Impact of COVID-19 Criminal-Legal Practices on HIV Risk among Women Who Use Drugs: A Multi-Methods Qualitative Exploration

COVID-19 刑事法律实践对吸毒女性艾滋病毒风险的影响：多方法定性探索

• 批准号: 10481416
• 负责人: Amy Brooks Smoyer
• 金额: $ 41.46万
• 依托单位: SOUTHERN CONNECTICUT STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-05-01 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10481416
• 关键词: AIDS prevention; Academic Research Enhancement Awards; Acute; Address; Adult; Attention; Behavior; COVID-19; COVID-19 impact; COVID-19 pandemic; COVID-19 prevention; Calendar; Communities; Connecticut; Consensus; Correctional Institutions; Crowding; Data; Drops; Drug usage; Economics; Employment; Environment; Goals; HIV; HIV risk; Harm Reduction; Healthcare; Housing; Imprisonment; Incidence; Individual; Interpersonal Relations; Interruption; Interview; Journals; Justice; Knowledge; Lead; Left; Legal; Legal system; Mediating; Mediation; Mental Health; Methods; Newly Diagnosed; Outcome; Paper; Participant; Peer Review; Persons; Police; Poverty; Prisons; Procedures; Psychiatric Social Work; Public Policy; Qualitative Methods; Research; Risk Behaviors; Sampling; Services; Shapes; Social Distance; Social Work; Social support; Sterility; Students; Syringes; Time; Uncertainty; United States National Institutes of Health; Universities; Woman; Work; addiction; base; care systems; community based service; community engaged research; community setting; condoms; coronavirus disease; digital; drug use behavior; experience; health care availability; health care service; improved; life history; pre-exposure prophylaxis; preventive intervention; prison population; programs; protective factors; psychosocial; response; social science research; socioeconomics; symposium; tool; undergraduate student; web site

Project Summary/Abstract The goal of this R15 Academic Research Enhancement Award (AREA) study is to build knowledge about the impact of COVID-19 shifts in criminal-legal practices on the HIV risk behaviors of justice-involved women who use drugs (WWUD). WWUD are disproportionately impacted by HIV. Incarceration has been identified as one of the myriad individual and structural factors that elevates the HIV risk of WWUD. During the COVID-19 pandemic, the number of women incarcerated in Connecticut was drastically reduced to avoid prison crowding. This change in criminal-legal practices created an opportunity to build knowledge about the impact of non- incarceration responses to illicit behavior on the HIV risk of WWUD. The specific aims of the study are to (1) Provide undergraduate students at Southern Connecticut State University the opportunity to gain significant experience with community engaged research; (2) Identify the pre-COVID-19 HIV risk behaviors and protective factors of justice-involved WWUD; (3) Document and assess HIV risk during COVID-19 among justice-involved WWUD. Multiple methods will be used in this longitudinal qualitative study. First, qualitative life history interviews will be conducted with 30 formerly incarcerated adult WWUD in New Haven, CT, in order to understand and describe their lived experiences and HIV risk prior to COVID-19. This data will create a baseline understanding about their psychosocial conditions and interactions with criminal-legal systems. Next, the same sample of women will participate in individual calendar-based interviews in order to document their HIV risk and interactions with criminal-legal systems during COVID-19 (March 2020 – March 2022). After these interviews have been conducted, a sub-sample of 10 study participants will participate in an 8-week digital storytelling program. The digital stories produced during this stage of the study will offer additional data about participants’ lives during COVID-19 that will triangulate the calendar data and offer a creative tool for sharing findings with community. Rapid Qualitative Inquiry methods will be used to collect, manage, and analyze data in ways that centers team-based work, insiders’ perspectives, and iterative practices that facilitate rapid understanding and dissemination of findings. All aspects of this study will be developed and conducted by a diverse team of undergraduates in partnership with community consultants who have been personally impacted by incarceration and drug use. Students will meet regularly with the PI and consultants, conduct 12 interviews each, co-facilitate the digital storytelling project, analyze data, author papers, and disseminate findings. A website will be developed to share preliminary findings and final analyses, and the study team will present findings at academic conferences, community forums, and through peer-reviewed journals. By diversifying the research workforce and analyzing the COVID-era experiences of WWUD, this project aligns with NIH’s commitment to social science research that addresses the structural determinants of HIV risk.

项目摘要/摘要 本R15学术研究增强奖(AREA)研究的目标是建立关于 新冠肺炎刑事-法律实践转变对参与司法的妇女艾滋病毒危险行为的影响 使用药物(WWUD)。WWUD受到艾滋病毒的影响不成比例。监禁已被确认为 导致WWUD艾滋病毒风险升高的众多个人和结构性因素。新冠肺炎期间 在大流行期间，康涅狄格州被监禁的妇女人数大幅减少，以避免监狱拥挤。 刑事法律实践的这种变化创造了一个机会，以建立关于非 对非法行为的监禁反应关于WWUD的艾滋病毒风险。研究的具体目的是：(1) 为南康涅狄格州立大学的本科生提供机会 具有社区参与研究的经验；(2)识别新冠肺炎前的艾滋病毒危险行为和防护措施 正义因素--参与WWUD；(3)记录和评估参与正义的人在新冠肺炎期间的艾滋病毒风险 WWUD。在这项纵向定性研究中，将使用多种方法。第一，质的生活史 将对康涅狄格州纽黑文的30名曾被监禁的成年WWUD进行采访，以便 了解并描述他们在新冠肺炎之前的生活经历和艾滋病毒风险。该数据将创建一个 基本了解他们的心理社会状况以及与刑事法律制度的互动。下一首, 相同样本的女性将参加基于日历的个人访谈，以记录她们的 新冠肺炎期间(2020年3月至2022年3月)艾滋病毒风险及其与刑事-法律系统的互动。在这些之后 访谈已经进行，10名研究参与者的子样本将参与为期8周的数字 讲故事节目。在研究的这一阶段产生的数字故事将提供关于 参与者在新冠肺炎期间的生活将对日历数据进行三角测量，并提供一种创造性的共享工具 与社区合作的发现。将使用快速定性查询方法来收集、管理和分析数据 以基于团队的工作、内部人员的观点和迭代实践为中心的方式，促进快速 理解和传播调查结果。这项研究的所有方面都将由 与社区顾问合作的不同的本科生团队，他们已经亲自 受到监禁和吸毒的影响。学生将定期与PI和顾问会面，进行12次 采访每个人，共同促进数字讲故事项目，分析数据，撰写论文，并传播 调查结果。将开发一个网站，以分享初步调查结果和最终分析，研究小组将 在学术会议、社区论坛和同行评议的期刊上发表研究结果。通过 使研究人员多样化，并分析WWUD的COVID时代的经验，该项目符合 美国国立卫生研究院致力于社会科学研究，解决艾滋病毒风险的结构性决定因素。