Religion's Impact on Drug Use and Transmission of HIV, STIs, BBIs

宗教对吸毒和艾滋病毒、性传播感染、BBI 传播的影响

• 批准号: 8580123
• 负责人: MICHAEL PAUL ERIKSEN
• 金额: $ 18.13万
• 依托单位: GEORGIA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-01 至 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8580123
• 关键词: AIDS prevention; Awareness; Behavioral; Belief; Binding; Blood; Case-Control Studies; Characteristics; Chlamydia; Church; Communities; Data; Disease; Drug Addiction; Drug usage; Elements; Enrollment; Epidemiology; Exposure to; Freedom; Gonorrhea; Graph; HIV; HIV Infections; HIV Seropositivity; HIV/STD; Hepatitis C; Herpesviridae; Hour; Immunologic Deficiency Syndromes; Incidence; Individual; Infection; Intervention; Knowledge; Life; Measures; Metric; Names; Neighborhoods; Organizational Affiliation; Outcome; Pathway interactions; Patient Self-Report; Persons; Pharmaceutical Preparations; Play; Prayers; Prevalence; Prevention; Preventive; Preventive Intervention; Recruitment Activity; Relative (related person); Religion; Religion and Spirituality; Religious Belief; Reporting; Research; Respondent; Risk; Role; Sexually Transmitted Diseases; Sorting - Cell Movement; Specific qualifier value; Spirituality; Stress; Testing; Time; Training; Universities; base; behavior change; disorder prevention; drug abuse prevention; help-seeking behavior; improved; inner city; member; non-drug; prevent; sex; social; transmission process

Assessing the impact of religious organizations on HIV and drug-use prevention requires an understanding of personal religiosity (both inward spirituality and outward manifestations of devotion); of religious organization activtty; and of the network of relationships that connects persons to each other and to organizations. To measure impact, we propose a case-control study (with longitudinal followup) of 80 HIV-positive and 160 HIVnegative persons (divided even by sex) recruited from a stressed inner-city Atlanta neighborhood to ascertain the influence of religious organization activity on HIV status, sexually transmitted diseases (STIs), blood-borne infections (BBIs), and drug use. We will develop a person-time metric for exposure to religious organization HIV preventive activity (e.g., person-hours spent in contact with religious organization representatives). We will assess the impact of such exposure in the context of potential confounding by personal religiosity, network associations, and other demographic and behavioral variables, and will quantify the impact of religious organizations on these outcomes using the Prevented Fraction, an epidemiologic measure of association that specifies the portion of disease prevented that can be attributed to a specific preventive factor or intervention. We will enroll the religious organizations named by respondents, in order to assess organizations' activities, commitment, and connections with each other. A bipartite network (organizations and respondents) will be used to examine the affiliation network of organizations (how they are connected through people). The affiliation network will be compared to the network determined from religious organizations' self reported connections. The gap between these two, which we hypothesize to be considerable, is a measure of the unrecognized potential for intervention that can be achieved by improved interaction of religious organizations. Thus, the logical train that drives the proposal is as follows: Religious organization activity will be significantly associated with HIV-negativity and nondrug-use, but its impact, as measured by the PF, will be small. The interconnections among religious organizations are far greater than they realize.

评估宗教组织对艾滋病毒和吸毒预防的影响需要了解 个人宗教信仰（内在的灵性和外在的奉献表现）；宗教组织的 活动；以及将人与人之间以及与组织连接起来的关系网络。到 为了衡量影响，我们建议对 80 名 HIV 阳性患者和 160 名 HIV 阴性患者进行病例对照研究（纵向随访） 从压力较大的亚特兰大市中心社区招募的人员（甚至按性别划分）以确定 宗教组织活动对艾滋病毒状况、性传播疾病 (STI)、血源性传播疾病的影响 感染（BBI）和药物使用。我们将制定一个人次指标来衡量接触宗教组织艾滋病毒的情况 预防活动（例如，与宗教组织代表接触所花费的人时）。我们将 在个人宗教信仰、网络等潜在混淆的背景下评估此类暴露的影响 协会以及其他人口和行为变量，并将量化宗教的影响 组织使用预防分数来评估这些结果，这是一种流行病学关联测量方法， 指定可归因于特定预防因素或干预措施的预防疾病部分。 我们将纳入受访者点名的宗教组织，以评估组织的活动， 承诺以及彼此之间的联系。双方网络（组织和受访者）将 用于检查组织的隶属关系网络（它们如何通过人员连接）。这 归属网络将与根据宗教组织自我报告确定的网络进行比较 连接。我们假设这两者之间的差距相当大，这是衡量 通过改善宗教组织的互动可以实现干预的潜力未被认识到。 因此，推动该提案的逻辑思路如下： 宗教组织活动将显着增加 与 HIV 阴性和不吸毒有关，但根据 PF 衡量，其影响很小。这 宗教组织之间的相互联系远远超出他们的想象。