Effects of housing and HIV on risk behavior and victimization of indigent women

描述（由申请人提供）：拟议研究的主要目标是评估住房类型、药物使用、社会隔离、创伤后应激障碍、分离、抑郁、躁狂发作和艾滋病毒血清状况对贫困和边缘住房妇女的风险行为和受害的影响。除了在第一研究阶段招募的105名感染艾滋病毒的妇女之外，我们还将以同样的方式招募45名艾滋病毒阳性妇女和150名艾滋病毒阴性妇女。我们这样做的目的是确定有感染艾滋病毒风险的妇女和已经感染艾滋病毒的妇女的受害和冒险行为模式是否不同。我们将不再收集无家可归者和处于边缘地位的男性的数据。在Chu的再受害模型的指导下，我们将测试受害的预测因素在报告和不报告儿童期性虐待史的女性之间是否存在差异；我们还将测试创伤后应激障碍和分离对受害的影响是否会受到抑郁、躁狂发作或住房状况的影响。在将艾滋病毒风险视为结构性障碍的罗兹方法的指导下，我们将对SRO酒店作为潜在的高风险环境、关于风险发生背景的额外结构性障碍以及故意的社会隔离进行定性访谈。这将是针对受害和风险行为的首批纵向研究之一，重点关注贫困妇女和结构性障碍。随着时间的推移，了解变化将促进结构性干预措施的发展和可持续的创伤服务提供，这将有助于服务提供者为他们的客户寻找或创造更安全的住房，帮助客户了解他们目前的情况如何仍然使他们脆弱，并提供替代选择

DESCRIPTION (provided by applicant): The primary goal of the proposed study is to assess the impact of housing type, drug use, social isolation, PTSD, dissociation, depression, manic episodes and HIV serostatus on the risk behavior and victimization of poor and marginally housed women. In addition to the 105 HIV-infected women recruited during the first study phase, we will recruit an additional 45 HIV-positive women and 150 HIV-negative women in the same manner. We will do this in order to identify whether victimization and risk behavior patterns differ between women who are at risk to become HIV-infected and those who are already infected. We will no longer collect data on homeless and marginally housed men. Guided by Chu's model of revictimization, we will test whether predictors of victimization differ between women who do and do not report a history of childhood sexual abuse; we will also test whether the impact PTSD and dissociation on victimization are modified by depression, manic episodes, or housing status. Guided by the Rhodes approach to HIV risk as a function of structural barriers, we will conduct qualitative interviews regarding SRO hotels as potential high-risk environments, additional structural barriers regarding the context in which risk occurs, and intentional social isolation. This will be one of the first longitudinal studies of victimization and risk behavior to focus on indigent women and structural barriers. Understanding changes over time will facilitate the development of structural interventions and sustainable trauma service provision that will assist service providers in finding or creating safer housing for their clients, helping clients understand how their current situation still leaves them vulnerable, and offering alternate options