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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

基本信息

批准号：
8266966
负责人：
MIRIAM W BOERI
金额：
$ 2.36万
依托单位：
KENNESAW STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-06-01 至 2012-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8266966
关键词：
Academic Research Enhancement Awards Affect Applications Grants Area Attention Awareness Communities Data Data Analyses Data Collection Drug usage Drug user Epidemiology Face Female Focus Groups Funding Future Gender Gender Role Goals Group Interviews HIV Health Health Services Health Services Accessibility Health Services Needs Healthcare Hepatitis C virus Individual Intervention Interview Investigation Knowledge Life Life Cycle Stages Literature Mainstreaming Methamphetamine Mosses National Institute of Drug Abuse Participant Patient Self-Report Pattern Pharmaceutical Preparations Population Population Study Recommendation Recruitment Activity Reporting Research Risk Risk Behaviors Risk Factors Risk Reduction Sampling Services Sex Characteristics Sexually Transmitted Diseases Social Environment Societies Stigmatization Time United States National Institutes of Health United States Public Health Service United States Substance Abuse and Mental Health Services Administration Violence Woman base follow-up health care service utilization longitudinal design male men neglect novel public health relevance social suburb theories transmission process trend

项目摘要

DESCRIPTION (provided by applicant): This is a competitive renewal of an R15 AREA study that examined emerging trends in methamphetamine (MA) use among a sample of 65 male and 35 female MA users in the suburbs. We found that the suburban setting increases risk factors for female drug users, including risk behaviors associated with transmission of human immunodeficiency virus (HIV), hepatitis C virus (HCV) and sexually transmitted infections (STIs). In expanding upon our original study, we will continue to explore emerging trends in MA use in the suburbs, focusing exclusively on female MA users, an understudied and neglected population of drug users. Additionally, women living in the suburbs face barriers to drug treatment and healthcare due to restricted access to health services, lack of drug-related risk awareness, and the gendered stigmatization of suburban MA use that intensifies the hidden status of this population. The broad goal of this renewal study is to gain a more in-depth understanding of gendered drug-use trajectories and risk behavior patterns. Our specific aims in this competitive renewal study are (1) to expand our exploration into the turning points in drug use trajectories among suburban women who use MA; (2) to provide a more comprehensive understanding of the risks and protective factors that impact the transmission of HIV, HCV and STIs specific to female MA users living in the suburbs; and (3) to assess HIV risk awareness, risk behaviors, healthcare utilization and accessibility to healthcare services over time for a sub-sample of suburban female MA users. The sample in this renewal study will include 30 suburban female MA users (15 former and 15 current users). As a novel line of investigation, we will use a longitudinal design to collect data at three points: 30 new in-depth interviews, followed 3-6 months later by 30 follow-up interviews, and followed another 3-6 months later by focus groups with the same sample population. Participants are provided risk-reduction and healthcare literature at each interview. Follow-up interviews focus on changes in specific drug use patterns, social context of drug use, HIV- risk behaviors, healthcare utilization, and access to health services and treatment, which are new areas of this renewal study. Data analysis will be informed by life course and symbolic interaction theories. First, the findings will provide a more comprehensive understanding of the gender differences found in our original study on MA use in suburban Atlanta. Second, the longitudinal design will identify HIV-risk behaviors among suburban female MA users and changes in risk behaviors over time. Third, knowledge regarding the utilization of health services and access to needed healthcare among this study population will better inform future healthcare initiatives. Additionally, findings will yield recommendations for gender-specific and socially appropriate interventions at the individual and community levels for suburban female MA users.

描述（由申请人提供）：这是 R15 AREA 研究的竞争性更新，该研究调查了郊区 65 名男性和 35 名女性甲基苯丙胺 (MA) 使用者样本中甲基苯丙胺 (MA) 使用的新趋势。我们发现，郊区环境增加了女性吸毒者的危险因素，包括与人类免疫缺陷病毒（HIV）、丙型肝炎病毒（HCV）和性传播感染（STI）传播相关的危险行为。在扩展我们最初的研究时，我们将继续探索郊区吸毒的新趋势，重点关注女性吸毒者，这是一个未被充分研究和忽视的吸毒人群。此外，由于获得卫生服务的机会有限、缺乏与毒品相关的风险意识以及郊区吸毒的性别歧视，居住在郊区的妇女在戒毒治疗和医疗保健方面面临障碍，加剧了这一人群的隐性地位。这项更新研究的总体目标是更深入地了解性别药物使用轨迹和危险行为模式。我们在这项竞争性更新研究中的具体目标是 (1) 扩大我们对使用 MA 的郊区妇女吸毒轨迹转折点的探索； (2) 更全面地了解影响居住在郊区的女性 MA 使用者的 HIV、HCV 和 STI 传播的风险和保护因素； (3) 评估郊区女性 MA 用户子样本的艾滋病毒风险意识、风险行为、医疗保健利用率和医疗服务可及性。本次更新研究的样本将包括 30 名郊区女性 MA 用户（15 名前用户和 15 名当前用户）。作为一种新颖的调查路线，我们将采用纵向设计在三个点收集数据：30次新的深度访谈，3-6个月后进行30次后续访谈，3-6个月后又进行具有相同样本人群的焦点小组访谈。每次访谈时都会向参与者提供降低风险和医疗保健文献。后续访谈重点关注特定吸毒模式、吸毒社会背景、艾滋病毒风险行为、医疗保健利用以及获得卫生服务和治疗的变化，这些都是本次更新研究的新领域。数据分析将基于生命历程和符号相互作用理论。首先，研究结果将使我们对亚特兰大郊区 MA 使用情况的原始研究中发现的性别差异有更全面的了解。其次，纵向设计将确定郊区女性 MA 用户中的艾滋病毒风险行为以及风险行为随时间的变化。第三，有关本研究人群的卫生服务利用和获得所需医疗保健的知识将更好地为未来的医疗保健计划提供信息。此外，研究结果还将为郊区女性 MA 用户在个人和社区层面提供针对特定性别和社会适当干预措施的建议。