Optimizing PrEP Utilization among Alcohol and Other Drug (AOD) Using Women of Color

使用有色人种女性优化酒精和其他药物 (AOD) 的 PrEP 使用

• 批准号: 10166405
• 负责人: JESSY G DEVIEUX
• 金额: $ 14.75万
• 依托单位: FLORIDA INTERNATIONAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2021-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10166405
• 关键词: AIDS prevention; Adherence; Administrative Supplement; Adopted; Advocacy; Affect; African American; Alcohol consumption; Area; COVID-19; COVID-19 pandemic; Caring; Centers for Disease Control and Prevention (U.S.); Clinical Services; Color; Communities; Community Healthcare; Continuity of Patient Care; County; Data; Data Collection; Drug usage; Economics; Employment; Enrollment; Female; Florida; HIV; HIV risk; Haitian; Health Personnel; High Prevalence; Household; Individual; Internet; Interview; Knowledge; Measures; Mental Health; Methods; Modeling; National Institute on Alcohol Abuse and Alcoholism; Oral; Parents; Participant; Patients; Perception; Phase; Population; Populations at Risk; Preparation; Prevention; Prevention strategy; Provider; Quality of Care; Recommendation; Reporting; Research; Research Personnel; Resources; Risk; Risk Factors; Safety; Sampling; Services; Signal Transduction; Social Distance; Social isolation; Stress; Structure; Surveys; Telephone; Time; Time Study; Trust; Victimization; Videoconferences; Violence; Woman; Work; alcohol and other drug; alcohol services; ancillary care; base; community based participatory research; coronavirus disease; environmental stressor; ethnic minority population; experience; falls; health care delivery; health care settings; health disparity; improved; interest; intimate partner violence; medication compliance; member; minority communities; novel coronavirus; pandemic disease; pre-exposure prophylaxis; preservation; prevention service; public health emergency; public health relevance; response; sex; social; social stigma; social structure; socioeconomics; sound; stressor; study population; uptake

Project Summary This administrative supplement (PA-18-591) in response to NOT-AA-20-011, leverages an existing NIAAA U34 study for time-sensitive research on the impact of social environmental stressors related to COVID-19 on patient and provider experience in the HIV continuum of care for the most HIV-affected ethnic minority female populations in S. Florida, now in one of the epicenters of the new pandemic. The public health emergency posed by COVID-19 has caused unprecedented disruption in daily living, social structures, and employment as mitigation mandates of social distancing have been enforced to slow the spread of illness. Emerging evidence suggests that the most severe consequences from the novel coronavirus and the mitigation efforts will fall upon U.S. ethnic minority populations historically burdened by health disparities. The parent study, “Optimizing PrEP Utilization among Alcohol and Other Drug (AOD) Using Women of Color” (U34AA026219), is the first such project devoted to improving implementation and uptake of PrEP among African American, LatinX and Haitian women in the HIV hotspots of S. Florida and has produced a replicable model driven by community-based participatory research (CBPR). Before COVID-19, these study populations had limited economic resources, prevalent health disparities and reported high levels of intimate partner violence. The possible deleterious effects of the pandemic have not yet been investigated or reported for women of color in the South or for the HIV health care providers that serve them. The supplement will utilize longitudinal, mixed methods data collection within the parent study’s social ecological framework to fill critical knowledge gaps about the pandemic’s impact on engagement in care and adherence to PrEP and supportive services for alcohol and drug use, mental health, and other ancillary care in the three key ethnic minority populations of women. Our specific aims include: 1) remotely assess experiences in AOD use, engagement in care, PrEP medication adherence, and HIV risk factors among a sample of women of color at risk for HIV who are currently enrolled participants in the parent study, comparing measures taken pre-COVID-19, (T1), to post-COVID assessments, (T2 and T3), taken 3 months apart; 2) measure via internet surveys changes in health services delivery and social distancing due to the pandemic on access to and perceived quality of care, patient trust, and provider stress among a group of health care workers who participated in the community mobilization phase of the parent study; and 3) remotely conduct semi-structured interviews with a subset of women from Aim 1 and health providers from Aim 2 to explore COVID-related experiences, needs, areas for improvement in care, and strategies to engage and retain AOD-using women in the HIV continuum of care. The methods and implementation of the proposed aims will be fulfilled within the parent study’s CBPR framework and will inform efforts to offset the adverse stressors of the pandemic and preserve gains that have been made in HIV prevention in these populations.

项目摘要 这项行政补充（PA-18-591）响应于NOT-AA-20-011，利用现有的NIAAA U34 对时间敏感的研究，研究与Covid-19对患者有关的社会环境压力源的影响 以及提供者在艾滋病毒连续体方面的经验，对最受艾滋病毒影响的少数民族女性 佛罗里达州的人口，现在是新大流行的中心之一。公共卫生紧急定位 Covid-19造成了日常生活，社会结构和就业的前所未有的破坏 缓解社会距离的授权已被执行以减缓疾病的传播。新兴证据 表明新型冠状病毒和缓解工作的最严重后果将落在 历史上，美国少数族裔人口遭到健康差异的烧毁。父母研究，“优化准备 使用有色女性（U34AA026219）在酒精和其他药物（AOD）之间的利用是第一个这样的项目 致力于改善非裔美国人，拉丁裔和海地妇女的实施和吸收 在S. Florida的HIV热点中，并制作了一个由社区参与驱动的可复制模型 研究（CBPR）。在Covid-19之前，这些研究人群的经济资源有限，健康状况普遍 差异和报告的高度亲密伴侣暴力。大流行的可能有害影响 尚未对南部有色妇女或艾滋病毒医疗保健提供者进行调查或报告 为他们服务。该补充剂将利用父母研究中的纵向混合方法数据收集 社会生态框架，以填补有关大流行对参与护理影响的关键知识差距 并遵守饮酒和吸毒，心理健康和其他辅助护理的准备和支持服务 在三个关键的妇女少数民族中。我们的具体目的包括：1）远程评估经验 在AOD中，从事护理，预备药物依从性和艾滋病毒危险因素中的妇女样本中 目前正在参加父母研究的参与者的艾滋病毒风险的颜色，比较采取的措施 covid-19，（t1），进行杂化后评估，（T2和T3），分开3个月； 2）通过互联网测量 调查由于进入和 一群卫生保健工作者的护理质量，患者信任和提供者的压力 参加父母研究的社区动员阶段； 3）远程进行半结构化 AIM 1的一部分妇女和AIM 2的健康提供者的访谈以探索与共同相关的妇女 经验，需求，改善护理领域以及参与和保留AOD妇女的战略 艾滋病毒的护理连续性。提出的目标的方法和实施将在 父母研究的CBPR框架，并将为努力弥补大流行的广告压力源 保存这些人群中预防艾滋病毒的收益。

项目成果

Assessing the Preliminary Efficacy of a Nonrandomized, Clinic-Based HIV Risk Reduction Pilot Intervention for PrEP-Initiated, Alcohol- and Other Drug-Using Women of Color in Miami, FL.

• DOI: 10.1007/s40615-022-01482-5
• 发表时间: 2023-12
• 期刊: JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES
• 影响因子: 3.9
• 作者: Ichite, Amanda;Jean-Gilles, Michele;Rosenberg, Rhonda;Abbamonte, John;Devieux, Jessy G
• 通讯作者: Devieux, Jessy G

Understanding the Impact of Intimate Partner Violence Type and Timing on Pre-exposure Prophylaxis Knowledge, Acceptability, Sexual Behavior, and Gender Roles Among Women of Color.

了解亲密伴侣暴力类型和时间对有色人种女性暴露前预防知识、可接受性、性行为和性别角色的影响。

• DOI: 10.1177/08862605211001468
• 发表时间: 2022
• 期刊: Journal of interpersonal violence
• 影响因子: 2.5
• 作者: Villalba,Karina;Jean-Gilles,Michele;Rosenberg,Rhonda;Cook,RobertL;Ichite,Amanda;Martin,Pilar;Dévieux,JessyG
• 通讯作者: Dévieux,JessyG