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

基本信息

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
项目类别：
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

项目摘要

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.

抽象的这种多样性补充的目的是利用全球定位系统（GPS）空间移动性数据指南深入的定性访谈，以研究少数交叉的前提和后果使用兴奋剂的HIV阴性黑人和拉丁裔性少数族裔（SMM）的压力。黑色和拉丁裔SMM 经历与艾滋病毒相关的严重健康差异，这些差异通过同时使用的兴奋剂而放大。在2018年，在所有新的美国艾滋病毒感染中，有47％是黑人和拉丁裔SMM。重叠的结构因素，例如种族主义，异性恋，监禁和建筑环境中的城市移民模式很重要这些种族差异的驱动力。使用GPS跟踪来分析空间迁移率将使我们能够使用目标位置数据与参与者的叙述配对，解释了某些空间内的相互作用如何导致污名化的经历，以及这些如何影响物质使用行为。我们可以使用这个配对的混合方法的方法可以放置在结果之前，即环境运动之前交叉污名和相应的物质使用。这是GPS方法的新应用促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数据了解空间迁移率对交叉污名，兴奋剂使用和艾滋病毒风险。我们将注册30个居住在佛罗里达州南部的HIV阴性黑人和拉丁裔性少数民族男性，他们使用兴奋剂作为父r01的一部分。实施混合方法设计，首先从参与者那里收集GPS数据它们在感兴趣的不同领域的地理流动性，包括工作，家庭，社交和性活动两周跨度的空间。以下定性组件将利用移动图来指导深入的定性访谈，以了解他们的动态运动与截面的污名各不相同，并且（如果有的话）对它们的物质使用有何影响。指导和培训：拟议的多样性补充培训计划由Adam Carrico博士赞助并由Drs共同赞助。达斯汀·邓肯（Dustin Duncan）和奥黛丽·哈克尼斯（Audrey Harkness）。培训包括GP中的高级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，心理病理学，社会心理学的设计和实施以及与成瘾以及预防HIV，护理和治疗科学有关的认知神经科学。这种多样性补充剂将为计划的F32应用提供理想的基础，我将在此工作以这项工作为基础将生态瞬时评估（EMA）方法与GPS数据收集整合在环境环境中，燃料刺激性和艾滋病毒风险的交叉污名的经历各不相同。