Methamphetamine Use in the Suburbs: An Exploratory Study

郊区甲基苯丙胺的使用：一项探索性研究

• 批准号: 7756542
• 负责人: MIRIAM W BOERI
• 金额: $ 20.1万
• 依托单位: KENNESAW STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-06-01 至 2012-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7756542
• 关键词: Academic Research Enhancement Awards; Affect; Applications Grants; Area; Attention; Awareness; Communities; Data; Data Analyses; Data Collection; Drug usage; Drug user; Epidemiology; Face; Female; Focus Groups; Funding; Future; Gender; Gender Role; Goals; Group Interviews; HIV; Health; Health Services; Health Services Accessibility; Health Services Needs; Healthcare; Hepatitis C virus; Individual; Intervention; Interview; Investigation; Knowledge; Life; Life Cycle Stages; Literature; Mainstreaming; Methamphetamine; Mosses; National Institute of Drug Abuse; Participant; Patient Self-Report; Pattern; Pharmaceutical Preparations; Population; Population Study; Recommendation; Recruitment Activity; Reporting; Research; Risk; Risk Behaviors; Risk Factors; Risk Reduction; Sampling; Services; Sex Characteristics; Sexually Transmitted Diseases; Social Environment; Societies; Stigmatization; Time; United States National Institutes of Health; United States Public Health Service; United States Substance Abuse and Mental Health Services Administration; Violence; Woman; base; follow-up; health care service utilization; longitudinal design; male; men; neglect; novel; public health relevance; social; suburb; theories; transmission process; trend

DESCRIPTION (provided by applicant): This is a competitive renewal of an R15 AREA study that examined emerging trends in methamphetamine (MA) use among a sample of 65 male and 35 female MA users in the suburbs. We found that the suburban setting increases risk factors for female drug users, including risk behaviors associated with transmission of human immunodeficiency virus (HIV), hepatitis C virus (HCV) and sexually transmitted infections (STIs). In expanding upon our original study, we will continue to explore emerging trends in MA use in the suburbs, focusing exclusively on female MA users, an understudied and neglected population of drug users. Additionally, women living in the suburbs face barriers to drug treatment and healthcare due to restricted access to health services, lack of drug-related risk awareness, and the gendered stigmatization of suburban MA use that intensifies the hidden status of this population. The broad goal of this renewal study is to gain a more in-depth understanding of gendered drug-use trajectories and risk behavior patterns. Our specific aims in this competitive renewal study are (1) to expand our exploration into the turning points in drug use trajectories among suburban women who use MA; (2) to provide a more comprehensive understanding of the risks and protective factors that impact the transmission of HIV, HCV and STIs specific to female MA users living in the suburbs; and (3) to assess HIV risk awareness, risk behaviors, healthcare utilization and accessibility to healthcare services over time for a sub-sample of suburban female MA users. The sample in this renewal study will include 30 suburban female MA users (15 former and 15 current users). As a novel line of investigation, we will use a longitudinal design to collect data at three points: 30 new in-depth interviews, followed 3-6 months later by 30 follow-up interviews, and followed another 3-6 months later by focus groups with the same sample population. Participants are provided risk-reduction and healthcare literature at each interview. Follow-up interviews focus on changes in specific drug use patterns, social context of drug use, HIV- risk behaviors, healthcare utilization, and access to health services and treatment, which are new areas of this renewal study. Data analysis will be informed by life course and symbolic interaction theories. First, the findings will provide a more comprehensive understanding of the gender differences found in our original study on MA use in suburban Atlanta. Second, the longitudinal design will identify HIV-risk behaviors among suburban female MA users and changes in risk behaviors over time. Third, knowledge regarding the utilization of health services and access to needed healthcare among this study population will better inform future healthcare initiatives. Additionally, findings will yield recommendations for gender-specific and socially appropriate interventions at the individual and community levels for suburban female MA users.

描述（由申请人提供）：这是一项R15地区研究的竞争性更新，该研究检查了郊区65名男性和35位女性MA用户的甲基苯丙胺（MA）使用的新兴趋势。我们发现，郊区设置增加了女性吸毒者的危险因素，包括与人类免疫缺陷病毒（HIV）（HIV），乙型肝炎病毒（HCV）和性传播感染（STIS）有关的风险行为。在扩展我们的原始研究时，我们将继续探索郊区MA使用的新兴趋势，专注于女性MA使用者，这是一位受过研究和被忽视的吸毒者人群。此外，居住在郊区的妇女因获得卫生服务的限制，缺乏与毒品有关的风险意识以及对郊区MA使用的性别污名化而面临药物治疗和医疗保健的障碍，这加剧了该人群的隐藏状态。这项更新研究的广泛目标是对性别使用毒品轨迹和风险行为模式有更深入的了解。我们在这项竞争性更新研究中的具体目的是（1）将我们的探索扩展到使用MA的郊区妇女中的毒品使用轨迹的转折点； （2）对影响居住在郊区的女性MA使用者的艾滋病毒，HCV和STI的传播的风险和保护因素有更全面的了解； （3）评估艾滋病毒风险意识，风险行为，医疗保健利用和医疗服务的可访问性，随着时间的流逝，郊区女性MA用户的子样本。这项续签研究的样本将包括30个郊区女性MA用户（15名以前和15名现有用户）。作为一项新的调查系列，我们将使用纵向设计以三点收集数据：30个新的深入访谈，然后在3-6个月后进行30次随访访谈，并在3-6个月后由具有相同样本人群的焦点小组进行了3-6个月。在每次访谈中，为参与者提供降低风险和医疗保健文献。后续访谈着重于特定药物使用模式的变化，毒品使用的社会环境，艾滋病毒风险行为，医疗保健利用以及获得卫生服务和治疗的机会，这是本续集研究的新领域。数据分析将通过生命课程和符号交互理论告知。首先，这些发现将为我们在亚特兰大郊区使用的MA使用研究中发现的性别差异提供更全面的理解。其次，纵向设计将确定郊区女性使用者中的艾滋病毒风险行为以及随着时间的流逝风险行为的变化。第三，有关卫生服务利用和在这项研究人群中获得所需医疗保健的知识将更好地为未来的医疗计划提供信息。此外，调查结果将为郊区女性MA使用者在个人和社区层面上针对性别特定和社会上适合性别的干预措施提出建议。