Socioeconomic Instability and HIV Risk Behavior Among Vulnerable Women

弱势妇女的社会经济不稳定和艾滋病毒危险行为

基本信息

批准号：
8789967
负责人：
Meredith Reilly
金额：
$ 4.27万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-09-01 至 2016-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8789967
关键词：
AIDS/HIV problem Accounting Address Affect Alcohol dependence Baltimore Baseline Surveys Caring Characteristics Child Complex Dancing Data Drug usage Economics Employment Employment Status Environment Epidemic Epidemiology Evaluation Face Factor Analysis Feasibility Studies Feeling Female Funding Future Goals HIV HIV Infections HIV risk HIV/STD Heroin Homelessness Housing Illicit Drugs Imprisonment Incidence Income Individual Infection Interview Knowledge Lead Life Life Experience Longitudinal Surveys Low income Maryland Measurement Measures Methods National Institute of Drug Abuse Nature Occupations Parents Perception Persons Pharmaceutical Preparations Population Population Study Prevention Property Psychometrics Publishing Qualitative Methods Recording of previous events Reporting Research Research Priority Risk Risk Behaviors Role Sampling Secure Security Series Shapes Solutions Subgroup Techniques Time Training United States Vulnerable Populations Woman Work base cohort condoms driving force experience follow-up high risk high risk behavior high risk sexual behavior housing instability intimate partner violence longitudinal analysis prevent programs psychological distress public health relevance sex skills social socioeconomics stressor tool

项目摘要

DESCRIPTION (provided by applicant): In the United States, women account for 20% of new HIV infections each year. Those with a heightened risk include women who engage in transactional sex or use illicit drugs. The social and economic instability (e.g., housing, financil) experienced by some women may drive initiation of or escalate illicit drug use and unprotected transactional sex, amplifying the risk for HIV infection. Female exotic dancers are an important subgroup of vulnerable women who experience socioeconomic instability and commonly engage in sex- and drug-related HIV risk behaviors through their work at exotic dance clubs. Through a sample of exotic dancers in Baltimore, Maryland, the purpose of the proposed research is to investigate the relationship between socioeconomic instability, illicit drug use, an unprotected transactional sex among vulnerable women. Specifically, the study aims to develop a reliable and valid tool for measuring socioeconomic instability among vulnerable women at heightened risk for HIV. Using this tool, the longitudinal association between socioeconomic instability, drug use, and unprotected transactional sex will be evaluated. These findings will be informed by a qualitative exploration of the nature and context of socioeconomic instability and its effect on sex- and drug-related HIV risk behaviors. The proposed research will use quantitative and qualitative data from a parent study that will follow a cohort of exotic dancers for six months. Longitudinal survey data will be used to develop the summary measure of socioeconomic instability and track changes in instability, drug use, and unprotected transactional sex. A series of qualitative interviews will explore dancers' perceptions of instabilty and uncover narratives about socioeconomic instability and HIV risk behavior. The proposed research offers a rich training opportunity to build skills in measurement and mixed methods while addressing NIDA's HIV/AIDS research priorities and strategic goals. Findings will advance knowledge regarding social and economic determinants of drug use and risky sexual behavior, ultimately informing future structural-level prevention and care strategies for people both at risk for and living with HIV.

描述（由申请人提供）：在美国，妇女每年占新艾滋病毒感染的20％。那些风险增加的人包括从事交易性行为或使用非法药物的妇女。某些妇女经历的社会和经济不稳定（例如，住房，融资）可能会推动非法吸毒和未受保护的交易性行为的启动或升级，从而扩大了HIV感染的风险。女性异国情调的舞者是经历社会经济不稳定的弱势女性的重要亚组，通常通过在异国情调的舞蹈俱乐部的工作从事与性和毒品有关的艾滋病毒风险行为。通过马里兰州巴尔的摩的外来舞者样本，拟议的研究的目的是研究社会经济不稳定性，非法药物使用，弱势妇女中未受保护的交易性行为之间的关系。具体而言，该研究旨在开发一种可靠且有效的工具，用于衡量弱势妇女的社会经济不稳定，患有艾滋病毒的风险增加。使用此工具，将评估社会经济不稳定性，药物使用和未受保护的交易性别之间的纵向关联。这些发现将通过对社会经济不稳定的性质和背景的定性探索及其对与性和毒品有关的艾滋病毒风险行为的影响进行得知。拟议的研究将使用父母研究的定量和定性数据，该数据将跟随一系列异国舞者六个月。纵向调查数据将用于制定社会经济不稳定的摘要度量，并跟踪不稳定性，药物使用和未受保护的交易性别的变化。一系列定性的访谈将探讨舞者对社会经济不稳定和艾滋病毒风险行为的叙事的看法。拟议的研究提供了丰富的培训机会，可以在解决NIDA的HIV/AIDS研究重点和战略目标的同时建立技能。调查结果将提高有关毒品使用和风险性行为的社会和经济决定因素的知识，最终告知未来的结构性预防和护理策略因为艾滋病毒并生活。