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 本行政补充文件（PA-18-591）是对NOT-AA-20-011的回应，利用现有的NIAAA U34 针对与COVID-19相关的社会环境压力源对患者影响的时间敏感性研究的研究 在艾滋病毒感染最严重的少数民族女性的艾滋病毒连续护理方面的经验和提供者 种群在S.佛罗里达，现在是新的流行病的中心之一。突发公共卫生事件 COVID-19对日常生活、社会结构和就业造成了前所未有的破坏， 为了减缓疾病的传播，实施了社交距离的缓解任务。新出现的证据 这表明，新型冠状病毒和缓解措施的最严重后果将落在 美国少数民族人口历来受到健康差距的困扰。母研究，“优化PrEP 有色人种妇女使用酒精和其他药物的情况”（U34 AA 026219）是第一个这样的项目 致力于改善非裔美国人、拉丁美洲人和海地妇女对PrEP的实施和吸收 在S.佛罗里达，并产生了一个可复制的模式，由社区为基础的参与驱动， 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 不平等和据报亲密伴侣暴力行为的严重程度。大流行病可能产生的有害影响 尚未对南方有色人种妇女或艾滋病毒卫生保健提供者进行调查或报告 为他们服务。该补充将在母研究中采用纵向混合方法收集数据。 社会生态框架，以填补关于大流行病对参与护理的影响的关键知识空白 以及坚持PrEP和酒精和药物使用，心理健康和其他辅助护理的支持服务 在三个主要少数民族妇女人口中。我们的具体目标包括：1）远程评估经验 在AOD使用，护理参与，PrEP药物依从性和样本妇女中的艾滋病毒风险因素 目前参加母研究的有HIV风险的有色人种， COVID-19前（T1）到COVID后评估（T2和T3），间隔3个月; 2）通过互联网测量 调查大流行导致的卫生服务提供和社交距离的变化， 一组医疗保健工作者感知的护理质量、患者信任和提供者压力， 参与了家长研究的社区动员阶段; 3）远程进行半结构化 对目标1中的一部分妇女和目标2中的卫生提供者进行访谈，以探索与COVID相关的 经验、需求、护理方面需要改进的领域，以及吸引和留住使用AOD的妇女的战略， 艾滋病毒持续护理。拟议目标的方法和实施将在 母公司研究的CBPR框架，并将为抵消大流行的不利压力因素的努力提供信息， 保护在这些人群中预防艾滋病毒方面取得的成果。

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