Understanding intersectional stigma and substance use through GPS spatial mobility data

通过 GPS 空间移动数据了解交叉耻辱和物质使用

• 批准号: 10372510
• 负责人: Adam Wayne Carrico
• 金额: $ 6.61万
• 依托单位: UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-07-01 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10372510
• 关键词: AIDS prevention; Area; Behavior; Caring; Centers for Disease Control and Prevention (U.S.); Cocaine; Communities; Complex; Computing Methodologies; Consequentialism; County; Crack Cocaine; Data; Data Analyses; Data Collection; Devices; Ecological momentary assessment; Enrollment; Environment; Epidemic; Exhibits; Exposure to; Florida; Foundations; Gays; Geographic Information Systems; Geography; Global Positioning System; Goals; HIV; HIV Infections; HIV Seronegativity; HIV risk; Health; Health Services Accessibility; Home; Immigration; Imprisonment; Incidence; Interview; Latinx; Lead; Location; Maps; Mentors; Methamphetamine; Methodology; Methods; Minority; Monitor; Movement; Neighborhoods; Outcome; Parents; Participant; Patient Self-Report; Pattern; Polygamy; Poverty; Powder dose form; Prevalence; Psychopathology; Qualitative Research; Randomized; Recording of previous events; Research; Research Methodology; Research Project Grants; Research Training; Risk; Science; Services; Sex Behavior; Sexual Partners; Smoking; Social Psychology; Socialization; Stigmatization; Stress; Structure; Surveys; Testing; Time; Training; Travel; Uninsured; United States; Visit; Work; addiction; alcohol use disorder; base; built environment; cognitive neuroscience; condoms; control trial; design; ethnic minority population; experience; federal poverty level; health disparity; health service use; inclusion criteria; interest; men; methamphetamine use; migration; novel; peer; pre-exposure prophylaxis; prevent; prevention service; racial disparity; racial minority; racism; recruit; screening; sexual minority; social; social stigma; stimulant use; stimulant use disorder; substance use; trend; urban area

ABSTRACT The goal of this diversity supplement is to leverage global positioning systems (GPS) spatial mobility data to guide in-depth qualitative interviews examining the antecedents and consequences of intersectional minority stress in HIV-negative Black and Latinx sexual minority men (SMM) who use stimulants. Black and Latinx SMM experience profound HIV-related health disparities that are amplified by co-occurring use of stimulants. In 2018, 47% of all new US HIV infections were among Black and Latinx SMM. Overlapping structural factors such as racism, heterosexism, incarceration, and urban migration patterns within the built environment are important drivers of these racial disparities. Use of GPS tracking to analyze spatial mobility will allow us to use objective location data paired with narratives from participants explaining how interactions within certain spaces lead to stigmatizing experiences, and how those impact substance use behaviors. We can use this paired, mixed method approaches to place to the exposure before the outcomes, i.e., the environmental movements before the intersectional stigma and consequential substance use. This is a novel application of GPS methods to advance our understanding of intersectional stigma. To our knowledge, no previous studies have used GPS data to understand the impact of spatial mobility on the relationships among intersectional stigma, stimulant use, and HIV risk. We will Enroll 30 HIV-negative Black and Latinx sexual minority men living in South Florida who use stimulants as part of parent R01. Implement a mixed-methods design, first collecting GPS data from participants to plot their geographic mobility within the different areas of interests, including work, home, social and sexual activity spaces over a two-week span. A following qualitative component would leverage the mobility maps to guide an in-depth qualitative interview to understand how their dynamic movements related to experiences of intersectional stigma vary across settings, and what (if any) implications this has for their substance use. Mentoring and Training: The proposed diversity supplement training plan is sponsored by Dr. Adam Carrico and co-sponsored by Drs. Dustin Duncan and Audrey Harkness. Training includes advanced methods in GPS spatial mobility data collection and analysis, geographic information systems (GIS) computation methodology, design and implementation of intersectional stigma qualitative research, psychopathology, social psychology, and cognitive neuroscience relevant to addiction, and HIV prevention, care and treatment science. This diversity supplement will provide an ideal foundation for a planned F32 application where I will build upon this work to integrate ecological momentary assessment (EMA) methods with GPS data collection to understand how the experiences of intersectional stigma that fuel stimulant use and HIV risk vary across environmental contexts.

摘要 这种多样性补充的目标是利用全球定位系统（GPS）空间移动数据， 指导深入的定性访谈，检查交叉少数民族的前因后果 使用兴奋剂的HIV阴性黑人和拉丁裔性少数男性（SMM）的压力。黑人和拉丁裔SMM 艾滋病毒感染者在健康方面存在严重差距，而同时使用兴奋剂又加剧了这种差距。在2018年， 在美国所有新的艾滋病毒感染者中，47%是黑人和拉丁裔SMM。重叠的结构性因素，如 建筑环境中的种族主义、异性恋、监禁和城市移民模式很重要 这些种族差异的驱动因素。使用GPS跟踪来分析空间移动性将使我们能够使用客观的 位置数据与参与者的叙述配对，解释某些空间内的互动如何导致 污名化的经历，以及这些如何影响物质使用行为。我们可以用这个配对的，混合的 在结果之前放置暴露的方法，即，之前的环保运动 交叉的耻辱和随之而来的物质使用。这是GPS方法的一种新应用， 推进我们对交叉污名的理解。据我们所知，以前没有研究使用GPS数据， 了解空间流动性对交叉污名、兴奋剂使用和 艾滋病毒风险。 我们将招募30名居住在南佛罗里达使用兴奋剂的HIV阴性黑人和拉丁裔性少数男性 作为父R01的一部分。实施混合方法设计，首先收集参与者的GPS数据， 他们在不同兴趣领域的地理流动性，包括工作、家庭、社会和性活动 两周的空间。以下定性部分将利用移动地图来指导 深入的定性访谈，以了解他们的动态运动如何与 交叉污名在不同的环境中各不相同，以及这对他们的物质使用有什么影响（如果有的话）。 指导和培训：拟议的多样性补充培训计划由Adam Carrico博士赞助。 由达斯汀邓肯博士和奥黛丽·哈克尼斯博士共同赞助培训包括全球定位系统的先进方法 空间移动性数据收集和分析、地理信息系统（GIS）计算方法， 交叉污名定性研究的设计和实施，精神病理学，社会心理学， 与成瘾有关的认知神经科学，以及艾滋病毒预防、护理和治疗科学。这种多样性 补充将为计划中的F32应用程序提供理想的基础，我将在此基础上进行工作， 将生态瞬时评估（EMA）方法与GPS数据收集相结合， 在不同的环境背景下，助长兴奋剂使用和艾滋病毒风险的交叉污名化的经历各不相同。