Examining the social, spatial, and temporal context of injection drug use and HIV and HCV risk among people who inject drugs in Ukraine
Examining the social, spatial, and temporal context of injection drug use and HIV and HCV risk among people who inject drugs in Ukraine
批准号:
9405240
负责人:
Jill Owczarzak
金额:
$24.53万
依托单位:
依托单位国家:
美国
项目类别:
财政年份:
2017
资助国家:
美国
项目状态:
已结题
起止时间:
2017-07-01 至 2019-06-30
关键词:
AcuteAddressAffectAreaBehaviorCharacteristicsDataDevelopmentDropsDrug usageDrug userEastern EuropeEgoEmploymentEpidemicEpidemiologyEquipment and supply inventoriesEventFaceFamilyFriendsGoalsHIVHIV SeropositivityHIV riskHIV/HCVHepatitis C PrevalenceHepatitis C co-infectionHome environmentHousingIndividualInfusion proceduresInjectableInjecting drug userInjection of therapeutic agentInterventionInterviewLiquid substanceLiteratureLocationMethodsNeedle SharingNeedle-Exchange ProgramsParticipantPathway interactionsPharmaceutical PreparationsPrevalencePreventionPreventive InterventionPrivatizationPublic HealthRecruitment ActivityReportingResearchResourcesRiskRisk BehaviorsRoleSchoolsShapesSocial EnvironmentSocial InteractionSocial NetworkStructureSyringesUkraineWorkbasecontextual factorsexperienceinjection drug usemembernon-drugprotective behaviorsexsocialsocial normtherapy developmentvirtual
中文摘要
项目总结
英文摘要
Project Summary
This project will use an activity space approach to explore differences in HIV/HCV injection risk behaviors
and protective factors among people who use drugs (PWID) in Ukraine. Epidemiological reports estimate that
over a third of PWID in Ukraine are HIV-positive, and 68% of PWID are HIV/HCV coinfected. The drug use
context in Ukraine presents unique HIV/HCV prevention challenges. Unlike many places in the world, in
Ukraine injection drugs are sold in liquid form. A dealer may distribute drugs by backloading or frontloading the
solution into users' syringes, or users may purchase drugs in pre-loaded syringes or draw prepared drugs from
a common container. Ukrainian PWID typically inject in groups of network members and use drugs in diverse
places, including in homes, on streets, in clubs, and in vacant lots and alleys. Through their daily activities,
PWID encounter various places with unique compositions of individuals who are engaged in protective or risk
exacerbating behaviors. Moreover, social networks and place have been recognized as having important roles
in shaping HIV/HCV risk behaviors. Drug users' social networks are not static across locations and have
different qualities (e.g., levels of risk) based upon the composition of a network at a particular location and
characteristics of that place (e.g., public or private). An “activity space” refers to this unique combination of
place, social network, and behavior that individuals have direct contact with as a result of their daily activities.
The Specific Aims of this 2 year study are: 1) To describe the daily routine and daily path of PWID in Odesa,
Ukraine, and adapt an Activity Space Inventory to the Ukrainian context; and 2) To examine differences in
place and egocentric network characteristics by activity space. We will conduct in-depth interviews with 30
PWID in Odesa, Ukraine structured around daily routine (the activities that they engage in) and daily path (the
specific places in which their activities occur) in order to understand the social and place-based contexts of
PWIDs' lives, including both drug use and non-drug using activities. These data will be analyzed to examine
HIV/HCV injection risk and protective behaviors by activity space. This information will then be used to
quantitatively explore the relationship between place, social networks, and HIV/HCV risk among 150 PWID
through an Activity Space Inventory. The unique aspects of drug use in Ukraine create acute challenges to the
development of effective HIV/HCV prevention interventions for PWID. This study places PWID in a broader
context that explores both their drug use related social networks, norms, and behaviors, and the non-drug use
social context that may diminish or exacerbate HIV/HCV risk. Results will inform development and placement
of intervention strategies tailored to specific drug use contexts and associated social network members and
norms.
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期刊论文(0)
专著(0)
科研奖励(0)
会议论文
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批准号:9138029
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资助金额:$29.16万
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财政年份:2017
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负责人:Jill Owczarzak
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财政年份:2012
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依托单位:
A Novel, Bottom Up Approach to Promote Evidence Based HIV Prevention for IDUs
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批准号:8486410
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项目类别:
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资助金额:$0.84万
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财政年份:2012
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负责人:Jill Owczarzak
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依托单位:
A Novel, Bottom Up Approach to Promote Evidence Based HIV Prevention for IDUs
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批准号:8308756
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资助金额:$64.77万
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财政年份:2012
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负责人:Jill Owczarzak
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Implementation, Effectiveness, and Cost-Effectiveness of an HIV Intervention
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批准号:8663952
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项目类别:
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资助金额:$52.26万
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财政年份:2010
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负责人:Jill Owczarzak
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依托单位:
Implementation, Effectiveness, and Cost-Effectiveness of an HIV Intervention
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批准号:8470238
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项目类别:
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资助金额:$44.4万
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财政年份:2010
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负责人:Jill Owczarzak
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依托单位:
Implementation, Effectiveness, and Cost-Effectiveness of an HIV Intervention
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批准号:8011637
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项目类别:
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资助金额:$57.74万
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财政年份:2010
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负责人:Jill Owczarzak
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依托单位:
Implementation, Effectiveness, and Cost-Effectiveness of an HIV Intervention
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批准号:8151064
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项目类别:
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资助金额:$47.08万
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财政年份:2010
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负责人:Jill Owczarzak
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依托单位:
Implementation, Effectiveness, and Cost-Effectiveness of an HIV Intervention
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批准号:8300978
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项目类别:
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资助金额:$46.21万
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财政年份:2010
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负责人:Jill Owczarzak
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依托单位:
海外基金