Understanding typologies of IPV and access to services among drug-involved Black women with criminal-legal involvement who have sex with women and men

了解 IPV 的类型以及与女性和男性发生性关系、涉及刑事法律的涉毒黑人女性获得服务的情况

• 批准号: 10387408
• 负责人: Ariel Richer
• 金额: $ 3.6万
• 依托单位: COLUMBIA UNIV NEW YORK MORNINGSIDE
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-02-01 至 2024-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10387408
• 关键词: Academic skills; Address; Adult; Affect; Alcohol consumption; Baseline Surveys; Behavioral Model; Bisexual; Black race; Caring; Characteristics; Communities; Counseling; Crime; Data; Data Analyses; Data Collection; Development; Discrimination; Drug Legislation; Drug usage; Emergency Situation; Ethnic Origin; Face; Fellowship; Fright; Funding; Future; Gender; HIV; Health Services Accessibility; Heterosexuals; Imprisonment; Improve Access; Intervention; Intervention Studies; Interview; Legal; Legal system; Lesbian; Link; Logistic Regressions; Measures; Methods; National Institute of Drug Abuse; New York City; Not Hispanic or Latino; Participant; Pattern; Pharmaceutical Preparations; Pharmacotherapy; Police; Policies; Population; Population Study; Prevalence; Public Health; Race; Regression Analysis; Reporting; Research; Research Methodology; Research Personnel; Research Training; Risk; Risk Factors; Sampling; Services; Severities; Sex Behavior; Sex Orientation; Sexual Partners; Shelter facility; Stigmatization; Substance abuse problem; Supervision; Survivors; Time; Training Programs; Trauma; Typology; Underrepresented Populations; Violence; Woman; black women; career; convict; experience; follow-up; health care model; health disparity; innovation; insight; intimate partner violence; men; minority stress; parole; perpetrators; person centered; physical assault; probation; programs; service utilization; sex; sexual assault; sexual minority; sexual minority women; skills; social stigma; substance use; surveillance data; theories; training opportunity; treatment services; violence prevention; women who have sex with women

Project Summary/ Abstract: Background: The extremely high rates of intimate partner violence (IPV) experienced by Black women in community supervision programs (CSPs) who use drugs represents a major public health concern given the vast overrepresentation of Black women in the criminal legal system compared to non-Hispanic white women due to racialized drug laws and policies. National IPV surveillance data suggest that the rates of IPV in this population may be even higher among Black bisexual women in CSPs who use drugs. However, there remains a dearth of research that centers the experience of Black women who have sex with women and men (WSWM). Fear of experiencing police violence and experiences of racial and sexual discrimination pose additional challenges for Black WSMW in CSPs who use drugs to access both IPV and drug treatment services. No studies, to date, have examined typologies of IPV and its association to accessing IPV-related services among Black women with multiple intersecting minoritized identities including substance use, sexual behavior, and criminal-legal involvement. To address these gaps, this application has three research aim: 1) Identify typologies of IPV; 2) Examine how membership to latent classes are associated with accessing IPV- related services; and 3) Explore underlying mechanisms that may link IPV class, sexual behavior, and access to and utilization of IPV-related services. Methods: This dissertation study uses a sequential explanatory mixed methods approach with 1) secondary baseline survey data from Project eWORTH, a NIDA-funded HIV intervention study of 352 Black, drug-involved women mandated to CSPs and 2) primary qualitative follow-up data with participants to inform findings from the secondary data analysis. Analysis: Latent class analysis (LCA) will be used to identify underlying classes of IPV and association with sexual behavior (Aim 1) and association of membership in a class with receipt of IPV-related services, controlling for sexual orientation and gender of perpetrator with multinomial regression (Aim 2). LCA is an innovative “person-centered” approach to measure trauma that may identify the number of underlying groups using observed characteristics. Primary data collection and qualitative analysis (Aim 3) will enrich statistical findings from the LCA and multinomial logistic regression analysis. The 2-year research and training program proposed in this F31 Fellowship application will cultivate skills in mixed-methods research, essential to completing my dissertation research and training. It will provide critical academic skills for a career as an independently funded substance abuse and IPV prevention researcher.

项目摘要/摘要： 背景：#年黑人女性经历的亲密伴侣暴力(IPV)的极高比率 使用毒品的社区监督计划(CSP)代表着一个主要的公共卫生问题，因为 与非西班牙裔白人女性相比，黑人女性在刑事法律体系中的比例过高 由于种族主义的毒品法律和政策。国家IPV监测数据表明，这个国家的IPV率 在CSP中使用毒品的黑人双性恋女性的人口可能更高。然而，仍有遗迹 缺乏以黑人女性与男女发生性关系的经历为中心的研究 (WSWM)。害怕遭遇警察暴力以及种族歧视和性别歧视的经历构成了 黑人WSMW在使用药物同时获得IPV和药物治疗的CSP中面临的额外挑战 服务。到目前为止，还没有研究检查IPV的类型及其与获取IPV相关的关联 具有多种交叉矿化身份的黑人妇女提供的服务，包括吸毒、性行为 行为，以及刑事法律介入。为了解决这些差距，本申请有三个研究目标：1) 识别IPV的类型；2)检查潜在类的成员资格如何与访问IPV- 相关服务；以及3)探索可能将IPV类别、性行为和访问联系起来的潜在机制 对与IPV相关的服务的利用。方法：本研究采用序贯解释混合法 方法使用1)来自NIDA资助的HIV项目Eworth的二次基线调查数据 352名黑人吸毒妇女接受CSP和2)初步定性随访的干预研究 与参与者一起提供数据，以告知二次数据分析的结果。分析：潜在类分析 (LCA)将用于确定IPV的基本类别及其与性行为的联系(目标1)和 接受IPV相关服务的班级成员协会，控制性取向和 用多项回归分析犯罪人的性别(目标2)。生命周期评价是一种创新的以人为本的方法 测量创伤，可以使用观察到的特征确定潜在群体的数量。主要 数据收集和定性分析(目标3)将丰富生命周期评价和多项式的统计结果 Logistic回归分析。F31奖学金中提出的为期两年的研究和培训计划 应用将培养混合方法研究的技能，这是完成我的论文研究和 训练。它将提供关键的学术技能，作为一个独立资助的药物滥用和职业生涯 IPV预防研究员。