Social Networks and HIV Risk Behaviors of Special Populations of Drug Users

吸毒者特殊人群的社交网络与艾滋病毒危险行为

基本信息

批准号：
8691771
负责人：
CARRIE BETH OSER
金额：
$ 11.58万
依托单位：
UNIVERSITY OF KENTUCKY
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-07-01 至 2018-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8691771
关键词：
Accounting African American Applications Grants Attitude Biological Assay Centers for Disease Control and Prevention (U.S.)Communities Crime Criminal Justice Data Data Collection Development Drug Prescriptions Drug abuse Drug usage Drug user Emotional Female Foundations Future Gender Goals Grant HIV HIV Infections HIV diagnosis HIV risk Health Health Services Healthcare Hepatitis C virus Imprisonment Independent Scientist Award Individual Instruction Intervention Kentucky Knowledge Life Link Measures Medical Methodology National Institute of Drug Abuse Network-based Oxycodone Pathway Analysis Patient Self-Report Pharmaceutical Preparations Physicians Population Prevalence Prisons Public Health Race Research Research Personnel Risk Risk Behaviors Rural S-nitro-N-acetylpenicillamine Services Social Network Spirituality Strategic Planning Structure System Training Training Activity United States National Institutes of Health Unsafe Sex Woman career density disorder prevention experience falls health care service utilization health disparity high risk high risk sexual behavior improved injection drug use innovation instrument male men multilevel analysis named group practical application probation public health relevance recidivism responsible research conduct rural area skills social substance abuse treatment therapy development urban area willingness

项目摘要

DESCRIPTION (provided by applicant): The primary goal of this resubmitted K02 application is to further develop Dr. Carrie Oser's productive independent research career and to augment her research focus on HIV, substance abuse treatment, crime, and health disparities by gaining new training on social networks and HIV intervention development. The K02 builds upon her focus on special populations, including both rural drug users and African American drug users. The proposed training goals will provide new instruction in social networks, HIV intervention development, and the responsible conduct of research. The specific aims are: (1) to identify HIV and HCV risk and longitudinal changes in risk in the social networks of 503 rural out-of-treatment drug using women, as compared to men; and (2) to examine the effect of social networks, including structure (e.g., size, density), function (e.g., emotional and instrument support), and content (e.g., attitudes towards physicians), on HIV and HCV risk behaviors and health services utilization among African American drug using women, as compared to men, across criminal justice status. This significant and innovative study will have strong public healt impacts and will support NIDA's Health Disparities Initiative because of its potential to contribut to our understanding of the cultural and social network correlates of health disparities among both rural and African American drug users. In addition, this study improves upon the methodological limitations of previous research findings by examining various social networks (e.g., egocentric, dyadic, and sociocentric) and using longitudinal data in multilevel models. This proposed project will allow for a practical application of the substantive knowledge and analytical skills acquired from the K02 training activities and will ultimately culminate in the development of forthcoming investigator initiated NIDA grant applications. Specifically, these findings will be used as a foundation for future HIV social networks based intervention to increase special populations' use of preventative health care and subsequently reduce the need for expensive medical services, as well as to decrease HIV risk behaviors including drug use, unprotected sex, and recidivism.

描述（由申请人提供）：该重新提交的K02申请的主要目标是进一步发展Carrie Oser博士的独立研究职业，并通过在社交网络和艾滋病毒干预发展上获得新的培训，从而增强她对HIV，药物滥用治疗，犯罪和健康差异的重点。 K02建立在她关注特殊人群的基础上，包括农村吸毒者和非裔美国吸毒者。拟议的培训目标将在社交网络，HIV干预发展和负责任的研究中提供新的指导。具体目的是：（1）与男性相比，使用女性识别503种农村饮食药物的社交网络中的艾滋病毒和HCV风险和纵向变化；（2）检查社交网络的影响，包括结构（例如，大小，密度），功能（例如，情感和仪器支持）以及内容（例如，对医师的态度），与男性相比，与男性相比，非裔美国药物中的非裔美国毒品中的艾滋病毒和HCV风险行为以及HIV和HCV风险行为以及健康服务的利用。这项重大的创新研究将产生强烈的公共愈合影响，并将支持NIDA的健康差异倡议，因为它有可能为我们对农村和非裔美国药物使用者中健康差异的文化和社会网络相关的理解做出贡献。此外，这项研究通过检查各种社交网络（例如以自我为中心，二元和社会中心）并在多级模型中使用纵向数据来改善先前研究结果的方法论局限性。这拟议的项目将允许从K02培训活动中获得的实质性知识和分析技能的实际应用，并最终将最终提高即将到来的调查员启动NIDA赠款申请。具体而言，这些发现将被用作基于未来HIV社交网络的干预措施的基础，以增加特殊人群对预防性医疗保健的使用，并随后减少对昂贵的医疗服务的需求，并减少艾滋病毒风险行为，包括吸毒，无保护性和累犯。