Methamphetamine Use in the Suburbs: An Exploratory Study

郊区甲基苯丙胺的使用：一项探索性研究

• 批准号: 7253065
• 负责人: MIRIAM W BOERI
• 金额: $ 18.09万
• 依托单位: KENNESAW STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-06-01 至 2010-01-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7253065
• 关键词: Address; Affect; African American; Age; Area; Attention; Award; Beds; Behavior; Cities; Class; Constitution; County; Crack Cocaine; Data; Data Analyses; Data Collection; Depth; Development; Diffusion; Drug usage; Drug user; Environmental Impact; Environmental Risk Factor; Epidemic; Female; Functional disorder; Funding; Future; Goals; Grant; Health; Hispanics; Ice; Illicit Drugs; Individual; Injection of therapeutic agent; Interview; Journals; Knowledge; Lawyers; Life; Life Cycle Stages; Life Style; Methamphetamine; Methods; Needles; Neighborhoods; Participant; Pattern; Pharmaceutical Preparations; Population; Population Research; Prevention; Prevention intervention; Public Health; Qualitative Methods; Qualitative Research; Recording of previous events; Recruitment Activity; Relapse; Research; Research Methodology; Role; Rural; Sampling; Social Environment; Travel; USA Georgia; United States; United States Dept. of Health and Human Services; United States Substance Abuse and Mental Health Services Administration; Urban Population; Western Asia Georgia; career; computer program; concept; design; high risk sexual behavior; insight; life history; male; metropolitan; prevent; rapid growth; research study; rural area; suburb; theories; therapy development; treatment program; trend; urban area; ward

DESCRIPTION (provided by applicant): The broad, long-term objective of this exploratory study is to gain an understanding of emerging trends among methamphetamine users in the suburbs, focusing on how users initiate, maintain, moderate, remit or resume use of methamphetamine over the life course. Methamphetamine users living in the suburbs comprise a hidden population of hard-to-reach drug users, and we know very little about the mechanisms of initiation to methamphetamine and patterns of methamphetamine use among this particular population. The specific aims are: (1) to examine the initiation patterns, settings of use, and use behaviors of methamphetamine users living in the suburbs; and (2) to identify the transitions and turning points in the drug career of suburban methamphetamine users, with a focus on social roles across the life course. Recent health studies have found that methamphetamine users have higher levels of dysfunction and more serious health problems than users of other illicit drugs, including riskier sexual behaviors and injection practices. The guiding theoretical perspectives are symbolic interaction and life course theory, specifically the concept of social role transitions. Using qualitative research methods, a convenience sample of 50 active and 50 former users of methamphetamine will be recruited from the suburbs of Atlanta, Georgia. These suburbs have been identified as one of the areas in the U.S. most affected by the growing methamphetamine problem. The convenience sample will be driven by targeted and theoretical sampling methods. Only users age 18 and older will be interviewed, including male and female as well as African American, Hispanic and white users. Drug use history will be captured using a drug history matrix, a life history matrix, and in-depth audio-recorded interviews. Grounded theory methods will inform the data collection and analysis, wherein additional themes will be identified as they emerge from the data and confirmation of new findings will be supported in subsequent interviews. Data analysis includes triangulation of participant observation field notes, drug history matrices, life history matrices and in-depth interviews. The QSR N-Vivo computer program will be used to help manage the qualitative data. The in-depth knowledge gained from this study will help in the development of intervention and prevention initiatives to impede the spread of current and future methamphetamine epidemics into the suburbs. The broad findings of the study will help in the development of future large-scale research studies and guide the development of hypotheses, as well as inform treatment efforts and public health strategies for methamphetamine users. The findings of this study will help develop public health initiatives to address methamphetamine use. Recent health studies have found that methamphetamine users have higher levels of dysfunction and more serious health problems than users of other illicit drugs, including riskier sexual behaviors and injection practices. A greater understanding of the social contexts and diverse patterns of methamphetamine use and an in-depth knowledge of the diversity of methamphetamine users will help in designing more effective prevention and treatment programs.

描述（由申请人提供）：这项探索性研究的广泛、长期目标是了解郊区甲基苯丙胺使用者的新趋势，重点是使用者在生命过程中如何开始、维持、适度、缓解或恢复使用甲基苯丙胺。居住在郊区的甲基苯丙胺使用者构成了一个难以接触到的毒品使用者的隐藏人群，我们对这一特定人群中开始使用甲基苯丙胺的机制和使用甲基苯丙胺的模式知之甚少。具体目标是：（1）检查的启动模式，设置的使用，和使用行为的甲基苯丙胺用户生活在郊区;和（2）确定的过渡和转折点，在毒品生涯的郊区甲基苯丙胺用户，重点是在整个生命过程中的社会角色。最近的健康研究发现，甲基苯丙胺使用者比其他非法药物使用者有更高程度的功能障碍和更严重的健康问题，包括更危险的性行为和注射做法。指导理论观点是符号互动和生命历程理论，特别是社会角色转换的概念。采用定性研究方法，将从格鲁吉亚亚特兰大郊区招募50名活跃和50名前甲基苯丙胺使用者的便利样本。这些郊区已被确定为美国受日益严重的甲基苯丙胺问题影响最严重的地区之一。便利样本将通过有针对性的理论抽样方法进行。只有18岁及以上的用户将接受采访，包括男性和女性以及非洲裔美国人，西班牙裔和白色用户。将使用药物历史矩阵、生活史矩阵和深入的录音访谈记录药物使用历史。扎根理论方法将为数据收集和分析提供信息，其中将确定从数据中出现的其他主题，并在随后的访谈中支持对新发现的确认。数据分析包括参与者观察现场笔记、药物史矩阵、生活史矩阵和深入访谈的三角测量。QSR N-Vivo计算机程序将用于帮助管理定性数据。从这项研究中获得的深入知识将有助于制定干预和预防措施，以阻止当前和未来甲基苯丙胺流行病向郊区蔓延。该研究的广泛结论将有助于今后开展大规模研究，指导假设的制定，并为甲基苯丙胺使用者的治疗工作和公共卫生战略提供信息。这项研究的结果将有助于制定公共卫生举措，以解决甲基苯丙胺的使用。最近的健康研究发现，甲基苯丙胺使用者比其他非法药物使用者有更高程度的功能障碍和更严重的健康问题，包括更危险的性行为和注射做法。更好地了解甲基苯丙胺使用的社会背景和不同模式以及深入了解甲基苯丙胺使用者的多样性将有助于设计更有效的预防和治疗计划。