31,760 PROMOTING SEXUAL AND GENDER 3754 02:57:31,760 --> 02:57:32,640 MINORITY HEALTH EQUITY AND 3755 02:57:32,640 --> 02:57:35,880 ASSESSING THE IMPACT OF 3756 02:57:35,880 --> 02:57:38,080 U.S. STATE LAWS ON INTERSECTING 3757 02:57:38,080 --> 02:57:39,680 STRUCTURAL AND HEALTH 3758 02:57:39,680 --> 02:57:39,960 INEQUITIES. 3759 02:57:39,960 --> 02:57:42,800 PLEASE GO AHEAD. 3760 02:57:42,800 --> 02:57:45,280 >>THANK YOU SO MUCH FOR THE 3761 02:57:45,280 --> 02:57:48,400 INTRODUCTION AND THANK YOU ALSO 3762 02:57:48,400 --> 02:57:49,760 FOR THE INVITATION AS WELL AS 3763 02:57:49,760 --> 02:57:51,360 FOR ALL THE WORK THAT WAS DONE 3764 02:57:51,360 --> 02:57:53,160 BY THE PLANNING TEAM TO MAKE 3765 02:57:53,160 --> 02:57:56,480 THIS IMPORTANT EVENT POSSIBLE. 3766 02:57:56,480 --> 02:58:03,640 I'M MADINA AGENOR AND IT'S 3767 02:58:03,640 --> 02:58:05,920 IMPORTANT TO TALK ABOUT 3768 02:58:05,920 --> 02:58:07,800 PROMOTING SEXUAL AND GENDER 3769 02:58:07,800 --> 02:58:08,680 MINORITY HEALTH EQUITY AND 3770 02:58:08,680 --> 02:58:10,120 ASSESSING AND ADDRESSING THE 3771 02:58:10,120 --> 02:58:13,080 IMPACT OF U.S. STATE LAWS ON 3772 02:58:13,080 --> 02:58:13,640 INTERSECTING STRUCTURAL AND 3773 02:58:13,640 --> 02:58:21,880 HEALTH INEQUITIES. 3774 02:58:21,880 --> 02:58:24,400 I WANT TO ACKNOWLEDGE THE LAND 3775 02:58:24,400 --> 02:58:33,880 OF WHICH I'M ON TODAY. 3776 02:58:33,880 --> 02:58:39,640 IT'S LAND THAT EXPERIENCED 3777 02:58:39,640 --> 02:58:40,440 EXPLOITATION OF INDIGENOUS 3778 02:58:40,440 --> 02:58:41,720 PEOPLE NATIVE TO THE LAND AND 3779 02:58:41,720 --> 02:58:44,680 THOSE WHO CAME BY FORCE OR 3780 02:58:44,680 --> 02:58:47,520 OTHERWISE AS A RESULT OF 3781 02:58:47,520 --> 02:58:51,120 SLAVERY, COLONIALISM AND 3782 02:58:51,120 --> 02:58:51,440 IMPERIALISM. 3783 02:58:51,440 --> 02:58:54,760 IT SHAPED THE CONTEMPORARY AND 3784 02:58:54,760 --> 02:58:56,280 HEALTH INEQUITIES I'LL BE 3785 02:58:56,280 --> 02:58:58,320 TALKING ABOUT TODAY. 3786 02:58:58,320 --> 02:59:00,720 IT'S ESSENTIAL I FIRST BRING THE 3787 02:59:00,720 --> 02:59:03,920 INTERCONNECTED HISTORIES TO VIEW 3788 02:59:03,920 --> 02:59:05,600 TO CONTEXTUALIZE OUR DISCUSSION 3789 02:59:05,600 --> 02:59:08,640 AND IN THE HOPES OF CREATING A 3790 02:59:08,640 --> 02:59:09,640 DIFFERENT MORE JUST AND 3791 02:59:09,640 --> 02:59:12,680 EQUITABLE WORLD. 3792 02:59:12,680 --> 02:59:15,120 I'D LIKE TO TALK BY TALK BY 3793 02:59:15,120 --> 02:59:16,480 THINKING ABOUT THE ROLE OF 3794 02:59:16,480 --> 02:59:18,600 STRUCTURAL FACTORS AND SHAPING 3795 02:59:18,600 --> 02:59:20,880 HEALTH INEQUITIES WITH AN EYE 3796 02:59:20,880 --> 02:59:21,920 TOWARDS THINKING ABOUT 3797 02:59:21,920 --> 02:59:22,760 STRUCTURAL INTERVENTIONS THAT 3798 02:59:22,760 --> 02:59:31,760 COULD ADDRESS THEM. 3799 02:59:31,760 --> 02:59:34,000 AND YOU SEE THE SOCIAL 3800 02:59:34,000 --> 02:59:36,240 DETERMINATES OF HEALTH THAT 3801 02:59:36,240 --> 02:59:43,040 SHOWS MACRO LEVEL CONTEXTUAL IZE 3802 02:59:43,040 --> 02:59:46,240 VALUES SHAPED AND INTERACT WITH 3803 02:59:46,240 --> 02:59:47,720 THE SOCIAL DETERMINATES OF 3804 02:59:47,720 --> 02:59:50,400 HEALTH INCLUDING ACCESS TO SOCIO 3805 02:59:50,400 --> 02:59:53,480 ECONOMIC HEALTH CARE AND 3806 02:59:53,480 --> 02:59:55,120 PSYCHOSOCIAL RESOURCES AS WELL 3807 02:59:55,120 --> 02:59:56,680 AS EXPOSURE TO INTERPERSONAL 3808 02:59:56,680 --> 02:59:58,680 DISCRIMINATION AND OTHER 3809 02:59:58,680 --> 03:00:00,200 PHYSICAL ECONOMIC, PSYCHOSOCIAL 3810 03:00:00,200 --> 03:00:03,760 AND ENVIRONMENTAL HARM WHICH IN 3811 03:00:03,760 --> 03:00:04,920 TURN INFLUENCE HEALTH OUTCOME 3812 03:00:04,920 --> 03:00:11,760 ACROSS AND WITHIN SOCIAL GROUPS. 3813 03:00:11,760 --> 03:00:13,840 THE STRUCTURAL DETERMINATES OF 3814 03:00:13,840 --> 03:00:16,800 HEALTH ARE THEMSELVES EMBEDDED 3815 03:00:16,800 --> 03:00:20,400 IN AND INTERACT WITH MULTIPLE 3816 03:00:20,400 --> 03:00:22,080 INTERSECTING STRUCTURAL 3817 03:00:22,080 --> 03:00:25,640 INEQUITIES INCLUDING STRUCTURAL 3818 03:00:25,640 --> 03:00:29,960 RACISM, SEXISM AND OTHERS 3819 03:00:29,960 --> 03:00:32,320 INFLUENCED BY HISTORICAL 3820 03:00:32,320 --> 03:00:34,160 PROCESSES SUCH AS SLAVERY, 3821 03:00:34,160 --> 03:00:37,800 SETTLER COLONIALISM AND GENOCIDE 3822 03:00:37,800 --> 03:00:44,960 AND IMPERIALISM AND THE ONGOING 3823 03:00:44,960 --> 03:00:45,200 LEGACY. 3824 03:00:45,200 --> 03:00:48,200 IT'S TOGETHER THE FACTORS AND 3825 03:00:48,200 --> 03:00:50,520 PROCESSES INFLUENCE HEALTH OVER 3826 03:00:50,520 --> 03:00:53,440 ALL BUT SGM HEALTH EQUITY 3827 03:00:53,440 --> 03:00:59,480 ESPECIALLY FOR MARGINALIZED 3828 03:00:59,480 --> 03:01:00,320 PEOPLE AT DIVERSE INTERSECTION 3829 03:01:00,320 --> 03:01:04,520 OF GENDER IDENTITY AND RACE 3830 03:01:04,520 --> 03:01:05,280 ETHNICITY. 3831 03:01:05,280 --> 03:01:08,400 I'LL FOCUS ON THE ONE PARTICULAR 3832 03:01:08,400 --> 03:01:13,360 STRUCTURAL DETERMINATE OF HEALTH 3833 03:01:13,360 --> 03:01:15,320 HIGHLIGHTED HERE IN RED. 3834 03:01:15,320 --> 03:01:19,680 THIS IS A PUBLIC HEALTH LAW 3835 03:01:19,680 --> 03:01:23,200 FRAMEWORK WHICH SHOWS LAWS IN 3836 03:01:23,200 --> 03:01:24,240 CONJUNCTION WITH GOVERNANCE 3837 03:01:24,240 --> 03:01:29,920 STRUCTURES, RULES, REGULATIONS, 3838 03:01:29,920 --> 03:01:38,240 POLICIES, IMPACT BEHAVIORS AND 3839 03:01:38,240 --> 03:01:40,480 LAWS INCLUDING FEDERAL, STATE 3840 03:01:40,480 --> 03:01:42,080 AND LOCAL LAWS BOTH SHAPE AND 3841 03:01:42,080 --> 03:01:45,360 ARE SHAPED BY MULTIPLE 3842 03:01:45,360 --> 03:01:46,160 INTERSECTING STRUCTURAL 3843 03:01:46,160 --> 03:01:49,000 INEQUITIES INCLUDING BUT NOT 3844 03:01:49,000 --> 03:01:53,960 LIMITED TO RACISM, HETEROSEXISM 3845 03:01:53,960 --> 03:01:57,200 AND IT'S IMPORTANT TO NOTE LAWS 3846 03:01:57,200 --> 03:02:00,720 AND STRUCTURAL INEQUITIES ARE 3847 03:02:00,720 --> 03:02:01,280 THEMSELVES SHAPED BY AND 3848 03:02:01,280 --> 03:02:03,720 CONTINUE TO SAME THE ONGOING 3849 03:02:03,720 --> 03:02:04,240 LEGACIES OF HISTORICAL 3850 03:02:04,240 --> 03:02:07,880 PROCESSES. 3851 03:02:07,880 --> 03:02:09,520 AS WELL AS ECONOMIC SYSTEMS AND 3852 03:02:09,520 --> 03:02:12,120 POLITICAL IDEOLOGIES AND IT'S 3853 03:02:12,120 --> 03:02:13,320 TOGETHER ALL THESE STRUCTURAL 3854 03:02:13,320 --> 03:02:19,160 FACTORS AND PROCESSES INTERN 3855 03:02:19,160 --> 03:02:20,800 SHAPE HEALTH INEQUITIES ACROSS 3856 03:02:20,800 --> 03:02:25,160 SOCIAL GROUPS AND RACIALLY AND 3857 03:02:25,160 --> 03:02:33,360 MINORITIZED SGM PEOPLE. 3858 03:02:33,360 --> 03:02:36,240 AND ONE WAY TO ADDRESS 3859 03:02:36,240 --> 03:02:39,640 STRUCTURAL INEQUITIES AND 3860 03:02:39,640 --> 03:02:40,520 CISGENDERISM IS THROUGH LAWS 3861 03:02:40,520 --> 03:02:44,720 INCLUDING STATE LAWS IN 3862 03:02:44,720 --> 03:02:46,960 PARTICULAR. 3863 03:02:46,960 --> 03:02:49,680 AND PROMOTE OR CHALLENGE THE 3864 03:02:49,680 --> 03:02:55,080 INEQUITIES THROUGH A RANGE OF 3865 03:02:55,080 --> 03:02:57,640 MECHANISMS AND AND THEIR 3866 03:02:57,640 --> 03:02:59,800 POLICIES, RULES, REGULATIONS, 3867 03:02:59,800 --> 03:03:00,960 POLITICAL CLIMATE THEY CREATE, 3868 03:03:00,960 --> 03:03:04,680 THE VALUES THEY PROMOTE AND THE 3869 03:03:04,680 --> 03:03:13,480 IDEOLOGY-BASED SUPPORT. 3870 03:03:13,480 --> 03:03:16,160 AND THEY AFFECT EVERY FACET OF 3871 03:03:16,160 --> 03:03:17,120 AN INDIVIDUAL'S LIFE. 3872 03:03:17,120 --> 03:03:20,400 A KEY POINT I WANT TO MAKE BOTH 3873 03:03:20,400 --> 03:03:22,360 PAST AND PRESENT STATE LAWS 3874 03:03:22,360 --> 03:03:27,880 SHAPE THE UNEQUAL AND 3875 03:03:27,880 --> 03:03:29,040 INEQUITABLE DISTRIBUTION OF 3876 03:03:29,040 --> 03:03:31,920 HEALTH ACROSS SOCIAL GROUPS AND 3877 03:03:31,920 --> 03:03:32,200 INDIVIDUALS. 3878 03:03:32,200 --> 03:03:33,920 WHAT WE'VE SEEN LARGELY THROUGH 3879 03:03:33,920 --> 03:03:44,440 HISTORY IS HARMFUL STATE LAWS 3880 03:04:02,160 --> 03:04:04,040 AND LAWS COULD PROTECT OR 3881 03:04:04,040 --> 03:04:07,600 BENEFIT MARGINALIZED PEOPLE ARE 3882 03:04:07,600 --> 03:04:11,600 ROUTINELY AND SYSTEMICALLY 3883 03:04:11,600 --> 03:04:15,880 DISCRET ITTED -- DISCREDITED AND 3884 03:04:15,880 --> 03:04:17,200 OVERCOME AND IT SHAPES THE 3885 03:04:17,200 --> 03:04:20,080 POLITICAL AND HISTORICAL CONTEXT 3886 03:04:20,080 --> 03:04:21,560 OF CLIMATE AS WELL AS THE SOCIAL 3887 03:04:21,560 --> 03:04:24,600 AND CULTURAL NORMS OF PARTICULAR 3888 03:04:24,600 --> 03:04:25,200 STATES IN WHICH HEALTH 3889 03:04:25,200 --> 03:04:29,560 INEQUITIES ARE CREATED. 3890 03:04:29,560 --> 03:04:31,800 AS SUCH ASSESSING STRUCTURAL 3891 03:04:31,800 --> 03:04:33,800 INEQUITIES VIEWING STATE LAWS AS 3892 03:04:33,800 --> 03:04:36,000 INDICATORS TO HELP US CAN 3893 03:04:36,000 --> 03:04:38,280 IDENTIFY AND TARGET THE SPECIFIC 3894 03:04:38,280 --> 03:04:41,280 LAWS THAT INDEPENDENTLY AND IN 3895 03:04:41,280 --> 03:04:44,080 COMBINATION PROMOTE AND 3896 03:04:44,080 --> 03:04:45,280 REINFORCE STRUCTURAL INEQUITIES 3897 03:04:45,280 --> 03:04:49,600 THROUGH FOR EXAMPLE, POLICY 3898 03:04:49,600 --> 03:04:50,880 ADVOCACY AND SOCIAL MOVEMENT AND 3899 03:04:50,880 --> 03:04:53,200 OTHER FORMS OF COLLECTIVE ACTION 3900 03:04:53,200 --> 03:04:56,920 THAT DIRECTLY TARGET THE 3901 03:04:56,920 --> 03:04:57,160 FACTORS. 3902 03:04:57,160 --> 03:05:01,800 ONE STRUCTURAL INEQUITY I WANT 3903 03:05:01,800 --> 03:05:06,120 TO FOCUS ON TODAY AND INTERSECTS 3904 03:05:06,120 --> 03:05:12,840 WITH OTHERS IS GENDERISM IS 3905 03:05:12,840 --> 03:05:18,440 STRUCTURAL RACISM AND YOU CAN 3906 03:05:18,440 --> 03:05:28,960 SEE IN THE LANCET PAPER AND IN 3907 03:05:35,240 --> 03:05:37,280 THEIR 2021 PAPER THEY DEFINE 3908 03:05:37,280 --> 03:05:39,560 STRUCTURAL RACISM AS QUOTE A 3909 03:05:39,560 --> 03:05:41,840 SYSTEM OF INTERCONNECTED 3910 03:05:41,840 --> 03:05:43,400 INSTITUTIONS THAT OPERATE WITH A 3911 03:05:43,400 --> 03:05:45,080 SET OF RACIALIZED RULES THAT 3912 03:05:45,080 --> 03:05:48,680 MAINTAIN WHITE SUPREMACY. 3913 03:05:48,680 --> 03:05:51,040 AND SO STRUCTURAL RACISM IMPACTS 3914 03:05:51,040 --> 03:05:53,400 HEALTH EQUITY INCLUDING FOR 3915 03:05:53,400 --> 03:05:55,400 RACIALLY AND ETHNICALLY 3916 03:05:55,400 --> 03:05:58,600 MINORITIZED SGM PEOPLE BY 3917 03:05:58,600 --> 03:06:00,160 SHAPING THE UNEQUITABLE 3918 03:06:00,160 --> 03:06:01,560 DISTRIBUTION OF SOCIAL, 3919 03:06:01,560 --> 03:06:02,400 ECONOMIC, POLITICAL AND HEALTH 3920 03:06:02,400 --> 03:06:05,200 CARE RESOURCES AND PHYSICAL 3921 03:06:05,200 --> 03:06:06,640 PSYCHOSOCIAL ENVIRONMENTAL RISKS 3922 03:06:06,640 --> 03:06:08,960 AND HARMS OVER TIME AND SPACE. 3923 03:06:08,960 --> 03:06:11,320 AS WE CAN THINK OF STRUCTURAL 3924 03:06:11,320 --> 03:06:21,840 RACISM AS A FUNDAMENTAL CAUSE 3925 03:06:29,560 --> 03:06:31,920 AND WITHIN RACIALIZED SGM 3926 03:06:31,920 --> 03:06:32,600 GROUPS. 3927 03:06:32,600 --> 03:06:36,560 SO TO BE CLEAR, THERE HAS BEEN A 3928 03:06:36,560 --> 03:06:38,360 LONG HISTORY, A LONG RICH 3929 03:06:38,360 --> 03:06:42,440 HISTORY OF THEORETICAL, 3930 03:06:42,440 --> 03:06:45,080 CONCEPTUAL AND PRACTICE BASED 3931 03:06:45,080 --> 03:06:47,800 WORK ON LAWS FOR CENTURIES. 3932 03:06:47,800 --> 03:06:50,960 WHAT IS LIMITED IS RESEARCH THAT 3933 03:06:50,960 --> 03:06:53,160 ADDRESS THE LINK BETWEEN 3934 03:06:53,160 --> 03:06:54,000 STRUCTURAL RACISM LAWS AND 3935 03:06:54,000 --> 03:06:55,520 HEALTH INEQUITIES. 3936 03:06:55,520 --> 03:06:57,040 AND IN FACT MOST EXISTING 3937 03:06:57,040 --> 03:07:00,840 STUDIES HAVE LARGELY FOCUSSED ON 3938 03:07:00,840 --> 03:07:03,880 HISTORICAL JIM CROW LAWS FINDING 3939 03:07:03,880 --> 03:07:05,520 NEGATIVE IMPACT OF THESE LAWS ON 3940 03:07:05,520 --> 03:07:09,120 BLACK ADULT AND INFANT MORTALITY 3941 03:07:09,120 --> 03:07:10,520 AND BREAST CANCER RATES. 3942 03:07:10,520 --> 03:07:12,400 THERE'S A NEED FOR ADDITIONAL 3943 03:07:12,400 --> 03:07:14,520 EMPIRICAL RESEARCH ON 3944 03:07:14,520 --> 03:07:15,720 CONTEMPORARY U.S. STATE LAWS 3945 03:07:15,720 --> 03:07:19,360 BOTH EXPLICITLY AND IMPLICITLY 3946 03:07:19,360 --> 03:07:20,880 LINKED TO STRUCTURAL RACISM AS 3947 03:07:20,880 --> 03:07:23,800 WELL AS LOOKING AT THEIR AFFECTS 3948 03:07:23,800 --> 03:07:25,520 ACROSS DIVERSE RACIAL AND ETHNIC 3949 03:07:25,520 --> 03:07:27,200 GROUPS OVER TIME AND SPACE 3950 03:07:27,200 --> 03:07:30,000 ADDRESSING THE MECHANISMS OF 3951 03:07:30,000 --> 03:07:31,880 THESE AFFECTS IN ORDER TO INFORM 3952 03:07:31,880 --> 03:07:33,760 STRUCTURAL INTERVENTIONS THAT 3953 03:07:33,760 --> 03:07:37,280 ADDRESS THE PASSAGE AND 3954 03:07:37,280 --> 03:07:40,320 IMPLEMENTATION AND THE AFFECT OF 3955 03:07:40,320 --> 03:07:43,040 RACIST STATE LAWS ON HEALTH 3956 03:07:43,040 --> 03:07:44,960 EQUITY IN GENERAL AND SGM EQUITY 3957 03:07:44,960 --> 03:07:45,800 IN PARTICULAR. 3958 03:07:45,800 --> 03:07:47,880 TO ADDRESS THE GAPS WE DEVELOPED 3959 03:07:47,880 --> 03:07:50,040 A DATABASE OF STRUCTURAL RACISM 3960 03:07:50,040 --> 03:07:51,640 RELATED STATE LAWS FOR HEALTH 3961 03:07:51,640 --> 03:07:53,760 EQUITY RESEARCH AND PRACTICE IN 3962 03:07:53,760 --> 03:07:54,840 THE UNITED STATES. 3963 03:07:54,840 --> 03:07:57,040 WE CONVENED A MULTI-DISCIPLINARY 3964 03:07:57,040 --> 03:07:59,200 TEAM OF PUBLIC HEALTH 3965 03:07:59,200 --> 03:08:01,560 RESEARCHERS AND ALSO SCHOLARS 3966 03:08:01,560 --> 03:08:04,520 WHO WORK TOGETHER TO APPLY THE 3967 03:08:04,520 --> 03:08:06,440 EXPERTISE IN RACISM AND HEALTH 3968 03:08:06,440 --> 03:08:10,240 AND RACISM AND THE LAW USING 3969 03:08:10,240 --> 03:08:13,400 CRITICAL RACE THEORY AND 3970 03:08:13,400 --> 03:08:15,680 CRITICAL RACE THEORY TELLS US 3971 03:08:15,680 --> 03:08:19,320 RACISM IS EXPLICITLY AND 3972 03:08:19,320 --> 03:08:21,480 IMPLICITLY EMBEDDED INTO ALL OF 3973 03:08:21,480 --> 03:08:23,560 OUR LAWS, SYSTEMS, STRUCTURES 3974 03:08:23,560 --> 03:08:26,680 AND INSTITUTIONS AND SO THAT 3975 03:08:26,680 --> 03:08:28,400 NEEDS TO BE ADDRESSED TO ADVANCE 3976 03:08:28,400 --> 03:08:30,480 RACIAL JUSTICE AND EQUITY 3977 03:08:30,480 --> 03:08:33,840 INCLUDING IN HEALTH. 3978 03:08:33,840 --> 03:08:38,240 USING THE APPROACH WE DEVELOPED 3979 03:08:38,240 --> 03:08:44,920 THE TYPOLOGY AND IDENTIFIED AND 3980 03:08:44,920 --> 03:08:46,920 REFINED LAWS IN THE DOMAIN 3981 03:08:46,920 --> 03:08:48,840 DEFINING THE SCOPE AND FEATURES 3982 03:08:48,840 --> 03:08:49,920 OF EACH LAW USING PRIMARY AND 3983 03:08:49,920 --> 03:08:56,680 SECONDARY SOURCES. 3984 03:08:56,680 --> 03:08:58,320 AND USED SURVEILLANCE METHODS 3985 03:08:58,320 --> 03:09:00,880 AND DEVELOPED A CODE BOOK WE 3986 03:09:00,880 --> 03:09:01,960 APPLIED SYSTEMATICALLY TO ALL 3987 03:09:01,960 --> 03:09:05,200 THE LAWS AND THIS WAS APPLIED BY 3988 03:09:05,200 --> 03:09:08,160 TWO INDEPENDENT CODERS FOR A 3989 03:09:08,160 --> 03:09:10,160 SUBSET OF LAWS FOR RELIABILITY. 3990 03:09:10,160 --> 03:09:12,480 WE DID THIS FOR THE PERIOD OF 3991 03:09:12,480 --> 03:09:16,760 2010 TO 2013 FOR ALL 50 3992 03:09:16,760 --> 03:09:19,640 U.S. STATES AND D.C. 3993 03:09:19,640 --> 03:09:21,880 WE IDENTIFIED 843 U.S. STATE 3994 03:09:21,880 --> 03:09:23,680 LAWS THAT WERE EITHER EXPLICITLY 3995 03:09:23,680 --> 03:09:27,400 OR IMPLICITLY RELATED TO 3996 03:09:27,400 --> 03:09:28,600 STRUCTURAL RACISM DURING THE 3997 03:09:28,600 --> 03:09:31,920 PERIOD AND FOUND MOST STATES HAD 3998 03:09:31,920 --> 03:09:33,120 HARMFUL LAWS THAT NEGATIVELY 3999 03:09:33,120 --> 03:09:34,880 IMPACT COMMUNITIES OF COLOR AND 4000 03:09:34,880 --> 03:09:37,360 MOST STATES DID NOT HAVE 4001 03:09:37,360 --> 03:09:39,960 PROTECTIVE LAWS THAT PROHIBIT 4002 03:09:39,960 --> 03:09:41,920 DISCRIMINATION ABOVE AND BEYOND 4003 03:09:41,920 --> 03:09:44,360 FEDERAL PROVISIONS. 4004 03:09:44,360 --> 03:09:48,480 RECENTLY WE'VE BEEN LINKING OUR 4005 03:09:48,480 --> 03:09:49,240 DATABASE TO HEALTH AND HEALTH 4006 03:09:49,240 --> 03:09:51,360 CARE INDICATORS. 4007 03:09:51,360 --> 03:09:55,120 WE HAVE CREATED STATE LEVEL 4008 03:09:55,120 --> 03:09:58,040 INDEX WHERE WE HAVE CODED 4009 03:09:58,040 --> 03:10:00,360 PROTECTED LAWS AS NEGATIVE ONES, 4010 03:10:00,360 --> 03:10:01,640 HARMFUL ONES AS POSITIVE ONES 4011 03:10:01,640 --> 03:10:04,560 AND SUMS OF VALUE FOR ALL 4012 03:10:04,560 --> 03:10:06,760 INCLUDED LAWS AND USING THE DATA 4013 03:10:06,760 --> 03:10:08,560 WE HAVE FOUND POSITIVE 4014 03:10:08,560 --> 03:10:10,680 ASSOCIATIONS BETWEEN THE STATE 4015 03:10:10,680 --> 03:10:12,400 LEVEL STRUCTURAL LEGAL RACISM 4016 03:10:12,400 --> 03:10:14,200 INDEX AND THE RISK OF LACKING 4017 03:10:14,200 --> 03:10:17,760 HEALTH INSURANCE AND ABSCESS TO 4018 03:10:17,760 --> 03:10:19,760 HEALTH CARE AMONG YOUNG ADULTS. 4019 03:10:19,760 --> 03:10:22,080 WE HAVE ALSO CONDUCTED ANOTHER 4020 03:10:22,080 --> 03:10:24,560 ANALYSIS THAT CENTERED ON THE 4021 03:10:24,560 --> 03:10:26,680 IDEA THAT GROUPS OF STRUCTURAL 4022 03:10:26,680 --> 03:10:29,120 RACISM RELATED U.S. STATE LAWS 4023 03:10:29,120 --> 03:10:31,520 CAN HAVE POWERFUL INTERACTIVE 4024 03:10:31,520 --> 03:10:34,240 AFFECTS GREATER THAN THE SUM OF 4025 03:10:34,240 --> 03:10:35,080 SINGLE LAWS. 4026 03:10:35,080 --> 03:10:37,040 WE USED CLASS ANALYSIS TO 4027 03:10:37,040 --> 03:10:42,200 IDENTIFY PATTERNS OF 4028 03:10:42,200 --> 03:10:43,800 CO-OCCURRING STRUCTURAL RACISM 4029 03:10:43,800 --> 03:10:46,040 LAWS AND IDENTIFIED THREE LATENT 4030 03:10:46,040 --> 03:10:47,840 CLASSES OF LAWS. 4031 03:10:47,840 --> 03:10:51,080 CLASS ONE INCLUDES A MAJORITY OF 4032 03:10:51,080 --> 03:10:53,640 JIM CROW STATES THAT INCLUDE 4033 03:10:53,640 --> 03:10:55,280 MOSTLY HARMFUL LAWS. 4034 03:10:55,280 --> 03:10:58,000 A CLASS TWO MOSTLY PROTECTIVE 4035 03:10:58,000 --> 03:11:01,120 LAWS AND CLASS THREE, A MIX OF 4036 03:11:01,120 --> 03:11:01,880 HARMFUL ESPECIALLY IMMIGRATION 4037 03:11:01,880 --> 03:11:03,920 RELATED AND PROTECTIVE LAWS. 4038 03:11:03,920 --> 03:11:06,280 AGAIN WE USED INDIVIDUAL-LEVEL 4039 03:11:06,280 --> 03:11:09,520 HEALTH DATA FROM CDC WONDERED 4040 03:11:09,520 --> 03:11:12,120 AND FOUND A LINK BETWEEN THE 4041 03:11:12,120 --> 03:11:14,360 CLASSES AND PREMATURE MORTALITY 4042 03:11:14,360 --> 03:11:20,560 RATES FINDING CLASS 1 HAVE THE 4043 03:11:20,560 --> 03:11:22,560 HIGHEST MORTALITY RATES AND ALSO 4044 03:11:22,560 --> 03:11:25,160 AND THIS MAY SOUND INTUITIVE AT 4045 03:11:25,160 --> 03:11:30,120 FIRST BUT IT MAKES SENSE HOW THE 4046 03:11:30,120 --> 03:11:31,640 NARROWEST BLACK/WHITE 4047 03:11:31,640 --> 03:11:32,440 DISPARITIES BECAUSE BLACK AND 4048 03:11:32,440 --> 03:11:34,200 WHITE PEOPLE IN THOSE STATES 4049 03:11:34,200 --> 03:11:37,600 HAVE HIGH RATES OF PREMATURE 4050 03:11:37,600 --> 03:11:37,920 MORTALITY. 4051 03:11:37,920 --> 03:11:40,080 SO YOU SEE NARROW DISPARITIES. 4052 03:11:40,080 --> 03:11:42,760 IT'S IMPORTANT TO INTERPRET THAT 4053 03:11:42,760 --> 03:11:46,680 IN THE CONTEXT OF STATE 4054 03:11:46,680 --> 03:11:48,800 INFRASTRUCTURE RELATED TO THESE 4055 03:11:48,800 --> 03:11:49,000 LAWS. 4056 03:11:49,000 --> 03:11:50,800 SO IN THE LAST MINUTE THAT I 4057 03:11:50,800 --> 03:11:54,640 HAVE, I WANT TO TURN MY 4058 03:11:54,640 --> 03:11:55,680 ATTENTION TO INTERSECTIONALITY 4059 03:11:55,680 --> 03:11:58,960 WHICH IS EMBEDDED IN CRITICAL 4060 03:11:58,960 --> 03:12:00,960 RACE THEORY AND SHARES MANY OF 4061 03:12:00,960 --> 03:12:04,280 THE ORIGINS AND ORIGINATORS 4062 03:12:04,280 --> 03:12:06,760 INCLUDING KIMBERLY CRENSHAW AND 4063 03:12:06,760 --> 03:12:08,720 PATRICIA WILLIAMS AND OTHERS AND 4064 03:12:08,720 --> 03:12:10,920 INTERSECTIONALITY IS AN ANALYTIC 4065 03:12:10,920 --> 03:12:12,240 TOOL THAT PUSHES US TO THINK 4066 03:12:12,240 --> 03:12:20,760 MORE CRITICALLY AND HOWHOLIST 4067 03:12:20,760 --> 03:12:23,000 ABOUT THE INTERSECTIONS. 4068 03:12:23,000 --> 03:12:27,160 AND IT WAS STATED IN THE 4069 03:12:27,160 --> 03:12:29,840 COLLECTIVE FEMINIST STATEMENT OF 4070 03:12:29,840 --> 03:12:32,840 1977 NOTING SYSTEMS OF 4071 03:12:32,840 --> 03:12:37,040 OPPRESSION KNOWN AS RACISM, 4072 03:12:37,040 --> 03:12:39,520 SEXISM AND CISGENDERISM ARE 4073 03:12:39,520 --> 03:12:41,080 INTERLOCKING AND WE MUST ADDRESS 4074 03:12:41,080 --> 03:12:45,120 THEM ALL TO MOVE THE NEEDLE FOR 4075 03:12:45,120 --> 03:12:46,160 SGM PEOPLE. 4076 03:12:46,160 --> 03:12:49,640 I'LL JUST AND I'LL LET YOU KNOW 4077 03:12:49,640 --> 03:12:53,520 TO ADVANCE THE PATH AND PUSH 4078 03:12:53,520 --> 03:12:55,400 FORWARD ON ANALYSES INCLUDING IN 4079 03:12:55,400 --> 03:12:57,520 THE CONTEXT OF SGM HEALTH WE 4080 03:12:57,520 --> 03:13:00,200 ALSO DEVELOPED A LEGAL DATABASE 4081 03:13:00,200 --> 03:13:02,640 OF SEXUAL ORIENTATION AND GENDER 4082 03:13:02,640 --> 03:13:03,880 IDENTITY RELATED STAYED LAWS FOR 4083 03:13:03,880 --> 03:13:08,480 THE PERIOD OF 1996 TO 2016. 4084 03:13:08,480 --> 03:13:11,160 AND SO THERE'S REALLY THREE 4085 03:13:11,160 --> 03:13:13,640 MAJOR WAYS OF MOVING OUR 4086 03:13:13,640 --> 03:13:16,040 RESEARCH ON THOSE ASSESSING AND 4087 03:13:16,040 --> 03:13:17,080 ADDRESSING INTERSECTION 4088 03:13:17,080 --> 03:13:18,160 STRUCTURAL INEQUITIES USING 4089 03:13:18,160 --> 03:13:19,400 STATE LAWS FORWARD. 4090 03:13:19,400 --> 03:13:20,640 WE CAN LOOK AT THE JOINT EFFECT 4091 03:13:20,640 --> 03:13:22,800 OF MULTIPLE LAWS RELATED TO 4092 03:13:22,800 --> 03:13:23,760 DIFFERENT STRUCTURAL INEQUITIES 4093 03:13:23,760 --> 03:13:27,520 AND LOOK AT THEIR IMPACTS ON 4094 03:13:27,520 --> 03:13:31,080 HEALTH OUTCOMES AMONG 4095 03:13:31,080 --> 03:13:33,120 MARGINALIZED INCLUDING SGM GROUP 4096 03:13:33,120 --> 03:13:35,880 AND CREATE LEGAL INDICES AND 4097 03:13:35,880 --> 03:13:37,480 LEGAL CLASSES SUCH AS DISCUSSED 4098 03:13:37,480 --> 03:13:40,440 EARLIER AND LOOK AT THEIR 4099 03:13:40,440 --> 03:13:43,840 INTERSECTIONS ACROSS TYPE OF 4100 03:13:43,840 --> 03:13:45,680 INEQUITIES AND LASTLY I THINK 4101 03:13:45,680 --> 03:13:49,640 WHERE WE SHOULD MOVE IS THINK OF 4102 03:13:49,640 --> 03:13:52,320 INTEGRATED STATE LEVEL LEGAL 4103 03:13:52,320 --> 03:13:55,640 INDICES OR CLASSES AND LOOK AT 4104 03:13:55,640 --> 03:14:06,080 THE STRUCTURAL INEQUITIES. 4105 03:14:12,680 --> 03:14:15,080 PATRIARCHY AND THERE'S 4106 03:14:15,080 --> 03:14:16,560 STRUCTURAL INEQUITY AT THE STATE 4107 03:14:16,560 --> 03:14:18,800 LEVEL AND ALL THE LEVELS AND 4108 03:14:18,800 --> 03:14:19,840 ACROSS MULTIPLE SYSTEMS. 4109 03:14:19,840 --> 03:14:24,800 IN DOING THIS WORK, WE REALLY DO 4110 03:14:24,800 --> 03:14:26,960 NEED TO LOOK AT PEOPLE'S LIVED 4111 03:14:26,960 --> 03:14:28,360 EXPERIENCE IN THE CON TEST AND 4112 03:14:28,360 --> 03:14:31,760 IN THE DEVELOPMENT OF THE 4113 03:14:31,760 --> 03:14:33,640 MEASURES THROUGH PARTICIPATORY 4114 03:14:33,640 --> 03:14:35,000 PROCESSES AND MIXED METHODS 4115 03:14:35,000 --> 03:14:36,520 APPROACHES AND WE'RE WORK ON 4116 03:14:36,520 --> 03:14:39,520 THAT NOW AND TO THINK OF 4117 03:14:39,520 --> 03:14:41,000 INNOVATIVE WAYS LOOK AT 4118 03:14:41,000 --> 03:14:42,160 HISTORICAL CONTEXT WHICH IS 4119 03:14:42,160 --> 03:14:48,320 CRITICAL DO -- TO EVERYTHING 4120 03:14:48,320 --> 03:14:50,760 WE'RE TALKING ABOUT TODAY AND 4121 03:14:50,760 --> 03:14:51,440 CONCEPTUALIZATION BECAUSE THIS 4122 03:14:51,440 --> 03:14:54,440 MAY MOVE US IN A DIFFERENT 4123 03:14:54,440 --> 03:14:56,200 DIRECTION AND MIGHT MOVE US AWAY 4124 03:14:56,200 --> 03:14:57,840 FROM MEASUREMENT OR LEGAL 4125 03:14:57,840 --> 03:14:59,560 APPROACH AND FORCE OTHER WAYS OF 4126 03:14:59,560 --> 03:15:02,440 KNOWING AND ACTING SUCH AS 4127 03:15:02,440 --> 03:15:04,400 NARRATIVE SHIFTS. 4128 03:15:04,400 --> 03:15:07,480 AND THEN LASTLY, I WANT TO END 4129 03:15:07,480 --> 03:15:09,200 WITH THE POINT THAT WE KNOW THIS 4130 03:15:09,200 --> 03:15:10,800 BUT I THINK IT'S IMPORTANT TO 4131 03:15:10,800 --> 03:15:14,000 REMEMBER THAT WE'RE NOT JUST 4132 03:15:14,000 --> 03:15:16,240 FIGHTING STRUCTURAL INEQUITIES 4133 03:15:16,240 --> 03:15:18,640 BUT WE'RE FIGHTING FOR SOCIAL 4134 03:15:18,640 --> 03:15:21,360 AND HEALTH EQUITY AND JUSTICE. 4135 03:15:21,360 --> 03:15:23,320 SO YES, THIS WILL ABSOLUTELY 4136 03:15:23,320 --> 03:15:25,080 REQUIRE REPEALING AND PREVENTING 4137 03:15:25,080 --> 03:15:27,480 THE PASSAGE OF HARMFUL STATE 4138 03:15:27,480 --> 03:15:30,120 LAWS THAT ARE RELATED TO THESE 4139 03:15:30,120 --> 03:15:32,240 MULTIPLE SYSTEMS OF OPPRESSION I 4140 03:15:32,240 --> 03:15:35,800 JUST BUT IT WILL ALSO REQUIRE 4141 03:15:35,800 --> 03:15:37,680 MUCH MORE THAN PASSING GOOD LAWS 4142 03:15:37,680 --> 03:15:40,520 TO BRING MEANINGFUL STRUCTURAL 4143 03:15:40,520 --> 03:15:40,760 CHANGE. 4144 03:15:40,760 --> 03:15:42,080 WE'LL NEED COLLECTIVE 4145 03:15:42,080 --> 03:15:44,400 IMAGINATION AND ACTION FOR 4146 03:15:44,400 --> 03:15:45,760 TRANSFORMATIVE JUSTICE INCLUDING 4147 03:15:45,760 --> 03:15:48,680 TAKING SERIOUSLY AND DISCUSSING 4148 03:15:48,680 --> 03:15:50,880 THE NEED FOR REPARATION AND 4149 03:15:50,880 --> 03:15:52,160 ABOLITION AND THE NEW EQUITY 4150 03:15:52,160 --> 03:15:54,680 CENTERED SYSTEMS, INSTITUTIONS, 4151 03:15:54,680 --> 03:15:56,800 PRACTICES, STRUCTURES, NORMS AND 4152 03:15:56,800 --> 03:15:59,320 VALUES THAT ADVANCE EQUITY FOR 4153 03:15:59,320 --> 03:15:59,680 ALL SGM PEOPLE. 4154 03:15:59,680 --> 03:16:01,800 AND SO I WANT TO CLOSE BY 4155 03:16:01,800 --> 03:16:03,560 THANKING ALL OF MY COLLABORATORS 4156 03:16:03,560 --> 03:16:06,320 ON THIS WORK. 4157 03:16:06,320 --> 03:16:08,720 ESPECIALLY DR. AUSTIN WHO 4158 03:16:08,720 --> 03:16:11,320 GENERATED MANY OF THESE PROJECTS 4159 03:16:11,320 --> 03:16:12,400 AND HAS BEEN AN INCREDIBLE 4160 03:16:12,400 --> 03:16:16,600 LEADER IN OUR FIELD. 4161 03:16:16,600 --> 03:16:19,280 I WANT TO RECOGNIZE ALL HER 4162 03:16:19,280 --> 03:16:20,520 CONTRIBUTIONS THE PAST DECADE. 4163 03:16:20,520 --> 03:16:22,440 THANK YOU VERY MUCH. 4164 03:16:22,440 --> 03:16:23,760 >>THANK YOU SO MUCH, 4165 03:16:23,760 --> 03:16:25,360 DR. AGENOR. 4166 03:16:25,360 --> 03:16:27,040 GREAT PRESENTATION AND YOU GAVE 4167 03:16:27,040 --> 03:16:31,840 US A LOT TO THINK ABOUT. 4168 03:16:31,840 --> 03:16:36,160 I'D LIKE TO SHIFT TO THE Q&A 4169 03:16:36,160 --> 03:16:36,720 SESSION. 4170 03:16:36,720 --> 03:16:38,920 I THOUGHT THIS PANEL HAS GREAT 4171 03:16:38,920 --> 03:16:45,160 INSIGHT INTO INTERVENTIONS THE 4172 03:16:45,160 --> 03:16:49,440 SPEAKERS HAD DONE AND INSIDE TO 4173 03:16:49,440 --> 03:16:50,600 FUTURE GENERATION. 4174 03:16:50,600 --> 03:16:52,000 I WANT TO GO TO THE AUDIENCE 4175 03:16:52,000 --> 03:16:54,360 FROM THE VIDEOCAST. 4176 03:16:54,360 --> 03:16:57,160 HOW DO YOU DEFINE AN 4177 03:16:57,160 --> 03:16:58,240 INTERVENTION TARGETING POLICY 4178 03:16:58,240 --> 03:17:01,640 MAKERS AND HOW WOULD THEY BE 4179 03:17:01,640 --> 03:17:02,880 DISTINGUISHED FROM ADVOCACY OR 4180 03:17:02,880 --> 03:17:04,800 EDUCATIONAL EFFORTS FOCUSSED ON 4181 03:17:04,800 --> 03:17:09,680 REDUCING HEALTH DISPARITIES 4182 03:17:09,680 --> 03:17:10,400 AFFECTING SEXUAL AND GENDER 4183 03:17:10,400 --> 03:17:13,240 MINORITY PEOPLE. 4184 03:17:13,240 --> 03:17:13,840 I THINK THE QUESTION IS FOR 4185 03:17:13,840 --> 03:17:22,200 EVERYBODY. 4186 03:17:22,200 --> 03:17:24,720 >>I THINK MAYBE EMBEDDED IN THE 4187 03:17:24,720 --> 03:17:26,240 QUESTION IS THE ANSWER. 4188 03:17:26,240 --> 03:17:29,800 I THINK FORMALIZING AND 4189 03:17:29,800 --> 03:17:30,960 SPECIFYING AN ADVOCACY PROGRAM 4190 03:17:30,960 --> 03:17:32,840 AND EDUCATIONAL PROGRAM AND 4191 03:17:32,840 --> 03:17:35,680 TARGETING POLICY MAKERS I THINK 4192 03:17:35,680 --> 03:17:37,760 IN HIGH-INCOME SETTING AND IN 4193 03:17:37,760 --> 03:17:41,200 THE UNITED STATES AND ACROSS LOW 4194 03:17:41,200 --> 03:17:42,240 AND MIDDLE INCOME COUNTRIES 4195 03:17:42,240 --> 03:17:46,560 WOULD BE A GREAT INTERVENTION 4196 03:17:46,560 --> 03:17:46,920 STRATEGY. 4197 03:17:46,920 --> 03:17:50,840 SO I THINK IT MAY NOT BEING 4198 03:17:50,840 --> 03:17:52,040 DISTINGUISHED FROM ALL THE 4199 03:17:52,040 --> 03:17:54,080 ADVOCACY EFFORTS OTHER THAN 4200 03:17:54,080 --> 03:17:55,480 EVALUATED, MEASURED AND THE 4201 03:17:55,480 --> 03:17:58,280 DIFFERENCE IS WE DO MEASUREMENT, 4202 03:17:58,280 --> 03:18:01,400 MYSELF INCLUDED OF THE HARMS OF 4203 03:18:01,400 --> 03:18:02,280 POLICIES. 4204 03:18:02,280 --> 03:18:03,880 OFTEN THE HARMS OF POLICIES 4205 03:18:03,880 --> 03:18:05,200 SOMETIMES THE BENEFITS OF 4206 03:18:05,200 --> 03:18:07,920 POLICIES AND OFTEN THE HARMS OF 4207 03:18:07,920 --> 03:18:08,200 POLICIES. 4208 03:18:08,200 --> 03:18:09,880 AS A FIELD AND MYSELF AND OTHERS 4209 03:18:09,880 --> 03:18:14,040 WERE TRYING TO THINK HOW TO DO 4210 03:18:14,040 --> 03:18:18,800 THIS BETTER AND FORMALLY WORK 4211 03:18:18,800 --> 03:18:20,720 AND ON POLICY MAKERS TO IMPROVE 4212 03:18:20,720 --> 03:18:22,280 THE DECISIONS THEY MAKE WHETHER 4213 03:18:22,280 --> 03:18:24,400 THAT IS CHANGE IN POLICIES OR 4214 03:18:24,400 --> 03:18:26,760 ENFORCEMENT OF POLICIES AND 4215 03:18:26,760 --> 03:18:27,640 FORMALIZING RESEARCH. 4216 03:18:27,640 --> 03:18:29,880 I WILL ALSO NOTE IT'S ALSO HARD 4217 03:18:29,880 --> 03:18:34,160 TO GET THIS PASSED AND OTHERS 4218 03:18:34,160 --> 03:18:36,040 HAVE TRIED IN STUDY SECTIONS IT 4219 03:18:36,040 --> 03:18:40,040 CAN BE A CHALLENGING PROCESS 4220 03:18:40,040 --> 03:18:41,400 BECAUSE I THINK FOLKS HAVE 4221 03:18:41,400 --> 03:18:43,160 SOMETIMES TRIED AND IT'S BEEN A 4222 03:18:43,160 --> 03:18:43,800 CHALLENGE. 4223 03:18:43,800 --> 03:18:46,920 I DON'T WANT TO DENIGRATE THE 4224 03:18:46,920 --> 03:18:50,320 MANY EFFORTS OF FOLKS IN THE 4225 03:18:50,320 --> 03:18:50,680 SPACE. 4226 03:18:50,680 --> 03:18:50,920 THANKS. 4227 03:18:50,920 --> 03:18:54,080 >>I WANT TO ADD THAT I DO THINK 4228 03:18:54,080 --> 03:19:00,880 WE KIND HAVE TO MOVE BEYOND 4229 03:19:00,880 --> 03:19:02,120 SCIENCE AND POLICY CHANGE AS 4230 03:19:02,120 --> 03:19:04,200 BEING TWO DIFFERENT THINGS. 4231 03:19:04,200 --> 03:19:05,800 AND STOP THINKING THEY EXIST IN 4232 03:19:05,800 --> 03:19:09,640 A SILO. 4233 03:19:09,640 --> 03:19:16,680 WE KNOW SCIENCE AND ADVOCACY 4234 03:19:16,680 --> 03:19:17,840 CO-INFORM ONE ANOTHER ALL THE 4235 03:19:17,840 --> 03:19:21,000 TIME AND WE SPEAK WITH FOLKS IN 4236 03:19:21,000 --> 03:19:23,320 COMMUNITIES, IN ORGANIZATIONS IN 4237 03:19:23,320 --> 03:19:25,200 DECISION MAKERS ABOUT THESE 4238 03:19:25,200 --> 03:19:27,760 ISSUES OTHERWISE I'M NOT SURE WE 4239 03:19:27,760 --> 03:19:30,560 WOULD BE HERE TODAY. 4240 03:19:30,560 --> 03:19:33,320 SO MY KIND OF RESPONSE TO THAT 4241 03:19:33,320 --> 03:19:34,760 QUESTION, WHICH IS VERY HELPFUL, 4242 03:19:34,760 --> 03:19:36,600 WOULD BE FOR US TO THINK ABOUT 4243 03:19:36,600 --> 03:19:39,760 HOW WE CAN ACTUALLY PARTNER WITH 4244 03:19:39,760 --> 03:19:41,840 ONGOING EFFORTS ON THE GROUND 4245 03:19:41,840 --> 03:19:44,280 WHETHER THAT'S ADVOCACY OR 4246 03:19:44,280 --> 03:19:46,800 SOCIAL MOVEMENTS OR COMMUNITY 4247 03:19:46,800 --> 03:19:48,120 ORGANIZING TO PROVIDE THE 4248 03:19:48,120 --> 03:19:50,160 EVIDENCE NEEDED TO DOCUMENT WHAT 4249 03:19:50,160 --> 03:19:55,320 PEOPLE HAVE BEEN DOING AND ARE 4250 03:19:55,320 --> 03:19:56,520 ALREADY DOING AND TO THINK OF 4251 03:19:56,520 --> 03:19:59,800 THAT AS PART OF OUR TOOL KIT IN 4252 03:19:59,800 --> 03:20:00,880 BUILDING COLLABORATIONS ACROSS 4253 03:20:00,880 --> 03:20:04,360 SECTORS AND DOMAINS OF SOCIETY 4254 03:20:04,360 --> 03:20:14,000 TO MAKE MEANINGFUL CHANGE. 4255 03:20:14,000 --> 03:20:20,200 >>GREAT, THANK YOU. 4256 03:20:20,200 --> 03:20:22,600 ANY OTHER THOUGHTS FROM OUR 4257 03:20:22,600 --> 03:20:30,720 PANELISTS? 4258 03:20:30,720 --> 03:20:30,920 OKAY. 4259 03:20:30,920 --> 03:20:34,960 SO I GUESS I HAVE A QUESTION FOR 4260 03:20:34,960 --> 03:20:37,960 ALL THE PANELISTS. 4261 03:20:37,960 --> 03:20:43,000 WHAT DO YOU THINK IS NEEDED TO 4262 03:20:43,000 --> 03:20:45,640 MOVE INTERVENTION RESEARCH 4263 03:20:45,640 --> 03:20:46,440 FORWARD? 4264 03:20:46,440 --> 03:20:55,200 LIKE WHAT ARE SOME KEY RESEARCH 4265 03:20:55,200 --> 03:20:57,480 INTERVENTION STEPS NEEDED SO THE 4266 03:20:57,480 --> 03:20:59,240 RESEARCH COULD GET TO THE NEXT 4267 03:20:59,240 --> 03:21:02,520 LEVEL WHERE WE COULD ACTUALLY 4268 03:21:02,520 --> 03:21:04,720 REDUCE OR ELIMINATE DISPARITIES 4269 03:21:04,720 --> 03:21:05,720 FOR SGM POPULATIONS? 4270 03:21:05,720 --> 03:21:09,560 WHAT IS NEEDED THAT IS NOT BEING 4271 03:21:09,560 --> 03:21:10,360 DONE OR HAS A LOT OF BARRIERS 4272 03:21:10,360 --> 03:21:18,960 FOR BEING DONE? 4273 03:21:18,960 --> 03:21:20,720 >>IT SPEAKS TO THE PRIOR 4274 03:21:20,720 --> 03:21:22,760 CONVERSATION AROUND HOW TO 4275 03:21:22,760 --> 03:21:24,120 TARGET POLICY MAKERS. 4276 03:21:24,120 --> 03:21:26,840 I THINK OF MY COLLEAGUES IN 4277 03:21:26,840 --> 03:21:29,640 ACADEMIA AS POLICY MAKERS. 4278 03:21:29,640 --> 03:21:31,320 I WANT TO GET TO THE PLACE WHERE 4279 03:21:31,320 --> 03:21:33,000 THEY'RE PUTTING A GRANT IN AND I 4280 03:21:33,000 --> 03:21:34,880 DON'T HAVE TO BEG THEM TO THINK 4281 03:21:34,880 --> 03:21:39,280 ABOUT HOW THEY'RE GOING TO 4282 03:21:39,280 --> 03:21:40,120 RECRUIT LGBTQ+ PEOPLE. 4283 03:21:40,120 --> 03:21:42,480 PEOPLE OF COLOR AND HOW THEY'LL 4284 03:21:42,480 --> 03:21:44,360 BALANCE THEIR RESEARCH DESIGNS 4285 03:21:44,360 --> 03:21:44,960 TO BE ABLE TO DO SUB GROUP 4286 03:21:44,960 --> 03:21:46,360 ANALYSIS. 4287 03:21:46,360 --> 03:21:48,400 I REALLY HOPE WE CAN GET TO A 4288 03:21:48,400 --> 03:21:49,360 PLACE WHERE THE SCIENTIFIC 4289 03:21:49,360 --> 03:21:51,760 COMMUNITY DOESN'T THINK OF US AS 4290 03:21:51,760 --> 03:21:52,200 AN AFTER THOUGHT. 4291 03:21:52,200 --> 03:21:56,000 SO THAT TO ME IS A PLACE WHERE 4292 03:21:56,000 --> 03:21:58,200 SGM RESEARCHERS AND THOSE WHO 4293 03:21:58,200 --> 03:21:59,680 HAVE BEEN DOING SGM 4294 03:21:59,680 --> 03:22:02,320 INTERVENTIONS FOR A NUMBER OF 4295 03:22:02,320 --> 03:22:04,480 YEARS CARRY THE BURDEN BY 4296 03:22:04,480 --> 03:22:04,760 THEMSELVES. 4297 03:22:04,760 --> 03:22:06,360 WE HAVE TO GET MORE ALLIES 4298 03:22:06,360 --> 03:22:08,240 THROUGHOUT THE ACADEMIC 4299 03:22:08,240 --> 03:22:10,160 COMMUNITY TO SAY, HEY, I RAN 4300 03:22:10,160 --> 03:22:13,880 THIS TRIAL AND GUESS WHAT, I HAD 4301 03:22:13,880 --> 03:22:14,800 100 PARTICIPANTS. 4302 03:22:14,800 --> 03:22:16,920 DO YOU WANT ACCESS TO THAT DATA? 4303 03:22:16,920 --> 03:22:21,360 THAT'S THE TYPE OF VALUE I THINK 4304 03:22:21,360 --> 03:22:31,840 WE NEED TO START TO PURSUE. 4305 03:22:32,720 --> 03:22:34,560 >>AN OTHER THOUGHTS FROM THE 4306 03:22:34,560 --> 03:22:34,840 PANELISTS? 4307 03:22:34,840 --> 03:22:38,800 WE CAN GO TO THE VIDEOCAST 4308 03:22:38,800 --> 03:22:40,240 AUDIENCE QUESTIONS. 4309 03:22:40,240 --> 03:22:40,760 GO AHEAD. 4310 03:22:40,760 --> 03:22:43,000 >>I'LL ADD ONE THING. 4311 03:22:43,000 --> 03:22:46,320 WE HEARD THIS A LOT. 4312 03:22:46,320 --> 03:22:50,640 THERE ARE THROUGH THE C FAR WE 4313 03:22:50,640 --> 03:22:53,600 HAD A SERIES OF 4314 03:22:53,600 --> 03:22:54,560 COMMUNITY-ENGAGED AWARDS AND HAD 4315 03:22:54,560 --> 03:22:56,840 AN OPPORTUNITY TO STUDY AND A 4316 03:22:56,840 --> 03:22:58,560 MAJOR BARRIER TO MEANINGFUL 4317 03:22:58,560 --> 03:22:59,880 INTERVENTION DEVELOPMENT IS 4318 03:22:59,880 --> 03:23:01,040 COMMUNITIES BEING WELL SUPPORTED 4319 03:23:01,040 --> 03:23:03,760 FOR PARTNERSHIP AS PART OF THE 4320 03:23:03,760 --> 03:23:05,840 WORK AND SO NOT JUST IN THE 4321 03:23:05,840 --> 03:23:07,600 CONTEXT OF LIKE A CAB BUT AS 4322 03:23:07,600 --> 03:23:09,160 INVESTIGATORS, FUNDED 4323 03:23:09,160 --> 03:23:11,080 INVESTIGATORS, PARTNERS,ED IN 4324 03:23:11,080 --> 03:23:11,280 THAT. 4325 03:23:11,280 --> 03:23:13,880 I THINK THERE'S LIKE STRUCTURAL 4326 03:23:13,880 --> 03:23:15,360 BARRIERS AT THE ACADEMIC 4327 03:23:15,360 --> 03:23:16,920 INSTITUTION LEVELS IN TERMS OF 4328 03:23:16,920 --> 03:23:18,920 SUBCONTRACTING AND PARTNERSHIPS. 4329 03:23:18,920 --> 03:23:22,640 THERE'S FUNDAMENTAL BARRIERS IN 4330 03:23:22,640 --> 03:23:25,360 TERMS OF SKETCHES AND HOW 4331 03:23:25,360 --> 03:23:26,560 THEY'RE EVALUATED. 4332 03:23:26,560 --> 03:23:28,600 WE ALL BELIEVE IN THE IMPORTANCE 4333 03:23:28,600 --> 03:23:31,120 OF COMMUNITY AND DRIVING THESE 4334 03:23:31,120 --> 03:23:31,960 POLICIES AND BEING SUPPORTIVE TO 4335 03:23:31,960 --> 03:23:33,560 DO THAT AND I THINK THERE'S 4336 03:23:33,560 --> 03:23:34,840 STRUCTURAL CHANGES THAT NEED TO 4337 03:23:34,840 --> 03:23:35,840 HAPPEN TO ENSURE THERE'S MORE 4338 03:23:35,840 --> 03:23:42,080 OPPORTUNITY FOR THAT. 4339 03:23:42,080 --> 03:23:43,240 >>AND ONE POTENTIAL GOOD 4340 03:23:43,240 --> 03:23:50,120 EXAMPLE OF THAT IS NIH'S RECENT 4341 03:23:50,120 --> 03:23:50,880 CAMPUS INITIATIVE. 4342 03:23:50,880 --> 03:23:53,720 IT'S THE COMMUNITY PARTNERSHIPS 4343 03:23:53,720 --> 03:23:54,720 TO ADVANCE SCIENCE FOR SOCIETY 4344 03:23:54,720 --> 03:23:57,160 WHERE THE APPLICATIONS HAVE TO 4345 03:23:57,160 --> 03:24:02,160 BE LED BY P.I. AND COMMUNITY 4346 03:24:02,160 --> 03:24:03,000 PARTNER OR COMMUNITY 4347 03:24:03,000 --> 03:24:04,800 ORGANIZATION OR SCIENTISTS OR 4348 03:24:04,800 --> 03:24:08,680 MORE THE CO-INVESTIGATORS BUT 4349 03:24:08,680 --> 03:24:10,400 THE INITIATIVES OF THE COMMUNITY 4350 03:24:10,400 --> 03:24:15,200 WHICH CAN BE MESSIER THAN RCT 4351 03:24:15,200 --> 03:24:17,800 RESEARCH BUT ULTIMATELY BUT 4352 03:24:17,800 --> 03:24:22,120 COMMUNITY VOICES INTO PRACTICE. 4353 03:24:22,120 --> 03:24:25,520 >>TO ADD, I THINK THE TYPES OF 4354 03:24:25,520 --> 03:24:26,960 MECHANISMS ARE GREAT AND 4355 03:24:26,960 --> 03:24:27,440 IMPORTANT. 4356 03:24:27,440 --> 03:24:29,880 ALSO AT THE SAME TIME THERE IS A 4357 03:24:29,880 --> 03:24:34,200 NEED TO BUILD UP AND SUPPORT 4358 03:24:34,200 --> 03:24:36,320 COMMUNITY-BASED ORGANIZATION 4359 03:24:36,320 --> 03:24:39,280 CAPACITY TO LEAD RESEARCH GRANTS 4360 03:24:39,280 --> 03:24:40,080 ESPECIALLY THE SMALLER 4361 03:24:40,080 --> 03:24:43,240 ORGANIZATIONS THAT TEND TO FOCUS 4362 03:24:43,240 --> 03:24:46,560 ON SMALLER MULTIPLY MARGINALIZED 4363 03:24:46,560 --> 03:24:49,040 POPULATIONS OR SGM POPULATIONS 4364 03:24:49,040 --> 03:24:53,760 OFTEN DO LACK THE RESOURCES AND 4365 03:24:53,760 --> 03:25:03,560 SUPPORT TO BE ABLE TO TAKE 4366 03:25:03,560 --> 03:25:13,400 ADVANTAGE OF OPPORTUNITIES. 4367 03:25:13,400 --> 03:25:15,400 AND THERE'S WORK THAT ARE 4368 03:25:15,400 --> 03:25:19,560 COMMUNITY BASED ORGANIZATIONS OR 4369 03:25:19,560 --> 03:25:20,400 MULTIPLY MARGINALIZED 4370 03:25:20,400 --> 03:25:21,760 POPULATIONS HAVE BEEN DOING THAT 4371 03:25:21,760 --> 03:25:22,960 HAVE NOT BEEN DOCUMENTED BY 4372 03:25:22,960 --> 03:25:25,280 SCIENCE AS BEING EFFECTIVE. 4373 03:25:25,280 --> 03:25:29,160 WE'VE BEEN DOING SOME WORK WITH 4374 03:25:29,160 --> 03:25:30,800 AN LGBTQ+ ORGANIZATION SERVING 4375 03:25:30,800 --> 03:25:34,400 YOUTH OF COLOR SPECIFICALLY IN 4376 03:25:34,400 --> 03:25:34,960 BOSTON TO DOCUMENT 4377 03:25:34,960 --> 03:25:37,480 EVIDENCE-BASED PRACTICES THAT 4378 03:25:37,480 --> 03:25:38,680 THEY ARE AND HOW THEY'RE 4379 03:25:38,680 --> 03:25:40,640 ADDRESSING THE NEEDS OF THEIR 4380 03:25:40,640 --> 03:25:41,960 COMPLAINTS SPECIFICALLY TO GET 4381 03:25:41,960 --> 03:25:45,520 THE WORK THEY'RE DOING INTO THE 4382 03:25:45,520 --> 03:25:53,080 SCIENTIFIC LITERATURE SO THAT 4383 03:25:53,080 --> 03:25:53,680 CAN ALSO BE SEEN AS VALUABLE 4384 03:25:53,680 --> 03:25:54,040 >>THANK YOU. 4385 03:25:54,040 --> 03:25:55,880 WE HAVE QUESTIONS FROM THE 4386 03:25:55,880 --> 03:25:56,720 VIDEOCAST AUDIENCE. 4387 03:25:56,720 --> 03:25:58,880 WE'RE TALKING ABOUT CENTERING 4388 03:25:58,880 --> 03:26:03,920 COMMUNITY MEMBERS WITH LIVED 4389 03:26:03,920 --> 03:26:12,640 EXPERIENCE AND LGBTQ+ FOLKS. 4390 03:26:12,640 --> 03:26:19,480 HOW CAN WILL IT BUILD UP THE 4391 03:26:19,480 --> 03:26:21,600 PRACTICE AND THESE CAN BE COST 4392 03:26:21,600 --> 03:26:23,920 PROHIBITIVE AND RELEVANT AND 4393 03:26:23,920 --> 03:26:25,640 EXIST IN THE FORM THE COMMUNITY 4394 03:26:25,640 --> 03:26:26,840 WANTS SO THE END PRODUCT IS WITH 4395 03:26:26,840 --> 03:26:35,320 AND FOR COMMUNITY AS WELL. 4396 03:26:35,320 --> 03:26:41,120 ANY THOUGHTS? 4397 03:26:41,120 --> 03:26:44,080 >>I HOPE WE ARE ALL FOLLOWING 4398 03:26:44,080 --> 03:26:45,960 THE POLICY AND MAKING EVERYTHING 4399 03:26:45,960 --> 03:26:47,640 AVAILABLE. 4400 03:26:47,640 --> 03:26:49,960 ULTIMATELY IF YOU ARE FUNDED BY 4401 03:26:49,960 --> 03:26:51,440 A FEDERAL PROJECT IT'S NOT YOUR 4402 03:26:51,440 --> 03:26:52,040 DATA. 4403 03:26:52,040 --> 03:27:02,480 IT'S THE PEOPLE'S DATA. 4404 03:27:08,480 --> 03:27:11,280 AND HOW DO WE BOTH CREATE WITH 4405 03:27:11,280 --> 03:27:11,520 COMMUNITY? 4406 03:27:11,520 --> 03:27:13,160 WE HAVE BEEN TRYING TO THINK OF 4407 03:27:13,160 --> 03:27:15,000 A MECHANISM FOR BUSINESS 4408 03:27:15,000 --> 03:27:17,880 PARTNERS TO WORK WITH ACADEMICS 4409 03:27:17,880 --> 03:27:21,360 THROUGH THE SPIR/STTR I 4410 03:27:21,360 --> 03:27:21,640 MENTIONED. 4411 03:27:21,640 --> 03:27:28,600 WHAT WOULD IT LIKE TO HAVE A 4412 03:27:28,600 --> 03:27:29,400 COMMUNITY-BASED NONPROFIT GRANT 4413 03:27:29,400 --> 03:27:32,440 AND FIND AN ACADEMIC PARTNER TO 4414 03:27:32,440 --> 03:27:34,800 EVALUATE OR SCALE OR DO 4415 03:27:34,800 --> 03:27:36,400 IMPLEMENTATION SCIENCE FOR 4416 03:27:36,400 --> 03:27:37,800 BECAUSE I AGREE WITH SOME POINTS 4417 03:27:37,800 --> 03:27:39,160 THAT WE'RE USUALLY BUILDING 4418 03:27:39,160 --> 03:27:41,280 WITHIN OUR SILOS ASSUMING WE 4419 03:27:41,280 --> 03:27:43,720 KNOW BEST WHAT COMMUNITY NEEDS 4420 03:27:43,720 --> 03:27:45,520 AND OFTEN TIMES FOLKS WHO 4421 03:27:45,520 --> 03:27:46,720 ALREADY FIGURED OUT A PROGRAM 4422 03:27:46,720 --> 03:27:51,760 THAT IS IMPACTFUL AND HAVEN'T 4423 03:27:51,760 --> 03:27:54,160 SEEN THE LIGHT OF DAY IN THE 4424 03:27:54,160 --> 03:27:54,680 ACADEMIC CLASS. 4425 03:27:54,680 --> 03:27:57,840 >>THAT'S A VERY GOOD POINT. 4426 03:27:57,840 --> 03:27:59,320 >>SO THERE'S ANOTHER MESSAGE 4427 03:27:59,320 --> 03:28:03,360 FROM THE VIDEOCAST. 4428 03:28:03,360 --> 03:28:06,960 SHOULD RESEARCHERS ENGAGE 4429 03:28:06,960 --> 03:28:08,920 DIVERSE COMMUNITIES AND EQUITY 4430 03:28:08,920 --> 03:28:11,280 CENTERS THAT DO NOT CONFORM WITH 4431 03:28:11,280 --> 03:28:13,360 ACADEMIC THEORIES AND RESEARCH 4432 03:28:13,360 --> 03:28:13,800 PREFERENCES. 4433 03:28:13,800 --> 03:28:18,200 FOR EXAMPLE FAY COMMUNITY IS NOT 4434 03:28:18,200 --> 03:28:19,880 INTERESTED TO APPLY MINORITY -- 4435 03:28:19,880 --> 03:28:24,240 GO AHEAD. 4436 03:28:24,240 --> 03:28:25,840 >>THAT IS AN INTERESTING 4437 03:28:25,840 --> 03:28:26,120 QUESTION. 4438 03:28:26,120 --> 03:28:28,160 THANK YOU FOR POSING IT. 4439 03:28:28,160 --> 03:28:31,480 I NEVER HEARD CRT DESCRIBED AS 4440 03:28:31,480 --> 03:28:34,200 AN ELITE SERIES BUT I GOT A 4441 03:28:34,200 --> 03:28:35,840 CHUCKLE BECAUSE THE ORIGIN OF 4442 03:28:35,840 --> 03:28:40,200 THAT THEORY IS GRASSROOTS. 4443 03:28:40,200 --> 03:28:43,520 IT WAS PULLED FROM THE COMMUNITY 4444 03:28:43,520 --> 03:28:45,600 COMING TOGETHER AND LEGAL 4445 03:28:45,600 --> 03:28:48,280 SCHOLARS WHO CODIFIED IT AND 4446 03:28:48,280 --> 03:28:49,560 INTERSECTIONALITY IS NOT AN 4447 03:28:49,560 --> 03:28:51,720 ACADEMIC THEORY. 4448 03:28:51,720 --> 03:28:59,800 IT'S A GRASSROOTS PRACT -- 4449 03:28:59,800 --> 03:29:00,840 PRACTICE. 4450 03:29:00,840 --> 03:29:02,400 HOW DO WE GET IMPORTANT 4451 03:29:02,400 --> 03:29:05,600 MATERIALS AND FINDINGS INTO 4452 03:29:05,600 --> 03:29:09,000 COMMUNITIES AND MAKE THEM 4453 03:29:09,000 --> 03:29:09,920 COMMUNITY-OWNED. 4454 03:29:09,920 --> 03:29:11,840 I THINK WHAT WAS SAID EARLIER 4455 03:29:11,840 --> 03:29:15,000 ABOUT ASSURING OUR DATA AND 4456 03:29:15,000 --> 03:29:17,200 INCLUDING OUR DATABASES ARE 4457 03:29:17,200 --> 03:29:25,680 AVAILABLE WIDELY TO ACADEMSS - 4458 03:29:25,680 --> 03:29:27,520 ACADEMICS AND COMMUNITY GROUPS 4459 03:29:27,520 --> 03:29:28,680 IS IMPORTANT. 4460 03:29:28,680 --> 03:29:38,320 AND EVENTUALLY THESE KINDS OF 4461 03:29:38,320 --> 03:29:41,440 GROUPS WILL BE HAVE TO BE MOVED 4462 03:29:41,440 --> 03:29:43,160 AND THINK HOW TO GET THEM DOWN 4463 03:29:43,160 --> 03:29:44,920 TO LOCAL HEALTH DEPARTMENTS AND 4464 03:29:44,920 --> 03:29:47,000 HOW CAN LOCAL HEALTH DEPARTMENTS 4465 03:29:47,000 --> 03:29:50,320 GET THE INFORMATION AND 4466 03:29:50,320 --> 03:29:51,920 RESOURCES OUT TO THE COMMUNITIES 4467 03:29:51,920 --> 03:29:53,960 THEY WORK WITH? 4468 03:29:53,960 --> 03:29:55,680 I DON'T NECESSARILY SEE MYSELF 4469 03:29:55,680 --> 03:29:58,120 AS BEING THE DIRECT PERSON DOING 4470 03:29:58,120 --> 03:29:58,520 THAT. 4471 03:29:58,520 --> 03:30:01,480 I SEE THE NEED FOR COLLABORATIVE 4472 03:30:01,480 --> 03:30:03,200 EFFORT WITH PEOPLE WHO HAVE 4473 03:30:03,200 --> 03:30:03,960 RELATIONSHIPS ON TO THE GROUND 4474 03:30:03,960 --> 03:30:07,040 ACROSS THE COUNTRY AND GIVING 4475 03:30:07,040 --> 03:30:07,880 THAT INFORMATION AND FUNNELING 4476 03:30:07,880 --> 03:30:08,760 OUT THAT WAY. 4477 03:30:08,760 --> 03:30:10,600 THAT'S SOMETHING WE'RE TRYING. 4478 03:30:10,600 --> 03:30:12,520 I'LL BE HAPPY TO REPORT BECOME 4479 03:30:12,520 --> 03:30:19,520 AND LET YOU KNOW HOW IT GOES. 4480 03:30:19,520 --> 03:30:27,960 >>ONE THING I'VE SEEN IN OTHER 4481 03:30:27,960 --> 03:30:29,320 FUNDING STRUCTURE INCLUDING THE 4482 03:30:29,320 --> 03:30:31,080 INSTITUTE OF HEALTH RESEARCH YOU 4483 03:30:31,080 --> 03:30:32,680 HAVE TO PUT ASIDE 10% TO 4484 03:30:32,680 --> 03:30:34,360 ACKNOWLEDGE TRANSLATION 4485 03:30:34,360 --> 03:30:34,680 ACTIVITIES. 4486 03:30:34,680 --> 03:30:40,720 IN YOUR BUDGET YOU'RE MANDATED 4487 03:30:40,720 --> 03:30:42,720 AND IT'S OFTEN WITH 4488 03:30:42,720 --> 03:30:43,840 COLLABORATION WITH COMMUNITY 4489 03:30:43,840 --> 03:30:46,000 GROUPS FOR DISSEMINATION OF 4490 03:30:46,000 --> 03:30:47,200 PRODUCTS THAT SUPPORT 4491 03:30:47,200 --> 03:30:48,840 IMPLEMENTATION AND THEIR NEEDS. 4492 03:30:48,840 --> 03:30:51,720 IT'S AN INTERESTING MODEL. 4493 03:30:51,720 --> 03:30:54,240 IT'S BEEN MORE ABOUT CREATING 4494 03:30:54,240 --> 03:30:56,000 MORE OPEN ACCESS AROUND ACADEMIC 4495 03:30:56,000 --> 03:30:58,320 PRODUCTS BUT THERE MAY BE AN 4496 03:30:58,320 --> 03:31:00,400 OPPORTUNITY OF SETTING RESOURCES 4497 03:31:00,400 --> 03:31:02,080 ASIDE FOR THE KNOWLEDGE 4498 03:31:02,080 --> 03:31:02,720 TRANLATION AND DISSEMINATION 4499 03:31:02,720 --> 03:31:07,800 ACTIVITIES. 4500 03:31:07,800 --> 03:31:10,960 >>HOW DO YOU ALL THINK 4501 03:31:10,960 --> 03:31:12,240 IMAGINATION INFORMATION IMPACTS 4502 03:31:12,240 --> 03:31:15,880 POLICY AND HOW SHOULD WE THINK 4503 03:31:15,880 --> 03:31:18,040 ABOUT COMBATTING THIS 4504 03:31:18,040 --> 03:31:19,680 INFORMATION AND FURTHER 4505 03:31:19,680 --> 03:31:23,720 POLITICAL ENTRENCHMENT OF SGM 4506 03:31:23,720 --> 03:31:32,160 LIFE? 4507 03:31:32,160 --> 03:31:34,760 >>IF I HAD AN ANSWER TO THAT 4508 03:31:34,760 --> 03:31:45,120 ONE -- I DON'T KNOW. 4509 03:31:57,200 --> 03:31:57,840 I'M NOT SURE. 4510 03:31:57,840 --> 03:31:58,640 I'D LOVE TO THINK ABOUT THAT 4511 03:31:58,640 --> 03:32:05,560 SOME MORE. 4512 03:32:05,560 --> 03:32:08,280 >>WE'RE TAKING TIME FROM THE 4513 03:32:08,280 --> 03:32:11,720 LUNCH BREAK. 4514 03:32:11,720 --> 03:32:14,160 I JUST WANTED TO ASK A QUESTION 4515 03:32:14,160 --> 03:32:15,560 FROM THE VIDEOCAST AUDIENCE. 4516 03:32:15,560 --> 03:32:18,680 HOW DO WE MAKE SURE WE'RE NOT 4517 03:32:18,680 --> 03:32:20,640 PROMOTING LATERAL VIOLENCE WHEN 4518 03:32:20,640 --> 03:32:22,680 PARTNERING WITH A COMMUNITY 4519 03:32:22,680 --> 03:32:22,880 GROUP? 4520 03:32:22,880 --> 03:32:26,680 MAKE SURE WE'RE CENTERING THE 4521 03:32:26,680 --> 03:32:28,600 MOST MARGINALIZED NOT JUST 4522 03:32:28,600 --> 03:32:29,480 TOKENIZING ONE LEADER WHO MAY 4523 03:32:29,480 --> 03:32:39,880 NOT SPEAK FOR EVERYONE. 4524 03:32:43,720 --> 03:32:45,000 >>SIMILAR TO THE CONVERSATION 4525 03:32:45,000 --> 03:32:49,680 AROUND POLICIES AND RESEARCH 4526 03:32:49,680 --> 03:33:00,160 ABOUT LAW IN STUDY SECTION. 4527 03:33:09,680 --> 03:33:11,560 IT'S DESIGN SO WE DON'T RUN INTO 4528 03:33:11,560 --> 03:33:13,880 THE DISPARITIES OF THE 4529 03:33:13,880 --> 03:33:14,480 PARTICIPATION IN TERMS OF 4530 03:33:14,480 --> 03:33:16,280 COMMUNITY POWER AND CONTROL. 4531 03:33:16,280 --> 03:33:18,560 IT'S A PLUG TO ALSO SAY AS WE 4532 03:33:18,560 --> 03:33:22,920 THINK ABOUT IT FROM SCIENCE AND 4533 03:33:22,920 --> 03:33:27,920 HOW DO WE CREATE METHODS THAT 4534 03:33:27,920 --> 03:33:30,000 USE CDPR AS THE FOUNDATION. 4535 03:33:30,000 --> 03:33:33,240 >>I'D LIKE TO END THE 4536 03:33:33,240 --> 03:33:34,000 QUESTION/ANSWER QUESTION BECAUSE 4537 03:33:34,000 --> 03:33:43,280 PEOPLE NEED TO HAVE LUNCH. 4538 03:33:43,280 --> 03:33:50,160 PLEASE DISCUSS IT I DON'T WANT 4539 03:33:50,160 --> 03:33:52,120 TO CUT MORE IN THE LUNCH BREAK. 4540 03:33:52,120 --> 03:33:55,520 AFTER THE LUNCH BREAK WE'LL HAVE 4541 03:33:55,520 --> 03:33:59,560 THE SECOND SESSION ON 4542 03:33:59,560 --> 03:34:04,120 INTERVENTION RESEARCH AND SGM 4543 03:34:04,120 --> 03:34:06,760 HEALTH AND DR. WHITTAKER FROM 4544 03:34:06,760 --> 03:34:10,040 THE OFFICE OF WOMEN'S RESEARCH 4545 03:34:10,040 --> 03:34:13,200 IS GOING TO BE THE MODERATOR. 4546 03:34:13,200 --> 03:34:14,640 THANK YOU AND THIS WAS A GREAT 4547 03:34:14,640 --> 03:34:16,680 PANEL AND LOOK FORWARD TO MORE 4548 03:34:16,680 --> 03:34:17,120 THIS AFTERNOON. 4549 03:34:17,120 --> 03:34:32,920 THANK YOU. 4550 03:34:32,920 --> 03:34:39,360 I'M MIYA WHITAKER THE MODERATOR 4551 03:34:39,360 --> 03:34:40,480 FOR THIS SESSION. 4552 03:34:40,480 --> 03:34:46,640 WE BEGIN WITH A TALK LED BY 4553 03:34:46,640 --> 03:34:51,080 DR. AMY TISHELMAN AND THE 4554 03:34:51,080 --> 03:35:25,560 VIRTUAL PODIUM IS NOW YOURS. 4555 03:35:25,560 --> 03:35:29,160 >>I HAVE NO CONFLICTS OF 4556 03:35:29,160 --> 03:35:30,520 INTEREST. 4557 03:35:30,520 --> 03:35:32,560 I'M GOING TO TRY TO FAST LIKE AN 4558 03:35:32,560 --> 03:35:35,160 AUCTIONEER BUT I'M NOT REALLY AN 4559 03:35:35,160 --> 03:35:37,560 AUCTIONEER SO I'LL DO BY MEST. 4560 03:35:37,560 --> 03:35:40,080 I'LL FOCUS ON CLINICAL RESEARCH 4561 03:35:40,080 --> 03:35:44,320 WITH SGM YOUTH AND YOUNG ADULTS. 4562 03:35:44,320 --> 03:35:46,640 ALSO TALK ABOUT SOME EXPERIENCES 4563 03:35:46,640 --> 03:35:47,720 WITH CLINICAL INTERVENTION 4564 03:35:47,720 --> 03:35:48,520 RESEARCH. 4565 03:35:48,520 --> 03:35:51,240 I THINK MOST OF US REALIZE 4566 03:35:51,240 --> 03:35:54,040 THERE'S A LOT OF OPPORTUNITIES 4567 03:35:54,040 --> 03:35:56,520 AND NEEDS IN SGM RESEARCH. 4568 03:35:56,520 --> 03:35:59,600 IT'S A CHANGING LANDSCAPE. 4569 03:35:59,600 --> 03:36:00,720 THERE SEEMS TO BE A POLITICAL 4570 03:36:00,720 --> 03:36:02,360 BACKLASH TO ME AND PROBABLY MOST 4571 03:36:02,360 --> 03:36:11,920 OF YOU IS PRETTY ALARMING AND 4572 03:36:11,920 --> 03:36:14,040 WORRISOME AND UPSETTING AND 4573 03:36:14,040 --> 03:36:15,600 THERE'S AMPLE OPPORTUNITY WHERE 4574 03:36:15,600 --> 03:36:17,840 TO MAKE A DIFFERENCE AND WHERE 4575 03:36:17,840 --> 03:36:19,000 THE DIFFERENCE MOST IMPORTANT 4576 03:36:19,000 --> 03:36:20,480 WHEN WE THINK ABOUT WHAT 4577 03:36:20,480 --> 03:36:22,600 RESEARCH WE'RE GOING TO DO I 4578 03:36:22,600 --> 03:36:24,080 KNOW I'M PREACHING TO THE 4579 03:36:24,080 --> 03:36:26,360 CONVERTED HERE, THERE'S A LOT OF 4580 03:36:26,360 --> 03:36:27,920 STRENGTH WITHIN SGM COMMUNITIES. 4581 03:36:27,920 --> 03:36:30,080 IT'S NOT JUST ONE COMMUNITY TO 4582 03:36:30,080 --> 03:36:31,480 DRAW UPON AND A LOT OF 4583 03:36:31,480 --> 03:36:34,280 MOTIVATION TO BUILD EMPIRICAL 4584 03:36:34,280 --> 03:36:39,960 BASE OF COMMUNITY SUPPORT THAT 4585 03:36:39,960 --> 03:36:42,560 MAY HELP VULNERABLE PEERS, 4586 03:36:42,560 --> 03:36:43,920 YOUTH, CHILDREN, PARENTS AND 4587 03:36:43,920 --> 03:36:47,200 FRIENDS OF OURS WHO ARE SGM AND 4588 03:36:47,200 --> 03:36:48,280 FOR OURSELVES. 4589 03:36:48,280 --> 03:36:51,120 SO CLINICAL RESEARCH I TRULY 4590 03:36:51,120 --> 03:36:53,960 BELIEVE CAN HAVE A HUGE AND 4591 03:36:53,960 --> 03:36:54,680 MEANINGFUL IMPACT. 4592 03:36:54,680 --> 03:36:58,480 THERE'S A MYRIAD OF WAYS WHERE 4593 03:36:58,480 --> 03:37:00,320 RESEARCH HAS MADE A HUGE 4594 03:37:00,320 --> 03:37:02,360 DIFFERENCE IN JUSTIFYING 4595 03:37:02,360 --> 03:37:03,320 INTERVENTIONS POINTING TO 4596 03:37:03,320 --> 03:37:07,360 INTERVENTIONS THAT CAN BE 4597 03:37:07,360 --> 03:37:09,480 HELPFUL AND IDENTIFYING 4598 03:37:09,480 --> 03:37:12,200 INDIVIDUALS WHO ARE AT RISK 4599 03:37:12,200 --> 03:37:14,160 UNJUSTIFIABLE RISK. 4600 03:37:14,160 --> 03:37:18,960 I THINK THERE'S A LOT TO BE 4601 03:37:18,960 --> 03:37:19,440 DONE. 4602 03:37:19,440 --> 03:37:22,640 THERE'S ALSO A LOT OF 4603 03:37:22,640 --> 03:37:23,200 COMPLEXITY. 4604 03:37:23,200 --> 03:37:24,640 UNFORTUNATELY CLINICAL RESEARCH 4605 03:37:24,640 --> 03:37:25,440 IS NOT AS CLEAN. 4606 03:37:25,440 --> 03:37:27,840 IT'S HARD TO CONTROL FOR ALL THE 4607 03:37:27,840 --> 03:37:30,760 NECESSARY FACTORS AND IT'S 4608 03:37:30,760 --> 03:37:32,360 REALLY IMPORTANT TO REALIZE THAT 4609 03:37:32,360 --> 03:37:33,880 WHILE EVERY STUDY HAS LIMITATION 4610 03:37:33,880 --> 03:37:35,440 AND IT'S IMPORTANT TO KNOW WHAT 4611 03:37:35,440 --> 03:37:37,200 WE DO AND DON'T WANT TO 4612 03:37:37,200 --> 03:37:39,320 DEMONSTRATE WITH THE RESEARCH WE 4613 03:37:39,320 --> 03:37:42,280 UNDERTAKE AND TO ACCEPT 4614 03:37:42,280 --> 03:37:44,400 LIMITATIONS DOESN'T MEAN A 4615 03:37:44,400 --> 03:37:46,560 RESEARCH STUDY NOT VALUABLE AT 4616 03:37:46,560 --> 03:37:46,760 ALL. 4617 03:37:46,760 --> 03:37:50,200 IT'S JUST ONE STUDY CAN'T DO 4618 03:37:50,200 --> 03:37:54,400 EVERYTHING AND WHEN ONE STUDY 4619 03:37:54,400 --> 03:37:56,000 TRIES TO DO EVERYTHING IT DOES 4620 03:37:56,000 --> 03:37:59,440 NOTHING AND THERE CAN BE 4621 03:37:59,440 --> 03:38:00,080 REPLICATION AND EXPANSION AND 4622 03:38:00,080 --> 03:38:02,880 OVER TIME WE SEE THE PATTERNS IN 4623 03:38:02,880 --> 03:38:05,880 WHAT WE WISH TO DEMONSTRATE AND 4624 03:38:05,880 --> 03:38:06,320 KNOW. 4625 03:38:06,320 --> 03:38:08,120 I ALREADY SAID AND MANY HAVE 4626 03:38:08,120 --> 03:38:10,720 ALREADY SAID THIS BUT SGM 4627 03:38:10,720 --> 03:38:14,480 COMMUNITIES ARE HIGHLY VARIABLE 4628 03:38:14,480 --> 03:38:15,800 AND HETEROGENOUS THOUGH 4629 03:38:15,800 --> 03:38:17,800 SOMETIMES OVERLAPPING. 4630 03:38:17,800 --> 03:38:22,640 AND IT INCLUDES PEOPLE WITH 4631 03:38:22,640 --> 03:38:28,080 DIVERSE SEXUALITIES AND 4632 03:38:28,080 --> 03:38:31,520 DIFFERENCES IN SEX TRADES AND 4633 03:38:31,520 --> 03:38:34,280 DISORDERS I BEGAN USING THE TERM 4634 03:38:34,280 --> 03:38:37,000 VARIATION IN SEX TRADES AND I 4635 03:38:37,000 --> 03:38:39,680 CAN TELL YOU ONE AND AREAS WITH 4636 03:38:39,680 --> 03:38:44,400 STARS ARE MY OWN RESEARCH. 4637 03:38:44,400 --> 03:38:47,320 IT'S BEEN IN THE PAST AN AREA OF 4638 03:38:47,320 --> 03:38:50,960 TRAUMA AND I EXPECT THE TRAUMA 4639 03:38:50,960 --> 03:38:55,600 IN SGM COMMUNITIES AND I HAVE A 4640 03:38:55,600 --> 03:38:59,640 STRONG BACKGROUND IN TRAUMA BUT 4641 03:38:59,640 --> 03:39:02,120 MORE RECENTLY IN THE LAST DECADE 4642 03:39:02,120 --> 03:39:05,360 OR SO HAVE BEEN CONCENTRATED ON 4643 03:39:05,360 --> 03:39:09,240 RESEARCH WITH TRANSGENDER AND 4644 03:39:09,240 --> 03:39:15,600 GENDER DIVERSE YOUTH AND YOUNG 4645 03:39:15,600 --> 03:39:22,680 ADULTS AND INTERSECTS AND SEX 4646 03:39:22,680 --> 03:39:26,040 TRAITS OR WITH VARIATION OF SEX 4647 03:39:26,040 --> 03:39:29,760 TRAITS ALSO HAVE ISSUES AND 4648 03:39:29,760 --> 03:39:33,240 IDENTIFY THEMSELVES AS GENDER 4649 03:39:33,240 --> 03:39:39,040 DIVERSE AND HAVE DIVERSE 4650 03:39:39,040 --> 03:39:39,880 SEXUALITY. 4651 03:39:39,880 --> 03:39:42,120 THERE'S INTERRELATIONSHIP WITHIN 4652 03:39:42,120 --> 03:39:48,440 THESE AND MANY ARE PROBABLY 4653 03:39:48,440 --> 03:39:51,880 AWARE, EVERYBODY IN THE LGBTQ 4654 03:39:51,880 --> 03:39:54,480 COMMUNITY DOESN'T RELATE WITH 4655 03:39:54,480 --> 03:40:02,400 OTHERS IN THAT COMMUNITY. 4656 03:40:02,400 --> 03:40:05,080 THERE ARE MANY IN THE LGBTQ FEEL 4657 03:40:05,080 --> 03:40:06,840 THE NEED TO DISTINGUISH 4658 03:40:06,840 --> 03:40:07,640 THEMSELVES FROM THE TRANS 4659 03:40:07,640 --> 03:40:08,400 COMMUNITY AND SOMETIMES THERE 4660 03:40:08,400 --> 03:40:10,480 CAN BE CONFLICT. 4661 03:40:10,480 --> 03:40:12,760 EACH COMMUNITY HAS SUB 4662 03:40:12,760 --> 03:40:13,760 COMMUNITIES AND SEPARATE ISSUES 4663 03:40:13,760 --> 03:40:15,680 AND CONSIDERATIONS. 4664 03:40:15,680 --> 03:40:24,920 AS I JUST SAID NOT ALL LGBTQI 4665 03:40:24,920 --> 03:40:26,480 COMMUNITIES ARE SUPPORTED AND WE 4666 03:40:26,480 --> 03:40:29,200 CAN TODAY FINE THEM NARROWLY OR 4667 03:40:29,200 --> 03:40:29,680 BROADLY. 4668 03:40:29,680 --> 03:40:31,720 I'M GOING TO TALK MORE DEPTH 4669 03:40:31,720 --> 03:40:34,400 ABOUT COMMUNITY PARTNERSHIPS. 4670 03:40:34,400 --> 03:40:37,600 AS I'VE WORKED AS A RESEARCHER 4671 03:40:37,600 --> 03:40:39,600 IN CLINICAL RESEARCH I HAVE 4672 03:40:39,600 --> 03:40:43,040 REALIZED HOW CRITICAL IT IS TO 4673 03:40:43,040 --> 03:40:44,240 PARTNER. 4674 03:40:44,240 --> 03:40:46,120 I DON'T JUST MEAN DRAW UPON 4675 03:40:46,120 --> 03:40:49,320 COMMUNITIES BUT REALLY BE 4676 03:40:49,320 --> 03:40:53,120 RESEARCH COLLABORATORS AND 4677 03:40:53,120 --> 03:40:56,040 PARTNERS WITH PEOPLE IN 4678 03:40:56,040 --> 03:40:58,080 COMMUNITIES UNDERTAKING RESEARCH 4679 03:40:58,080 --> 03:41:02,000 AND I THINK IT'S CRITICALLY 4680 03:41:02,000 --> 03:41:03,720 IMPORTANT AND HAS BEEN 4681 03:41:03,720 --> 03:41:04,960 PROBLEMATIC IN THE PAST AND NOT 4682 03:41:04,960 --> 03:41:09,800 THAT I'M SAYING IT'S ALWAYS EASY 4683 03:41:09,800 --> 03:41:11,400 BUT I THINK IT'S REALLY 4684 03:41:11,400 --> 03:41:13,800 IMPORTANT TO ENSURE THAT THE 4685 03:41:13,800 --> 03:41:15,240 RESEARCH THAT'S BEING DONE NEEDS 4686 03:41:15,240 --> 03:41:17,320 TO BE DONE. 4687 03:41:17,320 --> 03:41:18,680 IT PRIORITIZES COMMUNITY NEEDS 4688 03:41:18,680 --> 03:41:22,360 AND THAT'S SOMETHING THAT'S A 4689 03:41:22,360 --> 03:41:24,800 GOAL FOR YOU TO ENSURE THE 4690 03:41:24,800 --> 03:41:26,200 RESEARCH METHODS AND MEASURES 4691 03:41:26,200 --> 03:41:30,280 AND LANGUAGES THAT ARE USED, THE 4692 03:41:30,280 --> 03:41:32,760 RECRUITMENT STRATEGIES ARE ALL 4693 03:41:32,760 --> 03:41:34,480 SENSITIVE TO THE COMMUNITY OR 4694 03:41:34,480 --> 03:41:38,680 COMMUNITIES INVOLVED IN THE 4695 03:41:38,680 --> 03:41:38,960 RESEARCH. 4696 03:41:38,960 --> 03:41:39,920 AND I THINK CLEARLY COMMUNITY 4697 03:41:39,920 --> 03:41:40,920 NEEDS TO BE DEFINED BY THE 4698 03:41:40,920 --> 03:41:43,520 RESEARCH ITSELF. 4699 03:41:43,520 --> 03:41:46,200 ACCOUNTING FOR FACTORS RELATED 4700 03:41:46,200 --> 03:41:47,840 TO WHO YOU ARE RESEARCHING AND 4701 03:41:47,840 --> 03:41:48,440 WHAT YOU'RE RESEARCH QUESTIONS 4702 03:41:48,440 --> 03:41:51,160 ARE. 4703 03:41:51,160 --> 03:41:56,000 AND MAKING SURE THE COMMUNITY 4704 03:41:56,000 --> 03:42:01,520 PARTNERS ARE PEOPLE WHO ARE 4705 03:42:01,520 --> 03:42:03,640 ENGAGED OR REPRESENT THE 4706 03:42:03,640 --> 03:42:07,760 SPECTRUM OF THE COMMUNITIES 4707 03:42:07,760 --> 03:42:10,160 YOU'RE RESEARCHING INCLUDING 4708 03:42:10,160 --> 03:42:13,600 RURALITY AND AGE, SOCIO ECONOMIC 4709 03:42:13,600 --> 03:42:15,920 FACTORS AND RACIAL FACTORS, 4710 03:42:15,920 --> 03:42:18,520 GENDER DIVERSITY OR SEX WHICH 4711 03:42:18,520 --> 03:42:21,160 CAN BE DISTINCT AND CAN BE A 4712 03:42:21,160 --> 03:42:22,160 BIOLOGICAL VARIABLE. 4713 03:42:22,160 --> 03:42:23,760 ALL THOSE FACTORS MAY NEED TO BE 4714 03:42:23,760 --> 03:42:25,840 CONSIDERED IN THE SPECTRUM OF 4715 03:42:25,840 --> 03:42:27,240 WHO IS GOING TO BE REPRESENTED 4716 03:42:27,240 --> 03:42:27,880 IN THE RESEARCH AS PART OF THE 4717 03:42:27,880 --> 03:42:30,680 COMMUNITY. 4718 03:42:30,680 --> 03:42:33,360 SO BROAD COMMUNITY-BASED 4719 03:42:33,360 --> 03:42:34,280 COMMUNITY RESEARCH, FOR 4720 03:42:34,280 --> 03:42:35,880 INSTANCE, IF YOU'RE BEING 4721 03:42:35,880 --> 03:42:39,280 INCLUSIVE OF A BROAD RANGE OF 4722 03:42:39,280 --> 03:42:43,680 SUB GROUPS OR COMMUNITIES CAN 4723 03:42:43,680 --> 03:42:44,320 REQUIRE EXTENSIVE AND 4724 03:42:44,320 --> 03:42:46,360 REPRESENTATIVE OF COMMUNITY 4725 03:42:46,360 --> 03:42:47,880 PARTNERS AND USING SOME OF MY 4726 03:42:47,880 --> 03:42:50,040 OWN CURRENT RESEARCH AS AN 4727 03:42:50,040 --> 03:42:52,120 EXAMPLE I'M DOING RESEARCH IN 4728 03:42:52,120 --> 03:42:55,680 VST OR INTERSECTS AND IT'S TAKEN 4729 03:42:55,680 --> 03:42:58,440 YEARS TO DEVELOP THESE COMMUNITY 4730 03:42:58,440 --> 03:42:59,920 PARTNERS BUT WE'RE ALSO USING A 4731 03:42:59,920 --> 03:43:04,000 BROAD TAXONOMY OF WHAT VST IS SO 4732 03:43:04,000 --> 03:43:05,880 OUR CLINICAL BENEFIT CAN 4733 03:43:05,880 --> 03:43:07,560 HOPEFULLY BENEFIT THE BROADEST 4734 03:43:07,560 --> 03:43:09,320 RANGE OF YOUTH OR YOUNG ADULTS 4735 03:43:09,320 --> 03:43:12,600 WHO COULD POTENTIALLY BENEFIT SO 4736 03:43:12,600 --> 03:43:14,480 OUR RESEARCH PARTNERS NEED TO BE 4737 03:43:14,480 --> 03:43:19,640 BROUGHT TO REPRESENT THE 4738 03:43:19,640 --> 03:43:23,200 DIVERSITY OF THE COMMUNIT COMMU 4739 03:43:23,200 --> 03:43:24,520 ENGAGED IN OUR RESEARCH. 4740 03:43:24,520 --> 03:43:27,160 I HOPE THAT MADE SENSE AND GAYS 4741 03:43:27,160 --> 03:43:31,520 AND PEOPLE OF COLOR LIVING IN 4742 03:43:31,520 --> 03:43:32,560 RURAL PROPERTY REQUIRE 4743 03:43:32,560 --> 03:43:33,680 REPRESENTATION FOR THAT SPECIFIC 4744 03:43:33,680 --> 03:43:33,960 COMMUNITY. 4745 03:43:33,960 --> 03:43:35,600 MY OWN EXPERIENCE IT CAN TAKE 4746 03:43:35,600 --> 03:43:38,680 TIME AND EFFORT AND EVEN YEARS 4747 03:43:38,680 --> 03:43:41,040 TO BUILD UP COMMUNITY NETWORK 4748 03:43:41,040 --> 03:43:43,240 PARTNERS AND AS A PARTNER AND 4749 03:43:43,240 --> 03:43:45,160 COLLABORATOR IT'S IMPORTANT TO 4750 03:43:45,160 --> 03:43:47,560 BE TRUSTWORTHY, COMMITTED, 4751 03:43:47,560 --> 03:43:49,720 RESPECTFUL AND DEFINITELY NOT 4752 03:43:49,720 --> 03:43:50,000 EXPLOITIVE. 4753 03:43:50,000 --> 03:43:53,480 IF YOU'RE WORKING WITH COMMUNITY 4754 03:43:53,480 --> 03:43:55,440 PARTNERS FOR YOUR RESEARCH THE 4755 03:43:55,440 --> 03:43:56,600 PRIORITY CAN'T BE YOUR 4756 03:43:56,600 --> 03:43:58,800 PROMOTION. 4757 03:43:58,800 --> 03:44:01,680 OR AT YOUR ACADEMIC CAREER. 4758 03:44:01,680 --> 03:44:08,720 YOUR PRIORITY REALLY NEEDS TO BE 4759 03:44:08,720 --> 03:44:09,680 DOING GOOD SCIENTIFIC RESEARCH 4760 03:44:09,680 --> 03:44:11,080 UTILIZING THE PARTNERSHIP THAT 4761 03:44:11,080 --> 03:44:14,680 YOU HAVE WITH COMMUNITY AND I 4762 03:44:14,680 --> 03:44:18,320 HAVE BEEN AWARE OF SITUATIONS IN 4763 03:44:18,320 --> 03:44:27,360 WHICH -- WHAT? 4764 03:44:27,360 --> 03:44:29,200 DID I HEAR A QUESTION. 4765 03:44:29,200 --> 03:44:31,720 WHERE COMMUNITIES HAVE FELT 4766 03:44:31,720 --> 03:44:35,760 EXPLOITED AND UNHAPPY WITH THEIR 4767 03:44:35,760 --> 03:44:36,080 PARTNERSHIPS. 4768 03:44:36,080 --> 03:44:37,840 IT'S REALLY IMPORTANT TO ENSURE 4769 03:44:37,840 --> 03:44:39,480 THERE'S A TRANSPARENT AND 4770 03:44:39,480 --> 03:44:40,120 POSITIVE RELATIONSHIP THAT CAN 4771 03:44:40,120 --> 03:44:50,120 BE MAINTAINED. 4772 03:44:50,120 --> 03:44:51,520 IT'S IMPORTANT THE COMMUNITY 4773 03:44:51,520 --> 03:44:56,520 REPRESENTATION UP YOUR CORE 4774 03:44:56,520 --> 03:44:58,160 RESEARCH PERSONNEL -- CAN 4775 03:44:58,160 --> 03:45:01,320 EVERYBODY HEAR ME? 4776 03:45:01,320 --> 03:45:04,040 I WANT TO MAKE SURE I'M COMING 4777 03:45:04,040 --> 03:45:04,280 THROUGH. 4778 03:45:04,280 --> 03:45:06,640 >>YES, GO AHEAD. 4779 03:45:06,640 --> 03:45:08,080 SOMEBODY UNMUTED. 4780 03:45:08,080 --> 03:45:14,840 >>I THOUGHT I WASN'T MAKING 4781 03:45:14,840 --> 03:45:15,440 SENSE. 4782 03:45:15,440 --> 03:45:15,960 OKAY. 4783 03:45:15,960 --> 03:45:18,240 AS AN EXAMPLE WE'RE WORKING TO 4784 03:45:18,240 --> 03:45:19,880 DEVELOP A SELF-ADVOCACY MEASURE 4785 03:45:19,880 --> 03:45:23,360 FOR YOUTH FOR VARIATIONS IN SEX 4786 03:45:23,360 --> 03:45:25,160 TRADES SOMETIMES REFERRED TO BY 4787 03:45:25,160 --> 03:45:28,560 SOME COMMUNITIES AS INTERSECTS 4788 03:45:28,560 --> 03:45:34,800 AND RELATED CONDITIONS AND IT'S 4789 03:45:34,800 --> 03:45:38,600 HELPFUL FOR BEING ABLE TO 4790 03:45:38,600 --> 03:45:41,360 IDENTIFY DISPARITIES IN THIS 4791 03:45:41,360 --> 03:45:43,960 POPULATION AS WELL AS AN 4792 03:45:43,960 --> 03:45:45,680 IMMEDIATE INTERVENTION AND 4793 03:45:45,680 --> 03:45:47,240 IMMEDIATELY USEFUL FOR CLINICAL 4794 03:45:47,240 --> 03:45:48,160 CARE. 4795 03:45:48,160 --> 03:45:53,680 IF YOU DON'T KNOW, INTERSEX 4796 03:45:53,680 --> 03:45:56,160 COMMUNITIES HAVE OFTEN ADVOCATED 4797 03:45:56,160 --> 03:45:57,920 OR IDENTIFIED THAT THEY'RE 4798 03:45:57,920 --> 03:45:59,800 MEDICAL CARE IS ACTUALLY HARMFUL 4799 03:45:59,800 --> 03:46:02,160 AND HURTFUL TO THEM. 4800 03:46:02,160 --> 03:46:03,560 THE WORLD HEALTH ORGANIZATION 4801 03:46:03,560 --> 03:46:09,000 SOMETIMES CALLED THE MEDICAL 4802 03:46:09,000 --> 03:46:12,080 CARE RECEIVED BY THESE 4803 03:46:12,080 --> 03:46:14,280 COMMUNITIES AS MEDICAL TORTURE 4804 03:46:14,280 --> 03:46:15,840 AND THERE'S A LOT OF 4805 03:46:15,840 --> 03:46:16,120 CONTROVERSY. 4806 03:46:16,120 --> 03:46:18,160 AS THE NOT ALWAYS 4807 03:46:18,160 --> 03:46:18,520 STRAIGHTFORWARD. 4808 03:46:18,520 --> 03:46:26,640 I'M FOCUSSING ON THIS AND I 4809 03:46:26,640 --> 03:46:28,640 THINK IT'S IMPORTANT TO 4810 03:46:28,640 --> 03:46:29,920 RECOGNIZE THEIR NEEDS. 4811 03:46:29,920 --> 03:46:32,280 AND BECAUSE I'M DOING RESEARCH 4812 03:46:32,280 --> 03:46:34,080 IN THIS AREA. 4813 03:46:34,080 --> 03:46:40,120 THIS IS OUR STUDY TEAM AND 4814 03:46:40,120 --> 03:46:41,720 OTHERS ARE INVOLVED IN THIS 4815 03:46:41,720 --> 03:46:42,040 RESEARCH. 4816 03:46:42,040 --> 03:46:45,640 AND JUST TO SHOW YOU WE HAVE 4817 03:46:45,640 --> 03:46:47,400 TAKEN YEARS TO DEVELOP THESE 4818 03:46:47,400 --> 03:46:48,400 VAST NATIONAL COMMUNITY 4819 03:46:48,400 --> 03:46:50,040 PARTNERSHIPS WHO ARE ALIGNED 4820 03:46:50,040 --> 03:46:52,800 WITH OUR RESEARCH GOALS AND ARE 4821 03:46:52,800 --> 03:46:57,240 REALLY INFORMING OUR RESEARCH 4822 03:46:57,240 --> 03:47:00,800 ASIDE FROM THE PARTNERSHIPS ON 4823 03:47:00,800 --> 03:47:05,120 THIS SLIDE WE HAVE OTHERS 4824 03:47:05,120 --> 03:47:08,680 INCLUDING COLORADO CHILDREN'S 4825 03:47:08,680 --> 03:47:12,400 HOSPITAL AND THE CHILDREN'S 4826 03:47:12,400 --> 03:47:15,880 HOSPITAL AND WITH ACCESS AND 4827 03:47:15,880 --> 03:47:17,520 OTHER SUPPORT AND ADVOCACY 4828 03:47:17,520 --> 03:47:21,920 GROUPS IN THE VST WHO REPRESENT 4829 03:47:21,920 --> 03:47:24,000 THE VST COMMUNITIES. 4830 03:47:24,000 --> 03:47:25,720 SO OUR COMMUNITY PARTNERSHIP HAS 4831 03:47:25,720 --> 03:47:34,080 BEEN KEY IN HELPING US TO 4832 03:47:34,080 --> 03:47:38,320 IDENTIFY KEY DOMAINS THAT ARE OF 4833 03:47:38,320 --> 03:47:39,640 CRITICAL IMPORTANCE TO INCLUDE 4834 03:47:39,640 --> 03:47:41,200 IN A SELF-ADVOCACY MEASURE FOR 4835 03:47:41,200 --> 03:47:42,640 YOUTH AND YOUNG ADULTS. 4836 03:47:42,640 --> 03:47:46,520 THEY HELPED US TO DEVELOP THE 4837 03:47:46,520 --> 03:47:49,040 INITIAL PROTOTYPE AND ITEM SET 4838 03:47:49,040 --> 03:47:52,640 TO MAKE SURE THEY WERE TARGETING 4839 03:47:52,640 --> 03:47:54,520 THE CORRECT AREAS AND THEY'VE 4840 03:47:54,520 --> 03:47:56,440 GIVEN US INPUT ON TERMINOLOGY 4841 03:47:56,440 --> 03:47:59,440 AND SENSITIVITY OF OUR LANGUAGE. 4842 03:47:59,440 --> 03:48:01,400 THAT'S EXTREMELY DIFFICULT IN 4843 03:48:01,400 --> 03:48:03,520 THIS AREA WHERE THROUGH OUR OWN 4844 03:48:03,520 --> 03:48:08,400 RESEARCH WE FOUND THERE IS NO 4845 03:48:08,400 --> 03:48:11,200 TERMINOLOGY THAT ALL MEMBERS OF 4846 03:48:11,200 --> 03:48:13,200 THE COMMUNITIES OF VST AGREE 4847 03:48:13,200 --> 03:48:13,400 UPON. 4848 03:48:13,400 --> 03:48:16,360 HOW WE ENDED UP WITH USING 4849 03:48:16,360 --> 03:48:17,720 VARIATIONS OF SEX TRADE LANGUAGE 4850 03:48:17,720 --> 03:48:21,200 WAS FROM FEEDBACK FROM OUR 4851 03:48:21,200 --> 03:48:23,560 COMMUNITIES AND AGREEMENT AND 4852 03:48:23,560 --> 03:48:25,080 CONSENSUS THAT WAS THE MOST 4853 03:48:25,080 --> 03:48:28,880 ACCEPTABLE LANGUAGE TO USE. 4854 03:48:28,880 --> 03:48:30,040 WE'RE USING USE COGNITIVE 4855 03:48:30,040 --> 03:48:31,480 INTERVIEWING FROM THE COMMUNITY 4856 03:48:31,480 --> 03:48:32,160 TO DETERMINE THE ADEQUACY OF OUR 4857 03:48:32,160 --> 03:48:34,480 MEASURE. 4858 03:48:34,480 --> 03:48:36,560 SO THIS IS SORT OF WHAT WE CAME 4859 03:48:36,560 --> 03:48:37,320 UP IN. 4860 03:48:37,320 --> 03:48:40,160 IT'S TOO BIG TO SEE BUT THESE 4861 03:48:40,160 --> 03:48:43,480 ARE THE AREAS THAT OUR PATIENTS 4862 03:48:43,480 --> 03:48:47,640 AND COMMUNITY PARTNERS FELT WERE 4863 03:48:47,640 --> 03:48:50,040 MOST IMPORTANT FOR A 4864 03:48:50,040 --> 03:48:51,360 SELF-ADVOCACY TOOL AND I'M 4865 03:48:51,360 --> 03:48:53,360 PRESENTING THAT AND USING A 4866 03:48:53,360 --> 03:48:54,600 COMMUNITY PARTNERSHIP TO SHAPE 4867 03:48:54,600 --> 03:48:56,160 YOUR RESEARCH. 4868 03:48:56,160 --> 03:48:57,040 THE NUMBER ONE MOST IMPORTANT 4869 03:48:57,040 --> 03:49:01,000 AREA ACCORDING TO OUR PATIENTS 4870 03:49:01,000 --> 03:49:11,440 THEMSELVES WAS PROVIDER 4871 03:49:18,120 --> 03:49:19,720 INTERACTIONS AND THEY CLAIM 4872 03:49:19,720 --> 03:49:21,160 PROVIDERS TALK TO THEIR PARENTS 4873 03:49:21,160 --> 03:49:26,040 AND NOT TALK TO THEM AND WE GET 4874 03:49:26,040 --> 03:49:30,160 A LOT OF FEEDBACK ABOUT HOW 4875 03:49:30,160 --> 03:49:35,040 TRAUMATIZING THE MEDICAL CARE 4876 03:49:35,040 --> 03:49:41,880 HAS BEEN AND GENITAL EXAMS IS 4877 03:49:41,880 --> 03:49:43,080 WHERE THEY FELT MOST VIOLATED 4878 03:49:43,080 --> 03:49:46,720 AND WE CAN SHAPE THE QUESTIONS 4879 03:49:46,720 --> 03:49:49,320 THEY ASK HERE SO PATIENT 4880 03:49:49,320 --> 03:49:51,960 EDUCATION DECISION MAKING, 4881 03:49:51,960 --> 03:49:54,040 ACCESS TO PSYCH SOW SOCIAL CARE 4882 03:49:54,040 --> 03:49:56,760 AND HEALTH IN CLINICAL CARE SUB 4883 03:49:56,760 --> 03:49:59,560 DOMAINS WE CAME UP WITH AND A 4884 03:49:59,560 --> 03:50:01,960 SECOND AREA, SEX AND GENDER 4885 03:50:01,960 --> 03:50:04,080 HEALTH SUBDOMAINS WHICH IS A 4886 03:50:04,080 --> 03:50:06,080 SECOND GRANT WE WERE AWARDED OR 4887 03:50:06,080 --> 03:50:11,840 A SUPPLEMENT WARDAWARDED TO LOO 4888 03:50:11,840 --> 03:50:13,640 GENDER AND YOUTH IDENTIFIED 4889 03:50:13,640 --> 03:50:17,880 GENDER IDENTITY AND EXPRESSION 4890 03:50:17,880 --> 03:50:19,840 AS THE MOST IMPORTANT AREA TO 4891 03:50:19,840 --> 03:50:21,320 FOCUS ON AS SELF-ADVOCACY 4892 03:50:21,320 --> 03:50:24,520 MEASURES. 4893 03:50:24,520 --> 03:50:28,840 WE GOT YOUTH THAT COMPLAINED 4894 03:50:28,840 --> 03:50:31,640 ONCE THEY GOT A DIAGNOSIS 4895 03:50:31,640 --> 03:50:33,040 MEDICAL PROVIDERS QUESTIONED 4896 03:50:33,040 --> 03:50:35,240 THEIR GENDER AND THEY FELT 4897 03:50:35,240 --> 03:50:39,480 NERVOUS ABOUT THEIR OWN GENDER 4898 03:50:39,480 --> 03:50:42,640 OR THAT HAVING A VST LET THEM 4899 03:50:42,640 --> 03:50:43,520 FEEL THEY'RE BODY FAILED THEM 4900 03:50:43,520 --> 03:50:47,320 AND THEY HAD QUESTIONS ABOUT 4901 03:50:47,320 --> 03:50:48,840 REPRODUCTIVE HEALTH AND 4902 03:50:48,840 --> 03:50:51,880 FERTILITY AND SEXUAL FUNCTION AS 4903 03:50:51,880 --> 03:51:02,360 WELL ASUROLOGICAL FUNCTION. 4904 03:51:06,760 --> 03:51:08,360 WAS THAT THE BELL? 4905 03:51:08,360 --> 03:51:11,840 >>YOU CAN TAKE THE NEXT MOMENT 4906 03:51:11,840 --> 03:51:13,080 OR SO TO WRAP UP. 4907 03:51:13,080 --> 03:51:16,440 >>I WANTED TO TALK ABOUT 4908 03:51:16,440 --> 03:51:17,960 COMMUNITY RESEARCH AND OTHER 4909 03:51:17,960 --> 03:51:18,880 CONSIDERATIONS ARE RECRUITMENT. 4910 03:51:18,880 --> 03:51:21,080 WHAT I HAVE SEEN AND I THINK 4911 03:51:21,080 --> 03:51:23,320 OTHERS HAVE INCLUDING SOME OF MY 4912 03:51:23,320 --> 03:51:24,520 OWN RESEARCH IN THE TRANS 4913 03:51:24,520 --> 03:51:25,600 COMMUNITY IS THAT RESEARCH 4914 03:51:25,600 --> 03:51:28,240 STARTED OFF RECRUITING PEOPLE 4915 03:51:28,240 --> 03:51:32,640 FROM GENDER CLINICS WHERE THERE 4916 03:51:32,640 --> 03:51:35,560 TEND TO BE HIGHER SES, MOSTLY 4917 03:51:35,560 --> 03:51:37,000 WHITE, PROFESSIONAL, EDUCATED 4918 03:51:37,000 --> 03:51:38,680 PEOPLE AND YOUTH WHO TEND TO 4919 03:51:38,680 --> 03:51:40,480 HAVE MORE SUPPORT FROM PARENTS. 4920 03:51:40,480 --> 03:51:43,360 SO FEASIBILITY OF RECRUITMENT 4921 03:51:43,360 --> 03:51:44,920 OFTEN DRIVES THE RESEARCH 4922 03:51:44,920 --> 03:51:47,840 QUESTION AND IT'S PARTICIPANTS 4923 03:51:47,840 --> 03:51:50,560 WHO VOLUNTEER, PARTICIPANTS FROM 4924 03:51:50,560 --> 03:51:53,640 EXAMPLES AND ADULT AND YOUTH WHO 4925 03:51:53,640 --> 03:51:54,240 CONSENTED. 4926 03:51:54,240 --> 03:51:57,720 IT'S NOT NECESSARILY THE PEOPLE 4927 03:51:57,720 --> 03:52:00,680 MOST IN NEED. 4928 03:52:00,680 --> 03:52:02,840 IF WE RELY ON DOING THE MOST 4929 03:52:02,840 --> 03:52:06,240 EASILY RECRUITED, WE REALLY DO I 4930 03:52:06,240 --> 03:52:12,560 BELIEVE AND I CON INCKCONCLUDEDE 4931 03:52:12,560 --> 03:52:14,440 YEARS, LOSE MOST IN NEED AND 4932 03:52:14,440 --> 03:52:16,400 FEASIBILITY SHOULD BE BALANCED 4933 03:52:16,400 --> 03:52:18,360 WITH NEED AND I SUGGEST IN MY 4934 03:52:18,360 --> 03:52:20,920 OWN HEAD AND WHAT I WANT TO DO 4935 03:52:20,920 --> 03:52:22,840 WITH THE REST OF MY LIFE BUT 4936 03:52:22,840 --> 03:52:24,040 IT'S IMPORTANT TO FIND WAYS TO 4937 03:52:24,040 --> 03:52:27,440 RECRUIT PEOPLE WHO ARE NOT SO 4938 03:52:27,440 --> 03:52:30,680 EASILY RECRUITED BUT OFTEN LEFT 4939 03:52:30,680 --> 03:52:32,920 OUT OF RESEARCH AND RESEARCH 4940 03:52:32,920 --> 03:52:34,040 THAT REACH THOSE WITH LEAST 4941 03:52:34,040 --> 03:52:35,760 ACCESS TO CARE AND LIKELY TO 4942 03:52:35,760 --> 03:52:37,000 BENEFIT FROM INTERVENTIONS IS 4943 03:52:37,000 --> 03:52:37,680 IMPORTANT BUT HARD. 4944 03:52:37,680 --> 03:52:41,960 YOU MAY BE QUESTIONED ABOUT 4945 03:52:41,960 --> 03:52:42,240 USABILITY. 4946 03:52:42,240 --> 03:52:44,840 BUT VULNERABLE POPULATION ALSO 4947 03:52:44,840 --> 03:52:47,800 AT HIGH RISK OF COERCION AND 4948 03:52:47,800 --> 03:52:50,840 RESEARCH INCENTIVES MAY CAUSE 4949 03:52:50,840 --> 03:52:52,560 PEOPLE TO SIGN ON TO RESEARCH 4950 03:52:52,560 --> 03:52:53,960 THEY'RE NOT COMFORTABLE WITH AND 4951 03:52:53,960 --> 03:52:55,040 I THINK THAT'S AN IMPORTANT 4952 03:52:55,040 --> 03:52:59,240 CONSIDERATION. 4953 03:52:59,240 --> 03:53:02,240 IF WE DON'T RECRUIT FROM A WIDE 4954 03:53:02,240 --> 03:53:03,400 SWATH OF PEOPLE THEN THE 4955 03:53:03,400 --> 03:53:08,640 RESEARCH WE HAVE IS LIMITED IN 4956 03:53:08,640 --> 03:53:12,560 GENERALIZABLE AND THAT HAS BEEN 4957 03:53:12,560 --> 03:53:13,880 PROBLEMATIC IN TRANSGENDER 4958 03:53:13,880 --> 03:53:14,520 RESEARCH. 4959 03:53:14,520 --> 03:53:16,520 ALSO WHEN TALKING ABOUT YOUTH 4960 03:53:16,520 --> 03:53:17,360 SPECIFIC COMPLEXITIES, A LOT OF 4961 03:53:17,360 --> 03:53:18,960 PEOPLE DON'T WANT TO DO RESEARCH 4962 03:53:18,960 --> 03:53:19,280 WITH YOUTH. 4963 03:53:19,280 --> 03:53:24,840 IT'S REALLY HARD. 4964 03:53:24,840 --> 03:53:26,920 HOW DO YOU CONSENT YOUTH WHOSE 4965 03:53:26,920 --> 03:53:29,800 PARENTS ARE UNAWARE OF THE SGM 4966 03:53:29,800 --> 03:53:32,600 COMMUNITY AND MAY HAVE TO USE 4967 03:53:32,600 --> 03:53:33,640 INNOVATIVE CONSENT STRATEGIES. 4968 03:53:33,640 --> 03:53:35,520 AND IRBs WILL SOMETIMES ALLOW 4969 03:53:35,520 --> 03:53:39,480 YOU TO ENROLL YOUTH ESPECIALLY 4970 03:53:39,480 --> 03:53:42,080 16 OR OVER WITHOUT PARENTAL 4971 03:53:42,080 --> 03:53:43,640 CONSENT BECAUSE IT'S DIFFICULT 4972 03:53:43,640 --> 03:53:44,920 IF YOU DON'T WANT TO OUT KIDS TO 4973 03:53:44,920 --> 03:53:46,680 THEIR PARENTS BUT YOU WANT TO 4974 03:53:46,680 --> 03:53:48,480 UNDERSTAND HOW KIDS ARE 4975 03:53:48,480 --> 03:53:50,160 FUNCTIONING WHEN THEY DON'T HAVE 4976 03:53:50,160 --> 03:53:51,800 PARENTAL SUPPORT. 4977 03:53:51,800 --> 03:53:53,920 AND THEN FOR OTHER RESEARCH, 4978 03:53:53,920 --> 03:53:56,680 PARENTS ARE THE GATE KEEPERS. 4979 03:53:56,680 --> 03:53:58,120 AND KIDS AND PARENTS -- WHAT I 4980 03:53:58,120 --> 03:54:00,360 HAVE FOUND AND WORRIED ABOUT IS 4981 03:54:00,360 --> 03:54:02,440 PARENTS WHO MAY BE THE MOST 4982 03:54:02,440 --> 03:54:04,560 REJECTING AND ABUSIVE AND 4983 03:54:04,560 --> 03:54:07,120 HURTFUL TO THEIR KIDS WILL NOT 4984 03:54:07,120 --> 03:54:09,880 LET THEIR KIDS PARTICIPATE 4985 03:54:09,880 --> 03:54:10,960 BECAUSE THEY DON'T WANT TO BE 4986 03:54:10,960 --> 03:54:13,880 OUTED FOR THE BEHAVIOR AND IT'S 4987 03:54:13,880 --> 03:54:17,640 HARD TO RECRUIT AND IT'S ALSO 4988 03:54:17,640 --> 03:54:19,760 TRUTH OF RESEARCH SPANNING A 4989 03:54:19,760 --> 03:54:22,360 LARGE AGE SPAN YOU NEED MEASURES 4990 03:54:22,360 --> 03:54:25,360 THAT ARE APPROPRIATE FOR THAT 4991 03:54:25,360 --> 03:54:29,200 LARGE AGE SPAN TO COMPARE AND 4992 03:54:29,200 --> 03:54:30,600 CONTRAST NEEDS ACROSS AN AGE 4993 03:54:30,600 --> 03:54:34,560 SPAN AND THAT CAN BE HARD. 4994 03:54:34,560 --> 03:54:36,960 THERE ARE CHILD PROTECTION AND 4995 03:54:36,960 --> 03:54:39,040 RISK OF SUICIDALITY IN DOING 4996 03:54:39,040 --> 03:54:42,680 RESEARCH WHICH YOU NEED TO BE 4997 03:54:42,680 --> 03:54:44,040 ABLE TO ACCOUNT FOR IN YOUR 4998 03:54:44,040 --> 03:54:46,160 PROTECTION AND SOME PEOPLE DON'T 4999 03:54:46,160 --> 03:54:48,720 WANT THAT RISK AND HEADACHE BUT 5000 03:54:48,720 --> 03:54:51,160 IF YOU DON'T WANT TO DEAL WITH 5001 03:54:51,160 --> 03:54:54,320 IT THEN YOU MAY EXCLUDE VERY AT 5002 03:54:54,320 --> 03:54:56,240 RISK YOUTH FROM YOUR RESEARCH. 5003 03:54:56,240 --> 03:54:59,480 IT'S ENDEMIC TO AT-RISK RELATED 5004 03:54:59,480 --> 03:55:02,800 YOUTH RESEARCH AND IMPORTANT TO 5005 03:55:02,800 --> 03:55:03,960 BE ABLE TO FEEL CONFIDENCE YOU 5006 03:55:03,960 --> 03:55:06,120 HAVE A WAY IT DEAL WITH THAT. 5007 03:55:06,120 --> 03:55:08,600 SO WE DON'T KNOW WHO IS NOT 5008 03:55:08,600 --> 03:55:10,960 INCLUDED IN RESEARCH AND WHO IS 5009 03:55:10,960 --> 03:55:13,520 AND I DO HYPOTHESIZE THAT A LOT 5010 03:55:13,520 --> 03:55:15,160 OF OUR RESEARCH GETS SKEWED BY 5011 03:55:15,160 --> 03:55:17,680 WHO OPTS OUT. 5012 03:55:17,680 --> 03:55:20,440 WE IN OUR OWN TRANS YOUTH 5013 03:55:20,440 --> 03:55:22,040 RESEARCH DID ACTUALLY EXAMINE 5014 03:55:22,040 --> 03:55:24,720 WHETHER YOUTH WHO OPTED OUT OF 5015 03:55:24,720 --> 03:55:26,960 RESEARCH WERE EQUIVALENT TO 5016 03:55:26,960 --> 03:55:29,800 THOSE WHO OPTED IN. 5017 03:55:29,800 --> 03:55:32,880 AND IT WAS CLINIC-BASED RESEARCH 5018 03:55:32,880 --> 03:55:34,840 AND DOESN'T REPRESENT ALL YOUTH 5019 03:55:34,840 --> 03:55:35,840 WHO ARE TRANS AND MAY BENEFIT 5020 03:55:35,840 --> 03:55:37,600 FROM INTERSENSE. 5021 03:55:37,600 --> 03:55:42,040 -- INTERVENTION. 5022 03:55:42,040 --> 03:55:45,040 WE FOUND THROUGH DATA ON 5023 03:55:45,040 --> 03:55:47,960 EVALUATIONS THEY WERE PRETTY 5024 03:55:47,960 --> 03:55:52,680 EQUIVALENT IN TERMS OF 5025 03:55:52,680 --> 03:55:54,360 PSYCHOSOCIAL ADJUSTMENT AND 5026 03:55:54,360 --> 03:55:57,240 DYSPHORIA FOR KIDS WHO DID OUR 5027 03:55:57,240 --> 03:55:58,680 RESEARCH AND IT'S UNUSUAL TO DO 5028 03:55:58,680 --> 03:56:03,840 RESEARCH LIKE THIS. 5029 03:56:03,840 --> 03:56:05,160 >>THANK YOU SO MUCH. 5030 03:56:05,160 --> 03:56:06,720 YOU RAISED SOME GREAT POINTS FOR 5031 03:56:06,720 --> 03:56:11,000 US TODAY FOR US TO CONTINUE TO 5032 03:56:11,000 --> 03:56:12,520 DIALOGUE ABOUT IN THE Q&A YOU'VE 5033 03:56:12,520 --> 03:56:13,840 GIVEN GREAT THINGS TO THINK 5034 03:56:13,840 --> 03:56:15,560 ABOUT AND THE IMPORTANCE OF 5035 03:56:15,560 --> 03:56:17,080 BEING INTENTIONAL IN CONSIDERING 5036 03:56:17,080 --> 03:56:20,240 THE VST COMMUNITIES AND 5037 03:56:20,240 --> 03:56:22,680 TAILORING CARE TO ONE'S UNIQUE 5038 03:56:22,680 --> 03:56:24,240 NEEDS. 5039 03:56:24,240 --> 03:56:26,040 WE'LL GO ON TO THE NEXT 5040 03:56:26,040 --> 03:56:27,280 PRESENTER AND IN THE Q&A 5041 03:56:27,280 --> 03:56:29,000 THERE'LL BE OPPORTUNITIES TO 5042 03:56:29,000 --> 03:56:31,480 SHARE MORE IMPORTANT WORK. 5043 03:56:31,480 --> 03:56:34,560 >>I DO HAVE MORE IF ANYONE'S 5044 03:56:34,560 --> 03:56:37,240 INTERESTED IN MEASUREMENT OF 5045 03:56:37,240 --> 03:56:38,680 GENDER AND ISSUES RELATED TO 5046 03:56:38,680 --> 03:56:38,880 THAT. 5047 03:56:38,880 --> 03:56:40,160 THANK YOU FOR THE OPPORTUNITY. 5048 03:56:40,160 --> 03:56:42,320 SORRY FOR TAKING SO MUCH TIME. 5049 03:56:42,320 --> 03:56:43,400 >>THANK YOU SO MUCH. 5050 03:56:43,400 --> 03:56:45,360 WE APPRECIATE IT. 5051 03:56:45,360 --> 03:56:46,960 NOW WE'LL TRANSITION INTO A 5052 03:56:46,960 --> 03:56:48,560 DISCUSSION OF KEY CONSIDERATIONS 5053 03:56:48,560 --> 03:56:51,640 FOR SCHOOL AND COMMUNITY-BASED 5054 03:56:51,640 --> 03:56:57,000 PREVENTION INTERVENTIONS FOR 5055 03:56:57,000 --> 03:57:02,680 LGBTQI ADOLESCENTS LED BY 5056 03:57:02,680 --> 03:57:10,560 DR. GOLDBACH FROM THE WASHINGTON 5057 03:57:10,560 --> 03:57:11,160 UNIVERSITY SCHOOL OF SOCIAL 5058 03:57:11,160 --> 03:57:15,520 WORK. 5059 03:57:15,520 --> 03:57:20,040 >>THOUGH GOLDBOND WOULD BE A 5060 03:57:20,040 --> 03:57:21,960 COOL NAME IT'S GOLDBACH AT THE 5061 03:57:21,960 --> 03:57:23,640 BROWN SCHOOL OF SOCIAL WORK AND 5062 03:57:23,640 --> 03:57:24,880 PUBLIC HEALTH AND I'LL TALK 5063 03:57:24,880 --> 03:57:27,000 ABOUT THE THINGS WE'VE BEEN 5064 03:57:27,000 --> 03:57:28,080 THINKING ABOUT AND LEARNING 5065 03:57:28,080 --> 03:57:30,600 ABOUT IN OUR WORK AROUND 5066 03:57:30,600 --> 03:57:32,520 INTERVENTIONS THAT ARE COMMUNITY 5067 03:57:32,520 --> 03:57:34,360 BASED AND SCHOOL BASED WITH 5068 03:57:34,360 --> 03:57:36,680 LGBTQ ADOLESCENTS. 5069 03:57:36,680 --> 03:57:38,160 A COUPLE DISCLOSURES THERE'S A 5070 03:57:38,160 --> 03:57:39,440 COUPLE GRANTS THAT SUPPORT WHAT 5071 03:57:39,440 --> 03:57:40,640 I'M TALKING ABOUT IN THE 5072 03:57:40,640 --> 03:57:47,560 SESSION. 5073 03:57:47,560 --> 03:57:48,920 I'LL FOCUS ON THREE KEY 5074 03:57:48,920 --> 03:57:50,600 TAKEAWAYS AND TRY TO PULL IT 5075 03:57:50,600 --> 03:57:54,240 TOGETHER IN THE NEXT 10 MINUTES 5076 03:57:54,240 --> 03:57:54,760 OR SO. 5077 03:57:54,760 --> 03:57:55,880 IN THE MAJOR HIGHLIGHT POINTS 5078 03:57:55,880 --> 03:57:58,840 WE'VE BEEN LEARNING, ONE, I'LL 5079 03:57:58,840 --> 03:58:02,560 TALK ABOUT THE DEVELOPMENT AND 5080 03:58:02,560 --> 03:58:03,560 HEALTH DISPARITIES DON'T OPERATE 5081 03:58:03,560 --> 03:58:05,840 IN A VACUUM AND IT'S IMPORTANT 5082 03:58:05,840 --> 03:58:08,400 THEY'RE ALSO NOT OPERATING IN 5083 03:58:08,400 --> 03:58:10,040 THE OVERLY STERILE ENVIRONMENT. 5084 03:58:10,040 --> 03:58:11,920 THE SECOND POINT WE'LL TALK 5085 03:58:11,920 --> 03:58:14,440 ABOUT IS THE IMPORTANCE OF 5086 03:58:14,440 --> 03:58:16,400 FOLLOWING THE RULES AND USING 5087 03:58:16,400 --> 03:58:17,920 BEST SCIENCE AND USING BEST 5088 03:58:17,920 --> 03:58:19,560 SCIENCE IS EXCELLENT BUT WHEN WE 5089 03:58:19,560 --> 03:58:22,120 WORK ON COMPLICATED PROGRAMS WE 5090 03:58:22,120 --> 03:58:24,120 HAVE TO BE PREPARED HOW WE'LL 5091 03:58:24,120 --> 03:58:26,800 HANDLE ADAPTATIONS AND TRACK 5092 03:58:26,800 --> 03:58:32,440 THEM AND EMPLOYEE IMPLEM MPLEMEN 5093 03:58:32,440 --> 03:58:33,480 SCIENCE FRAMEWORK DOING 5094 03:58:33,480 --> 03:58:37,760 INTERVENTIONS AND THE THIRD 5095 03:58:37,760 --> 03:58:38,800 POINT I'LL MAKE IS THE 5096 03:58:38,800 --> 03:58:43,760 IMPORTANCE OF FOCUSSING NOT JUST 5097 03:58:43,760 --> 03:58:45,160 ON RISK REDUCTION THOUGH IT'S AN 5098 03:58:45,160 --> 03:58:46,560 IMPORTANT ASPECT OF COURSE WE 5099 03:58:46,560 --> 03:58:50,560 ALSO WANT TO MAKE SURE WE'RE 5100 03:58:50,560 --> 03:58:52,040 SIMULTANEOUSLY WORKING TO BUILD 5101 03:58:52,040 --> 03:58:57,640 RESILIENCE AND HIGHLIGHTING THE 5102 03:58:57,640 --> 03:59:00,040 STRENGTHS YOUNG LGBTQ KIDS 5103 03:59:00,040 --> 03:59:01,800 EXPERIENCE IN THIS CHANGING 5104 03:59:01,800 --> 03:59:02,320 WORLD. 5105 03:59:02,320 --> 03:59:02,840 I'LL TALK BRIEFLY. 5106 03:59:02,840 --> 03:59:04,440 A LOT OF THIS COMES FROM THE 5107 03:59:04,440 --> 03:59:06,440 DEVELOPMENT AND WORK WE'VE DONE 5108 03:59:06,440 --> 03:59:11,280 AROUND A PROGRAM THAT'S MOVING 5109 03:59:11,280 --> 03:59:12,880 TOWARDS EVIDENCE BASED. 5110 03:59:12,880 --> 03:59:17,560 WE WORKED ON A LARGER RCT AND 5111 03:59:17,560 --> 03:59:22,000 POWER WAS DESIGN AS A 10-SESSION 5112 03:59:22,000 --> 03:59:23,560 INTERVENTION STARTING WITH QUEER 5113 03:59:23,560 --> 03:59:25,000 AND TRANS KIDS ALONG THE WAY IN 5114 03:59:25,000 --> 03:59:27,200 THE DEVELOPMENT AND 5115 03:59:27,200 --> 03:59:28,400 REDEVELOPMENT AND CONTINUING TO 5116 03:59:28,400 --> 03:59:29,720 PROVIDE INPUT. 5117 03:59:29,720 --> 03:59:31,560 STARTED WITH FOUNDATION FUNDING 5118 03:59:31,560 --> 03:59:34,600 WHERE WE DID LIGHT HISTORY 5119 03:59:34,600 --> 03:59:35,840 INTERVIEWS AND UNDERSTANDING 5120 03:59:35,840 --> 03:59:37,520 BROAD STRESSORS AND MOVED INTO 5121 03:59:37,520 --> 03:59:39,440 PSYCHO DEVELOPMENT WORK AND 5122 03:59:39,440 --> 03:59:40,040 UNDERSTANDING THE MINORITY 5123 03:59:40,040 --> 03:59:45,440 STRESS AND ADOLESCENTS AND 5124 03:59:45,440 --> 03:59:51,560 APPLYING MORE FRAMEWORK AND WE 5125 03:59:51,560 --> 03:59:54,440 IDENTIFIED 10 KEY DOMAINS 5126 03:59:54,440 --> 03:59:55,360 RELATED TO BEHAVIORAL HEALTH. 5127 03:59:55,360 --> 04:00:00,960 AND WE STARTED TO BUILD OUT 5128 04:00:00,960 --> 04:00:03,800 SESSIONS WE HAVE A FIVE-YEAR 5129 04:00:03,800 --> 04:00:06,000 STUDY LOOK AT TEMPORALITY IN 5130 04:00:06,000 --> 04:00:06,920 MINORITY STRESS AND MENTAL 5131 04:00:06,920 --> 04:00:08,640 HEALTH AND STILL WORKING THROUGH 5132 04:00:08,640 --> 04:00:11,360 THE DATA AND HAD A FEASIBILITY 5133 04:00:11,360 --> 04:00:12,760 STUDY WHERE WE STARTED TO TEST 5134 04:00:12,760 --> 04:00:17,840 THE INTERVENTION. 5135 04:00:17,840 --> 04:00:21,720 AND I WANT TO TALK ABOUT THE 5136 04:00:21,720 --> 04:00:22,240 COMPLEXITY. 5137 04:00:22,240 --> 04:00:25,720 AND FOR THOSE THAT WORK WITH 5138 04:00:25,720 --> 04:00:30,440 ADOLESCENTS THEY HAVE NO 5139 04:00:30,440 --> 04:00:32,560 SHORTAGE OF OPINIONS AND ALWAYS 5140 04:00:32,560 --> 04:00:33,560 HAPPY TO SHARE WITH WHAT YOU'RE 5141 04:00:33,560 --> 04:00:38,040 DOING AS A RESEARCHER AND WE'RE 5142 04:00:38,040 --> 04:00:48,560 WORKING WITH A GROUP OF YOUTH 5143 04:00:53,280 --> 04:00:54,960 AND BE MORE DIDACTIC IN YOUR 5144 04:00:54,960 --> 04:00:56,320 INTERVENTION AND WE ASKED THE 5145 04:00:56,320 --> 04:00:57,640 GENERAL QUESTION WAS THERE 5146 04:00:57,640 --> 04:00:59,360 ANYTHING ELSE WE'VE MISSED? 5147 04:00:59,360 --> 04:01:01,600 IS THERE ANYTHING WE'VE LEFT 5148 04:01:01,600 --> 04:01:01,760 OUT? 5149 04:01:01,760 --> 04:01:03,120 ONE YOUNG PERSON RAISED THEIR 5150 04:01:03,120 --> 04:01:05,240 HAND AND SAID IT'S GREAT YOU 5151 04:01:05,240 --> 04:01:10,200 DEVELOPED THIS PROGRAM TO HELP 5152 04:01:10,200 --> 04:01:12,240 SUPPORT QUEER AND TRANS KIDS AND 5153 04:01:12,240 --> 04:01:14,680 I CAN SEE THE TO BE IN A ROOM 5154 04:01:14,680 --> 04:01:16,840 WITH MY PEERS AND TALK THROUGH 5155 04:01:16,840 --> 04:01:18,200 MY EXPERIENCES AROUND 5156 04:01:18,200 --> 04:01:21,360 DISCRIMINATION AND AROUND STRESS 5157 04:01:21,360 --> 04:01:25,320 AND RACISM AND AROUND HOMOPHOBIA 5158 04:01:25,320 --> 04:01:26,280 AND TRANSNEGATIVITY. 5159 04:01:26,280 --> 04:01:31,600 BUT THIS ISN'T REALLY OUR FAULT. 5160 04:01:31,600 --> 04:01:33,400 WE'RE THE VICTIMS AND ONE OF THE 5161 04:01:33,400 --> 04:01:35,200 CHALLENGES IN THE PROGRAM WHERE 5162 04:01:35,200 --> 04:01:37,400 YOU PULL US OUT AND PUTTING US 5163 04:01:37,400 --> 04:01:39,200 TOGETHER TO TALK THROUGH THE 5164 04:01:39,200 --> 04:01:40,800 TERRIBLE THINGS HAPPENING IS THE 5165 04:01:40,800 --> 04:01:43,880 PROGRAM ISN'T DOING ANYTHING TO 5166 04:01:43,880 --> 04:01:47,560 ADDRESS THE UPSTREAM CONCERNS. 5167 04:01:47,560 --> 04:01:50,560 AND FOR ME THIS WAS A REALLY 5168 04:01:50,560 --> 04:01:53,680 IMPORTANT MOMENT IN THE 5169 04:01:53,680 --> 04:01:55,400 DEVELOPMENT OF THE PROGRAM AND 5170 04:01:55,400 --> 04:01:58,680 IN THE SMALLER STUDY AND LARGER 5171 04:01:58,680 --> 04:02:01,040 STUDY THAT FOLLOWED WE DID A LOT 5172 04:02:01,040 --> 04:02:04,760 OF WORK AND LEANED MORE HEAVILY 5173 04:02:04,760 --> 04:02:10,120 INTO BIGGER CONCEPTUAL MODELS 5174 04:02:10,120 --> 04:02:11,000 AROUND SOCIAL DETERMINATES OF 5175 04:02:11,000 --> 04:02:15,040 HEALTH AND IF WE'LL DO WORK WITH 5176 04:02:15,040 --> 04:02:18,040 LGBTQ KIDS WE HAVE TO BE 5177 04:02:18,040 --> 04:02:23,560 INCLUSIVE OF THE MORE UPSTREAM 5178 04:02:23,560 --> 04:02:33,680 ASPECTS. 5179 04:02:36,920 --> 04:02:39,120 WE ADDED THE SECOND COMPONENT 5180 04:02:39,120 --> 04:02:43,560 THE FOUR-SESSION INTERVENTION 5181 04:02:43,560 --> 04:02:44,120 HERE. 5182 04:02:44,120 --> 04:02:46,160 WE STILL WORKED WITH THE 10 5183 04:02:46,160 --> 04:02:48,240 SESSION SUPPORTIVE INTERVENTION 5184 04:02:48,240 --> 04:02:51,000 FOR YOUTH AND BRINGING IN A 5185 04:02:51,000 --> 04:02:54,440 POPULAR COMMUNITY LEADER PROCESS 5186 04:02:54,440 --> 04:03:01,320 AND IDENTIFIED PROPER OPINION 5187 04:03:01,320 --> 04:03:02,280 LEADERS IN THE SCHOOL. 5188 04:03:02,280 --> 04:03:04,400 THEY WORKED TOGETHER TO IDENTIFY 5189 04:03:04,400 --> 04:03:06,080 THE PEOPLE WHO THEY THINK WILL 5190 04:03:06,080 --> 04:03:08,080 BE BEST SUITED TO MAKE SOCIAL 5191 04:03:08,080 --> 04:03:09,720 NORMS CHANGE AND CONDUCT SOCIAL 5192 04:03:09,720 --> 04:03:12,880 ACTION INTERVENTIONS THROUGH THE 5193 04:03:12,880 --> 04:03:13,120 SCHOOL. 5194 04:03:13,120 --> 04:03:14,960 WE INCLUDE THEM AS ALLIES. 5195 04:03:14,960 --> 04:03:16,080 THEY WORKED TOGETHER IN 5196 04:03:16,080 --> 04:03:17,560 COMMUNITY ORGANIZING AND BUILT A 5197 04:03:17,560 --> 04:03:19,360 SOCIAL ACTION PLAN. 5198 04:03:19,360 --> 04:03:20,440 IT'S BEEN GREAT. 5199 04:03:20,440 --> 04:03:21,640 WE'RE IN THE SECOND YEAR OF THE 5200 04:03:21,640 --> 04:03:23,600 TRIAL NOW AND WHAT MAKES THIS 5201 04:03:23,600 --> 04:03:25,240 COMPLICATED IS WE HAVE TO BE 5202 04:03:25,240 --> 04:03:27,200 MINDFUL OF THESE MULTIPLE LEVELS 5203 04:03:27,200 --> 04:03:28,720 THAT ARE BEARING DOWN ON YOUNG 5204 04:03:28,720 --> 04:03:29,840 PEOPLE MAKING SURE WE'RE 5205 04:03:29,840 --> 04:03:35,160 PROVIDING THE SUPPORT NIGHT NEE 5206 04:03:35,160 --> 04:03:36,440 FOR THOSE EXPERIENCING TRAUMA 5207 04:03:36,440 --> 04:03:37,720 AND DIFFICULTIES AND 5208 04:03:37,720 --> 04:03:38,720 SIMULTANEOUSLY BEING MINDFUL OF 5209 04:03:38,720 --> 04:03:40,920 THE SYSTEMS THAT CREATED THOSE 5210 04:03:40,920 --> 04:03:42,080 OUTCOMES IN THE FIRST PLACE AND 5211 04:03:42,080 --> 04:03:44,720 MAKING SURE OUR INTERVENTIONS 5212 04:03:44,720 --> 04:03:46,200 ARE BOLD. 5213 04:03:46,200 --> 04:03:50,440 AND WHAT WE'RE LEARNING IS THE 5214 04:03:50,440 --> 04:03:51,760 SECOND COMPONENT FEELS JUST AS 5215 04:03:51,760 --> 04:03:52,800 MEANINGFUL TO THEM BECAUSE THEY 5216 04:03:52,800 --> 04:03:55,400 TALK TO THE CHALLENGES THEY'RE 5217 04:03:55,400 --> 04:03:57,280 HAVING AND GET TO BE PART OF 5218 04:03:57,280 --> 04:04:01,720 TRYING TO CHANGE THE SYSTEM AND 5219 04:04:01,720 --> 04:04:04,240 BUILD THE ENTREPRENEURIAL 5220 04:04:04,240 --> 04:04:04,840 LEADERSHIP POLITICAL SKILLS, 5221 04:04:04,840 --> 04:04:09,480 REALLY. 5222 04:04:09,480 --> 04:04:13,320 THE SECOND POINT WHICH TIES TO 5223 04:04:13,320 --> 04:04:15,800 THE FIRST AND WHAT WE'RE 5224 04:04:15,800 --> 04:04:19,040 LEARNING AND OTHERS LONG BEFORE 5225 04:04:19,040 --> 04:04:21,320 ME IS WE HAVE SCIENTIFIC METHODS 5226 04:04:21,320 --> 04:04:23,280 OUT THERE FOR CONDUCTING 5227 04:04:23,280 --> 04:04:23,760 INTERVENTION TRIALS. 5228 04:04:23,760 --> 04:04:26,720 THE PROBLEM IS WHEN WE'RE 5229 04:04:26,720 --> 04:04:29,360 TALKING ABOUT THESE COMPLICATED 5230 04:04:29,360 --> 04:04:33,400 AND MULTI-LEVEL AND MULTI-SYSTEM 5231 04:04:33,400 --> 04:04:35,000 HEALTH PATTERNS INFORMED BY 5232 04:04:35,000 --> 04:04:36,920 THESE SYSTEMS IT GETS MESSY. 5233 04:04:36,920 --> 04:04:38,520 I THINK IT'S KEY AS WE'RE 5234 04:04:38,520 --> 04:04:39,960 LOOKING AT WRITING OUR GRANTS 5235 04:04:39,960 --> 04:04:43,840 AND LOOKING AT THE WAY WE'RE 5236 04:04:43,840 --> 04:04:44,600 FUNDING PROGRAMS WE'RE BEING 5237 04:04:44,600 --> 04:04:47,040 OPEN TO THE NOTION THAT YES, WE 5238 04:04:47,040 --> 04:04:49,640 WANT TO FIND THE BEST PRACTICE 5239 04:04:49,640 --> 04:04:52,800 BUT NEED TO BE OPEN TO MAKE SURE 5240 04:04:52,800 --> 04:04:54,600 ADAPTATIONS ARE ALLOWABLE AND 5241 04:04:54,600 --> 04:04:56,560 LOOKING AT ALTERNATIVE WAYS OF 5242 04:04:56,560 --> 04:05:01,360 DOING TRIALS AND ALLOWING SPACE 5243 04:05:01,360 --> 04:05:05,320 FOR IDEAS AND APPROACH THAT MAY 5244 04:05:05,320 --> 04:05:06,640 NOT CONFORM TO THE GOLD STANDARD 5245 04:05:06,640 --> 04:05:08,280 RCT BECAUSE THE CHALLENGES WILL 5246 04:05:08,280 --> 04:05:10,160 ARISE REGARDLESS AND IT'S BETTER 5247 04:05:10,160 --> 04:05:16,200 WE'RE PREPARED WITH ALTERNATIVE 5248 04:05:16,200 --> 04:05:20,080 OPTIONS AND IF WE'RE TALKING 5249 04:05:20,080 --> 04:05:22,320 ABOUT MULTI-LEVEL, MULTI-SYSTEMS 5250 04:05:22,320 --> 04:05:24,320 WE HAVE TO BE MINDFUL THEY'RE 5251 04:05:24,320 --> 04:05:24,560 COMPLEX. 5252 04:05:24,560 --> 04:05:28,320 WE HAVE YOUTH, FAMILIES AND 5253 04:05:28,320 --> 04:05:32,160 SCHOOLS THEY'RE IN AND 5254 04:05:32,160 --> 04:05:33,280 COMMUNITIES THEY'RE IN AND OTHER 5255 04:05:33,280 --> 04:05:35,240 INFORMATION COMING IN THROUGH 5256 04:05:35,240 --> 04:05:37,920 SYSTEMS AND POPULAR MEDIA AND 5257 04:05:37,920 --> 04:05:39,160 THROUGH THE NATIONAL NEWS. 5258 04:05:39,160 --> 04:05:40,280 ALL THESE THINGS ARE INFLUENCING 5259 04:05:40,280 --> 04:05:41,880 THE WAY THE SYSTEMS WILL WORK 5260 04:05:41,880 --> 04:05:44,040 AND WILLINGNESS TO WORK WITH US 5261 04:05:44,040 --> 04:05:46,400 ON THE MULTI-LEVEL PROGRAMS. 5262 04:05:46,400 --> 04:05:51,960 I'M GOING TO THROW UP HERE AND I 5263 04:05:51,960 --> 04:05:55,040 KNOW MANY ARE PROBABLY FAMILIAR 5264 04:05:55,040 --> 04:05:56,560 WITH ONE OF THE IMPLEMENTATION 5265 04:05:56,560 --> 04:05:58,320 SCIENCE FRAME WORKS. 5266 04:05:58,320 --> 04:05:59,600 I THINK IT'S IMPORTANT EVEN AS 5267 04:05:59,600 --> 04:06:01,880 WE'RE BUILDING EFFICACY IN THE 5268 04:06:01,880 --> 04:06:03,800 EARLY STAGES WE ALREADY HAVE THE 5269 04:06:03,800 --> 04:06:04,960 EYE TOWARDS HOW WE'RE GOING TO 5270 04:06:04,960 --> 04:06:06,360 LOOK AT IMPLEMENTATION SCIENCE 5271 04:06:06,360 --> 04:06:07,880 AND HOW WE'RE THINKING ABOUT 5272 04:06:07,880 --> 04:06:09,920 THOSE EFFECTIVENESS ASPECTS. 5273 04:06:09,920 --> 04:06:14,240 BECAUSE AT EVERY SINGLE LAYER OF 5274 04:06:14,240 --> 04:06:17,280 THIS PUZZLE WE HAVE A LOT OF 5275 04:06:17,280 --> 04:06:18,320 DIFFERENT FACTS THAT WILL 5276 04:06:18,320 --> 04:06:19,640 INFLUENCE THE LIKELIHOOD THESE 5277 04:06:19,640 --> 04:06:20,320 INTERVENTIONS WORK. 5278 04:06:20,320 --> 04:06:22,680 I THINK IT'S IMPORTANT WE'RE 5279 04:06:22,680 --> 04:06:23,880 THINKING ABOUT THIS. 5280 04:06:23,880 --> 04:06:27,440 THESE IMPLEMENTATION SCIENCE 5281 04:06:27,440 --> 04:06:27,720 FRAMEWORKS. 5282 04:06:27,720 --> 04:06:29,960 IT'S ONE WE LIKE A LOT AND HAVE 5283 04:06:29,960 --> 04:06:31,800 BEEN USING EXTENSIVELY IN OUR 5284 04:06:31,800 --> 04:06:32,120 WORK RECENTLY. 5285 04:06:32,120 --> 04:06:36,600 THERE ARE OTHERS. 5286 04:06:36,600 --> 04:06:37,800 THE THIRD POINT I'LL MAKE 5287 04:06:37,800 --> 04:06:39,320 BRIEFLY IS THE IDEA OF BALANCING 5288 04:06:39,320 --> 04:06:42,920 RISK AND PROTECTIVE FACTORS. 5289 04:06:42,920 --> 04:06:46,360 I THINK MANY OF US CAN RELATE 5290 04:06:46,360 --> 04:06:47,720 AND WORKING WITHIN INSTITUTES OR 5291 04:06:47,720 --> 04:06:49,600 FUNDING STREAMS FOCUSSED ON 5292 04:06:49,600 --> 04:06:51,720 REDUCING HEALTH DISPARITIES AND 5293 04:06:51,720 --> 04:06:53,320 REDUCING HEALTH DISPARITIES 5294 04:06:53,320 --> 04:06:55,680 OFTEN LOOKS AT WHO HAS IT WORSE 5295 04:06:55,680 --> 04:06:58,680 AND THE IDEA OF FUNDING IS TO 5296 04:06:58,680 --> 04:07:00,160 IDENTIFY THE MOST AFFECTED AND 5297 04:07:00,160 --> 04:07:03,200 HAVE THE WORSE OUTCOMES AND TRY 5298 04:07:03,200 --> 04:07:04,200 TO MITIGATE THE RISK. 5299 04:07:04,200 --> 04:07:07,520 THIS CAN AT TIMES LEAVE US WITH 5300 04:07:07,520 --> 04:07:08,880 FOCUSSING ON THE MORE 5301 04:07:08,880 --> 04:07:11,400 PATHOLOGICAL ASPECTS OF HEALTH. 5302 04:07:11,400 --> 04:07:18,360 AND FOCUSSING HEAVILY ON 5303 04:07:18,360 --> 04:07:28,880 REDUCING RISK AND ALMOST AN 5304 04:07:32,880 --> 04:07:34,640 AFTERTHOUGHT AND OUR 5305 04:07:34,640 --> 04:07:35,640 INTERVENTION SHOWED DECREASING 5306 04:07:35,640 --> 04:07:37,080 MINORITY STRESSORS AT POST TEST 5307 04:07:37,080 --> 04:07:38,720 FOR THOSE THAT WENT THROUGH THE 5308 04:07:38,720 --> 04:07:39,880 INTERVENTION COMPARED TO THOSE 5309 04:07:39,880 --> 04:07:44,080 IN THE CONTROL. 5310 04:07:44,080 --> 04:07:46,200 I'M THROWING A SIMPLE VISUAL UP 5311 04:07:46,200 --> 04:07:46,400 HERE. 5312 04:07:46,400 --> 04:07:48,840 ONE OF THE UNEXPECTED THINGS WAS 5313 04:07:48,840 --> 04:07:52,440 WE DIDN'T EXPECT FOR THOSE MORE 5314 04:07:52,440 --> 04:07:53,400 ENVIRONMENTAL MINORITY STRESSORS 5315 04:07:53,400 --> 04:07:54,520 TO CHANGE. 5316 04:07:54,520 --> 04:07:56,120 THEY HAD EXPERIENCES IN THE 5317 04:07:56,120 --> 04:07:58,720 SCHOOL HAPPENING TO THEM OR THE 5318 04:07:58,720 --> 04:07:59,840 MORE DISTAL STRESSORS. 5319 04:07:59,840 --> 04:08:02,360 YOUTH WERE ABLE TO FIND WAYS TO 5320 04:08:02,360 --> 04:08:05,040 AVOID AND TO ENGAGE IN THE 5321 04:08:05,040 --> 04:08:09,320 ENVIRONMENT IN DIFFERENT DAYS 5322 04:08:09,320 --> 04:08:11,520 THAT ALLOWED THEM TO REPORT MORE 5323 04:08:11,520 --> 04:08:13,320 DISTAL STRESSORS AT THE POST 5324 04:08:13,320 --> 04:08:17,160 TEST. 5325 04:08:17,160 --> 04:08:18,240 THE OTHER THING THAT'S IMPORTANT 5326 04:08:18,240 --> 04:08:21,360 IS IN OUR STUDY OUR INITIAL 5327 04:08:21,360 --> 04:08:24,200 STUDY MANY BEHAVIORAL OUTCOMES 5328 04:08:24,200 --> 04:08:25,040 INCLUDING ANXIETY AND DEPRESSION 5329 04:08:25,040 --> 04:08:29,520 SYMPTOMS SHOWED DECREASES IN THE 5330 04:08:29,520 --> 04:08:32,800 INTERVENTION WE EXPECTED RELATED 5331 04:08:32,800 --> 04:08:34,160 TO EXPERIENCING LESS MINORITY 5332 04:08:34,160 --> 04:08:36,320 STRESS, THAT WAS OUR INITIAL 5333 04:08:36,320 --> 04:08:36,640 PREMISE. 5334 04:08:36,640 --> 04:08:39,680 BUT WHAT WAS IMPORTANT IS THAT 5335 04:08:39,680 --> 04:08:44,200 WE SAW THIS RESULT WAS DURABLE 5336 04:08:44,200 --> 04:08:44,800 EVEN IN THE PRESENCE OF 5337 04:08:44,800 --> 04:08:46,320 CONTINUED MINORITY STRESSORS. 5338 04:08:46,320 --> 04:08:47,800 THERE WERE YOUTH IN OUR 5339 04:08:47,800 --> 04:08:50,960 INTERVENTION STUDY WHO CONTINUED 5340 04:08:50,960 --> 04:08:53,240 TO EXPERIENCE HIGH LEVELS OF 5341 04:08:53,240 --> 04:08:53,920 MINORITY STRESS AND BECAUSE 5342 04:08:53,920 --> 04:08:57,160 OFFSET BY THEIR EXPERIENCES OF 5343 04:08:57,160 --> 04:08:59,200 RESILIENCE AND COPING WERE ABLE 5344 04:08:59,200 --> 04:09:01,200 TO SHOW IMPROVED OUTCOMES 5345 04:09:01,200 --> 04:09:01,480 REGARDLESS. 5346 04:09:01,480 --> 04:09:02,840 SO I JUST THINK IT'S IMPORTANT 5347 04:09:02,840 --> 04:09:04,880 AS WE'RE BUILDING THE 5348 04:09:04,880 --> 04:09:07,360 INTERVENTIONS WE TAKE SERIOUSLY 5349 04:09:07,360 --> 04:09:08,720 AND SOMETIMES WE GET A BIT OF 5350 04:09:08,720 --> 04:09:11,000 LIP SERVICE TO PROTECTIVE 5351 04:09:11,000 --> 04:09:13,480 FACTORS AND WIND UP AN AFTER 5352 04:09:13,480 --> 04:09:16,240 THOUGHT MAYBE AN AIM THREE OR AN 5353 04:09:16,240 --> 04:09:17,640 EXPLORATORY AIM AND IF WE CAN 5354 04:09:17,640 --> 04:09:23,600 RETOOL THE FIELD TO SEE THE 5355 04:09:23,600 --> 04:09:28,840 IMPORTANCE I THINK IT WOULD DO 5356 04:09:28,840 --> 04:09:30,000 YOUTH JUSTICE AND THERE ARE 5357 04:09:30,000 --> 04:09:34,480 THINGS IN THE ENVIRONMENT THAT 5358 04:09:34,480 --> 04:09:36,640 CAN BE DIFFICULT TO CHANGE AND 5359 04:09:36,640 --> 04:09:39,520 LOOKING AT COPING STRATEGIES AND 5360 04:09:39,520 --> 04:09:41,080 RESOURCES I THINK ARE KEY AND 5361 04:09:41,080 --> 04:09:44,360 NOT ALWAYS FRONT OF AND CENTER. 5362 04:09:44,360 --> 04:09:46,120 I'M RIGHT ABOUT AT TIME AND I'LL 5363 04:09:46,120 --> 04:09:50,600 STOP SHARING. 5364 04:09:50,600 --> 04:09:51,800 >>THANK YOU SO MUCH. 5365 04:09:51,800 --> 04:09:52,960 YOU RAISED WONDERFUL POINTS FOR 5366 04:09:52,960 --> 04:09:57,360 US TO IMPROVE THE IMPORTANCE OF 5367 04:09:57,360 --> 04:10:00,040 CREATING THAT YOUNG PEOPLE CAN 5368 04:10:00,040 --> 04:10:02,080 SPEAK TO THE CHALLENGES THEY'RE 5369 04:10:02,080 --> 04:10:06,680 EXPERIENCING AND CAN BE THE 5370 04:10:06,680 --> 04:10:08,560 CHANGE AGENT. 5371 04:10:08,560 --> 04:10:10,280 NOW WE'LL TRANSITION TO OUR 5372 04:10:10,280 --> 04:10:19,480 FINAL PANELISTS CORY CASCALHEIRA 5373 04:10:19,480 --> 04:10:26,800 SORRY TO BUTCHER YOUR NAME FROM 5374 04:10:26,800 --> 04:10:29,120 NEW MEXICO STATE UNIVERSITY AND 5375 04:10:29,120 --> 04:10:35,760 IAN HOLLOWAY FROM UCLA. 5376 04:10:35,760 --> 04:10:39,640 CORY, THE FLOOR IS YOURS AND 5377 04:10:39,640 --> 04:10:44,880 IAN, YOU CAN GO AFTER. 5378 04:10:44,880 --> 04:10:55,280 >>WE'RE TALKING ABOUT 5379 04:11:23,000 --> 04:11:25,720 COMPUTATIONAL METHODS AND WE'RE 5380 04:11:25,720 --> 04:11:28,960 LOOKING AT ARTIFICIAL 5381 04:11:28,960 --> 04:11:30,320 INTELLIGENCE AND MACHINE 5382 04:11:30,320 --> 04:11:31,800 LEARNING AND NATURAL LANGUAGE 5383 04:11:31,800 --> 04:11:33,280 PROCESS AND WE'LL TALK ABOUT WHY 5384 04:11:33,280 --> 04:11:35,960 THE WORK IS IMPORTANT AND WHY WE 5385 04:11:35,960 --> 04:11:39,400 WANT TO USE THESE METHODS TO 5386 04:11:39,400 --> 04:11:44,520 DELIVER INNOVATIONS. 5387 04:11:44,520 --> 04:11:46,600 AND THERE'S GAPS THAT REMAIN 5388 04:11:46,600 --> 04:11:48,160 THAT CAN BE ADDRESSED BY 5389 04:11:48,160 --> 04:11:48,440 COMPUTATION. 5390 04:11:48,440 --> 04:11:50,560 SOME GAPS ARE RELATED TO 5391 04:11:50,560 --> 04:11:53,000 CONCERNS ABOUT SCALABILITY, LACK 5392 04:11:53,000 --> 04:11:55,080 OF PERSONALIZATION, EXISTING 5393 04:11:55,080 --> 04:11:57,240 DIGITAL HEALTH TOOLS ARE NOT 5394 04:11:57,240 --> 04:11:57,920 TAILORED TO INDIVIDUAL 5395 04:11:57,920 --> 04:11:58,480 EXPERIENCES AND A LACK OF 5396 04:11:58,480 --> 04:12:01,160 ENGAGEMENT. 5397 04:12:01,160 --> 04:12:04,640 THOUGH WE HAVE INTERVENTIONS SGM 5398 04:12:04,640 --> 04:12:05,200 PEOPLE ARE NOT REALLY USING 5399 04:12:05,200 --> 04:12:11,240 THEM. 5400 04:12:11,240 --> 04:12:13,760 COMPUTATION OF TDIs CAN BE 5401 04:12:13,760 --> 04:12:16,840 PERSONAL AND ENGAGING AND 5402 04:12:16,840 --> 04:12:20,440 SCALABLE SOLUTIONS FOR SGM 5403 04:12:20,440 --> 04:12:21,600 HEALTH AND WHAT NEEDS TO HAPPEN 5404 04:12:21,600 --> 04:12:22,400 TO REALIZE THIS? 5405 04:12:22,400 --> 04:12:27,440 WE'LL TRY TO ANSWER THIS 5406 04:12:27,440 --> 04:12:30,880 QUESTION IN THE FIRST HALF. 5407 04:12:30,880 --> 04:12:32,000 WE'LL TALK ABOUT EVIDENCE GAPS 5408 04:12:32,000 --> 04:12:35,040 AND CHALLENGES IN THE RESEARCH 5409 04:12:35,040 --> 04:12:35,280 DOMAIN. 5410 04:12:35,280 --> 04:12:38,400 IN ORDER TO TALK BE THE EVIDENCE 5411 04:12:38,400 --> 04:12:43,800 GAPS AND CHALLENGES WE'LL PUT 5412 04:12:43,800 --> 04:12:45,360 THEM IN ORDER AND IT SOUNDS LIKE 5413 04:12:45,360 --> 04:12:46,560 IT'S BEEN COVERED THE LAST FEW 5414 04:12:46,560 --> 04:12:50,600 DAYS BUT IF YOU'RE NOT FAMILIAR 5415 04:12:50,600 --> 04:12:56,000 WITH IT, SICIENTISTS NEED TO KNW 5416 04:12:56,000 --> 04:12:59,000 WHAT INTERVENTIONS ARE WORKING 5417 04:12:59,000 --> 04:13:02,240 AND IF IT'S EFFECTIVE AND 5418 04:13:02,240 --> 04:13:03,320 DISSEMINATE IT. 5419 04:13:03,320 --> 04:13:05,080 AND THERE'S CHALLENGES WE NEED 5420 04:13:05,080 --> 04:13:09,640 TO ADDRESS IF WE'RE GOING HAVE 5421 04:13:09,640 --> 04:13:12,760 COMPUTATIONAL ADVANCED TDIs 5422 04:13:12,760 --> 04:13:13,800 AVAILABLE FOR SGM PEOPLE. 5423 04:13:13,800 --> 04:13:17,080 ONE BASIC CHALLENGE AT THE FIRST 5424 04:13:17,080 --> 04:13:18,760 STAGE IS ESTABLISHING 5425 04:13:18,760 --> 04:13:20,440 COMPUTATIONAL CONSTRUCTABILITY. 5426 04:13:20,440 --> 04:13:23,160 THIS IS DIFFERENT THAN WHAT IS 5427 04:13:23,160 --> 04:13:23,880 TYPICALLY ESTABLISHED WITH 5428 04:13:23,880 --> 04:13:25,040 FACTOR ANALYSIS BECAUSE WHAT 5429 04:13:25,040 --> 04:13:27,000 WE'RE TRYING TO DO IS CREATE A 5430 04:13:27,000 --> 04:13:28,480 STATISTICAL RELATIONSHIP BETWEEN 5431 04:13:28,480 --> 04:13:33,280 BIG DATA SOURCES LIKE SOCIAL 5432 04:13:33,280 --> 04:13:36,400 MEDIA WEARABLE SENSORS AND 5433 04:13:36,400 --> 04:13:38,120 SCORES ON AN INSTRUMENT. 5434 04:13:38,120 --> 04:13:40,200 THIS FIRST STEP IS IMPORTANT 5435 04:13:40,200 --> 04:13:42,480 BECAUSE ONCE WE KNOW A 5436 04:13:42,480 --> 04:13:43,920 COMPUTATIONAL MODEL IS WORKING 5437 04:13:43,920 --> 04:13:45,440 WELL AND ONCE WE KNOW ARTIFICIAL 5438 04:13:45,440 --> 04:13:47,120 INTELLIGENCE IS PREDICTING HIV 5439 04:13:47,120 --> 04:13:48,400 RISK, FOR EXAMPLE THEN WE CAN 5440 04:13:48,400 --> 04:13:51,920 USE THE PREDICTIVE RESULTS TO 5441 04:13:51,920 --> 04:14:00,640 PERSONALIZE CONTENT. 5442 04:14:00,640 --> 04:14:01,720 THE GOOD NEWS IS THERE'S 5443 04:14:01,720 --> 04:14:03,920 EVIDENCE FROM OUR LABS WHERE 5444 04:14:03,920 --> 04:14:05,760 IT'S ESTABLISHED FOR DIFFERENT 5445 04:14:05,760 --> 04:14:07,280 CONSTRUCTS INCLUDING 5446 04:14:07,280 --> 04:14:12,200 PSYCHOSOCIAL STRESSORS , DRUG 5447 04:14:12,200 --> 04:14:13,360 USE AMONG DIFFERENT SGM GROUPS 5448 04:14:13,360 --> 04:14:16,160 AND DIFFERENT RISKS. 5449 04:14:16,160 --> 04:14:17,360 SOME GAPS ARE THERE'S TOO FEW 5450 04:14:17,360 --> 04:14:21,960 CLINICAL OUTCOMES UNDER STUDY 5451 04:14:21,960 --> 04:14:25,040 AND THE CONSTRUCTABILITY IS ON 5452 04:14:25,040 --> 04:14:26,360 THE CONTENT THEY'RE CREATING. 5453 04:14:26,360 --> 04:14:28,360 YOU PROBABLY SAW A CLINICAL 5454 04:14:28,360 --> 04:14:29,720 OUTCOME THAT'S IMPORTANT TO YOU 5455 04:14:29,720 --> 04:14:31,120 YOU DON'T HAVE EVIDENCE FOR AND 5456 04:14:31,120 --> 04:14:35,200 WE NEED TO START THINKING ABOUT 5457 04:14:35,200 --> 04:14:37,560 OTHER TYPES SUCH AS WEARABLE 5458 04:14:37,560 --> 04:14:39,680 SENSORS TO DO BETTER AT 5459 04:14:39,680 --> 04:14:40,440 PREDICTING THESE DIFFERENT TYPES 5460 04:14:40,440 --> 04:14:44,600 OF CONSTRUCTS. 5461 04:14:44,600 --> 04:14:50,080 AT THE NEXT STAGE OR DEVELOPMENT 5462 04:14:50,080 --> 04:14:52,800 STAGE, MOST COMPUTATIONAL TDIs 5463 04:14:52,800 --> 04:14:54,480 ARE FOR SEXUAL HEALTH WE'LL TALK 5464 04:14:54,480 --> 04:14:55,720 ABOUT ONE CLEAR EXAMPLE. 5465 04:14:55,720 --> 04:14:59,960 OTHER EXAMPLE JUST IN TIME 5466 04:14:59,960 --> 04:15:01,080 INTERVENTIONS FOR HIV RISK AND 5467 04:15:01,080 --> 04:15:05,200 CHAT BOX TO PROMOTE TESTING AND 5468 04:15:05,200 --> 04:15:06,440 VIRTUAL REALITY SPACING HIV 5469 04:15:06,440 --> 04:15:09,680 POSITIVE FOLKS CAN ENTER AND 5470 04:15:09,680 --> 04:15:11,880 PRACTICE DISCLOSING HIV TO 5471 04:15:11,880 --> 04:15:12,400 HYPOTHETICAL PARTNERS. 5472 04:15:12,400 --> 04:15:14,240 SOME OF THE GAPS IN THE AREA ARE 5473 04:15:14,240 --> 04:15:19,480 MOST OF THESE TDIs ARE AT THE 5474 04:15:19,480 --> 04:15:20,680 INDIVIDUAL LEVEL AND FEW USE 5475 04:15:20,680 --> 04:15:22,440 A.I. FOR MENTAL AND BEHAVIORAL 5476 04:15:22,440 --> 04:15:22,720 HEALTH. 5477 04:15:22,720 --> 04:15:27,720 WE NEED TO START THINKING HOW TO 5478 04:15:27,720 --> 04:15:29,160 CREATE COMPUTATION FOR 5479 04:15:29,160 --> 04:15:31,840 SYSTEMS-LEVEL INTERVENTIONS. 5480 04:15:31,840 --> 04:15:34,120 TARGETING PSYCHOSOCIAL STRESS IN 5481 04:15:34,120 --> 04:15:35,920 THE ENVIRONMENT AND ADAPTING 5482 04:15:35,920 --> 04:15:39,280 TAILORED INTERVENTION HAVE 5483 04:15:39,280 --> 04:15:41,480 PROMISE AND EVIDENCE SUCH AS 5484 04:15:41,480 --> 04:15:42,000 COMPUTATION AND DIGITAL 5485 04:15:42,000 --> 04:15:43,800 DELIVERY. 5486 04:15:43,800 --> 04:15:46,760 ANOTHER CHALLENGE AT THE STAGE 5487 04:15:46,760 --> 04:15:48,760 IS THE INTERVENTION SCIENTISTS 5488 04:15:48,760 --> 04:15:50,800 LACK CERTAIN SKILLS TO EMBARK ON 5489 04:15:50,800 --> 04:15:51,080 THIS. 5490 04:15:51,080 --> 04:15:54,200 IT'S IMPORTANT TO PARTNER WITH 5491 04:15:54,200 --> 04:15:57,320 COMPUTATIONAL EXPERTS EARLY AND 5492 04:15:57,320 --> 04:16:01,320 OFTEN BECAUSE THEY CAN HELP THE 5493 04:16:01,320 --> 04:16:06,240 USER FRIENDLY AND IMMERSIVE AND 5494 04:16:06,240 --> 04:16:08,240 I THINK THE FUTURE WILL BE 5495 04:16:08,240 --> 04:16:11,760 PARTNERING WITH COMPUTATIONAL 5496 04:16:11,760 --> 04:16:13,320 EXPERTS THAT OFFER DESIGN THAT'S 5497 04:16:13,320 --> 04:16:14,920 ALREADY WORKING WELL. 5498 04:16:14,920 --> 04:16:20,240 DATING APPS ARE ONE EXAMPLE OF A 5499 04:16:20,240 --> 04:16:30,760 DESIGN AND RIGOROUS RESEARCH 5500 04:16:37,360 --> 04:16:37,880 MOVES SLOW IN COMPARISON TO 5501 04:16:37,880 --> 04:16:43,200 TECHNOLOGY. 5502 04:16:43,200 --> 04:16:46,480 AND WE HAVE GREATER ACADEMIC 5503 04:16:46,480 --> 04:16:47,960 PARTNERSHIPS FROM THE BEGINNING 5504 04:16:47,960 --> 04:16:49,640 TO BALANCE THE NEED FOR 5505 04:16:49,640 --> 04:16:51,240 EFFECTIVENESS AND EFFICACY ON 5506 04:16:51,240 --> 04:16:56,600 THE ONE HAND AND THE NEED FOR 5507 04:16:56,600 --> 04:16:58,720 GREATER EFFICIENCY AND CUTTING 5508 04:16:58,720 --> 04:17:00,280 EDGE TECHNOLOGY ON THE OTHER 5509 04:17:00,280 --> 04:17:03,240 HAND AND PREVENT COMPUTATION AND 5510 04:17:03,240 --> 04:17:04,320 TDIs. 5511 04:17:04,320 --> 04:17:06,280 BY THE TIME WE'VE GONE THROUGH 5512 04:17:06,280 --> 04:17:10,520 THE WORK YOU CAN IMAGINE A 5513 04:17:10,520 --> 04:17:13,000 CHATBOT THAT WAS EFFECT YEARS 5514 04:17:13,000 --> 04:17:14,400 AGO GOES THROUGH FOR 5515 04:17:14,400 --> 04:17:15,600 EFFECTIVENESS TESTING AND WE 5516 04:17:15,600 --> 04:17:18,920 HAVE TO THINK HARD WITH OUR 5517 04:17:18,920 --> 04:17:20,400 COMPUTATIONAL COLLEAGUES. 5518 04:17:20,400 --> 04:17:21,360 ANOTHER CHALLENGE IS THE 5519 04:17:21,360 --> 04:17:22,640 REGULATION OF ARTIFICIAL 5520 04:17:22,640 --> 04:17:24,400 INTELLIGENCE IN HEALTH CARE. 5521 04:17:24,400 --> 04:17:27,160 THIS IS A PROBLEM BECAUSE MOST 5522 04:17:27,160 --> 04:17:29,000 DIGITAL HEALTH TOOLS IN GENERAL 5523 04:17:29,000 --> 04:17:31,880 RECEIVE LITTLE CLINICAL TESTS 5524 04:17:31,880 --> 04:17:34,320 BEFORE THEY'RE RELEASED TO THE 5525 04:17:34,320 --> 04:17:36,360 PUBLIC AND THERE'S LESS EVIDENCE 5526 04:17:36,360 --> 04:17:39,880 ON ENHANCED TDIs AND THIS IS 5527 04:17:39,880 --> 04:17:41,840 ESPECIALLY PROBLEMATIC BECAUSE 5528 04:17:41,840 --> 04:17:44,880 THEY HAVE ACCESS TO MORE DATA 5529 04:17:44,880 --> 04:17:46,760 THAT TELLS US A LOT ABOUT 5530 04:17:46,760 --> 04:17:48,640 PEOPLE'S LOCATION AND HOW TO 5531 04:17:48,640 --> 04:17:50,160 TALK TO PEOPLE IN THEIR LIVE AND 5532 04:17:50,160 --> 04:17:53,960 SO FORTH AND RAISES THE QUESTION 5533 04:17:53,960 --> 04:17:55,800 FOR A POPULATION LIKE SGM FOLKS 5534 04:17:55,800 --> 04:17:57,720 WHO ARE VULNERABLE AND 5535 04:17:57,720 --> 04:17:59,560 MARGINALIZED WHO'S PROTECTING 5536 04:17:59,560 --> 04:18:00,440 THEM IN THE TECHNOLOGY. 5537 04:18:00,440 --> 04:18:04,560 THE BURDEN OF DETERMINING 5538 04:18:04,560 --> 04:18:08,760 WHETHER THE APPS ARE EFFECTIVE 5539 04:18:08,760 --> 04:18:11,640 IS ON INDIVIDUAL PROVIDERS AND 5540 04:18:11,640 --> 04:18:12,920 NIGHT TO THINK OF POLICIES AS 5541 04:18:12,920 --> 04:18:16,720 THEY GET READY TO GO TO MARKET. 5542 04:18:16,720 --> 04:18:20,360 THE STORY'S SIMILAR WITH 5543 04:18:20,360 --> 04:18:21,960 IMPLEMENTATION AND DISSEMINATION 5544 04:18:21,960 --> 04:18:22,760 STAGE. 5545 04:18:22,760 --> 04:18:23,320 ONCE AGAIN THERE'S LITTLE 5546 04:18:23,320 --> 04:18:26,240 RESEARCH IN THE AREA FOR US TO 5547 04:18:26,240 --> 04:18:26,640 INVOKE. 5548 04:18:26,640 --> 04:18:30,600 AND ONE OF THOSE CHALLENGES IS 5549 04:18:30,600 --> 04:18:32,840 BECAUSE DELIVERING ARTIFICIAL 5550 04:18:32,840 --> 04:18:33,320 INTELLIGENCE BASED 5551 04:18:33,320 --> 04:18:38,920 SOLDSOLDIER -- 5552 04:18:38,920 --> 04:18:40,720 INTERVENTIONS DOING THAT WITHOUT 5553 04:18:40,720 --> 04:18:43,680 EXACERBATING INEQUALITY IS 5554 04:18:43,680 --> 04:18:44,080 CHALLENGING. 5555 04:18:44,080 --> 04:18:46,040 WE KNOW TREATMENT DELIVERY AND 5556 04:18:46,040 --> 04:18:47,720 ACCESS IS UNEQUAL AMONG SOCIAL 5557 04:18:47,720 --> 04:18:50,800 GROUP AND A.I. IS NOT A CURE-ALL 5558 04:18:50,800 --> 04:18:51,360 SOLUTION AND THERE ARE SOME 5559 04:18:51,360 --> 04:18:54,280 DOCUMENTED CASES WHERE A.I. GOES 5560 04:18:54,280 --> 04:18:57,200 IN THOSE SPACES AND MAKES THE 5561 04:18:57,200 --> 04:18:57,640 INEQUALITIES WORSE. 5562 04:18:57,640 --> 04:18:59,160 THERE'S DIFFERENT SOLUTIONS WE 5563 04:18:59,160 --> 04:19:01,040 CAN THINK ABOUT. 5564 04:19:01,040 --> 04:19:03,200 ONE OF THEM ARE COMMUNITY-TAILED 5565 04:19:03,200 --> 04:19:03,520 ALGORITHMS. 5566 04:19:03,520 --> 04:19:06,360 THIS IS THE IDEA WE'RE BUILDING 5567 04:19:06,360 --> 04:19:11,960 ALGORITHMS FROM THE GROUND UP 5568 04:19:11,960 --> 04:19:13,520 WITH SGM PEOPLE EARLY IN THE 5569 04:19:13,520 --> 04:19:16,240 DESIGN PROCESS FUNDAMENTALLY 5570 04:19:16,240 --> 04:19:18,360 DIFFERENT HOW MOST ARTIFICIAL 5571 04:19:18,360 --> 04:19:20,960 INTELLIGENCE ALGORITHMS ARE 5572 04:19:20,960 --> 04:19:23,080 DESIGN AND DISTRIBUTED BY 5573 04:19:23,080 --> 04:19:25,600 MAINSTREAM SOCIETY AND APPLIED 5574 04:19:25,600 --> 04:19:27,800 TO MINORITY PEOPLE. 5575 04:19:27,800 --> 04:19:31,240 THIS IS A PROBLEM BECAUSE 5576 04:19:31,240 --> 04:19:34,000 THERE'S ALREADY A BIAS IN THE 5577 04:19:34,000 --> 04:19:35,560 ALGORITHMS AND WE CAN REGULARLY 5578 04:19:35,560 --> 04:19:37,640 AUDIT THEM TO MAKE SURE IT'S NOT 5579 04:19:37,640 --> 04:19:38,800 LEAKING INTO THE PERSONALIZATION 5580 04:19:38,800 --> 04:19:44,760 OR ENGAGEMENT CONTENT WE'RE 5581 04:19:44,760 --> 04:19:45,200 TEM 5582 04:19:45,200 --> 04:19:45,680 ATTEMPTING TO PROVIDE. 5583 04:19:45,680 --> 04:19:47,240 ANOTHER CHALLENGE IS FUNDING. 5584 04:19:47,240 --> 04:19:49,800 WHERE DO WE GET THE MONEY TO 5585 04:19:49,800 --> 04:19:52,720 MAKE SURE WE'RE ACCESSING BIG 5586 04:19:52,720 --> 04:19:54,880 DATA IN AN ETHICAL WAY. 5587 04:19:54,880 --> 04:19:56,560 SOME PEOPLE INTERESTED IN THE 5588 04:19:56,560 --> 04:19:58,240 WORK SUCH AS VENTURE CAPITALISTS 5589 04:19:58,240 --> 04:20:00,600 HAVE DIFFERENT MOTIVES THAN 5590 04:20:00,600 --> 04:20:07,320 HEALTH SCIENTISTS AND FOLKS MOST 5591 04:20:07,320 --> 04:20:10,680 AT NEED FOR THE WORK IN HIGH 5592 04:20:10,680 --> 04:20:12,640 STIGMA, LOW RESOURCE AREAS MAY 5593 04:20:12,640 --> 04:20:17,120 NOT BE ABLE TO AFFORD TDIs IF 5594 04:20:17,120 --> 04:20:18,040 THE INSURANCE COMPANIES DON'T 5595 04:20:18,040 --> 04:20:20,160 OFFER SOLUTIONS SO THERE'S NO 5596 04:20:20,160 --> 04:20:24,400 GOOD SOLUTION TO THE QUESTIONS. 5597 04:20:24,400 --> 04:20:26,880 AND FINALLY BEFORE I PASS IT TO 5598 04:20:26,880 --> 04:20:29,200 IAN WE NEED TO LOOK AT ETHICAL 5599 04:20:29,200 --> 04:20:30,600 CONSIDERATIONS THROUGHOUT THE 5600 04:20:30,600 --> 04:20:33,120 STAGES TO MAKE SURE NO HARM 5601 04:20:33,120 --> 04:20:34,760 COMES TO SGM PEOPLE. 5602 04:20:34,760 --> 04:20:37,200 SOME ARE IN THE PRIVACY SPACE 5603 04:20:37,200 --> 04:20:39,600 AND OTHERS HAVE TO DO WITH 5604 04:20:39,600 --> 04:20:41,360 ACCEPTABILITY OF EVIDENCE. 5605 04:20:41,360 --> 04:20:45,160 WE DON'T QUITE KNOW ENOUGH HOW 5606 04:20:45,160 --> 04:20:47,040 SGM PEOPLE GENERALLY AND 5607 04:20:47,040 --> 04:20:48,720 SUBGROUPS THINK ABOUT THIS KIND 5608 04:20:48,720 --> 04:20:51,640 OF RESEARCH AND DON'T KNOW YET 5609 04:20:51,640 --> 04:20:57,560 WHO IS RESPONSIBLE FOR CERTAIN 5610 04:20:57,560 --> 04:21:02,160 HIGH RISK RESEARCH AND A MODEL 5611 04:21:02,160 --> 04:21:03,800 LOOKING AT SUICIDE RISK IF WE 5612 04:21:03,800 --> 04:21:05,160 ALLOW THE MODEL TO DELIVER THE 5613 04:21:05,160 --> 04:21:07,600 CONTENT WE DON'T KNOW WHO SHOULD 5614 04:21:07,600 --> 04:21:10,760 BE RESPONSIBLE FOR THAT. 5615 04:21:10,760 --> 04:21:12,560 THE PROVIDER? 5616 04:21:12,560 --> 04:21:13,800 THE DEVELOPER OF THE APP? 5617 04:21:13,800 --> 04:21:15,720 WITH THAT I'LL PASS IT OVER TO 5618 04:21:15,720 --> 04:21:15,880 IAN. 5619 04:21:15,880 --> 04:21:17,640 >>THANK YOU, CORY. 5620 04:21:17,640 --> 04:21:19,080 I'M GOING TAKE A FEW MINUTES TO 5621 04:21:19,080 --> 04:21:22,160 SPEAK ABOUT ONE OF OUR ONGOING 5622 04:21:22,160 --> 04:21:24,160 PROJECT FUNDED BY THE NATIONAL 5623 04:21:24,160 --> 04:21:27,200 INSTITUTE ON DRAWING BUSE AWARD 5624 04:21:27,200 --> 04:21:27,680 PROGRAM. 5625 04:21:27,680 --> 04:21:29,520 IT'S CALLED U TECH. 5626 04:21:29,520 --> 04:21:30,920 I HOPE BY SHARING THE 5627 04:21:30,920 --> 04:21:32,600 METHODOLOGY IT WILL BE 5628 04:21:32,600 --> 04:21:34,080 INSTRUCTIVE FOR OTHERS 5629 04:21:34,080 --> 04:21:34,840 INTERESTED IN USING DATA MINING 5630 04:21:34,840 --> 04:21:35,600 AND ARTIFICIAL INTELLIGENCE IN 5631 04:21:35,600 --> 04:21:41,280 THEIR OWN RESEARCH. 5632 04:21:41,280 --> 04:21:44,560 THE OBJECTIVE OF THE STUDY IS TO 5633 04:21:44,560 --> 04:21:55,040 DEVELOP AND TEST A DATA MINING 5634 04:21:55,040 --> 04:21:55,400 INTERVENTIONS. 5635 04:21:55,400 --> 04:21:56,440 THE COMMUNITY WE'VE BEEN WORKING 5636 04:21:56,440 --> 04:22:00,400 WITHTO CARRY OUT THE WORK IS GAY 5637 04:22:00,400 --> 04:22:01,440 BISEXUAL AND OTHER GENDER 5638 04:22:01,440 --> 04:22:03,880 DIVERSE PEOPLE WHO HAVE SEX WITH 5639 04:22:03,880 --> 04:22:05,840 MEN AND EMERGING ADULT 5640 04:22:05,840 --> 04:22:06,480 DEVELOPMENT PERIOD. 5641 04:22:06,480 --> 04:22:08,080 OUR PARTICIPANTS ARE BASED 5642 04:22:08,080 --> 04:22:10,520 THROUGHOUT THE UNITED STATES AND 5643 04:22:10,520 --> 04:22:13,760 ACTIVE USERS OF TECHNOLOGIES FOR 5644 04:22:13,760 --> 04:22:17,840 SEXUAL AND SUBSTANCE USE PARTNER 5645 04:22:17,840 --> 04:22:21,080 SEEKING AND ALL ARE COMPLETED 5646 04:22:21,080 --> 04:22:21,360 REMOTELY. 5647 04:22:21,360 --> 04:22:23,640 THE STUDY BEGAN WITH A FORMATIVE 5648 04:22:23,640 --> 04:22:25,000 PHASE THAT INCLUDED SEVERAL 5649 04:22:25,000 --> 04:22:26,800 COMMUNITY ENGAGEMENT ACTIVITIES. 5650 04:22:26,800 --> 04:22:28,400 MANY WERE CONDUCTED IN 5651 04:22:28,400 --> 04:22:32,760 PARTNERSHIP WITH OUR COLLEAGUES 5652 04:22:32,760 --> 04:22:37,040 AT THE LOS ANGELES LGBT CENTER 5653 04:22:37,040 --> 04:22:37,720 AND OUR ADVISORY BOARD. 5654 04:22:37,720 --> 04:22:39,600 THE GOAL OF PHASE ONE WAS TO 5655 04:22:39,600 --> 04:22:41,400 LOOK AT THE APPROPRIATENESS AND 5656 04:22:41,400 --> 04:22:42,600 ACCEPTABILITY OF THE METHODS WE 5657 04:22:42,600 --> 04:22:46,280 HOPE TO DEPLOY IN PHASE TWO. 5658 04:22:46,280 --> 04:22:47,560 AND CORY SPOKE A LITTLE BIT 5659 04:22:47,560 --> 04:22:48,560 ABOUT THE ETHICAL CONSIDERATIONS 5660 04:22:48,560 --> 04:22:50,600 FOR DOING THE WORK. 5661 04:22:50,600 --> 04:22:52,600 WE WANTED TO MAKE SURE PRIVACY 5662 04:22:52,600 --> 04:22:54,600 AND CONFIDENTIALITY CONCERNS 5663 04:22:54,600 --> 04:22:56,520 REGARDING DATA MINING AND 5664 04:22:56,520 --> 04:22:58,120 PROCESSING WERE ADEQUATELY 5665 04:22:58,120 --> 04:22:59,120 EXPLORED BEFORE BUILDING THE 5666 04:22:59,120 --> 04:23:03,160 TECHNOLOGY USED FOR THE 5667 04:23:03,160 --> 04:23:04,280 REMAINDER OF THE STUDY AND USING 5668 04:23:04,280 --> 04:23:07,640 THE STRUCTURED INTERVIEWS WITH 5669 04:23:07,640 --> 04:23:08,880 20 PARTICIPANTS WE BUILT THE 5670 04:23:08,880 --> 04:23:12,120 LIBRARY OF TEXT PHRASES AND 5671 04:23:12,120 --> 04:23:13,200 EMOJIS USED TO INDICATE 5672 04:23:13,200 --> 04:23:14,640 DIFFERENT SUBSTANCE USE AND 5673 04:23:14,640 --> 04:23:16,440 SEXUAL BEHAVIOR ONLINE. 5674 04:23:16,440 --> 04:23:18,520 WE REVISITED IT REGULARLY 5675 04:23:18,520 --> 04:23:22,160 THROUGH COMMUNITY ENGAGEMENT 5676 04:23:22,160 --> 04:23:24,040 EVENTS TO KEEP IT UP TO DATE AS 5677 04:23:24,040 --> 04:23:27,440 THE LANGUAGE WE HOPE TO SERVE IS 5678 04:23:27,440 --> 04:23:29,120 RAPIDLY EVOLVING. 5679 04:23:29,120 --> 04:23:35,080 PHASE 2 IS AUTOMATED DATA 5680 04:23:35,080 --> 04:23:38,640 COLLECTION FROM PARTICIPANTS' 5681 04:23:38,640 --> 04:23:40,000 SMARTPHONES AND IT CAPTURED 5682 04:23:40,000 --> 04:23:41,120 SEVERAL TYPES OF DATA. 5683 04:23:41,120 --> 04:23:45,560 IT'S THEN USED TO PREDICT 5684 04:23:45,560 --> 04:23:48,680 SELF-REPORTED SUBSTANCE USE AND 5685 04:23:48,680 --> 04:23:51,280 DRUG ABUSE AND BEHAVIORS 5686 04:23:51,280 --> 04:23:54,760 REPORTED IN ONLINE SURVEYS EVERY 5687 04:23:54,760 --> 04:23:55,920 THREE MONTHS. 5688 04:23:55,920 --> 04:23:58,600 THERE'S THREE TYPES OF DATA 5689 04:23:58,600 --> 04:24:02,560 WE'RE LEVERAGING TO BUILD OUR 5690 04:24:02,560 --> 04:24:04,600 MACHINE LEARNING MODEL AND TEXT 5691 04:24:04,600 --> 04:24:10,600 FRAGMENT AND EMOJIS AND THE 5692 04:24:10,600 --> 04:24:11,720 SECOND IS METADATA REGARDING THE 5693 04:24:11,720 --> 04:24:13,920 USE OF TECHNOLOGY AND THE TIME 5694 04:24:13,920 --> 04:24:15,880 THEY SPENT ON SPECIFIC APPS AND 5695 04:24:15,880 --> 04:24:18,800 WEBSITES FOR PARTNER SEEKING AS 5696 04:24:18,800 --> 04:24:19,720 WELL AS THE TYPES OF APPS 5697 04:24:19,720 --> 04:24:22,040 THEY'RE USING AND THE THIRD IS 5698 04:24:22,040 --> 04:24:26,000 GEOLOCATION DATA CAPTURED BY 5699 04:24:26,000 --> 04:24:27,400 PARTICIPANT SMARTPHONES AND 5700 04:24:27,400 --> 04:24:30,200 THEIR PATTERNS IN TRAVELLING IN 5701 04:24:30,200 --> 04:24:31,240 WHICH THE RELATION THEY SPEND 5702 04:24:31,240 --> 04:24:38,520 THE MAJORITY OF THEIR TIME. 5703 04:24:38,520 --> 04:24:40,960 AND FOR WILLINGNESS TO SHARE 5704 04:24:40,960 --> 04:24:43,480 THIS TYPE OF DATA GIVEN 5705 04:24:43,480 --> 04:24:44,640 APPROPRIATE SAFEGUARDS FOR 5706 04:24:44,640 --> 04:24:45,920 CONFIDENTIALITY AND WE'RE HAPPY 5707 04:24:45,920 --> 04:24:47,480 TO TALK ABOUT THOSE IN THE Q&A. 5708 04:24:47,480 --> 04:24:49,960 WE HAVE APPROXIMATELY 300 TEXT 5709 04:24:49,960 --> 04:24:52,320 FIELD AND 50 EMOJIS IN OUR DATA 5710 04:24:52,320 --> 04:24:55,000 LIBRARY THAT ARE USED AS THE 5711 04:24:55,000 --> 04:24:56,280 BASIS FOR THE MACHINE LEARNING 5712 04:24:56,280 --> 04:24:58,920 ALGORITHM AND FOR TWO OF THE KEY 5713 04:24:58,920 --> 04:25:00,760 BEHAVIORS WE'RE INTERESTED IN 5714 04:25:00,760 --> 04:25:05,720 STUDIES, METHAMPHETAMINE USE AND 5715 04:25:05,720 --> 04:25:08,240 PREEXPOSURE PROPHYLAXIS OUR 5716 04:25:08,240 --> 04:25:10,560 MACHINE LEARNING PERFORMS WITH 5717 04:25:10,560 --> 04:25:12,240 ABOUT 90% ACCURACY. 5718 04:25:12,240 --> 04:25:15,040 WE STILL HAVE WORK TO DO ON 5719 04:25:15,040 --> 04:25:19,280 IMPROVING THE MACHINE LEARNING 5720 04:25:19,280 --> 04:25:27,240 AND DEPLOYING IT FOR HARM 5721 04:25:27,240 --> 04:25:27,520 REDUCTION. 5722 04:25:27,520 --> 04:25:31,240 AND I'D LIKE TO PROVIDE A CASE 5723 04:25:31,240 --> 04:25:33,360 VIGNETTE OF WHAT IT MIGHT DO IN 5724 04:25:33,360 --> 04:25:39,280 THE FUTURE BASED ON INTERVIEWS 5725 04:25:39,280 --> 04:25:41,360 IN THE STUDY. 5726 04:25:41,360 --> 04:25:42,960 DARYL IS A 20-YEAR-OLD AFRICAN 5727 04:25:42,960 --> 04:25:44,200 AMERICAN MAN LIVING IN LOS 5728 04:25:44,200 --> 04:25:47,160 ANGELES AND OCCASIONALLY PARTIES 5729 04:25:47,160 --> 04:25:51,840 USING METH AND GHB ON THE 5730 04:25:51,840 --> 04:25:54,000 WEEKEND AND HAS DIFFICULTY 5731 04:25:54,000 --> 04:25:56,920 NEGOTIATING CONDOM USE IN 5732 04:25:56,920 --> 04:26:01,520 PARTYING AND HE TRAVELS TO THE 5733 04:26:01,520 --> 04:26:03,960 HOLLYWOOD AREA AND WITH THE APP 5734 04:26:03,960 --> 04:26:06,040 HE COULD RECEIVE A PUSH 5735 04:26:06,040 --> 04:26:08,360 NOTIFICATION WHEN THE ALGORITHM 5736 04:26:08,360 --> 04:26:11,440 DETECTS A RISK EVENT 5737 04:26:11,440 --> 04:26:12,720 APPROACHING. 5738 04:26:12,720 --> 04:26:14,640 INFORMATION ABOUT ONDEMAND PREP 5739 04:26:14,640 --> 04:26:17,320 AND THE NEAREST PHARMACIES AN 5740 04:26:17,320 --> 04:26:22,040 CLINICS COULD BE DISPLAYED IN 5741 04:26:22,040 --> 04:26:24,880 HIS HOME NEIGHBORHOOD AND AROUND 5742 04:26:24,880 --> 04:26:28,680 HIS SPOTS AWAY A TO BE 5743 04:26:28,680 --> 04:26:32,680 SUPPORTIVE IN PREVENTION. 5744 04:26:32,680 --> 04:26:34,520 OUR TEAM HOPES THIS INDICATION 5745 04:26:34,520 --> 04:26:38,160 OF A RISK CAN BE ATTENUATED 5746 04:26:38,160 --> 04:26:40,040 THROUGH THE QUICK AND CONVENIENT 5747 04:26:40,040 --> 04:26:41,160 PROMOTION OF INFORMATION COUPLED 5748 04:26:41,160 --> 04:26:44,080 WITH ACCESS POINTS IN THEIR 5749 04:26:44,080 --> 04:26:48,560 PHYSICAL ENVIRONMENT. 5750 04:26:48,560 --> 04:26:51,840 IN CLOSING, CORY AND I ARE HAPPY 5751 04:26:51,840 --> 04:26:53,760 TO CONNECT WITH ANYONE 5752 04:26:53,760 --> 04:26:57,320 INTERESTED IN USING THE U TECH 5753 04:26:57,320 --> 04:27:00,080 DATA MINING PROTOCOL OR MACHINE 5754 04:27:00,080 --> 04:27:00,920 LEARNING ALGORITHM IN THEIR WORK 5755 04:27:00,920 --> 04:27:02,680 AND WANT TO ACKNOWLEDGE OUR 5756 04:27:02,680 --> 04:27:04,160 COLLEAGUES FOR THEIR 5757 04:27:04,160 --> 04:27:05,640 CONTRIBUTIONS AND THE RESEARCH 5758 04:27:05,640 --> 04:27:08,960 PARTICIPANTS THEMSELVES WILLING 5759 04:27:08,960 --> 04:27:12,000 TO SHARE PERSONAL ASPECTS OF 5760 04:27:12,000 --> 04:27:13,040 THEIR LIVES GIVE TO THIS 5761 04:27:13,040 --> 04:27:13,520 RESEARCH PROJECT. 5762 04:27:13,520 --> 04:27:15,600 WE'LL CLOSE THERE AND LOOK 5763 04:27:15,600 --> 04:27:16,560 FORWARD TO Q&A WITH THE REST OF 5764 04:27:16,560 --> 04:27:16,800 THE PANEL. 5765 04:27:16,800 --> 04:27:18,000 THANK YOU. 5766 04:27:18,000 --> 04:27:25,440 >>THANK YOU BOTH SO MUCH. 5767 04:27:25,440 --> 04:27:30,120 BEFORE WE TRANSITION TO Q&A I 5768 04:27:30,120 --> 04:27:31,080 WANTED TO ACKNOWLEDGE THE 5769 04:27:31,080 --> 04:27:34,160 THOUGHT OF THOUGHT OF ETHICS AND 5770 04:27:34,160 --> 04:27:35,880 MINDFULNESS AND IT'S IMPORTANT 5771 04:27:35,880 --> 04:27:37,360 WHEN WE THINK OF TECHNOLOGY 5772 04:27:37,360 --> 04:27:38,920 BASED TOOLS TO ADVANCE HEALTH 5773 04:27:38,920 --> 04:27:40,480 FOR US TO CONSIDER THE 5774 04:27:40,480 --> 04:27:42,160 POPULATIONS WE'RE INTENDED TO 5775 04:27:42,160 --> 04:27:43,720 SERVE AND HAVE THE FOCUS GROUPS 5776 04:27:43,720 --> 04:27:46,480 COLLECT DATA AND ABUT THEM TO BE 5777 04:27:46,480 --> 04:27:48,200 A PART OF THE PROCESS OF 5778 04:27:48,200 --> 04:27:49,760 DEVELOPING THE TOOLS WHERE YOU 5779 04:27:49,760 --> 04:27:51,360 OFTEN TIMES UNFORTUNATELY WE'RE 5780 04:27:51,360 --> 04:27:53,600 USING MAJORITY DATA AS YOU 5781 04:27:53,600 --> 04:27:56,560 MENTIONED WHICH CAN SKEW THE WAY 5782 04:27:56,560 --> 04:27:59,040 WE LOOK AT THE ALGORITHMS OR THE 5783 04:27:59,040 --> 04:28:03,000 OUTPUTS OF ALGORITHMS IN A WAY 5784 04:28:03,000 --> 04:28:05,320 THAT COMPARES PEOPLE 5785 04:28:05,320 --> 04:28:06,360 INAPPROPRIATELY. 5786 04:28:06,360 --> 04:28:07,240 INVOLVING DIFFERENT POPULATIONS 5787 04:28:07,240 --> 04:28:08,760 AND THE CRAFTING OF THE RESEARCH 5788 04:28:08,760 --> 04:28:11,120 FROM THE BEGINNING INSTEAD OF 5789 04:28:11,120 --> 04:28:12,280 RETROFITTING AT THE END OR 5790 04:28:12,280 --> 04:28:12,920 WHATEVER IS SO IMPORTANT. 5791 04:28:12,920 --> 04:28:16,760 THANK YOU FOR YOUR WORK. 5792 04:28:16,760 --> 04:28:17,560 GIVEN THE WONDERFUL DIALOGUE 5793 04:28:17,560 --> 04:28:22,520 WE'VE HAD THUS FAR IN EACH ONE 5794 04:28:22,520 --> 04:28:29,560 OF OUR PANELISTS SHARING WORK 5795 04:28:29,560 --> 04:28:37,040 STIGMA REPRESENTS AN UNDER 5796 04:28:37,040 --> 04:28:40,920 RECOGNIZED MECHANISM IN LOOKING 5797 04:28:40,920 --> 04:28:44,120 AT STRESS RESPONSES AND IT WOULD 5798 04:28:44,120 --> 04:28:46,720 BE AN OPPORTUNITY TO HOW HAVE 5799 04:28:46,720 --> 04:28:50,640 DISCOVERIES FROM YOUR LAB BEEN 5800 04:28:50,640 --> 04:28:51,840 IMPACTFUL WITH THE ROLE OF 5801 04:28:51,840 --> 04:28:52,920 STIGMA AND SHAPING THE 5802 04:28:52,920 --> 04:28:54,360 POPULATION ACROSS LIFE DOMAINS 5803 04:28:54,360 --> 04:28:56,600 AND OF COURSE TO INCLUDE WITH 5804 04:28:56,600 --> 04:29:07,040 RESPECT TO MENTAL HEALTH? 5805 04:29:14,000 --> 04:29:18,200 >>I'LL SAY BRIEFLY IN OUR WORK 5806 04:29:18,200 --> 04:29:24,040 AND SCHOOLS THE WAY IT'S BECOME 5807 04:29:24,040 --> 04:29:25,560 APPAR 5808 04:29:25,560 --> 04:29:27,960 APPARENT AND LOOKING AT SCHOOL 5809 04:29:27,960 --> 04:29:28,640 LEVEL STRATEGIES. 5810 04:29:28,640 --> 04:29:31,920 YOU'LL GET AN AMAZING LIAISON OR 5811 04:29:31,920 --> 04:29:33,400 PERSON AT THE SCHOOL WHO SEEMS 5812 04:29:33,400 --> 04:29:35,280 LIKE A HUGE ADVOCATE AND HUGE 5813 04:29:35,280 --> 04:29:36,600 ALLY AND INVESTED AND WANTS TO 5814 04:29:36,600 --> 04:29:39,640 MAKE IT HAPPEN AND THEN ALL OF A 5815 04:29:39,640 --> 04:29:40,800 SUDDEN YOU START WORKING WITH 5816 04:29:40,800 --> 04:29:42,920 THE SCHOOL AND THE BARRIERS 5817 04:29:42,920 --> 04:29:45,280 START FALLING INTO PLACE. 5818 04:29:45,280 --> 04:29:47,880 I THINK ONE OF THE PIECES THAT'S 5819 04:29:47,880 --> 04:29:49,120 BEEN INTERESTING FOR US AND PART 5820 04:29:49,120 --> 04:29:51,760 OF THE NEED FOR THE 5821 04:29:51,760 --> 04:29:52,560 IMPLEMENTATION SCIENCE FRAMEWORK 5822 04:29:52,560 --> 04:29:59,120 WE'VE BEEN TRYING TO ENGAGE IN 5823 04:29:59,120 --> 04:30:02,240 IS TO OPERATIONALIZE THE FEELING 5824 04:30:02,240 --> 04:30:07,800 AND THE RESISTANCE AND YOU 5825 04:30:07,800 --> 04:30:11,720 CAN'T -- IT'S SLIPPERY AND AT 5826 04:30:11,720 --> 04:30:13,400 THE END OF THE DAY DRIVING THE 5827 04:30:13,400 --> 04:30:14,880 INDIVIDUAL LEVEL EXPERIENCES AND 5828 04:30:14,880 --> 04:30:17,280 OUTCOMES FOR THE KIDS IN THE 5829 04:30:17,280 --> 04:30:17,480 SCHOOL. 5830 04:30:17,480 --> 04:30:22,000 WE TRIED TO I THINK OUR FIRST 5831 04:30:22,000 --> 04:30:23,600 STEP HAS BEEN TRYING TO 5832 04:30:23,600 --> 04:30:25,360 OPERATIONALIZE THAT AND TRY TO 5833 04:30:25,360 --> 04:30:26,800 DEFINE WHAT IS HAPPENING IN THE 5834 04:30:26,800 --> 04:30:29,240 SCHOOLS SO WE CAN BETTER 5835 04:30:29,240 --> 04:30:35,000 ARTICULATE WHAT IT LOOKS LIKE. 5836 04:30:35,000 --> 04:30:36,560 AND TO IMPROVE THE ABILITY OF 5837 04:30:36,560 --> 04:30:38,360 THE SCHOOLS AND OTHER 5838 04:30:38,360 --> 04:30:40,600 COMMUNITIES NOR INTERACTION. 5839 04:30:40,600 --> 04:30:43,760 THEY'RE SIMPLE THINGS, BUILD THE 5840 04:30:43,760 --> 04:30:46,560 GSA, IDENTIFY GENDER NEUTRAL 5841 04:30:46,560 --> 04:30:47,400 REST ROOMS. 5842 04:30:47,400 --> 04:30:49,880 GO THROUGH SAFE SPACE TRAINING. 5843 04:30:49,880 --> 04:30:52,520 WE'RE NOT DOING ANYTHING 5844 04:30:52,520 --> 04:30:55,640 PARTICULARLY INNOVATIVE TO BE 5845 04:30:55,640 --> 04:30:56,840 FRANK BUT THE RESISTANCE IS A 5846 04:30:56,840 --> 04:31:00,480 SLIBRY ONE. 5847 04:31:00,480 --> 04:31:01,320 -- SLIPPERY ONE. 5848 04:31:01,320 --> 04:31:01,960 >>THANK YOU. 5849 04:31:01,960 --> 04:31:03,480 WE HAVE A QUESTION FROM THE 5850 04:31:03,480 --> 04:31:04,800 VIDEOCAST AUDIENCE. 5851 04:31:04,800 --> 04:31:09,160 THE QUESTION'S ABOUT THE U TECH 5852 04:31:09,160 --> 04:31:09,440 APPLICATION. 5853 04:31:09,440 --> 04:31:11,280 THE FIRST ASPECT OF THE QUESTION 5854 04:31:11,280 --> 04:31:17,400 IS DOES UTECH READ TEXTS AND 5855 04:31:17,400 --> 04:31:19,800 ASKED HOW DOES YOUR RESEARCH 5856 04:31:19,800 --> 04:31:24,720 WITH ADOLESCENT ENSURE ETHICALLY 5857 04:31:24,720 --> 04:31:26,640 SOUND AND CONSENT PROCESS AND 5858 04:31:26,640 --> 04:31:28,960 ENSURE THERE'S PROTECTIONS AND 5859 04:31:28,960 --> 04:31:29,440 THOSE PROTECTIONS ARE 5860 04:31:29,440 --> 04:31:34,080 CONTINUING? 5861 04:31:34,080 --> 04:31:35,480 >>I'M TACKLE THE FIRST QUESTION 5862 04:31:35,480 --> 04:31:38,200 ABOUT THE SPECIFICS OF THE U 5863 04:31:38,200 --> 04:31:39,360 TECH APP. 5864 04:31:39,360 --> 04:31:40,800 THE APP INSTALLED ON 5865 04:31:40,800 --> 04:31:43,280 PARTICIPANTS PHONES USES WHAT'S 5866 04:31:43,280 --> 04:31:45,120 CALLED A KEYBOARD LOG. 5867 04:31:45,120 --> 04:31:47,000 AS PARTICIPANTS ARE TYPING INTO 5868 04:31:47,000 --> 04:31:49,160 DIFFERENT APPLICATIONS OR 5869 04:31:49,160 --> 04:31:51,320 WEBSITES THEIR TEXT IS CAPTURED 5870 04:31:51,320 --> 04:31:54,000 TO ONE SIDE OF THE CONVERSATION. 5871 04:31:54,000 --> 04:31:55,600 IT'S ONLY THE TEXT THEY'RE 5872 04:31:55,600 --> 04:31:56,400 INPUTTING. 5873 04:31:56,400 --> 04:31:58,560 IT'S THE FIRST PART OF THE PIECE 5874 04:31:58,560 --> 04:32:00,480 ABOUT ETHICAL CONSIDERATIONS IS 5875 04:32:00,480 --> 04:32:02,240 MAKING SURE THE DATA WE'RE USING 5876 04:32:02,240 --> 04:32:04,200 IS DATA THAT WE HAVE CONSENT TO 5877 04:32:04,200 --> 04:32:05,720 USE BY OUR PARTICIPANTS. 5878 04:32:05,720 --> 04:32:07,960 WE'RE NOT CAPTURING BACK AND 5879 04:32:07,960 --> 04:32:09,120 FORTH BETWEEN INDIVIDUALS WHO 5880 04:32:09,120 --> 04:32:11,520 ARE IN OUR STUDY AND OTHERS THEY 5881 04:32:11,520 --> 04:32:16,560 MAY BE COMMUNICATING WITH. 5882 04:32:16,560 --> 04:32:26,000 I THINK THE PARTICIPANTS IN OUR 5883 04:32:26,000 --> 04:32:29,800 STUDY ARE 18 OR OLDER AND I 5884 04:32:29,800 --> 04:32:32,080 WOULD SAY IN TERMS OF U TECH THE 5885 04:32:32,080 --> 04:32:34,840 PRIVACY AND CONFIDENTIALITY 5886 04:32:34,840 --> 04:32:36,920 MAKING SURE IT'S VERY CLEAR TO 5887 04:32:36,920 --> 04:32:38,680 PARTICIPANTS WHAT TYPES OF DATA 5888 04:32:38,680 --> 04:32:40,280 ARE BEING COLLECTED AND WHAT ARE 5889 04:32:40,280 --> 04:32:43,080 NOT BEING COLLECTED, HOW THOSE 5890 04:32:43,080 --> 04:32:45,200 DATA ARE BEING STORED AND THE 5891 04:32:45,200 --> 04:32:46,520 DURATION OF TIME FOR WHICH 5892 04:32:46,520 --> 04:32:48,160 THEY'LL BE STORED AND HOW THE 5893 04:32:48,160 --> 04:32:50,520 DATA WILL BE USED IN PROCESSING. 5894 04:32:50,520 --> 04:32:52,280 I'LL PUT OUR STUDY WEBSITE IN 5895 04:32:52,280 --> 04:32:55,400 THE CHAT SO FOLKS CAN SEE WHAT 5896 04:32:55,400 --> 04:32:57,560 WE HAVE THAT'S OUTWARD FACING 5897 04:32:57,560 --> 04:32:58,480 FOR PARTICIPANTS. 5898 04:32:58,480 --> 04:33:00,000 THEY CAN ACCESS ALL THAT 5899 04:33:00,000 --> 04:33:01,240 INFORMATION IN A WAY THAT'S EASY 5900 04:33:01,240 --> 04:33:06,640 TO DIGEST. 5901 04:33:06,640 --> 04:33:11,720 I'LL PASS IT OVER TO 5902 04:33:11,720 --> 04:33:13,320 DR. TISHELMAN. 5903 04:33:13,320 --> 04:33:15,480 >>I THINK YOUR QUESTION ABOUT 5904 04:33:15,480 --> 04:33:17,560 ETHICAL ISSUES IN WORKING WITH 5905 04:33:17,560 --> 04:33:19,080 ADOLESCENTS IS IMPORTANT. 5906 04:33:19,080 --> 04:33:21,080 I TRIED TO ADDRESS IT AS QUICKLY 5907 04:33:21,080 --> 04:33:24,680 AS I COULD IN THE SHORT TIME I 5908 04:33:24,680 --> 04:33:30,400 HAD BUT THERE'S RISKS THAT SOME 5909 04:33:30,400 --> 04:33:32,480 OF THE RESEARCH MEASURES MAY 5910 04:33:32,480 --> 04:33:33,760 HAVE AFFECTS ON YOUTH. 5911 04:33:33,760 --> 04:33:36,680 FOR INSTANCE, WE FOUND AND SOME 5912 04:33:36,680 --> 04:33:38,880 OF OUR TRANSGENDER RESEARCH AND 5913 04:33:38,880 --> 04:33:41,280 YOU COMPLAINED ABOUT SOME 5914 04:33:41,280 --> 04:33:44,520 MEASURES BEING STIGMATIZED AND 5915 04:33:44,520 --> 04:33:50,400 THE GENDER DYSPHORIA MEASURE. 5916 04:33:50,400 --> 04:33:56,520 WE ADDED TO SURVEY YOUTH ABOUT 5917 04:33:56,520 --> 04:34:06,120 THE MEASURES BECAUSE SOME WERE 5918 04:34:06,120 --> 04:34:07,400 INSENSITIVE AND I WAS GOING TO 5919 04:34:07,400 --> 04:34:17,920 TALK ABOUT A NEW GENDER MEASURE 5920 04:34:24,560 --> 04:34:26,040 GENDER MEASURES THAT ARE BINARY 5921 04:34:26,040 --> 04:34:27,440 AND I THINK THOSE THINGS ARE 5922 04:34:27,440 --> 04:34:29,920 IMPORTANT BUT THERE ARE IRBs AND 5923 04:34:29,920 --> 04:34:31,680 ETHICAL OVERSIGHT. 5924 04:34:31,680 --> 04:34:39,560 I DON'T THINK THAT'S ENOUGH. 5925 04:34:39,560 --> 04:34:43,240 IN THEORY WE SHOULD BE TAKING IT 5926 04:34:43,240 --> 04:34:45,440 QUITE CLEAR THAT NOT 5927 04:34:45,440 --> 04:34:46,480 PARTICIPATING IN RESEARCH WILL 5928 04:34:46,480 --> 04:34:49,720 NOT HARM THEM IN ANY WAY AND 5929 04:34:49,720 --> 04:34:51,120 KEEP THEIR CONFIDENTIALITY. 5930 04:34:51,120 --> 04:34:55,160 THERE CAN BE A LOT OF DISTRUST 5931 04:34:55,160 --> 04:34:56,720 INCLUDING DISTRUST WITH MEDICAL 5932 04:34:56,720 --> 04:35:00,160 AND PSYCHOLOGICAL PROVIDERS WITH 5933 04:35:00,160 --> 04:35:01,200 NOT ALWAYS A GREAT HISTORY. 5934 04:35:01,200 --> 04:35:03,440 I THINK IT'S REALLY IMPORTANT 5935 04:35:03,440 --> 04:35:06,080 AND IMPERATIVE THROUGH OUR 5936 04:35:06,080 --> 04:35:08,120 RESEARCH WE DON'T ARM WHEN WE 5937 04:35:08,120 --> 04:35:10,800 MEAN TO HELP. 5938 04:35:10,800 --> 04:35:12,360 WE SHOULD TAKE THE ETHICAL 5939 04:35:12,360 --> 04:35:13,960 CRITERIA SERIOUSLY. 5940 04:35:13,960 --> 04:35:18,920 IN TERMS OF IMPAIRED CAPACITY, I 5941 04:35:18,920 --> 04:35:20,040 THINK IT'S IMPORTANT. 5942 04:35:20,040 --> 04:35:23,920 SOME OF MY RESEARCH WITH 5943 04:35:23,920 --> 04:35:25,920 COLLEAGUES WHO WORK WITH 5944 04:35:25,920 --> 04:35:27,720 AUTISTIC USE WHO ARE ALSO GENDER 5945 04:35:27,720 --> 04:35:30,240 DIVERSE AND I WORKED WITH HIM ON 5946 04:35:30,240 --> 04:35:33,280 THE NEXT STEP AND SOMETIMES WE 5947 04:35:33,280 --> 04:35:34,760 NEED TO DO SCREENING OF YOUTH TO 5948 04:35:34,760 --> 04:35:38,840 MAKE SURE WE UNDERSTAND WHAT 5949 04:35:38,840 --> 04:35:42,000 THEIR CAPACITY IS TO UNDERSTAND 5950 04:35:42,000 --> 04:35:45,400 AND GIVE TRULY INFORMED CONSENT 5951 04:35:45,400 --> 04:35:50,720 WITHOUT INADVERTENTLY BIASSING 5952 04:35:50,720 --> 04:35:52,880 THE RESEARCH AGAINST CHILDREN 5953 04:35:52,880 --> 04:35:55,360 WITH NEURODIVERSITY BECAUSE 5954 04:35:55,360 --> 04:35:56,440 THAT'S DETRIMENTAL TO THOSE 5955 04:35:56,440 --> 04:35:56,720 POPULATIONS. 5956 04:35:56,720 --> 04:35:58,760 I DON'T KNOW IF THAT ANSWERED 5957 04:35:58,760 --> 04:36:00,000 YOUR QUESTION. 5958 04:36:00,000 --> 04:36:03,520 THAT'S MY BEST QUICK RESPONSE. 5959 04:36:03,520 --> 04:36:04,760 >>THANK YOU SO MUCH. 5960 04:36:04,760 --> 04:36:07,240 YOU HAVE ALL RAISED IMPORTANT 5961 04:36:07,240 --> 04:36:10,200 CONSIDERATIONS FOR RESEARCH TO 5962 04:36:10,200 --> 04:36:11,960 WORK WITH IN A HEALTH 5963 04:36:11,960 --> 04:36:14,200 DISPARITIES POPULATIONS AND FOR 5964 04:36:14,200 --> 04:36:15,880 THOSE MARGINALIZED. 5965 04:36:15,880 --> 04:36:18,680 IT'S IMPORTANT TO CONSIDER AS 5966 04:36:18,680 --> 04:36:21,040 MANY FACTORS AS POSSIBLE TO 5967 04:36:21,040 --> 04:36:22,840 ENSURE WE DON'T CAUSE ADDITIONAL 5968 04:36:22,840 --> 04:36:23,920 HARM AND ENDEAVOR TO SERVE THOSE 5969 04:36:23,920 --> 04:36:27,080 POPULATIONS WELL. 5970 04:36:27,080 --> 04:36:29,280 DR. GOLDBACH DID YOU WANT TO 5971 04:36:29,280 --> 04:36:30,800 GIVE THE LAST WORD AND I NEED 5972 04:36:30,800 --> 04:36:33,440 TURN THE PODIUM BACK TO RADA TO 5973 04:36:33,440 --> 04:36:36,400 START US IN THE BREAKOUT 5974 04:36:36,400 --> 04:36:36,840 SESSIONS. 5975 04:36:36,840 --> 04:36:39,080 >>LAST WORD? 5976 04:36:39,080 --> 04:36:41,720 YOU ADDED TO THE STRESS LEVEL. 5977 04:36:41,720 --> 04:36:43,120 >>WE KNOW YOU CAN DO IT SO WE 5978 04:36:43,120 --> 04:36:43,720 TRUST YOU. 5979 04:36:43,720 --> 04:36:50,000 >>TAKE YOUR TIME, IT'S OKAY. 5980 04:36:50,000 --> 04:36:55,440 I DON'T WANT TO UNDER SELL THE S 5981 04:36:55,440 --> 04:36:56,040 OF ETHICAL RESEARCH WITH KIDS 5982 04:36:56,040 --> 04:36:56,560 AND MAKING SURE WE HAVE 5983 04:36:56,560 --> 04:36:58,200 PROTECTIONS IN PLACE AND WAYS OF 5984 04:36:58,200 --> 04:36:59,360 ENSURING WE'RE MAINTAINING 5985 04:36:59,360 --> 04:37:03,560 SAFETY AND AUTONOMY AND WHAT I 5986 04:37:03,560 --> 04:37:05,040 HAVE FOUND IN MY WORK 5987 04:37:05,040 --> 04:37:06,360 HISTORICALLY IS THAT THE BELIEF 5988 04:37:06,360 --> 04:37:09,320 THAT KIDS ARE NOT ABLE TO THINK 5989 04:37:09,320 --> 04:37:10,920 FOR THEMSELVES IS MORE OFTEN 5990 04:37:10,920 --> 04:37:15,120 USED AS A WAY TO KEEP THEM OUT 5991 04:37:15,120 --> 04:37:16,560 OF OPPORTUNITIES OUT OF BOTH 5992 04:37:16,560 --> 04:37:18,200 RESEARCH AND CLINICAL CARE. 5993 04:37:18,200 --> 04:37:19,800 RIGHT NOW WE'RE HAVING A HUGE 5994 04:37:19,800 --> 04:37:22,960 THING HERE IN ST. LOUIS WITH OUR 5995 04:37:22,960 --> 04:37:26,600 TRANSYOUTH CLINIC UNDER FIRE 5996 04:37:26,600 --> 04:37:27,680 BECAUSE BASICALLY THE SAME 5997 04:37:27,680 --> 04:37:31,000 NOTION THAT WE'RE FORCING KIDS 5998 04:37:31,000 --> 04:37:33,280 TO TRANSITION AND THESE ARE 5999 04:37:33,280 --> 04:37:34,760 JUST -- WE'RE BASICALLY TAKING 6000 04:37:34,760 --> 04:37:36,680 ADVANTAGE OF THESE KIDS. 6001 04:37:36,680 --> 04:37:39,040 I THINK IT IS REALLY IMPORTANT 6002 04:37:39,040 --> 04:37:41,920 THAT WE ARE CAREFUL ABOUT HOW WE 6003 04:37:41,920 --> 04:37:46,560 ENSURE VOICE AND AUTONOMY AND 6004 04:37:46,560 --> 04:37:47,920 INDEPENDENCE AND RIGHT TO 6005 04:37:47,920 --> 04:37:49,640 CONSENT AND SAY NO WHILE ALSO 6006 04:37:49,640 --> 04:37:53,320 MAKING SURE WE'RE NOT USING THAT 6007 04:37:53,320 --> 04:37:59,280 AS A PANACEA TO NOT DO RESEARCH 6008 04:37:59,280 --> 04:38:03,240 WITH KIDS BECAUSE I THINK THEY 6009 04:38:03,240 --> 04:38:06,080 HAVE AN IMPORTANT VOICE THAT 6010 04:38:06,080 --> 04:38:08,480 DESERVE TO BE HEARD DESERVE 6011 04:38:08,480 --> 04:38:08,680 CARE. 6012 04:38:08,680 --> 04:38:10,680 >>I AGREE COMPLETELY. 6013 04:38:10,680 --> 04:38:11,840 >>THANK YOU SO MUCH. 6014 04:38:11,840 --> 04:38:14,880 >>RADA, WOULD YOU LIKE TO COME 6015 04:38:14,880 --> 04:38:18,040 ONLINE AND TELL US THE NEXT 6016 04:38:18,040 --> 04:38:19,560 ORDER OF OPERATION, SO TO SPEAK 6017 04:38:19,560 --> 04:38:22,760 AS IT COMES TO OUR BREAKOUT 6018 04:38:22,760 --> 04:38:23,320 SESSIONS? 6019 04:38:23,320 --> 04:38:24,840 >>THANK YOU. 6020 04:38:24,840 --> 04:38:29,440 >>SO RIGHT NOW WE'RE GOING INTO 6021 04:38:29,440 --> 04:38:31,400 BREAKOUT GROUPS. 6022 04:38:31,400 --> 04:38:34,520 SO FOR THE VIDEOCAST AUDIENCE 6023 04:38:34,520 --> 04:38:36,600 WE'LL BE ON BREAK FOR 45 6024 04:38:36,600 --> 04:38:37,240 MINUTES. 6025 04:38:37,240 --> 04:38:40,120 PLEASE COME BACK AND WATCH THE 6026 04:38:40,120 --> 04:38:41,880 REPORT OUT FROM THE DIFFERENT 6027 04:38:41,880 --> 04:38:44,560 BREAKOUT SESSIONS. 6028 04:38:44,560 --> 04:38:46,120 WE'RE GOING TO BE DISCUSSING 6029 04:38:46,120 --> 04:38:48,240 SOCIAL AND STRUCTURAL DRIVERS OF 6030 04:38:48,240 --> 04:38:51,400 SGM HEALTH DISPARITIES AND BE 6031 04:38:51,400 --> 04:38:54,640 DISCUSSING INTERVENTIONS AND 6032 04:38:54,640 --> 04:38:56,120 DATA NEEDS. 6033 04:38:56,120 --> 04:38:58,920 SO WE'RE GOING TO BE DISCUSSING 6034 04:38:58,920 --> 04:39:00,760 THE MAIN WAY FORWARD IN TERMS OF 6035 04:39:00,760 --> 04:39:02,360 RESEARCH AND IN TERMS OF WHAT 6036 04:39:02,360 --> 04:39:05,520 ARE THE GAPS AND THE 6037 04:39:05,520 --> 04:39:05,840 OPPORTUNITIES. 6038 04:39:05,840 --> 04:39:07,280 PLEASE COME BACK AND WATCH US 6039 04:39:07,280 --> 04:39:09,200 AND NOW WE CAN GO ON BREAK AND 6040 04:39:09,200 --> 04:39:22,120 GO TO BREAKOUT GROUPS. 6041 04:39:22,120 --> 04:39:23,360 >>WELCOME BACK EVERYBODY. 6042 04:39:23,360 --> 04:39:25,960 WE'RE NOT GOING TO REPORT OUT. 6043 04:39:25,960 --> 04:39:42,040 GIVE A SECOND TO GET THE SLIDES. 6044 04:39:42,040 --> 04:40:04,160 ALL RIGHT. 6045 04:40:04,160 --> 04:40:06,520 SO THESE WERE SOME OF THE 6046 04:40:06,520 --> 04:40:11,320 QUESTIONS THAT I OPPOSED TO THE 6047 04:40:11,320 --> 04:40:13,240 PANELISTS ON THIS ISSUE OF WHAT 6048 04:40:13,240 --> 04:40:17,720 ARE SOME OF THE CHALLENGES FOR 6049 04:40:17,720 --> 04:40:20,760 ETIOLOGY BASED RESEARCH AND 6050 04:40:20,760 --> 04:40:27,400 SOCIAL AND STRUCTURAL DRIVERS OF 6051 04:40:27,400 --> 04:40:28,480 DISPARITIES AND WHAT ARE 6052 04:40:28,480 --> 04:40:29,040 RECOMMENDATIONS FOR FUTURE 6053 04:40:29,040 --> 04:40:35,880 RESEARCH. 6054 04:40:35,880 --> 04:40:37,480 >>THESE WERE SOME OF THE 6055 04:40:37,480 --> 04:40:38,880 RESEARCH GAPS THAT WERE REPORTED 6056 04:40:38,880 --> 04:40:41,760 BY THE GROUP. 6057 04:40:41,760 --> 04:40:46,840 FIRST, THERE'S A FUNDAMENTAL 6058 04:40:46,840 --> 04:40:48,400 DIFFERENCE IN THE TIME NEEDED 6059 04:40:48,400 --> 04:40:51,960 FOR INEQUALITIES TO SHOW UP OVER 6060 04:40:51,960 --> 04:40:54,240 THE LIFE COURSE OVER 20, 30 6061 04:40:54,240 --> 04:40:55,000 YEARS WITH GRANT CONSTRAINTS 6062 04:40:55,000 --> 04:40:57,760 FROM FUNDERS. 6063 04:40:57,760 --> 04:41:00,360 THE MECHANISMS MAY DIFFER DURING 6064 04:41:00,360 --> 04:41:04,160 THE TIME PERIODS. 6065 04:41:04,160 --> 04:41:05,560 SO THE DIFFERENT TIME PERIODS OF 6066 04:41:05,560 --> 04:41:08,720 BASICALLY A PERSON'S LIFE. 6067 04:41:08,720 --> 04:41:14,440 SO THERE'S A NEED FOR LONG-TERM 6068 04:41:14,440 --> 04:41:17,000 LONGITUDINAL COHORT STUDIES AT A 6069 04:41:17,000 --> 04:41:18,280 LARGER SCALE AND HAVE BETTER 6070 04:41:18,280 --> 04:41:20,520 REPRESENTATION OF DIVERSITY WITH 6071 04:41:20,520 --> 04:41:22,040 ENVIRONMENTAL, CLINICAL AND 6072 04:41:22,040 --> 04:41:24,960 BIOLOGICAL MEASURES IN ORDER TO 6073 04:41:24,960 --> 04:41:26,000 SEE THE SHORT AND LONG-TERM 6074 04:41:26,000 --> 04:41:28,560 PROCESSES THAT ARE DRIVING 6075 04:41:28,560 --> 04:41:30,680 DISPARITIES AND SGM POPULATIONS 6076 04:41:30,680 --> 04:41:32,400 AND THE NATURE OF THE 6077 04:41:32,400 --> 04:41:34,880 INTERSECTION IN THESE 6078 04:41:34,880 --> 04:41:36,600 POPULATIONS. 6079 04:41:36,600 --> 04:41:40,200 SO SOME OF THE IDEAS WOULD BE TO 6080 04:41:40,200 --> 04:41:42,640 ADD ON AN ARM TO EXISTING COHORT 6081 04:41:42,640 --> 04:41:44,840 STUDIES LIKE WE HAVE AT THE NIH, 6082 04:41:44,840 --> 04:41:47,280 ALL OF US FOR EXAMPLE BY 6083 04:41:47,280 --> 04:41:51,120 RECRUITING AN SGM COHORT AND 6084 04:41:51,120 --> 04:41:52,920 ADDING MEASURES TO EXISTING 6085 04:41:52,920 --> 04:41:55,920 LARGE SCALE DATA SETS ESPECIALLY 6086 04:41:55,920 --> 04:42:00,160 LONGITUDINAL ONES AND GOOD 6087 04:42:00,160 --> 04:42:02,200 MEASURES OF LINKS BETWEEN 6088 04:42:02,200 --> 04:42:03,600 ADVERSITY AND SAFETY. 6089 04:42:03,600 --> 04:42:05,640 WE'RE TALKING ABOUT CHILDHOOD 6090 04:42:05,640 --> 04:42:07,480 ADVERSITY IN CHILDREN WHO LIVE 6091 04:42:07,480 --> 04:42:13,760 IN HOUSEHOLDS WHERE THEY MAY BE 6092 04:42:13,760 --> 04:42:19,880 EXPOSED TO EMOTIONAL, PHYSICAL 6093 04:42:19,880 --> 04:42:22,680 ABUSE, SUBSTANCE ABUSE BY THE 6094 04:42:22,680 --> 04:42:24,360 CAREGIVERS AND TALKING ABOUT 6095 04:42:24,360 --> 04:42:28,440 SPECIFICALLY SGM CHILDREN. 6096 04:42:28,440 --> 04:42:33,040 ALSO, SOME OF THE APPROACHES 6097 04:42:33,040 --> 04:42:34,960 SUGGESTED WERE DIFFERENT PEOPLE 6098 04:42:34,960 --> 04:42:38,080 ARE USUALLY RESEARCHERS ARE 6099 04:42:38,080 --> 04:42:39,560 BUILDING DIFFERENT STRUCTURAL 6100 04:42:39,560 --> 04:42:41,200 DATABASES AND THERE'S A LOT OF 6101 04:42:41,200 --> 04:42:43,160 SILOS IN THE RESEARCH COMMUNITY 6102 04:42:43,160 --> 04:42:44,720 AND NOT VERY GOOD COMMUNICATION 6103 04:42:44,720 --> 04:42:46,440 BETWEEN THE RESEARCHERS AND 6104 04:42:46,440 --> 04:42:48,040 THERE'S ALSO LACK OF CONSENSUS 6105 04:42:48,040 --> 04:42:50,440 ON MEASUREMENT, HOW DO YOU 6106 04:42:50,440 --> 04:42:53,240 MEASURE THESE CONSTRUCTS AND 6107 04:42:53,240 --> 04:42:54,760 IT'S NOT CLEAR WHAT KIND OF 6108 04:42:54,760 --> 04:42:58,720 GUIDANCE THERE IS FOR SHARING 6109 04:42:58,720 --> 04:43:00,960 THE DATA. 6110 04:43:00,960 --> 04:43:02,400 -- THE DATA PEOPLE COLLECT. 6111 04:43:02,400 --> 04:43:04,760 IT'S IMPORTANT TO INCENTIVIZE 6112 04:43:04,760 --> 04:43:10,760 STUDENTS AND TRAIN THEM TO 6113 04:43:10,760 --> 04:43:12,040 CONDUCT SECONDARY DATA ANALYSIS 6114 04:43:12,040 --> 04:43:13,720 AND IN SOME ACADEMIC PROGRAMS 6115 04:43:13,720 --> 04:43:17,200 THEY KIND OF TRY TO MAKE 6116 04:43:17,200 --> 04:43:22,280 STUDENTS COLLECT PRIMARY DATA 6117 04:43:22,280 --> 04:43:23,560 AND THERE'S SECONDARY DATA SETS 6118 04:43:23,560 --> 04:43:27,200 THAT COULD BE USED AND THAT 6119 04:43:27,200 --> 04:43:29,880 WOULD NOT TRAUMATIZE PEOPLE WHO 6120 04:43:29,880 --> 04:43:31,280 YOU'RE COLLECTING PRIMARY DATA 6121 04:43:31,280 --> 04:43:31,800 FROM. 6122 04:43:31,800 --> 04:43:37,800 MAKING USE OF THE SECONDARY DATA 6123 04:43:37,800 --> 04:43:42,160 IS IMPORTANT. 6124 04:43:42,160 --> 04:43:46,200 SOME OF THE RECOMMENDATIONS FOR 6125 04:43:46,200 --> 04:43:48,600 FUTURE RESEARCH FROM THE GROUP 6126 04:43:48,600 --> 04:43:52,640 CAME UP WITH MORE STRUCTURAL 6127 04:43:52,640 --> 04:43:58,360 MEASURES ON HOME PHOBIA, 6128 04:43:58,360 --> 04:44:04,400 CLASSISM AND OTHER ISMS AND 6129 04:44:04,400 --> 04:44:05,400 BETTER DATA FROM INVESTIGATORS 6130 04:44:05,400 --> 04:44:08,400 AN MAKING THE DATA AVAILABLE AND 6131 04:44:08,400 --> 04:44:13,040 A GAP SEVERAL SPEAKERS NOTED IN 6132 04:44:13,040 --> 04:44:14,120 THE LITERATURE WHICH IS 6133 04:44:14,120 --> 04:44:16,400 TRANS-MEN ARE USUALLY LEFT OUT 6134 04:44:16,400 --> 04:44:17,440 OF FUNDED STUDY AND THIS 6135 04:44:17,440 --> 04:44:18,960 PROPOSITION IS GROWING AND 6136 04:44:18,960 --> 04:44:21,040 THERE'S A LARGE NEED TO 6137 04:44:21,040 --> 04:44:22,400 UNDERSTAND IT AND DETERMINE THE 6138 04:44:22,400 --> 04:44:25,320 DISPARITIES IT ENCOUNTERS. 6139 04:44:25,320 --> 04:44:29,680 FOR EXAMPLE, COMPULSIVE BEHAVIOR 6140 04:44:29,680 --> 04:44:32,000 AFTER TAKING TESTOSTERONE AND 6141 04:44:32,000 --> 04:44:38,520 THE NEED FOR GENDER AFFIRMING 6142 04:44:38,520 --> 04:44:38,720 CARE. 6143 04:44:38,720 --> 04:44:42,720 THERE'S ALSO OTHER UNDER THE 6144 04:44:42,720 --> 04:44:47,160 RADAR BEHAVIOR WE DON'T EXPECT 6145 04:44:47,160 --> 04:44:57,680 AND CAN MASK EFFECTIVE COPING. 6146 04:45:06,920 --> 04:45:09,080 AND HEALTH CARE ACCESS MAY BE 6147 04:45:09,080 --> 04:45:10,480 LIMITED FOR THESE POPULATIONS 6148 04:45:10,480 --> 04:45:11,520 AND ONE QUESTION THAT CAME FROM 6149 04:45:11,520 --> 04:45:14,000 THE GROUP IS WHAT WOULD CHANGE 6150 04:45:14,000 --> 04:45:15,680 POLICY AND WHAT'S THE MOST 6151 04:45:15,680 --> 04:45:16,120 EFFECTIVE WAY. 6152 04:45:16,120 --> 04:45:16,920 DATA MAY NOT ALWAYS BE ENOUGH 6153 04:45:16,920 --> 04:45:24,480 FOR THAT. 6154 04:45:24,480 --> 04:45:26,200 AND MAYBE MIXED METHODS TO TRY 6155 04:45:26,200 --> 04:45:27,120 TO INFLUENCE POLICY AND THERE'S 6156 04:45:27,120 --> 04:45:31,400 A NEED TO DO MORE RESEARCH ON 6157 04:45:31,400 --> 04:45:33,160 REPRODUCTIVE HEALTH AFTER 6158 04:45:33,160 --> 04:45:34,360 MENOPAUSE AND THERE'S A NEED TO 6159 04:45:34,360 --> 04:45:41,200 STUDY THE MENTAL HEALTH OF SGM 6160 04:45:41,200 --> 04:45:44,080 RESEARCHERS AND CLINICIANS AND I 6161 04:45:44,080 --> 04:45:48,760 GUESS THIS WAS FROM THE OTHER -- 6162 04:45:48,760 --> 04:45:53,920 I GUESS LIKE WE TALKED ABOUT 6163 04:45:53,920 --> 04:45:56,360 EXERCISE VIGOROUS EXERCISE AFTER 6164 04:45:56,360 --> 04:46:00,200 TAKING TESTOSTERONE THERE'S 6165 04:46:00,200 --> 04:46:03,600 ANOTHER UNDER STUDIED PORTION 6166 04:46:03,600 --> 04:46:08,000 INCLUDING GASTROINTESTINAL 6167 04:46:08,000 --> 04:46:09,120 ISSUES AND THESE ARE 6168 04:46:09,120 --> 04:46:10,000 RECOMMENDATIONS THAT CAME FROM 6169 04:46:10,000 --> 04:46:11,880 THE PANEL. 6170 04:46:11,880 --> 04:46:15,720 NOW WE GO TO THE NEXT REPORT OUT 6171 04:46:15,720 --> 04:46:22,440 FROM THE INTERVENTION GROUP. 6172 04:46:22,440 --> 04:46:23,520 >>HI. 6173 04:46:23,520 --> 04:46:33,880 SO I ALSO HAVE SLIDES. 6174 04:46:39,880 --> 04:46:46,680 DO YOU SEE THEM? 6175 04:46:46,680 --> 04:46:50,120 SO OUR CHARGE WAS TO DISCUSS 6176 04:46:50,120 --> 04:46:51,920 INTERVENTIONS WITH THE POTENTIAL 6177 04:46:51,920 --> 04:46:53,520 TO MITIGATE HEALTH DISPARITIES. 6178 04:46:53,520 --> 04:46:55,520 WE'VE DONE A LOT TO DOCUMENT AND 6179 04:46:55,520 --> 04:46:59,120 OBSERVE THE HEALTH DISPARITIES 6180 04:46:59,120 --> 04:47:00,280 AND INEQUITIES EXIST BUT WANT TO 6181 04:47:00,280 --> 04:47:04,600 FOCUS ON WHAT ARE THE NEXT STEPS 6182 04:47:04,600 --> 04:47:09,080 TO MOVING THE NEEDLE ON SGM 6183 04:47:09,080 --> 04:47:09,600 HEALTH EQUITY. 6184 04:47:09,600 --> 04:47:16,720 WITH THAT IN MIND WE SET ABOUT 6185 04:47:16,720 --> 04:47:27,200 WITH SIX INITIAL QUESTIONS? 6186 04:47:32,480 --> 04:47:34,920 AND SO THE FIRST QUESTION WAS 6187 04:47:34,920 --> 04:47:37,120 WHAT DO YOU SEE ARE THE BARRIERS 6188 04:47:37,120 --> 04:47:40,680 OF CONDUCTING RESEARCH. 6189 04:47:40,680 --> 04:47:44,520 FOR ONE STIGMA PROCESSES AND A 6190 04:47:44,520 --> 04:47:46,280 LOT OF BEHAVIORAL PROCESS 6191 04:47:46,280 --> 04:47:47,640 COMPLEX AND MULTI-FACTORIAL 6192 04:47:47,640 --> 04:47:51,080 THERE MAY BE A SENSE OF 6193 04:47:51,080 --> 04:47:51,760 HOPELESSNESS BEFORE THE 6194 04:47:51,760 --> 04:47:53,640 RESEARCHER CAN START AND THE 6195 04:47:53,640 --> 04:47:58,320 PROBLEMS MAY SEEM SO COMPLEX 6196 04:47:58,320 --> 04:47:59,240 WHERE DOES ONE START. 6197 04:47:59,240 --> 04:48:04,760 AND IN ADDITION AND OFTEN TIMES 6198 04:48:04,760 --> 04:48:08,800 NIH SOLICITED 6199 04:48:08,800 --> 04:48:09,440 MULTI-INTERVENTIONS BEFORE WE 6200 04:48:09,440 --> 04:48:11,320 DON'T HAVE SINGLE ONES FIGURED 6201 04:48:11,320 --> 04:48:12,720 OUT THE CART BEFORE THE HORSE 6202 04:48:12,720 --> 04:48:13,000 MENTALITY. 6203 04:48:13,000 --> 04:48:15,760 THERE'S THE IDEA OF THE MIND SET 6204 04:48:15,760 --> 04:48:19,400 OF RANDOMIZED CONTROL TRIALS AND 6205 04:48:19,400 --> 04:48:21,720 CERTAIN FIELD THAT HAVE GOTTEN 6206 04:48:21,720 --> 04:48:23,840 MONEY AND ATTENTION ARE THE 6207 04:48:23,840 --> 04:48:25,600 HIGHEST PRIORITY AND WE MAY NEED 6208 04:48:25,600 --> 04:48:26,960 TO DISRUPT THAT PARADIGM IF WE 6209 04:48:26,960 --> 04:48:30,080 WANT TO MOVE THE NEEDLE IN FIELD 6210 04:48:30,080 --> 04:48:33,280 THAT ARE UNDER STUDIED SUCH AS 6211 04:48:33,280 --> 04:48:36,200 EATING DISORDERS AND CANCER. 6212 04:48:36,200 --> 04:48:38,960 WE ALSO NEED TO FIND WAYS TO 6213 04:48:38,960 --> 04:48:40,560 GROW THE WORKFORCE AND SOME DO 6214 04:48:40,560 --> 04:48:44,040 IT TANGENTIALLY BUT THE 6215 04:48:44,040 --> 04:48:45,200 RESEARCHER POPULATION IS QUITE 6216 04:48:45,200 --> 04:48:48,000 SMALL WHEN IT COMES TO FOCUSSING 6217 04:48:48,000 --> 04:48:52,960 ON LGBTQ+ ISSUES AND THERE'S A 6218 04:48:52,960 --> 04:48:54,000 NEED FOR MORE SPECIALIZED 6219 04:48:54,000 --> 04:48:55,320 TRAINING AND THE IDEA WAS 6220 04:48:55,320 --> 04:48:57,440 BROUGHT UP WE CAN PUT OUT 6221 04:48:57,440 --> 04:48:59,840 TARGETED FUNDING OPPORTUNITIES 6222 04:48:59,840 --> 04:49:01,760 AND NOTICES THAT REALLY HAVE A 6223 04:49:01,760 --> 04:49:03,760 SPECIFIC FOCUS ON INTERVENTION 6224 04:49:03,760 --> 04:49:06,720 RESEARCH IN SGM POPULATIONS 6225 04:49:06,720 --> 04:49:09,400 OPPOSED TO JUST MENTIONING US 6226 04:49:09,400 --> 04:49:10,720 PERIPHERALLY AS DISPARITY 6227 04:49:10,720 --> 04:49:13,000 POPULATIONS OR INCLUDING SOME 6228 04:49:13,000 --> 04:49:13,280 LANGUAGE. 6229 04:49:13,280 --> 04:49:15,600 ACTUAL TARGETED FUNDING 6230 04:49:15,600 --> 04:49:19,560 ANNOUNCEMENTS MAY BE HELPFUL IN 6231 04:49:19,560 --> 04:49:21,680 THIS REGARD BUT REALIZE WE HAVE 6232 04:49:21,680 --> 04:49:25,120 A CONSTRAINT AS AN ODS OFFICE. 6233 04:49:25,120 --> 04:49:28,520 >>WHEN WE TALK ABOUT CREATIVE 6234 04:49:28,520 --> 04:49:32,880 IDEAS FOR MOVING THE FIELD 6235 04:49:32,880 --> 04:49:34,280 FORWARD GIVEN IN TERMS OF 6236 04:49:34,280 --> 04:49:36,560 INTERVENTION RESEARCH THE FIELD 6237 04:49:36,560 --> 04:49:47,080 CAN BE A BIT IN ITS NASE -- 6238 04:49:52,720 --> 04:49:54,720 NACNECY AND THE WORK HAS CREATED 6239 04:49:54,720 --> 04:49:57,600 A STRUCTURE WHERE 6240 04:49:57,600 --> 04:49:59,640 COMMUNITY-BASED ORGANIZATIONS 6241 04:49:59,640 --> 04:50:00,440 CAN WORK WITH INSTITUTION 6242 04:50:00,440 --> 04:50:03,240 WHERE'S THERE'S A PROCESS THAT 6243 04:50:03,240 --> 04:50:04,920 ALLOWS FOR ITERATION TO DEVELOP 6244 04:50:04,920 --> 04:50:06,760 AND REFINE INTERVENTIONS AND 6245 04:50:06,760 --> 04:50:07,880 MOVE FORWARD. 6246 04:50:07,880 --> 04:50:10,440 SO BY USING THE STRUCTURE LIKE 6247 04:50:10,440 --> 04:50:12,120 THAT IT CREATES THERE CAN BE 6248 04:50:12,120 --> 04:50:18,000 SOME MOVING OF THE NEEDLE 6249 04:50:18,000 --> 04:50:23,840 TOWARDS BUILDING THE FIELD'S 6250 04:50:23,840 --> 04:50:25,000 CAPACITY OVER ALL AND THERE'S 6251 04:50:25,000 --> 04:50:27,920 BEEN AN EXPLOSION OF THE SCIENCE 6252 04:50:27,920 --> 04:50:29,640 IN THE DOMESTIC SPACE AS IT 6253 04:50:29,640 --> 04:50:31,160 RELATES TO HIV. 6254 04:50:31,160 --> 04:50:33,080 INSTEAD OF US CONTINUING TO 6255 04:50:33,080 --> 04:50:34,840 FOCUS ON LIKE A SPECIFIC DISEASE 6256 04:50:34,840 --> 04:50:36,800 WE JUST START TO THINK MORE 6257 04:50:36,800 --> 04:50:40,280 ABOUT LIKE THERE'S MENTAL HEALTH 6258 04:50:40,280 --> 04:50:41,760 CONSIDERATIONS, THERE'S TRAUMA 6259 04:50:41,760 --> 04:50:43,360 AND SUBSTANCE USE ISSUES THAT 6260 04:50:43,360 --> 04:50:44,120 ARE RELEVANT FOR THIS 6261 04:50:44,120 --> 04:50:44,480 POPULATION. 6262 04:50:44,480 --> 04:50:45,840 THERE'S A NEED FOR US TO THINK 6263 04:50:45,840 --> 04:50:49,320 ABOUT WAYS TO INTEGRATE THAT AND 6264 04:50:49,320 --> 04:50:52,360 THERE'S A WAY TO SORT OF INFUSE 6265 04:50:52,360 --> 04:50:54,800 THE RESOURCES AND INFRASTRUCTURE 6266 04:50:54,800 --> 04:50:56,760 FROM HIV RESEARCH FOR THE AREAS 6267 04:50:56,760 --> 04:50:58,920 THAT HAVE BEEN UNDER STUDIED AND 6268 04:50:58,920 --> 04:51:03,520 SO WE ALSO TALKED ABOUT HOW 6269 04:51:03,520 --> 04:51:06,520 THERE COULD BE AN EMPHASIS IN A 6270 04:51:06,520 --> 04:51:08,400 SIMILAR WAY TO THE CANCER 6271 04:51:08,400 --> 04:51:09,040 CENTERS AND THEY'VE USED 6272 04:51:09,040 --> 04:51:11,640 COMMUNITY OUTREACH AND 6273 04:51:11,640 --> 04:51:14,880 ENGAGEMENT IN LEVERAGING 6274 04:51:14,880 --> 04:51:17,240 COMMUNITY HEALTH EDUCATION 6275 04:51:17,240 --> 04:51:18,760 INTERVENTIONS WE COULD USE 6276 04:51:18,760 --> 04:51:21,880 INNOVATIVE PARTNERSHIP MODELS TO 6277 04:51:21,880 --> 04:51:23,800 CREATE AS PART OF LARGE GRANTS 6278 04:51:23,800 --> 04:51:27,360 OR WHATEVER WHERE THEY COULD BE 6279 04:51:27,360 --> 04:51:29,360 SOME LEVERAGING OF ORGANIZATIONS 6280 04:51:29,360 --> 04:51:32,600 OR PARTNERS THAT HAVE EXPERTISE 6281 04:51:32,600 --> 04:51:39,320 IN HELPING ACADEMICIANS HAVE 6282 04:51:39,320 --> 04:51:42,080 REPORT OUTS THAT ARE USABLE AND 6283 04:51:42,080 --> 04:51:47,640 DIGEGESTIBLE AND USING THEM AS 6284 04:51:47,640 --> 04:51:48,280 COMPONENTS OF GRANTS COULD BE 6285 04:51:48,280 --> 04:51:54,320 HELPFUL. 6286 04:51:54,320 --> 04:51:55,880 >>YOU COVERED A LOT OF THE 6287 04:51:55,880 --> 04:51:57,360 SECOND QUESTION. 6288 04:51:57,360 --> 04:51:59,640 ARE THERE UNIQUE APPROACHES FOR 6289 04:51:59,640 --> 04:52:02,280 SCIENTIFIC FIELD THAT COULD BE 6290 04:52:02,280 --> 04:52:05,440 BROUGHT TO BARE AND YOU CAPTURED 6291 04:52:05,440 --> 04:52:07,200 IT BEAUTIFULLY. 6292 04:52:07,200 --> 04:52:10,000 SCIENCE SAW A HUGE INFUSION OF 6293 04:52:10,000 --> 04:52:12,480 TRAINING AND MENTORSHIP. 6294 04:52:12,480 --> 04:52:15,960 IT'S A GREAT MODEL BUT WOULD 6295 04:52:15,960 --> 04:52:17,200 NEED TO BE ADAPTED A LITTLE BIT 6296 04:52:17,200 --> 04:52:20,080 AND ONE I HEARD ALL DAY 6297 04:52:20,080 --> 04:52:22,720 YESTERDAY WAS UTILIZATION OF 6298 04:52:22,720 --> 04:52:27,640 MIXED METHOD APPROACHES AND 6299 04:52:27,640 --> 04:52:30,360 THERE'S A CERTAIN SOMETHING THAT 6300 04:52:30,360 --> 04:52:35,360 QUALITATIVE RESEARCH LENDS TO 6301 04:52:35,360 --> 04:52:37,080 INCREASING CREDIBILITY AND 6302 04:52:37,080 --> 04:52:41,800 SHOWING INDIVIDUAL PEOPLE HAVE 6303 04:52:41,800 --> 04:52:44,360 INDIVIDUAL EXPERIENCES AND 6304 04:52:44,360 --> 04:52:45,360 DRAWING MEANINGFUL INSIGHT IS 6305 04:52:45,360 --> 04:52:48,840 ONE THING WE SHOULD DO BETTER. 6306 04:52:48,840 --> 04:52:50,640 ARE THERE UNDER EXPLORED 6307 04:52:50,640 --> 04:52:51,880 OPPORTUNITIES THAT COULD HELP 6308 04:52:51,880 --> 04:52:53,200 EXPAND INTERVENTION RESEARCH. 6309 04:52:53,200 --> 04:52:54,640 IF YOU'VE SEEN A PORTFOLIO 6310 04:52:54,640 --> 04:52:56,440 ANALYSIS SOME FIELD GET MORE AND 6311 04:52:56,440 --> 04:52:57,920 SOME GET LESS. 6312 04:52:57,920 --> 04:53:01,360 ONE THAT WE ALL STRONGLY AGREE 6313 04:53:01,360 --> 04:53:11,920 ON WAS SUICIDE AT AND PREVENTION 6314 04:53:13,000 --> 04:53:15,360 AND FOLKS THAT FALL IN THE SGM 6315 04:53:15,360 --> 04:53:16,600 UMBRELLA AND MORE WORK NEEDS TO 6316 04:53:16,600 --> 04:53:17,920 BE DONE ON THIS. 6317 04:53:17,920 --> 04:53:22,360 IT'S NOT JUST AN EMERGENT BUT 6318 04:53:22,360 --> 04:53:25,080 PERSISTENT NEED AND LETHAL 6319 04:53:25,080 --> 04:53:27,760 PROBLEM AND UTILIZING 6320 04:53:27,760 --> 04:53:29,240 TELEAPPROACHES WITH BROADER 6321 04:53:29,240 --> 04:53:30,160 AVAILABILITY AND GETTING MORE 6322 04:53:30,160 --> 04:53:31,560 CREATIVE FOR FOLKS WHO DON'T 6323 04:53:31,560 --> 04:53:32,920 HAVE INTERNET AND CAN USE RADIO 6324 04:53:32,920 --> 04:53:38,280 OR DOOR TO DOOR BUT MAKING SURE 6325 04:53:38,280 --> 04:53:39,760 OUR APPROACHES ARE REACHED BY 6326 04:53:39,760 --> 04:53:42,920 EVERYBODY THAT NEEDS THEM AND 6327 04:53:42,920 --> 04:53:44,800 CAN BENEFIT FROM THEM. 6328 04:53:44,800 --> 04:53:46,360 COMMUNICATION IS NOT EQUITABLE 6329 04:53:46,360 --> 04:53:49,000 AND HAS TO BE CONSIDERED AS 6330 04:53:49,000 --> 04:53:49,200 WELL. 6331 04:53:49,200 --> 04:53:50,960 AND THERE WERE INTERESTING IDEAS 6332 04:53:50,960 --> 04:53:53,160 ABOUT GREEN SPACE INTERVENTIONS 6333 04:53:53,160 --> 04:53:54,840 WHERE NATURE IS ACTUALLY PART OF 6334 04:53:54,840 --> 04:53:56,880 THE INTERVENTION AND I THINK 6335 04:53:56,880 --> 04:53:58,600 THIS IS A FASCINATING APPROACH 6336 04:53:58,600 --> 04:54:04,760 AND ONE I HAVE NOT HEARD OF BUT 6337 04:54:04,760 --> 04:54:07,640 ONE THAT MAKES SENSE AND IT'S A 6338 04:54:07,640 --> 04:54:09,400 NOVEL WAY OF ENGAGING WITH SOME 6339 04:54:09,400 --> 04:54:11,320 PEOPLE WHO MAY NOT HAVE ACCESS 6340 04:54:11,320 --> 04:54:13,080 TO SOCIAL VENUES OR WANT TO BE A 6341 04:54:13,080 --> 04:54:16,240 PART OF SOCIAL VENUES AND ALSO A 6342 04:54:16,240 --> 04:54:18,400 DEEPER FOCUS ON POPULATIONS 6343 04:54:18,400 --> 04:54:24,800 WITHIN SO TO SPEAK. 6344 04:54:24,800 --> 04:54:27,040 FOR EXAMPLE TWO SPIRIT SPOKES 6345 04:54:27,040 --> 04:54:28,840 WITHIN LGBTQ+ WITHIN NATIVE 6346 04:54:28,840 --> 04:54:31,600 AMERICAN COMMUNITIES AND MAYBE 6347 04:54:31,600 --> 04:54:33,520 WITHIN RURAL SETTINGS WITHIN 6348 04:54:33,520 --> 04:54:37,000 POLICY LANDSCAPES NOT FAVORABLE 6349 04:54:37,000 --> 04:54:38,720 TO LGBTQ+ PEOPLE. 6350 04:54:38,720 --> 04:54:40,800 WE NEED TO DIG DOWN MORE DEEPLY 6351 04:54:40,800 --> 04:54:42,360 AND GET TO A MORE PRECISION 6352 04:54:42,360 --> 04:54:43,080 MEDICINE TERM. 6353 04:54:43,080 --> 04:54:48,680 WHEN WE DRILL DOWN THAT FAR AS 6354 04:54:48,680 --> 04:54:49,640 IT STILL A SUBSTANTIAL 6355 04:54:49,640 --> 04:54:52,520 POPULATION OF PEOPLE AND NEED TO 6356 04:54:52,520 --> 04:54:54,880 DO MORE FOCUS ON THE POPULATIONS 6357 04:54:54,880 --> 04:54:56,720 DIRECTLY OPPOSED TO JUST HAVING 6358 04:54:56,720 --> 04:54:59,400 THEM BE FON COUNTING FACTORS OR 6359 04:54:59,400 --> 04:54:59,920 PULL OUT THE DEMOGRAPHIC 6360 04:54:59,920 --> 04:55:10,280 VARIABLES. 6361 04:55:10,280 --> 04:55:12,720 >>IN TERMS OF BUILDING CAPACITY 6362 04:55:12,720 --> 04:55:14,280 AROUND WORKFORCE INNOVATION WE 6363 04:55:14,280 --> 04:55:18,960 SHOULD THINK OF ADDING SLIDES 6364 04:55:18,960 --> 04:55:23,000 T32s AND R25s TO FOSTER 6365 04:55:23,000 --> 04:55:24,840 DEVELOPMENT IN THE SGM TRAINED 6366 04:55:24,840 --> 04:55:28,920 INVESTIGATOR POOL. 6367 04:55:28,920 --> 04:55:30,920 WE ALSO TALKED ABOUT THE FACT 6368 04:55:30,920 --> 04:55:33,800 THAT SOMETIMES ACADEMIC 6369 04:55:33,800 --> 04:55:35,840 INSTITUTIONS CAN BE ADVERSARIAL 6370 04:55:35,840 --> 04:55:38,080 TO HEALTH DISPARITIES RESEARCH 6371 04:55:38,080 --> 04:55:41,800 WHERE THERE'S SGM RESEARCHERS OR 6372 04:55:41,800 --> 04:55:46,240 INDIGENOUS RESEARCHERS AND BLACK 6373 04:55:46,240 --> 04:55:48,280 AND BROWN RESEARCHERS AND MAY BE 6374 04:55:48,280 --> 04:55:52,760 GOOD AT LOOK AT A COHORT 6375 04:55:52,760 --> 04:55:55,120 APPROACH OF HIRING WHERE 6376 04:55:55,120 --> 04:55:58,520 INSTITUTIONS CAN HIRE A GROUP OF 6377 04:55:58,520 --> 04:56:00,880 K24 PERSONS, EARLY CAREER 6378 04:56:00,880 --> 04:56:02,520 INVESTIGATORS WHO HAVE K12s OR 6379 04:56:02,520 --> 04:56:04,400 WHAT HAVE YOU AND HIRE THEM ALL 6380 04:56:04,400 --> 04:56:07,240 TOGETHER AND CREATE STRUCTURES 6381 04:56:07,240 --> 04:56:11,320 AROUND THEM WHERE WE PROVIDE 6382 04:56:11,320 --> 04:56:13,720 MENTORING, TRAINING, WRITING 6383 04:56:13,720 --> 04:56:16,480 RETREATS, COACHING AROUND HOW TO 6384 04:56:16,480 --> 04:56:18,760 MANAGE OR NAVIGATE 6385 04:56:18,760 --> 04:56:20,440 MICROAGGRESSION AND SELF-CARE, 6386 04:56:20,440 --> 04:56:22,840 ALL THOSE THINGS EMBEDDED WITHIN 6387 04:56:22,840 --> 04:56:28,160 THE PROCESS OF THE EXECUTION OF 6388 04:56:28,160 --> 04:56:29,120 THOSE WORKFORCE DIVERSITY 6389 04:56:29,120 --> 04:56:31,600 EFFORTS SO THE YOUNG PEOPLE WHEN 6390 04:56:31,600 --> 04:56:34,920 THEY'RE EMBARKING ON THE AREA OF 6391 04:56:34,920 --> 04:56:36,160 TRAINING THEY STAY IN THE 6392 04:56:36,160 --> 04:56:37,720 PIPELINE AND FEEL SUPPORTED AND 6393 04:56:37,720 --> 04:56:38,880 A RESOURCE SO THEY CONDITION ON 6394 04:56:38,880 --> 04:56:39,480 AND GET TO CONTRIBUTE TO THE 6395 04:56:39,480 --> 04:56:49,640 SCIENCE. 6396 04:57:24,880 --> 04:57:27,200 >>WE NEED TO GET BEHIND THE 6397 04:57:27,200 --> 04:57:28,920 PAYWALLS THAT OFTEN BLOCK PEOPLE 6398 04:57:28,920 --> 04:57:30,600 FROM GETTING ACCESS TO THE 6399 04:57:30,600 --> 04:57:32,720 MANUSCRIPTS THAT MAY BE HELPFUL. 6400 04:57:32,720 --> 04:57:33,920 ALSO TRAINING STUDENTS AND EARLY 6401 04:57:33,920 --> 04:57:35,960 STAGE RESEARCHERS TO LEARN ABOUT 6402 04:57:35,960 --> 04:57:38,320 THE MANY AVENUES TO DISSEMINATE 6403 04:57:38,320 --> 04:57:39,880 INFORMATION. 6404 04:57:39,880 --> 04:57:41,600 MANUSCRIPTS ARE NOT THE ONLY 6405 04:57:41,600 --> 04:57:41,840 THING. 6406 04:57:41,840 --> 04:57:43,000 THERE'S DIFFERENT WAYS TO GET 6407 04:57:43,000 --> 04:57:44,600 YOUR RESEARCH AND FINDINGS AND 6408 04:57:44,600 --> 04:57:46,280 RESULTS OUT THERE. 6409 04:57:46,280 --> 04:57:49,240 IT'S NECESSARY IF YOU WANT TO 6410 04:57:49,240 --> 04:57:50,080 COMMUNICATE BACK TO THE 6411 04:57:50,080 --> 04:57:51,480 COMMUNITIES FROM WHICH YOU DRAW 6412 04:57:51,480 --> 04:57:52,560 YOUR RESULTS. 6413 04:57:52,560 --> 04:57:54,760 WE THOUGHT HAVING A TRAINING 6414 04:57:54,760 --> 04:57:56,360 PROGRAM IN PLACE TO TEACH 6415 04:57:56,360 --> 04:57:58,280 STUDENTS ABOUT THE VARIOUS 6416 04:57:58,280 --> 04:58:00,360 AVENUES WOULD BE INCREDIBLY 6417 04:58:00,360 --> 04:58:02,040 USEFUL NOT ONLY TO THEM BUT TO 6418 04:58:02,040 --> 04:58:03,120 THE BROADER COMMUNITY THEY'RE 6419 04:58:03,120 --> 04:58:06,400 TRYING TO IMPACT AND HELP. 6420 04:58:06,400 --> 04:58:07,920 ALSO, DIDN'T KNOW ABOUT THIS BUT 6421 04:58:07,920 --> 04:58:10,320 WE HAVE THE OPPORTUNITY TO 6422 04:58:10,320 --> 04:58:13,400 PARTNER WITH ORGANIZATIONS OR 6423 04:58:13,400 --> 04:58:14,960 SPECIALIST SERVE AS BROKERS 6424 04:58:14,960 --> 04:58:15,920 BETWEEN SCIENCE AND PRACTICE 6425 04:58:15,920 --> 04:58:18,400 WHICH IS AN INTERESTING IDEA. 6426 04:58:18,400 --> 04:58:21,120 THIS HAS ALREADY BEEN DONE IN 6427 04:58:21,120 --> 04:58:22,040 THE RESEARCH SPACE. 6428 04:58:22,040 --> 04:58:23,880 THERE'S A BIT OF AN EXAMPLE TO 6429 04:58:23,880 --> 04:58:24,400 LOOK AT. 6430 04:58:24,400 --> 04:58:26,720 WE ALSO HAVE THE OFFICE OF 6431 04:58:26,720 --> 04:58:28,680 COMMUNICATION AND PUBLIC LIAISON 6432 04:58:28,680 --> 04:58:31,880 AT OUR OWN AGENCY WHICH SERVES 6433 04:58:31,880 --> 04:58:35,280 AS A LIAISON TO THE PUBLIC ABOUT 6434 04:58:35,280 --> 04:58:35,920 SCIENTIFIC FINDINGS. 6435 04:58:35,920 --> 04:58:38,480 MAYBE WE HAVE THAT AS A MODEL AS 6436 04:58:38,480 --> 04:58:38,800 WELL. 6437 04:58:38,800 --> 04:58:40,000 WE RECOGNIZED IT'S UNREASONABLE 6438 04:58:40,000 --> 04:58:42,320 TO ASK RESEARCHERS TO TAKE ON 6439 04:58:42,320 --> 04:58:43,640 THE JOB OF DOING THE RESEARCH 6440 04:58:43,640 --> 04:58:45,200 AND ENGAGING WITH COMMUNITY AND 6441 04:58:45,200 --> 04:58:47,080 SETTING UP THE BOARD AND GOING 6442 04:58:47,080 --> 04:58:51,720 THROUGH THE IRB AND ALSO BEING 6443 04:58:51,720 --> 04:58:54,280 THEIR OWN P.R. AND COMMUNICATING 6444 04:58:54,280 --> 04:58:57,840 IT TO THE COMMUNITIES AND ALL 6445 04:58:57,840 --> 04:58:58,800 MEDIA MAY DIFFICULT DEPENDING ON 6446 04:58:58,800 --> 04:58:59,360 THE COMMUNITY. 6447 04:58:59,360 --> 04:59:02,280 HAVING A DEDICATED SPECIALIST OR 6448 04:59:02,280 --> 04:59:04,440 ORGANIZATION WOULD BE HELPFUL IN 6449 04:59:04,440 --> 04:59:05,320 ALLEVIATING THE STRESS 6450 04:59:05,320 --> 04:59:07,280 RESEARCHERS FEEL TO NOT BE THEIR 6451 04:59:07,280 --> 04:59:09,360 OWN P.R. FIRM. 6452 04:59:09,360 --> 04:59:14,760 AND THEN FINALLY WE HAD JUST A 6453 04:59:14,760 --> 04:59:17,520 FEW OPEN-ENDED DISCUSSION 6454 04:59:17,520 --> 04:59:17,880 POINTS. 6455 04:59:17,880 --> 04:59:25,360 WE ALL AGREED PREVENTION IS 6456 04:59:25,360 --> 04:59:25,920 IMPORTANT. 6457 04:59:25,920 --> 04:59:28,880 SEIZING ON THE OPPORTUNITY TO 6458 04:59:28,880 --> 04:59:32,280 PREVENT THEM SO WE DON'T NEED AN 6459 04:59:32,280 --> 04:59:34,000 INTERVENTION IS AN IMPORTANT 6460 04:59:34,000 --> 04:59:34,840 COMPONENT OF PREVENTION RESEARCH 6461 04:59:34,840 --> 04:59:38,560 AND WOULD LIKE TO SEE MORE OF 6462 04:59:38,560 --> 04:59:40,560 THAT IN SGM COMMUNITIES LY WITH 6463 04:59:40,560 --> 04:59:42,360 SO MANY PROBLEMS SUCH AS 6464 04:59:42,360 --> 04:59:47,160 SUBSTANCE USE. 6465 04:59:47,160 --> 04:59:49,960 AND FOCUSSING ON HEALTH 6466 04:59:49,960 --> 05:00:00,520 PROMOTION AND AM RESILIENCE AND 6467 05:00:05,960 --> 05:00:10,200 LOOKING AT IT AS AN OPPORTUNITY 6468 05:00:10,200 --> 05:00:13,360 TO BETTER HANDLE EQUITY AND 6469 05:00:13,360 --> 05:00:15,480 ATTAIN OPTIMAL PUBLIC HEALTH. 6470 05:00:15,480 --> 05:00:18,760 WE HAD CONSIDERATION FOR RURAL 6471 05:00:18,760 --> 05:00:19,160 SETTINGS. 6472 05:00:19,160 --> 05:00:21,160 WE TALKED ABOUT BUILDING 6473 05:00:21,160 --> 05:00:22,720 CAPACITY AND RURAL SETTINGS, 6474 05:00:22,720 --> 05:00:24,880 FINDING CREATIVE WAYS TO WORK 6475 05:00:24,880 --> 05:00:26,360 WITH PARTNERS AND BEING VIGILANT 6476 05:00:26,360 --> 05:00:32,320 ABOUT EMERGING ISSUES IN RURAL 6477 05:00:32,320 --> 05:00:32,920 COMMUN 6478 05:00:32,920 --> 05:00:38,520 COMMUNITIES TAKING ADVANTAGE OF 6479 05:00:38,520 --> 05:00:40,920 WE HAVE KNOWLEDGE AND HOW THESE 6480 05:00:40,920 --> 05:00:42,280 CAN CREATE BARRIERS TO RESEARCH 6481 05:00:42,280 --> 05:00:44,000 AND HOW WE CAN INCORPORATE THEM 6482 05:00:44,000 --> 05:00:46,600 INTO THE RESEARCH QUESTIONS AND 6483 05:00:46,600 --> 05:00:48,320 APPROACHES WE'VE USED AND IT'S 6484 05:00:48,320 --> 05:00:49,320 ALSO IMPORTANT TO REPRESENT 6485 05:00:49,320 --> 05:00:50,680 FOLKS FROM DIFFERENT SETTINGS TO 6486 05:00:50,680 --> 05:00:53,840 UNDERSTAND THE POLICIES ON THE 6487 05:00:53,840 --> 05:00:55,760 GROUND CAN BE TOO FAR REMOVED 6488 05:00:55,760 --> 05:00:58,360 AND STILL BE POWERFUL AND 6489 05:00:58,360 --> 05:01:03,520 IMPACTFUL TO THE COMMUNITY. 6490 05:01:03,520 --> 05:01:11,360 THAT'S WHAT WE HAD AND 6491 05:01:11,360 --> 05:01:19,640 >>NOW WE HAVE JENNIFER 6492 05:01:19,640 --> 05:01:28,960 MODERATING THE DATA NEEDS. 6493 05:01:28,960 --> 05:01:32,320 >>NATURAL TO EVERYONE IN THE 6494 05:01:32,320 --> 05:01:32,600 GROUP. 6495 05:01:32,600 --> 05:01:38,280 THE FACILITATOR, CHRISTINA HAD 6496 05:01:38,280 --> 05:01:48,800 TO DROP POCH -- WE WANTED TO 6497 05:01:55,920 --> 05:01:57,080 TALK ABOUT ADMINISTRATIVE DATA 6498 05:01:57,080 --> 05:02:05,280 AND RELATED CONSTRUCTS AND 6499 05:02:05,280 --> 05:02:09,960 ADDRESSING THE NEEDS. 6500 05:02:09,960 --> 05:02:20,440 ON ADMINISTRATIVE DATA, AND 6501 05:02:24,880 --> 05:02:26,800 JUSTICE DATA AND OVER ALL HAVING 6502 05:02:26,800 --> 05:02:30,120 MINIMUM STANDARDS WHAT SHOULD BE 6503 05:02:30,120 --> 05:02:35,560 COLLECTED AND IMPROVING WHAT IS 6504 05:02:35,560 --> 05:02:36,400 COLLEC 6505 05:02:36,400 --> 05:02:37,560 COLLEC 6506 05:02:37,560 --> 05:02:40,240 COLLECTED ADMINISTRATIVE DATA 6507 05:02:40,240 --> 05:02:42,280 SETS MAY HAVE AN OVERRELIANCE ON 6508 05:02:42,280 --> 05:02:43,800 QUESTIONS WHERE A SINGLE 6509 05:02:43,800 --> 05:02:44,840 RESPONSE AND WHAT ARE YOU OR 6510 05:02:44,840 --> 05:02:50,720 WHICH ARE YOU OR WHAT IS THIS 6511 05:02:50,720 --> 05:02:58,720 PERSON AND WHAT MAY BE VALID AND 6512 05:02:58,720 --> 05:03:00,520 THE STANDARDIZATION OF MEASURES 6513 05:03:00,520 --> 05:03:02,120 ACROSS DATA SETS OR 6514 05:03:02,120 --> 05:03:03,080 INTEROPERABILITY AND THERE NEEDS 6515 05:03:03,080 --> 05:03:05,680 TO BE ROOM FOR FLEXIBILITY HOW 6516 05:03:05,680 --> 05:03:08,440 THINGS ARE MEASURED SO THEY CAN 6517 05:03:08,440 --> 05:03:16,640 BE NOT NECESSARILY ALL THE SAME 6518 05:03:16,640 --> 05:03:22,360 BUT HARMONIZED AND LOOKED ACROSS 6519 05:03:22,360 --> 05:03:25,640 DIFFERENT DATA SETS. 6520 05:03:25,640 --> 05:03:28,280 THERE ARE LIMITATIONS TO 6521 05:03:28,280 --> 05:03:29,240 ADMINISTRATIVE DATA SYSTEMS 6522 05:03:29,240 --> 05:03:30,680 WHERE THE PEOPLE ENTERING DATA 6523 05:03:30,680 --> 05:03:32,200 MAY NOT HAVE A GOOD SENSE OF WHY 6524 05:03:32,200 --> 05:03:34,800 THE DATA ARE IMPORTANT OR WHAT 6525 05:03:34,800 --> 05:03:40,360 THEY COULD BE USED FOR. 6526 05:03:40,360 --> 05:03:42,520 MORE TRAINING FROM LEADERSHIP OF 6527 05:03:42,520 --> 05:03:45,200 THE SYSTEMS AND THE JU 6528 05:03:45,200 --> 05:03:47,280 JUSTIFICATION FOR THE TIME AND 6529 05:03:47,280 --> 05:03:49,840 EFFORT FOR THE FOLKS ENTERING 6530 05:03:49,840 --> 05:03:55,600 THE DATA TO ENSURE COMPLETENESS 6531 05:03:55,600 --> 05:03:58,160 AND ATTENTION TO APPROPRIATE 6532 05:03:58,160 --> 05:03:59,560 DATA ENTRY. 6533 05:03:59,560 --> 05:04:00,360 INSTITUTIONS LIKE HEALTH CARE 6534 05:04:00,360 --> 05:04:03,400 SYSTEMS OR OTHER SYSTEMS MAY BE 6535 05:04:03,400 --> 05:04:04,360 FAIRLY BEHIND IN THEIR DATA 6536 05:04:04,360 --> 05:04:08,280 COLLECTION OR ENTRY. 6537 05:04:08,280 --> 05:04:11,000 DATA MAY NOT BE UP TO DATE AND 6538 05:04:11,000 --> 05:04:13,520 IT CAN TAKE YEARS TO ACCESS SOME 6539 05:04:13,520 --> 05:04:18,880 OF THESE DATA SETS PARTICULARLY 6540 05:04:18,880 --> 05:04:22,840 FOR SOME FEDERAL SURVEILLANCE 6541 05:04:22,840 --> 05:04:24,400 DATA THAT USED TO BE FREE TO THE 6542 05:04:24,400 --> 05:04:25,960 PUBLIC NOW HAVE COSTS OR YOU 6543 05:04:25,960 --> 05:04:29,320 HAVE TO GO TO A DATA CENTER TO 6544 05:04:29,320 --> 05:04:34,680 ACCESS THE DATA WHICH MAY BE 6545 05:04:34,680 --> 05:04:35,880 LIMIT 6546 05:04:35,880 --> 05:04:39,040 LIMITING FOR RESEARCHERS FROM 6547 05:04:39,040 --> 05:04:39,960 INSTITUTIONS FOR MORE RESOURCE 6548 05:04:39,960 --> 05:04:46,440 TO ADDRESS THE COSTS. 6549 05:04:46,440 --> 05:04:49,640 MORE THAN TO CAPTURE MULTIPLE 6550 05:04:49,640 --> 05:04:51,840 DIMENSIONS OF SOGI. 6551 05:04:51,840 --> 05:04:54,760 THE CURRENT NIH REQUIREMENTS HOW 6552 05:04:54,760 --> 05:04:58,280 TO REPORT SEX AND GENDER OF 6553 05:04:58,280 --> 05:05:01,720 COURSE IS LIMITED TO BINARY SEX 6554 05:05:01,720 --> 05:05:04,560 AND GENDER AND IT'S NOT CLEAR 6555 05:05:04,560 --> 05:05:06,520 WHAT IS BEING ASKED FOR. 6556 05:05:06,520 --> 05:05:11,520 IS IT SEX OR GENDER OR SEX 6557 05:05:11,520 --> 05:05:14,400 ASSIGNED AT BIRTH SO SOME 6558 05:05:14,400 --> 05:05:15,720 CLARITY THERE AND TERMS WE USE 6559 05:05:15,720 --> 05:05:17,760 ON THE SURVEYS MAY NOT BE 6560 05:05:17,760 --> 05:05:18,840 ENDORSED BY THE PEOPLE THEY'RE 6561 05:05:18,840 --> 05:05:21,760 SUPPOSED TO APPLY TO. 6562 05:05:21,760 --> 05:05:32,240 SO GREATER ATTENTION TO THAT. 6563 05:05:36,920 --> 05:05:38,680 IF EXISTING MEASURES HAVE NORMS 6564 05:05:38,680 --> 05:05:41,080 LIKE THESE ARE THE THRESHOLDS 6565 05:05:41,080 --> 05:05:44,600 FOR MEN AND WOMEN OR BOYS AND 6566 05:05:44,600 --> 05:05:47,440 GIRLS, HOW DO YOU APPLY THESE 6567 05:05:47,440 --> 05:05:50,920 NORMS OR THRESHOLDS TO 6568 05:05:50,920 --> 05:05:56,080 TRANSGENDER POPULATIONS OR NON 6569 05:05:56,080 --> 05:05:57,560 BINARY POPULATIONS AND CAN WE 6570 05:05:57,560 --> 05:05:59,200 HAVE PEOPLE TELL US HOW THEY 6571 05:05:59,200 --> 05:06:01,040 IDENTIFY THEMSELVES INSTEAD OF 6572 05:06:01,040 --> 05:06:01,640 CHECKING BOXES? 6573 05:06:01,640 --> 05:06:04,920 CAN WE HAVE A COMBINATION WHERE 6574 05:06:04,920 --> 05:06:08,520 WE HAVE CHECK BOXES BUT AND A 6575 05:06:08,520 --> 05:06:08,800 RESPONSE. 6576 05:06:08,800 --> 05:06:10,400 THERE'S ISSUES WITH CHECK BOXES 6577 05:06:10,400 --> 05:06:13,640 MAY BE TOO LIMITING BUT IF YOU 6578 05:06:13,640 --> 05:06:15,880 JUST DO FREE RESPONSE, 6579 05:06:15,880 --> 05:06:16,640 SELF-IDENTIFICATION THAT MEANS 6580 05:06:16,640 --> 05:06:19,440 THE RESEARCHERS ARE SOMEHOW 6581 05:06:19,440 --> 05:06:22,960 CATEGORIZING PEOPLE IN A WAY 6582 05:06:22,960 --> 05:06:25,080 THAT THEY MAY NOT CATEGORIZE 6583 05:06:25,080 --> 05:06:30,160 THEMSELVES AND ATTENTION TO 6584 05:06:30,160 --> 05:06:39,680 THINK ABOUT THERE'S IN ISSUE 6585 05:06:39,680 --> 05:06:43,120 ABOUT ASKING ABOUT LABELS AND 6586 05:06:43,120 --> 05:06:45,640 IDENTITIES AS A PROXY IN WHAT TO 6587 05:06:45,640 --> 05:06:49,280 STUDY AND IF WE'RE INTERESTED IN 6588 05:06:49,280 --> 05:06:51,400 SEXUAL BEHAVIOR NOT ASKING IF 6589 05:06:51,400 --> 05:06:55,520 YOU'RE A SEXUAL MINORITY BUT 6590 05:06:55,520 --> 05:06:58,880 ENGAGE IN SAME-SEX BEHAVIOR IN 6591 05:06:58,880 --> 05:07:01,000 THE JUST ASKING IF SOMEONE IS 6592 05:07:01,000 --> 05:07:03,760 TRANSGENDER AND IF SOMEONE IS 6593 05:07:03,760 --> 05:07:05,800 ASKING ABOUT CANCER SCREENING 6594 05:07:05,800 --> 05:07:08,600 WHAT ORGAN A PERSON HAS RATHER 6595 05:07:08,600 --> 05:07:12,000 THAN LABELS. 6596 05:07:12,000 --> 05:07:13,840 A NEED TO ADDRESS EXPERIENCES 6597 05:07:13,840 --> 05:07:16,200 RATHER THAN LABELS OR STATUSES. 6598 05:07:16,200 --> 05:07:21,160 SO RATHER THAN ASKING ARE YOU 6599 05:07:21,160 --> 05:07:27,120 OUT ASKING WHERE ARE YOU OUT. 6600 05:07:27,120 --> 05:07:31,400 THERE'S A NEED FOR 6601 05:07:31,400 --> 05:07:36,560 STANDARDIZATION OF METRIC OF 6602 05:07:36,560 --> 05:07:38,400 EVALUATING STRATEGIES. 6603 05:07:38,400 --> 05:07:45,840 SOME STANDARDIZATION OF METRICS. 6604 05:07:45,840 --> 05:07:49,240 THERE'S RESISTANCE IN SURVEYS OR 6605 05:07:49,240 --> 05:07:51,760 STUDIES THAT SAYS OVER TIME A 6606 05:07:51,760 --> 05:07:54,080 DESIRE TO RETAIN THE CONTINUITY 6607 05:07:54,080 --> 05:07:58,840 OF THE MEASURE AND THOUGH WE 6608 05:07:58,840 --> 05:08:00,640 KNOW SOME MEASURES ORIGINALLY 6609 05:08:00,640 --> 05:08:02,080 USED MAY NOT BE VERY GOOD AND 6610 05:08:02,080 --> 05:08:08,680 THEY TEND TO USE IDENTIFY AND 6611 05:08:08,680 --> 05:08:09,440 VIEW IT AS STABLE OVER TIME 6612 05:08:09,440 --> 05:08:17,480 RATHER THAN FLUID. 6613 05:08:17,480 --> 05:08:18,640 THERE MAY BE TOO MUCH EMPHASIS 6614 05:08:18,640 --> 05:08:23,880 ON DEVELOPING MEASURES THAT WORK 6615 05:08:23,880 --> 05:08:34,280 FOR THE ENTIRE POPULATION MAYBE 6616 05:08:34,280 --> 05:08:35,600 WEIGHING THE BENEFITS OF 6617 05:08:35,600 --> 05:08:38,000 CISGENDER POPULATIONS CAN ANSWER 6618 05:08:38,000 --> 05:08:39,200 ACCURATELY AT THE COST OF 6619 05:08:39,200 --> 05:08:44,960 LIMITING THE UTILITY FOR SGM 6620 05:08:44,960 --> 05:08:45,280 POPULATIONS. 6621 05:08:45,280 --> 05:08:49,000 A LOT OF MEASURES ARE STUDY 6622 05:08:49,000 --> 05:08:49,760 SPECIFIC, HEALTH SPECIFIC AND 6623 05:08:49,760 --> 05:09:00,080 POPULATION SPECIFIC. 6624 05:09:02,240 --> 05:09:05,200 AND WORKING ACROSS POPULATIONS 6625 05:09:05,200 --> 05:09:07,120 AND FOR EXISTING MEASURES TO BE 6626 05:09:07,120 --> 05:09:08,640 TRANSLATED TO MULTIPLE 6627 05:09:08,640 --> 05:09:08,920 LANGUAGES. 6628 05:09:08,920 --> 05:09:10,080 THERE'S SOME IN SPANISH BUT 6629 05:09:10,080 --> 05:09:16,520 RARELY IN OTHER LANGUAGES. 6630 05:09:16,520 --> 05:09:19,960 IT WAS BROUGHT UP THE DISCUSSION 6631 05:09:19,960 --> 05:09:22,720 OF SEX AS A BIOLOGICAL VARIABLE 6632 05:09:22,720 --> 05:09:23,360 ISN'T ALWAYS APPROPRIATE 6633 05:09:23,360 --> 05:09:28,600 DEPENDING ON THE TOPIC AND 6634 05:09:28,600 --> 05:09:34,280 THERE'S A NEED FOR RESEARCHERS 6635 05:09:34,280 --> 05:09:35,640 TO BE CLEAR ABOUT WHO IS IN 6636 05:09:35,640 --> 05:09:41,600 THEIR STUDIES AND IF IT'S MEN 6637 05:09:41,600 --> 05:09:45,240 WHO HAVE SEX WITH MEN CAN BE 6638 05:09:45,240 --> 05:09:47,680 PROBLEMATIC AND USING SPECIFIC 6639 05:09:47,680 --> 05:09:49,960 DESCRIPTORS RATHER THAN UMBRELLA 6640 05:09:49,960 --> 05:10:00,480 LABELS FOR WHO IS IN STUDIES. 6641 05:10:17,120 --> 05:10:22,560 AND WHETHER YOU HAVE STATES WHO 6642 05:10:22,560 --> 05:10:25,080 MAY BE DOING THIS TO TRAIN STAFF 6643 05:10:25,080 --> 05:10:26,720 FOR THE ACTION PLANS TO HAVE AN 6644 05:10:26,720 --> 05:10:31,080 IMPACT. 6645 05:10:31,080 --> 05:10:32,680 THERE'S A NEED FOR MORE 6646 05:10:32,680 --> 05:10:37,480 COMMUNITY INPUT AND 6647 05:10:37,480 --> 05:10:38,120 COMMUNITY-ENGAGED RESEARCH IN 6648 05:10:38,120 --> 05:10:43,200 THE WHICH REQUIRES CHANGES TO 6649 05:10:43,200 --> 05:10:51,800 THE NIH APPLICATION PROCESS HOW 6650 05:10:51,800 --> 05:10:54,440 APPLICATIONS ARE REVIEWED AND 6651 05:10:54,440 --> 05:10:56,680 SUBMIT THEM IN COMMUNITIES. 6652 05:10:56,680 --> 05:11:01,080 THERE WAS A SENSE THAT THE 6653 05:11:01,080 --> 05:11:03,560 RECENT REPORT ON THE LATEST 6654 05:11:03,560 --> 05:11:06,720 EVIDENCE OF HOW TO MEASURE 6655 05:11:06,720 --> 05:11:09,040 SOGI -- NASEM REPORT, MAY 6656 05:11:09,040 --> 05:11:10,840 SOMETIMES BE FRAMED AT THE FINAL 6657 05:11:10,840 --> 05:11:12,320 WORD THE GOLD STANDARD WHEN IT 6658 05:11:12,320 --> 05:11:14,080 WAS INTENDED TO BE A STARTING 6659 05:11:14,080 --> 05:11:17,120 POINT TO STIMULATE MORE RESEARCH 6660 05:11:17,120 --> 05:11:17,880 RATHER THAN BEING AN END POINT 6661 05:11:17,880 --> 05:11:21,040 AND FINALLY WE NEED TO 6662 05:11:21,040 --> 05:11:21,840 UNDERSTAND AND ADDRESS FEARS 6663 05:11:21,840 --> 05:11:26,760 ABOUT ANSWERING QUESTIONS IN THE 6664 05:11:26,760 --> 05:11:27,360 SGM SPACE. 6665 05:11:27,360 --> 05:11:29,280 SO PEOPLE MAY NOT WANT TO 6666 05:11:29,280 --> 05:11:30,160 DISCLOSE THEIR STATUS OR 6667 05:11:30,160 --> 05:11:33,120 BEHAVIORS IF THEY FEEL LIKE IT 6668 05:11:33,120 --> 05:11:36,480 MAY CAUSE THEM HARM IF THE DATA 6669 05:11:36,480 --> 05:11:41,760 ARE DISCLOSED OR DE-IDENTIFIED. 6670 05:11:41,760 --> 05:11:43,640 SO THAT WAS OUR DISCUSSION 6671 05:11:43,640 --> 05:11:43,840 GROUP. 6672 05:11:43,840 --> 05:11:49,440 FEEL FREE TO ADD ANY ELABORATION 6673 05:11:49,440 --> 05:11:58,280 S IF I LEFT ANYTHING OUT. 6674 05:11:58,280 --> 05:12:08,680 ALL RIGHT, THANKS A LOT. 6675 05:12:10,480 --> 05:12:16,120 >>THANK YOU, JOAN -- JENNIFER. 6676 05:12:16,120 --> 05:12:18,040 I GUESS WE GET TO FINISH A 6677 05:12:18,040 --> 05:12:18,480 LITTLE BIT EARLY. 6678 05:12:18,480 --> 05:12:20,680 I'D LIKE TO CLOSE THE WORKSHOP 6679 05:12:20,680 --> 05:12:22,680 BY GIVING A BIG THANK YOU TO OUR 6680 05:12:22,680 --> 05:12:23,960 FABULOUS SPEAKER FOR THE TWO 6681 05:12:23,960 --> 05:12:24,600 WORKSHOP DAYS. 6682 05:12:24,600 --> 05:12:27,320 WE LEARNED A LOT FROM YOUR 6683 05:12:27,320 --> 05:12:29,920 PRESENTATIONS AND DISCUSSIONS ON 6684 05:12:29,920 --> 05:12:32,600 WHERE THIS FIELD OF SGM HEALTH 6685 05:12:32,600 --> 05:12:35,560 DISPARITIES LEADS TO. 6686 05:12:35,560 --> 05:12:36,960 SO THANK YOU SO MUCH. 6687 05:12:36,960 --> 05:12:38,960 I WOULD ALSO LIKE TO THANK MY 6688 05:12:38,960 --> 05:12:40,320 COLLEAGUES ON THE PLANNING 6689 05:12:40,320 --> 05:12:41,920 COMMITTEE FOR ALL THEIR HARD 6690 05:12:41,920 --> 05:12:42,120 WORK. 6691 05:12:42,120 --> 05:12:43,840 IT'S BEEN GREAT WORKING WITH 6692 05:12:43,840 --> 05:12:44,160 YOU. 6693 05:12:44,160 --> 05:12:46,640 ALSO WOULD LIKE TO THANK 6694 05:12:46,640 --> 05:12:51,240 DR. KAREN PARKER WHO HELPED US 6695 05:12:51,240 --> 05:12:53,600 MODERATE A SESSION IN THIS 6696 05:12:53,600 --> 05:12:53,880 WORKSHOP. 6697 05:12:53,880 --> 05:12:58,040 I WOULD ALSO LIKE TO THANK STAFF 6698 05:12:58,040 --> 05:13:00,720 FROM COMMUNICATION AND PUBLIC 6699 05:13:00,720 --> 05:13:02,120 LIAISON AND STAFF FROM THE NIH 6700 05:13:02,120 --> 05:13:04,200 VIDEOCAST FOR ALL THEIR SUPPORT. 6701 05:13:04,200 --> 05:13:06,480 I WOULD LIKE TO THANK 6702 05:13:06,480 --> 05:13:09,960 MR. GRIFFITH AND HIS COLLEAGUES 6703 05:13:09,960 --> 05:13:14,480 FOR DOING GREAT JOB HELPING US 6704 05:13:14,480 --> 05:13:16,800 WITH THE TECHNICAL ASPECTS OF 6705 05:13:16,800 --> 05:13:18,800 THE WORKSHOP AND I ALSO WOULD 6706 05:13:18,800 --> 05:13:20,480 LIKE TO THANK OUR VIDEOCAST 6707 05:13:20,480 --> 05:13:23,280 AUDIENCE WHO WAS VERY ENGAGED 6708 05:13:23,280 --> 05:13:27,000 AND ASKED US A LOT OF IMPORTANT 6709 05:13:27,000 --> 05:13:28,400 QUESTIONS AND STAYED WITH US -- 6710 05:13:28,400 --> 05:13:30,960 SOME OF YOU STAYED UNTIL THE END 6711 05:13:30,960 --> 05:13:34,480 OF THE WORKSHOP. 6712 05:13:34,480 --> 05:13:36,920 I WOULD LIKE TO THANK DR 6713 05:13:36,920 --> 05:13:41,080 DR. PEREZ-STABLE AND WE LEARNED 6714 05:13:41,080 --> 05:13:41,720 A LOT AND IT WILL BE HELPFUL 6715 05:13:41,720 --> 05:13:47,760 GOING FORWARD. 6716 05:13:47,760 --> 05:13:54,400 I WOULD LIKE TO END WITH A 6717 05:13:54,400 --> 05:14:04,640 HOPEFUL NOTE. 6718 05:14:06,440 --> 05:14:06,920 OKAY. 6719 05:14:06,920 --> 05:14:13,720 I WOULD LIKE TO END WITH THE 6720 05:14:13,720 --> 05:14:20,440 QUOTE FROM A POET FREDERICKO 6721 05:14:20,440 --> 05:14:21,360 GARCIA LORCA EVERY STEP WE TAKE 6722 05:14:21,360 --> 05:14:23,520 ON EARTH BRINGS US TO A NEW 6723 05:14:23,520 --> 05:14:25,680 WORLD 6724 05:14:25,680 --> 05:14:45,920 THANK YOU VERY MUCH.