Mexican Female Migration, Substance Use, Sex Work, and HIV Risks in Tijuana

描述（由申请人提供）：这个为期5年的职业发展奖将为候选人提供混合研究方法及其应用的培训，以了解物质使用和移民对少数民族和弱势群体中艾滋病毒和血源性感染（BBIs）的影响。新的定性和混合方法的培训加上博士学位。在公共卫生和先前的卫生服务研究将准备候选人的独立，政策导向的研究复杂的社会和移民因素在艾滋病毒预防在少数民族和弱势社区。拟议的职业和培训目标采用教学和指导学习：（1）全面了解有助于物质使用和促进BBI在移民中传播的社会和环境因素;（2）获得制定和实施混合方法协议的专业知识（即，（3）在研究中，特别是维斯弱势群体的研究中，获得伦理行为方面的持续培训;（4）发展成功的学术研究生涯所需的技能（例如，出版同行评审的论文，在专业会议上发言，granitarian）;（5）深入了解基于理论的干预措施，这些措施可能会减少注射毒品使用者（IDUs）之间的BBI传播。这项培训的一个关键方面涉及调查移民对美国蒂华纳市注射毒品的移民女性性工作者（FSW-IDUs）中危险药物使用和性行为的影响。墨西哥边境。本研究采用混合方法，（1）描述天津市暗娼吸毒者过去和未来的迁移决定和资源;（2）描述社区和家庭迁移经历对FSW-IDUs从事性工作和药物使用行为的决定的影响，（3）探讨移民因素与危险性行为和物质使用行为的关系。本研究生成的数据将由申请人用于开发针对美国移民FSW-IDUs和HIV风险的R 01或R34。墨西哥边境地区。相关性（见说明）：这项研究的公共卫生相关性在于研究人群作为桥梁人群的作用，这意味着性传播感染或其他BBI可能会通过FSw-IDUs及其客户参与危险的性行为和药物使用行为而变得普遍化。墨西哥边境地区以及前往该地区的游客。

DESCRIPTION (provided by applicant): This 5 year career development award will provide the candidate with training in mixed research methods and their applications to understanding substance use and migration impacts on HIV and blood borne infections (BBIs) in minority and vulnerable populations. The new qualitative and mixed-methods training coupled with a Ph.D. in public health and prior health services research will prepare the candidate for independent, policy oriented research on complex social and migration factors in HIV prevention in minority and disadvantaged communities. The proposed career and training goals employ didactic and mentored learning to: (1) Develop a thorough understanding of social and environmental factors that contribute to substance use and facilitate transmission of BBIs in migrants; (2) Acquire expertise in developing and implementing mixed-methods protocols (i.e., qualitative and quantitative methods) to study substance use issues; (3) Obtain ongoing training in the ethical conduct in research, especially vis-¿-vis vulnerable populations; (4) Develop the skills necessary for a successful academic research career (e.g., publishing peer reviewed papers, presenting at professional meetings, grantsmanship); and (5) Acquire an in-depth understanding of theory-based interventions that may reduce transmission of BBIs among migrant injection drug users (IDUs). A key aspect of this training involves investigating the influence of migration on risky substance use and sexual behaviors among migrant female sex workers who inject drugs (FSW-IDUs) in Tijuana, a city on the U.S.-Mexico border. The prevalence of HIV in FSW-IDUs is 12.3% This study uses a mixed-methods approach to (1) characterize prior and future migration decisions and resources of FSW- IDUs in Tijuana; (2) Describe the influence of community and family migration experiences on FSW-IDUs' decisions to engage in sex work and substance use behaviors, and (3) Examine the relationship between migration factors and engagement in risky sex and substance use behaviors. Data generated from this study will be used by the applicant to develop an R01 or R34 targeting migrant FSW-IDUs and HIV risks in the U.S.-Mexico border region. RELEVANCE (See instnjections): The public health relevance of this study lies in the study population's role as a bridge population, meaning that sexually transmitted infections or other BBIs may become generalized through engagement in risky sex and substance use behaviors by FSw-IDUs and their clients to other populations residing in the U.S.-Mexico border region as well as tourists to the region.