Changes in Alcohol Availability and HIV Rates

酒精供应量和艾滋病毒感染率的变化

• 批准号: 7283270
• 负责人: RICHARD ALLEN SCRIBNER
• 金额: $ 26.93万
• 依托单位: LSU HEALTH SCIENCES CENTER
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7283270
• 关键词: AIDS/HIV problem; Address; Adopted; Affect; Alcohol abuse; Alcohol consumption; Alcohols; Behavior; Censuses; Cities; Contracts; Data; Databases; Employee; Environment; Faculty; Fees; Goals; Gonorrhea; Growth; HIV; Health; Individual; Intervention; Licensing; Longitudinal Studies; Louisiana; Measures; Modeling; Numbers; Outcome; Policies; Public Health; Public Health Schools; Rate; Reporting; Research Personnel; Risk; Series; Social Problems; Source; Universities; Violence; alcohol availability; density of AOD outlets; design; high risk sexual behavior; programs; trend

DESCRIPTION (provided by applicant): Changes in Alcohol Availability and HIV/AIDS Risk Structural interventions considered relevant to reduce HIV/AIDS risk have been characterized in terms of a matrix (Blankenship, Bray et al. 2000). In 1997 the City of New Orleans adopted a series of policies (i.e., increased license fee, additional enforcement staff, expanded powers for the alcohol license board) that represent an organizational intervention to affect the accessibility of alcohol. As a structural intervention the policy changes in New Orleans can be studied in terms of their impact on HIV/AIDS risk. To accomplish this goal a longitudinal study of the effect of changes in alcohol accessibility on HIV/AIDS and gonorrhea risk is proposed. The specific aims are: Specific Aim 1. To develop a census tract level database for New Orleans and Baton Rouge tracts that incorporates spatially referenced data on HIV/AIDS risk (i.e., HARS data), gonorrhea risk (i.e. reported gonorrhea cases), alcohol availability (i.e., alcohol outlet density data), and sociodemographic risk (i.e. census data) for all tracts over a twelve year period (i.e., 1995 through 2006). Specific Aim 2. To conduct a pair of longitudinal analysis at the census tract level utilizing a repeated measures design of STD rates nested with census tracts (i.e., multilevel growth models) to assess the effect of the 1997 New Orleans alcohol policy changes on rates of HIV/AIDS and gonorrhea over a 12 year period. Controls for additional structural level predictors of risk as well as the effects of spatial and temporal autocorrelation will be addressed. Study Hypothesis 1: Among census tracts in New Orleans the trend in HIV/AIDS and gonorrhea rates over the study period will be more negative compared with census tracts in Baton Rouge. Study Hypothesis 2: Changes in alcohol outlet density at the census tract level will explain a significant amount of the trend in HIV/AIDS and gonorrhea rates over the study period.

描述（由申请人提供）：酒精供应和艾滋病毒/艾滋病风险的变化