HIV Risk among Male Parolees and their Female Partners

男性假释者及其女性伴侣的艾滋病毒风险

• 批准号: 7283451
• 负责人: MEGAN L COMFORT
• 金额: $ 48.97万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-01 至 2011-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7283451
• 关键词: AIDS diagnosis; AIDS prevention; AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Affect; Behavior; Color; Couples; Decision Making; Dreams; Emotional; Female; Future; Gender Relations; General Population; HIV; HIV Infections; Heterosexuals; Home environment; Imprisonment; Individual; Intervention; Learning; Left; Link; Low income; Mediation; Methods; Neighborhoods; Population; Prevalence; Prisoner; Prisons; Process; Public Health; Qualitative Methods; Rate; Research; Research Personnel; Risk; Risk Behaviors; Risk Reduction; Scientist; Self Efficacy; Social Aspects of Cancer; Supervision; Time; United States; Withdrawal; Woman; behavior change; experience; health disparity; information gathering; male; man; member; men; parole; parolee; programs; response; service intervention; skills; theories

DESCRIPTION (provided by applicant): HIV/AIDS disproportionately affects prisoners in the United States. Women of color and low-income women in the United States also have disproportionately high rates of HIV infection and AIDS diagnosis. Recent studies have shown that racial disparities in incarceration can be linked to health disparities, including disparities in HIV/AIDS. Research exploring how the disproportionate levels of HIV/AIDS among incarcerated men and among low-income women of color are related is crucial. The proposed study will be conducted with both members of male-female couples in which the male partner was recently released from prison and is under parole supervision ("male parolees"). The specific aims of the proposed study are: 1) Using quantitative methods, we will assess the HIV-risk behaviors of each member of the couple and identify individual-level and couple-level psychosocial influences on HIV risk and risk reduction; 2) Using qualitative methods, we will describe the unique influence of the context of a man's incarceration on couples' decision-making processes involving HIV risk and risk reduction; 3) Using quantitative and qualitative methods, we will investigate how males' and females' perspectives on HIV risk and risk reduction influence both their own behavior and behavior within the couple. Our preliminary studies have underscored the complexities of understanding how the context of a man's incarceration influences couples' decision-making processes involving HIV risk and risk reduction and have compelled us to undertake couple-level research on this issue. Public-health researchers have identified the necessity of developing and providing population-specific HIV interventions and services for people affected by incarceration both in prison and in their home neighborhoods post-release. The proposed research will yield critical information about HIV risk and risk reduction in dyadic relationships between male parolees and their female partners that can be used to develop population-appropriate and effective interventions for the millions of low-income people of color who experience their own or their partner's incarceration each year.

描述（由申请人提供）：艾滋病毒/艾滋病不成比例地影响美国的囚犯。在美国，有色人种和低收入妇女的艾滋病毒感染率和艾滋病诊断率也不成比例地高。最近的研究表明，监禁中的种族差异可能与健康差异有关，包括艾滋病毒/艾滋病方面的差异。研究探索艾滋病毒/艾滋病在被监禁的男性和低收入的有色人种女性中的不成比例的水平是如何相关的是至关重要的。这项拟议的研究将在男性伴侣最近从监狱释放并在假释监督下的男女夫妇（“男性假释犯”）中进行。本研究的具体目的是：1）采用定量方法，评估夫妻双方的HIV风险行为，并确定个人和夫妻双方对HIV风险和风险降低的心理社会影响; 2）采用定性方法，描述男性监禁环境对夫妻双方涉及HIV风险和风险降低的决策过程的独特影响; 3）使用定量和定性方法，我们将调查男性和女性对艾滋病毒风险和风险降低的看法如何影响他们自己的行为和夫妇之间的行为。我们的初步研究强调了理解男子被监禁的背景如何影响夫妇涉及艾滋病毒风险和减少风险的决策过程的复杂性，并迫使我们对这一问题进行夫妇层面的研究。公共卫生研究人员已经确定，有必要制定和提供特定人群的艾滋病毒干预措施和服务，为受监禁影响的人，无论是在监狱中，还是在他们的家庭社区释放后。拟议的研究将产生关于艾滋病毒风险和降低男性假释犯及其女性伴侣之间二元关系风险的关键信息，这些信息可用于为数百万经历自己或伴侣监禁的低收入有色人种制定人口适当和有效的干预措施。