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

 描述：女同性恋者、男同性恋者、双性恋者、变性人和双性恋者(LGBTI)成年人面临着独特的健康差距，解决这些差距是国家卫生优先事项。在这个社区中，男男性行为者(MSM)患药物滥用、艾滋病毒/艾滋病和其他不利健康状况的风险增加。戒毒所是一种很有希望的机制，可以改善滥用药物的个人的结果，但在这些环境中，性少数群体的经历一直研究不足。为了填补文献中的这一空白，拟议的为期两年的混合方法形成性研究有三个具体目标：(1)检查为MSM居民服务的康复住所的服务提供组成部分，以及该住所与非专门为MSM居民指定的住所有何不同；(2)评估招募MSM居民并收集药物滥用基线和3个月跟踪数据的可行性，以估计艾滋病毒/艾滋病危险行为、健康状况和服务使用的变化；(3)确定可能有助于促进的因素 或禁止为男男性接触者和较大的LGBTI人口成员开设和运营康复之家。为了达到这些目标，我们将对一个组织的所有者和房屋经理进行面对面的采访，该组织在德克萨斯州奥斯汀经营着12个恢复住所，其中包括一个为MSM指定的住所。我们还将收集混合方法，计算机辅助的电话访问的MSM居民(N=30)谁住在这些住所进入和在一个3个月的跟踪访问。最后，为了更好地了解可能促进或抑制部分LGBTI人口复苏住宅更广泛扩散的因素，我们将对美国人口稠密城市地区的复苏住宅运营商(N=10)进行关键线人访谈，这些运营商隶属于全国复苏住宅联盟(NAIR)。这项拟议的研究是第一次关于MSM在康复住处的经历的研究，也是第一次对MSM康复住处的研究。梅里科博士(PI)和波尔辛博士(Co-I)是美国为数不多的对康复住所进行研究的研究人员之一，亚当·卡里科博士(Co-I)和罗纳德·斯托尔博士(顾问)将加入他们的行列，他们在MSM中拥有药物滥用和相关健康问题的专业知识。这项研究的结果将加强对康复住所在降低男男性行为者艾滋病毒/艾滋病风险方面所起作用的理解。更重要的是，这项研究将确定康复之家可能对MSM中的关键健康和服务使用结果产生的影响的程度，这是未来测试康复之家和康复之家提供的服务的有效性的关键第一步，以改善MSM的健康结果，并减少更大的LGBTI社区个人之间的健康差距。

 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.