Addiction recovery residences to improve health outcomes in high-risk men

成瘾康复住宅可改善高危男性的健康结果

• 批准号: 8846492
• 负责人: AMY Adale MERICLE
• 金额: $ 22.5万
• 依托单位: PUBLIC HEALTH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-04-15 至 2017-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8846492
• 关键词: AIDS/HIV problem; Abstinence; Accidents; Acute; Address; Adult; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Bisexual; Characteristics; Chronic; Communities; Computer Assisted; Data; Dimensions; Discrimination; Drug usage; Face; Future; Gays; HIV; Health; Health Priorities; Health Services; Health Services Accessibility; Health Status; Healthy People 2020; Home environment; Homophobia; Housing; Individual; Intake; Intersex; Interview; Learning; Lesbian; Lesbian Gay Bisexual Transgender Intersex; Letters; Life; Literature; Methods; Mission; Outcome; Pattern; Persons; Pharmaceutical Preparations; Play; Pneumonia; Population; Reaction; Recording of previous events; Records; Recovery; Recruitment Activity; Research; Research Personnel; Risk; Risk Behaviors; Role; Running; Secure; Services; Social support; Structure; Subgroup; Substance abuse problem; Telephone; Telephone Interviews; Texas; Textiles; United States National Institutes of Health; Violence; Viral hepatitis; Work; addiction; austin; effectiveness trial; experience; follow-up; health disparity; help-seeking behavior; high risk; high risk men; improved; informant; information gathering; member; men who have sex with men; operation; organizational structure; programs; public health relevance; research study; residence; sexual minority; sobriety; social; social capital; transgender; urban area

 DESCRIPTION: Lesbian, gay, bisexual, transgender, and intersex (LGBTI) adults face unique health disparities and addressing these disparities is a national health priority. Within this community, men who have sex with men (MSM) are at increased risk for substance abuse, HIV/AIDS, and other adverse health conditions. Addiction recovery residences are a promising mechanism to enhance outcomes among individuals who abuse substances, but the experiences of sexual minorities in these settings have been under-researched. To address this gaps in the literature, the proposed two-year, mixed-methods, formative research study has three specific aims: (1) To examine the service delivery components of a recovery residence serving MSM residents and how this residence may differ from residences not specifically designated for MSM residents; (2) To assess the feasibility of recruiting MSM residents and collecting baseline and 3-month follow-up data on substance abuse to estimate changes in HIV/AIDS risk behavior, health status, and service use; (3) To identify factors that may facilitate or inhibit the opening and operation of recovery residences for MSM and members of the larger LGBTI population. To address these aims, we will conduct in-person interviews with the owner and house managers of an organization that runs 12 recovery residences in Austin, Texas, including a home designated for MSM. We will also collect mixed-methods, computer-assisted telephone interviews with MSM residents (N=30) who live in these residences upon entry and at a 3-month follow-up interview. Finally, in order to better understand factors that may facilitate o inhibit the wider proliferation of recovery residences for segments of the LGBTI population, we will conduct key-informant interviews with recovery residence operators (N=10) in densely populated urban areas across the US who are affiliated with the National Alliance for Recovery Residences (NARR). The proposed study represents the first study of MSM experiences in recovery residences and the first study of an MSM recovery residence. Drs. Mericle (PI) and Polcin (Co-I) are among the few researchers in the nation who have conducted research on recovery residences and will be joined by Drs. Adam Carrico (Co-I) and Ronald Stall (Consultant) who have expertise in substance abuse and associated health problems among MSM. The findings from this study will enhance the understanding of the role that recovery residences can play in reducing HIV/AIDS risk among MSM. More importantly, this research will establish the magnitude of the effects that recovery residences may have on key health and service use outcomes among MSM, a critical first step to future trials of the effectiveness of recovery residences and services delivered in recovery residences to improve health outcomes among MSM and reduce health disparities among individuals in the larger LGBTI community.

 描述：女同性恋，同性恋，双性恋，变性者和双性恋（LGBTI）成年人面临独特的健康差异，解决这些差异是国家健康的重中之重。在这个社区中，与男性发生性关系的男性（MSM）有滥用药物，艾滋病毒/艾滋病和其他不良健康状况的风险。成瘾的恢复住所是提高滥用物质的个体结果的有希望的机制，但是在这些环境中，性少数群体的经历已经被研究不足。为了解决文献中的这一差距，拟议的两年混合方法，形成性研究具有三个具体目的：（1）检查为MSM居民提供服务的恢复居住居住的服务输送组件，以及该住所与未针对MSM居民指定的不专门指定的住所； （2）评估招募MSM居民并收集基线以及有关滥用药物的3个月后续数据的可行性，以估算艾滋病毒/艾滋病风险行为，健康状况和服务使用的变化； （3）确定可能促进的因素 或抑制MSM和较大LGBTI人群的恢复住宅的开放和运营。为了解决这些目标，我们将对在得克萨斯州奥斯汀市经营12个恢复住所的组织的所有者和房屋经理进行面对面的访谈，其中包括指定为MSM的房屋。我们还将与MSM居民（n = 30）收集混合方法，计算机辅助的电话采访，他们进入这些住所，并进行了为期3个月的后续采访。最后，为了更好地理解可能有助于o抑制LGBTI人口段的恢复住所的更广泛扩散的因素，我们将在美国与恢复居民的国家联盟（NARR）联盟（NARR）联盟（NARR）的全国联盟（NARN）的全美城市地区对恢复住所（N = 10）进行关键信息访谈（n = 10）。拟议的研究代表了对恢复住宅中MSM体验的首次研究，也是对MSM恢复住所的首次研究。博士。 Mericle（PI）和Polcin（Co-​​I）是全国为数不多的研究人员，他们对恢复住所进行了研究，并将由Drs加入。 Adam Carrico（Co-I）和Ronald Stall（顾问）在MSM中具有滥用药物和相关健康问题的专业知识。这项研究的发现将增强对恢复住宅在降低MSM中艾滋病毒/艾滋病风险中所起的作用的理解。更重要的是，这项研究将确定恢复住所可能对MSM关键健康和服务使用结果产生的影响的大小，这是对未来回收住所和服务有效性的未来试验的关键第一步，以改善MSM的健康状况，并减少较大LGBTI社区中个人健康状况。