Stop-and-Frisk, Arrest, and Incarceration and STI/HIV Risk in Minority MSM

少数男男性接触者中的拦截搜查、逮捕和监禁以及性传播感染/艾滋病毒风险

基本信息

项目摘要

PARENT AWARD ABSTRACT Minority gay, bisexual, or other sexual minority men contend with stigma and discrimination based on sexual orientation and race, resulting in social isolation, and poverty risk that disproportionately impacts all minority groups. These factors contribute to mental/drug disorders, sex risk, and disproportionate STI/HIV, with half of black gay men and one-quarter of Hispanic gay men HIV-infected. Another prevalent structural determinant of STI/HIV that disproportionately affects minority MSM, yet that remains largely unexamined in this group, is criminal justice involvement (CJI). CJI for many minority MSM begins early in the life course with police stops and searches; our preliminary studies in New York City indicate one-third of minority MSM approximately 20 years of age have been stopped and searched (or “frisked”) in the past 12 months. CJI evolves to arrest and detainment and for many, incarceration, with over half of some minority MSM groups experiencing jail or prison incarceration. Each step of the criminal justice process–being stopped by police, arrested, detained while awaiting trial often in over-crowded conditions, interacting with court-appointed lawyers–can be disempowering, demeaning, and for some may present physical threat. In other populations, CJI has been documented as a determinant of disrupted social and support networks, depression, substance use, and sex risk (leading to increased STI/HIV infection). Our understanding of pathways mediating associations between CJI and STI/HIV risk has informed development of programs for heterosexual minorities affected by CJI. This proposal is motivated by the prospect of developing policies and prevention programs for minority MSM. The effects of CJI on STI/HIV may differ for minority MSM; CJI may work synergistically with low social support, stigma/discrimination, and poverty to have particularly strong effects in this group. In addition, pathways linking CJI and STI/HIV risk also may differ for minority MSM. For example, while disruption of network ties may place minority MSM at risk, as we have observed in heterosexual minorities, other pathways may be equally critical because of high baseline risk of stigma and poverty. To address current critical gaps in our understanding of the effects of CJI on health, we have compiled a compendium of data sources to examine the effect of CJI on STI/HIV risk in minority MSM. Using the HIV Prevention Trials Network 061 (HPTN 061) cohort of black MSM and the Project 18 (P18) Cohorts 1 and 2 of minority MSM, we will evaluate longitudinal associations between multiple levels of CJI (stop-and-frisk, arrest, incarceration) and STI/HIV risk outcomes. We will describe the potential mediating roles of CJI-related disruption of social support networks, stigma, poverty, and resulting depression and substance use. In light of recent calls for changes to criminal justice policy, we aim to use computer simulation to model the impact of implementing polices to reduce CJI and improve correctional settings on HIV transmission in minority MSM and the larger population. Findings will inform evidence-based discussions about how to modify policy and programs to reduce HIV risk in a highly vulnerable population.
家长奖励摘要

项目成果

期刊论文数量(3)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Sexual Risk Behavior and Lifetime HIV Testing: The Role of Adverse Childhood Experiences.
性风险行为和终生艾滋病毒测试:不良儿童经历的作用。
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Maria Rabia Khan其他文献

Maria Rabia Khan的其他文献

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{{ truncateString('Maria Rabia Khan', 18)}}的其他基金

Strengthening Pathways between Hispanic-Serving Institutions and Leadership in Addiction Science
加强拉美裔服务机构与成瘾科学领导力之间的途径
  • 批准号:
    10663167
  • 财政年份:
    2022
  • 资助金额:
    $ 49.15万
  • 项目类别:
Strengthening Pathways between Hispanic-Serving Institutions and Leadership in Addiction Science
加强拉美裔服务机构与成瘾科学领导力之间的途径
  • 批准号:
    10372633
  • 财政年份:
    2022
  • 资助金额:
    $ 49.15万
  • 项目类别:
Stop-and-Frisk, Arrest, and Incarceration and STI/HIV Risk in Minority MSM
少数男男性接触者中的拦截搜查、逮捕和监禁以及性传播感染/艾滋病毒风险
  • 批准号:
    9919525
  • 财政年份:
    2017
  • 资助金额:
    $ 49.15万
  • 项目类别:
Longitudinal Study of Trauma, HIV Risk, and Criminal Justice Involvement
创伤、艾滋病毒风险和刑事司法参与的纵向研究
  • 批准号:
    8973980
  • 财政年份:
    2014
  • 资助金额:
    $ 49.15万
  • 项目类别:
Longitudinal Study of Trauma, HIV Risk, and Criminal Justice Involvement
创伤、艾滋病毒风险和刑事司法参与的纵向研究
  • 批准号:
    8732163
  • 财政年份:
    2014
  • 资助金额:
    $ 49.15万
  • 项目类别:
Longitudinal Study of Trauma, HIV Risk, and Criminal Justice Involvement
创伤、艾滋病毒风险和刑事司法参与的纵向研究
  • 批准号:
    9022456
  • 财政年份:
    2014
  • 资助金额:
    $ 49.15万
  • 项目类别:
Relationship Disruption during Incarceration and HIV Risk in African American Men
非裔美国男性监禁期间关系破裂和艾滋病毒风险
  • 批准号:
    8301699
  • 财政年份:
    2010
  • 资助金额:
    $ 49.15万
  • 项目类别:
Relationship Disruption during Incarceration and HIV Risk in African American Men
非裔美国男性监禁期间关系破裂和艾滋病毒风险
  • 批准号:
    8536782
  • 财政年份:
    2010
  • 资助金额:
    $ 49.15万
  • 项目类别:
Relationship Disruption during Incarceration and HIV Risk in African American Men
非裔美国男性监禁期间关系破裂和艾滋病毒风险
  • 批准号:
    8702126
  • 财政年份:
    2010
  • 资助金额:
    $ 49.15万
  • 项目类别:
Relationship Disruption during Incarceration and HIV Risk in African American Men
非裔美国男性监禁期间关系破裂和艾滋病毒风险
  • 批准号:
    8114996
  • 财政年份:
    2010
  • 资助金额:
    $ 49.15万
  • 项目类别:

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HIV/AIDS prevention and intervention: HIV surveillance methods, Per-exposure prophylaxis eligibility and HIV/STI testing behaviours among a cohort of people living with HIV.
HIV/艾滋病预防和干预:HIV 感染者群体中的 HIV 监测方法、每次暴露预防资格和 HIV/STI 检测行为。
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International Traineeships in AIDS Prevention Studies (ITAPS)
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    2020
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UCLA AIDS Prevention and Treatment Clinical Trials Unit
加州大学洛杉矶分校艾滋病预防和治疗临床试验单位
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  • 财政年份:
    2020
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International Traineeships in AIDS Prevention Studies (ITAPS)
艾滋病预防研究国际培训(ITAPS)
  • 批准号:
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International Traineeships in AIDS Prevention Studies (ITAPS)
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减少耻辱感,改善博茨瓦纳艾滋病毒感染青少年的艾滋病毒/艾滋病预防、治疗和护理
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减少耻辱感,改善博茨瓦纳艾滋病毒感染青少年的艾滋病毒/艾滋病预防、治疗和护理
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Closing the Gap: Involving Indigenous Elders and youth in HIV/AIDS prevention using participatory filmmaking
缩小差距:利用参与式电影制作让土著老年人和青年参与艾滋病毒/艾滋病预防工作
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