Social Determinants of HIV: The Intersecting Impacts of Mass Incarceration, Housing Stability, and Subsidized Housing Policies

 描述(由申请者提供)：该项目将分析艾滋病毒/艾滋病和性传播感染的三个相互关联的关键社会决定因素--大规模监禁、住房稳定和补贴住房政策--以及它们相互交织形成与艾滋病毒相关的性危险行为和这些行为中的种族差异的机制。到目前为止，关于大规模监禁与艾滋病毒/艾滋病和性传播感染之间的联系的研究主要集中在监禁对关系稳定性的影响上。它作为一种联系机制对住房稳定的影响较少受到关注。然而，广泛的研究已经确定住房稳定性是艾滋病毒/艾滋病的社会决定因素，尽管它很少包括对大规模监禁的关注。也没有注意到基于吸毒和犯罪历史限制获得补贴住房的政策可能会对住房稳定产生什么影响。在补贴住房日益成为穷人唯一可用的负担得起的住房选择的时候，这些政策可能会影响住房稳定，不仅是那些直接参与刑事司法(CJ)系统的人，也包括他们的亲人。因此，有充分的理由调查大规模监禁、住房稳定和补贴住房政策对艾滋病毒/艾滋病的交叉影响。为此，该项目有三个具体目标：(1)分析美国各地补贴住房政策限制程度的差异，因为它与艾滋病毒/艾滋病和性传播感染的比率有关，以及这些比率的种族差异。为此，将根据政策的限制性程度对政策进行系统的编码，并分析政策变化如何与发病率相关联；(2)从弱势群体的角度了解大规模监禁--包括CJ参与(个人、家庭和性伴侣)和暴露于“超级治安”的历史--住房稳定性和补贴住房政策的经验如何交织在一起，影响艾滋病毒/艾滋病/性传播感染相关的性风险，并在这些风险中产生种族差异。这将通过对最近参与CJ系统和/或居住或寻求补贴住房的个人收集的纵向定性和定量数据进行分析；以及(3)从不同利益相关者的角度，包括政策制定者、计划实施者、房东、CJ人员以及住房和法律服务提供者，审查补贴住房政策是如何在当地解释和实施的，以及为什么以这种方式解释和实施这些政策。这将通过对这些利益攸关方的半结构化访谈进行分析来完成。

 DESCRIPTION (provided by applicant): This project will analyze three key, interrelated social determinants of HIV/AIDS and STIs-mass incarceration, housing stability, and subsidized housing policies -and the mechanisms through which they intersect to shape HIV-related sexual risk behaviors and race disparities in these behaviors. To date, research on the association between mass incarceration and HIV/AIDs and STIs has focused on incarceration's effects on relationship stability. Less attention has been paid to its effects on housing stabilityas a linking mechanism. Yet, extensive research has established housing stability as a social determinant of HIV/AIDS, though it rarely includes attention to mass incarceration. Nor has attention been paid to how policies that limit access to subsidized housing based on drug use and criminal history may impact on housing stability. At a time when subsidized housing increasingly represents the only available affordable housing option for the poor, such policies likely affect housing stability, not only among those directly involved with the criminal justice (CJ) system but among their loved ones as well. Thus, there is strong rationale to investigate the intersecting impacts of mass incarceration, housing stability, and subsidized housing policies on HIV/AIDS. Toward this end, this project has three specific aims: (1) To analyze variation across the US in the degree of restrictiveness of subsidized housing policies as it relates to rates of HIV/AIDS and STIs, and race disparities in these rates. This will be done through systematic coding of policies according to their degree of restrictiveness, and analysis of how policy variation is associated with disease rates; (2) To understand from the perspective of vulnerable populations how mass incarceration-including history of CJ involvement (personal, family, and sexual partner) and exposure to 'hyperpolicing"-housing stability, and experiences with subsidized housing policies intersect to impact HIV/AIDS/STI related sexual risks, and produce race disparities in these risks. This will be done through analysis of longitudinal qualitative and quantitative data collected from individuals recently involved in the CJ system and/or living in or seeking subsidized housing; and (3) To examine from the perspective of various stakeholders, including policymakers, program implementers, landlords, CJ personnel, and housing and legal service providers, how subsidized housing policies are interpreted and implemented locally and why they are interpreted and implemented in this way. This will be done through analysis of semi-structured interviews with these stakeholders.