Drug Use, HIV, and Other Comorbidities In A Vulnerable Population

弱势群体中的吸​​毒、艾滋病毒和其他合并症

• 批准号: 7851360
• 负责人: SUSAN D COCHRAN
• 金额: $ 45.45万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-30 至 2013-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7851360
• 关键词: Adopted; Adult; Adverse event; Age; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Attention; Awareness; Back; Behavior; Bisexual; California; Caring; Child Abuse and Neglect; Client; Communities; Comorbidity; Control Groups; Data; Disadvantaged; Disclosure; Discrimination; Drops; Drug Addiction; Drug usage; Epidemiologic Studies; Ethnic Origin; Evidence based treatment; Exposure to; Family; Federal Government; Gays; Gender; General Population; HIV; Health; Health Professional; Health Services; Health Surveys; Healthcare; Heterosexuals; Homosexuality; Illicit Drugs; Individual; Intervention; Interview; Joints; Lesbian; Literature; Major Depressive Disorder; Measures; Medical; Mental Health; Mental Health Services; Mental disorders; Methodology; Methods; Minority; Minority Groups; Modeling; Morbidity - disease rate; National Institute of Drug Abuse; Pattern; Patterns of Care; Perception; Personal Satisfaction; Pharmaceutical Preparations; Play; Population; Population Intervention; Prevalence; Provider; Quality of Care; Race; Recruitment Activity; Research; Research Personnel; Respondent; Risk; Role; Sampling; Scientific Advances and Accomplishments; Services; Sex Orientation; Social Discrimination; Social Environment; Source; Structure; Surveys; Target Populations; Telephone Interviews; Treatment Effectiveness; Treatment Protocols; Vulnerable Populations; Woman; Work; base; contextual factors; design; disability; effective intervention; effective therapy; emotional experience; experience; health care service utilization; health disparity; high risk; maltreatment; men; peer; population based; population survey; programs; response; social

DESCRIPTION (provided by applicant): Recent population-based epidemiologic studies examining the association between substance use/mental health morbidity and sexual orientation have begun to document an elevated risk for substance use, mental health morbidity and high levels of mental health services use among lesbians, gay men and bisexual individuals. Despite the growing evidence for this greater vulnerability and higher rates of mental health services use, we do not know, as yet, the source of this vulnerability nor are we able to evaluate whether the high mental health services use rates are a function of need or problems in access and/or the quality of care provided. In response to NIDA PA-04-100, we propose to capitalize on data available in the upcoming 2005 California Health Interview Survey (CHIS; N "52,740) to conduct a follow back structured telephone interview survey of 2,700 respondents, over sampled for minority sexual orientation. The interview will assess patterns of alcohol and drug use, substance use/mental health morbidity, perceptions of treatment needs, experiences in accessing and receipt of substance use/mental health services, and individual and social contextual factors that may underlie the greater risk patterns that are now being uncovered in recent studies. Data obtained will allow needed examination of morbidity and services use patterns, barriers to care, perceptions of unmet needs, and possible problems in the quality of care for substance use and mental health concerns. Specifically, using data from both existing sources and the CHIS follow back survey, we will 1) examine evidence for sexual orientation related differences in substance use, mental health morbidity, childhood maltreatment, and norms and social contexts for current illicit and non medical drug and alcohol use; 2) investigate evidence for sexual orientation-associated problems in the quality of substance and mental health-related care and treatment; 3) examine the possible joint effects of socially disadvantaged statuses (e.g., ethnic/racial minority and sexual orientation minority) in generating health disparities in morbidity and services use; and 4) identify factors among those of minority sexual orientation that modify risk for substance use and mental health morbidity. Findings will generate needed empirically-based information that can be used to design evidence-based treatment interventions for this population, increase awareness among health-care service providers of the unique needs of sexual minority (gay, lesbian and bisexual) clients, and further understanding of how the relationships among social adversity, discrimination, and substance use and mental health morbidity result in the health disparities often seen in this population. Because the study is not based on a theoretical or conceptual framework, findings will be primarily descriptive and exploratory. Even with this limitation, however, it will make a major contribution.

描述（由申请人提供）： 最近对药物使用/精神健康发病率与性取向之间的关系进行的以人口为基础的流行病学研究已经开始记录女同性恋者、男同性恋者和双性恋者中药物使用、精神健康发病率和精神健康服务使用率高的风险。尽管越来越多的证据表明这种更大的脆弱性和更高的精神卫生服务使用率，但我们还不知道这种脆弱性的来源，也无法评估高精神卫生服务使用率是否是需求或获得和/或提供的护理质量问题的函数。针对NIDA PA-04-100，我们建议利用即将进行的2005年加州健康访谈调查（CHIS; N“52，740）中的可用数据，对2，700名受访者进行后续结构化电话访谈调查，对少数性取向进行过度抽样。访谈将评估酒精和药物使用的模式，物质使用/心理健康发病率，治疗需求的看法，在访问和接受物质使用/心理健康服务的经验，以及个人和社会背景因素，这些因素可能是最近的研究中发现的更大的风险模式的基础。获得的数据将允许对发病率和服务使用模式、护理障碍、对未满足需求的看法以及药物使用和精神健康问题护理质量方面可能存在的问题进行必要的检查。具体而言，使用现有来源和CHIS追踪调查的数据，我们将1）检查与性取向相关的物质使用差异的证据，精神健康发病率，儿童虐待，以及当前非法和非医疗药物和酒精使用的规范和社会背景; 2）调查物质和精神健康相关护理和治疗质量中与性取向相关的问题的证据; 3）研究社会弱势地位可能产生的共同影响（例如，少数民族/种族和性取向少数群体）在发病率和服务使用方面产生健康差异;以及4）确定少数性取向群体中改变药物使用风险和心理健康发病率的因素。研究结果将产生所需的基于医学的信息，可用于为这一人群设计基于证据的治疗干预措施，提高卫生保健服务提供者对性少数群体独特需求的认识（男同性恋，女同性恋和双性恋）的客户，并进一步了解社会逆境，歧视，药物使用和精神健康发病率导致这一人群中经常出现的健康差异。 由于研究不是基于理论或概念框架，研究结果将主要是描述性和探索性的。 然而，即使有这种限制，它也将作出重大贡献。

项目成果

Using the Science of Psychology to Target Perpetrators of Racism and Race-Based Discrimination For Intervention Efforts: Preventing Another Trayvon Martin Tragedy.

利用心理学科学来针对种族主义和种族歧视的肇事者进行干预：防止另一场特雷冯·马丁悲剧。

• 发表时间: 2013
• 期刊: Journal for social action in counseling and psychology
• 作者: Mays,VickieM;Johnson,Denise;Coles,CourtneyN;Gellene,Denise;Cochran,SusanD
• 通讯作者: Cochran,SusanD

Food insecurity and intimate partner violence against women: results from the California Women's Health Survey.

粮食不安全和亲密伴侣对妇女的暴力行为：加州妇女健康调查的结果。

• DOI: 10.1017/s1368980015001986
• 发表时间: 2016
• 期刊: Public health nutrition
• 影响因子: 3.2
• 作者: Ricks,JoniL;Cochran,SusanD;Arah,OnyebuchiA;Williams,JohnK;Seeman,TeresaE
• 通讯作者: Seeman,TeresaE

Suicide in married couples in Sweden: Is the risk greater in same-sex couples?

• DOI: 10.1007/s10654-016-0154-6
• 发表时间: 2016-07-01
• 期刊: EUROPEAN JOURNAL OF EPIDEMIOLOGY
• 影响因子: 13.6
• 作者: Bjorkenstam, Charlotte;Andersson, Gunnar;Kosidou, Kyriaki
• 通讯作者: Kosidou, Kyriaki

Proposed declassification of disease categories related to sexual orientation in the International Statistical Classification of Diseases and Related Health Problems (ICD-11).

提议对国际疾病和相关健康问题统计分类 (ICD-11) 中与性取向相关的疾病类别进行解密。

• DOI: 10.2471/blt.14.135541
• 发表时间: 2014-09-01
• 期刊: Bulletin of the World Health Organization
• 影响因子: 11.1
• 作者: Cochran SD;Drescher J;Kismödi E;Giami A;García-Moreno C;Atalla E;Marais A;Vieira EM;Reed GM
• 通讯作者: Reed GM

Chronicity and Mental Health Service Utilization for Anxiety, Mood, and Substance Use Disorders among Black Men in the United States; Ethnicity and Nativity Differences.

美国黑人男性焦虑、情绪和药物滥用障碍的慢性病和心理健康服务利用情况；

• DOI: 10.3390/healthcare6020053
• 发表时间: 2018
• 期刊: Healthcare (Basel, Switzerland)
• 作者: Mays,VickieM;Jones,AudreyL;Cochran,SusanD;Taylor,RobertJoseph;Rafferty,Jane;Jackson,JamesS
• 通讯作者: Jackson,JamesS