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
- 批准号:10442045
- 负责人:
- 金额:$ 49.15万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2021
- 资助国家:美国
- 起止时间:2021-09-01 至 2023-04-30
- 项目状态:已结题
- 来源:
- 关键词:20 year oldAIDS preventionAddressAdministrative SupplementAffectAgricultureApplications GrantsAwardBisexualCaringChicagoCommunicable DiseasesCommunitiesCommunity Health NetworksComputer SimulationCriminal JusticeCrowdingDataData SourcesDevelopmentDiscriminationDiseaseDoctor of PhilosophyEducationEducational StatusEpidemiologyFundingFutureGaysHIVHIV InfectionsHIV prevention trials networkHIV riskHIV/STDHealthHealth PersonnelHealthcareHeterosexualsHispanicsHistorically Black Colleges and UniversitiesHomophobiaHuman immunodeficiency virus testImprisonmentIndividualInstitutionInterventionIntervention StudiesInterviewJailKnowledgeLawyersLife Cycle StagesLightLinkManuscriptsMarylandMediatingMental DepressionMethodsMinorityMinority GroupsModelingNational Institute of Drug AbuseNew YorkNew York CityNorth CarolinaOutcomeParentsPathway interactionsPharmaceutical PreparationsPilot ProjectsPolicePoliciesPopulationPovertyPreparationPreventionPrevention approachPrevention programPrisonsProcessProgram DevelopmentProviderPsyche structureQualitative MethodsRaceRecording of previous eventsResearchResearch PersonnelRiskRoleSamplingSex OrientationSexual and Gender MinoritiesSiteSocial WorkSocial isolationSocial supportStructureStudentsTrainingUniversitiesViolenceVulnerable PopulationsWorkaddictionbaseblack men who have sex with mencare systemscohesioncohortcollegecommunity organizationscommunity settingcourtdesigndistrustepidemiology studyevidence baseexperiencegeographic riskhealthcare communityimplementation determinantsimprovedmeetingsmembermenmen who have sex with menmen&aposs groupnovelpre-exposure prophylaxispreventpreventive interventionprimary care servicesprogramsracial and ethnicracismrecruitscreeningservice organizationsex risksexual minoritysocial stigmasubstance usetransgender womentransmission processundergraduate student
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.
家长奖摘要
少数族裔男同性恋者、双性恋者或其他性少数族裔男子与基于性别的污名和歧视作斗争
取向和种族,导致社会孤立和贫困风险,对所有少数群体造成不成比例的影响
组。这些因素导致精神/药物障碍、性风险和不成比例的性传播感染/艾滋病毒,其中一半
黑人男同性恋者和四分之一的西班牙裔男同性恋者感染了艾滋病毒。另一个流行的结构性决定因素
STI/HIV对少数族裔MSM的影响不成比例,但在这一群体中基本上仍未得到检查,是
刑事司法介入(CJI)。对于许多少数族裔MSM来说,CJI在生命过程的早期就开始了,警察会阻止他们
和搜查;我们在纽约市的初步研究表明,三分之一的少数民族MSM约有20%
在过去的12个月里,许多儿童被拦截并搜查(或“搜身”)。CJI演变为逮捕和
拘留,对许多人来说,是监禁,超过一半的少数族裔男男性接触者群体经历了监狱或监狱
监禁。刑事司法程序的每一步--被警察拦截、逮捕、拘留
等待审判通常是在拥挤的条件下,与法院指定的律师互动-可能是
剥夺权力、贬低身份,对一些人来说可能会构成身体上的威胁。在其他人群中,CJI一直是
被记录为社交和支持网络中断、抑郁、药物使用和性行为的决定因素
风险(导致性传播感染/艾滋病毒感染增加)。我们对中介联系的途径的理解
CJI和性传播感染/艾滋病毒风险为受CJI影响的异性恋少数群体制定了方案。这
提案的动机是制定针对少数族裔MSM的政策和预防计划的前景。这个
CJI对STI/HIV的影响可能因少数MSM不同而不同;CJI可能与低社会支持协同作用,
耻辱/歧视和贫穷对这一群体的影响尤其强烈。此外,连接路径的路径
少数族裔男男性行为者的CJI和STI/HIV风险也可能不同。例如,虽然网络联系的中断可能会
少数族裔MSM处于危险之中,正如我们在异性少数群体中观察到的那样,其他途径可能也同样关键
因为高基线风险的耻辱和贫困。要解决目前我们对
CJI对健康的影响,我们编写了一份数据来源概要,以检查CJI对健康的影响
少数民族男男性接触者性传播感染/艾滋病风险。使用HIV预防试验网络061(HPTN 061)的黑人MSM队列
和项目18(P18)队列1和2,我们将评估少数民族MSM之间的纵向关联
多个级别的CJI(截查、逮捕、监禁)和性传播感染/艾滋病毒风险结果。我们将描述
与CJI相关的社会支持网络中断、耻辱、贫困和由此产生的潜在中介作用
抑郁和药物使用。鉴于最近要求改变刑事司法政策的呼声,我们打算利用
计算机模拟模拟实施政策对减少CJI和改善矫正的影响
少数民族男男性接触者和较大人群中艾滋病毒传播的环境。调查结果将为以证据为基础的
讨论如何修改政策和计划,以降低高度脆弱人群中的艾滋病毒风险。
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。
- DOI:10.3390/ijerph19074372
- 发表时间:2022-04-05
- 期刊:
- 影响因子:0
- 作者:Dyer TV;Turpin RE;Hawthorne DJ;Jain V;Sayam S;Mittal M
- 通讯作者:Mittal M
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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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