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

项目概要/摘要： 背景：黑人妇女经历的亲密伴侣暴力（IPV）发生率极高， 社区监督计划（CSP）谁使用药物代表了一个主要的公共卫生问题， 与非西班牙裔白色妇女相比，黑人妇女在刑事法律的系统中的比例过高 由于种族化的毒品法律和政策。国家IPV监测数据表明， 在CSP中使用毒品的黑人双性恋妇女中，这一比例可能更高。然而， 缺乏以黑人女性与女性和男性发生性关系的经历为中心的研究 （WSWM）。害怕遭受警察暴力以及种族和性别歧视的经历， 使用药物获得IPV和药物治疗的CSP中的黑人WSMW面临的其他挑战 服务到目前为止，还没有研究检查IPV的类型学及其与访问IPV相关信息的关联。 服务黑人妇女与多个交叉的少数民族身份，包括药物使用，性 行为和刑事法律参与。为了解决这些差距，本申请有三个研究目标：1） 识别IPV的类型学; 2）检查潜在类的成员资格如何与访问IPV相关联- 相关服务;以及3）探索可能将IPV类，性行为和访问联系起来的潜在机制 和IPV相关服务的使用。方法：本论文采用序贯解释混合模型 方法方法：1）来自NIDA资助的艾滋病毒项目eWORTH的二级基线调查数据 对352名黑人、涉毒妇女进行干预研究，2）主要定性随访 与参与者的数据，以告知从二次数据分析的结果。分析：潜在类分析 (LCA)将用于识别IPV的潜在类别以及与性行为的关联（目标1）， 将某类成员与接受IPV相关服务、控制性取向和 犯罪者的性别与多项式回归（目标2）。LCA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识别潜在群体的数量。初级 数据收集和定性分析（目标3）将丰富LCA和多项式的统计结果 logistic回归分析本F31奖学金提出的2年研究和培训计划 申请将培养混合方法研究的技能，这对完成我的论文研究至关重要， 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 IPV预防研究员。

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.