Addiction recovery residences to improve health outcomes in high-risk men

 产品说明：女同性恋、男同性恋、双性恋、变性人和双性人（LGBTI）成年人面临着独特的健康差距，解决这些差距是国家卫生优先事项。在这个社区中，男男性行为者（MSM）滥用药物、艾滋病毒/艾滋病和其他不良健康状况的风险增加。成瘾康复住所是一种很有前途的机制，可以提高滥用药物的个人的结果，但性少数群体在这些环境中的经历却没有得到充分的研究。为了弥补这一文献空白，本研究提出了三个具体目标：（1）研究为MSM居民服务的康复住所的服务提供组件，以及该住所与非专为MSM居民设计的住所有何不同;（2）评估招募MSM居民并收集基线和3个月随访的药物滥用数据的可行性，以估计HIV/AIDS危险行为、健康状况和服务使用的变化;（3）确定可能促进 或禁止为男男性行为者和较大的LGBTI人群开放和运营康复住所。为了实现这些目标，我们将与一个组织的所有者和房屋经理进行面对面的访谈，该组织在德克萨斯州奥斯汀市经营着12个康复住宅，其中包括一个专为男男性接触者设计的住宅。我们还将收集混合方法，计算机辅助电话采访的MSM居民（N=30）谁住在这些住宅后进入，并在3个月的后续采访。最后，为了更好地了解可能促进或抑制LGBTI人群中恢复住宅更广泛扩散的因素，我们将在美国人口稠密的城市地区与恢复住宅运营商（N=10）进行关键线人访谈，他们隶属于全国恢复住宅联盟（NARR）。拟议的研究代表了第一次研究MSM的经验，在恢复住宅和第一次研究的MSM恢复住宅。Mericle博士（PI）和Polcin博士（Co-I）是全国为数不多的对恢复住宅进行研究的研究人员之一，Adam Carrico博士（Co-I）和罗纳德Stall博士（顾问）将加入他们的行列，他们在MSM中的药物滥用和相关健康问题方面具有专业知识。这项研究的结果将提高对康复住宅在减少男男性行为者艾滋病毒/艾滋病风险方面所起作用的理解。更重要的是，这项研究将确定恢复住宅可能对MSM的关键健康和服务使用结果的影响程度，这是未来试验恢复住宅和恢复住宅提供的服务的有效性的关键第一步，以改善MSM的健康结果，并减少更大的LGBTI社区中个人之间的健康差异。

 DESCRIPTION: Lesbian, gay, bisexual, transgender, and intersex (LGBTI) adults face unique health disparities and addressing these disparities is a national health priority. Within this community, men who have sex with men (MSM) are at increased risk for substance abuse, HIV/AIDS, and other adverse health conditions. Addiction recovery residences are a promising mechanism to enhance outcomes among individuals who abuse substances, but the experiences of sexual minorities in these settings have been under-researched. To address this gaps in the literature, the proposed two-year, mixed-methods, formative research study has three specific aims: (1) To examine the service delivery components of a recovery residence serving MSM residents and how this residence may differ from residences not specifically designated for MSM residents; (2) To assess the feasibility of recruiting MSM residents and collecting baseline and 3-month follow-up data on substance abuse to estimate changes in HIV/AIDS risk behavior, health status, and service use; (3) To identify factors that may facilitate or inhibit the opening and operation of recovery residences for MSM and members of the larger LGBTI population. To address these aims, we will conduct in-person interviews with the owner and house managers of an organization that runs 12 recovery residences in Austin, Texas, including a home designated for MSM. We will also collect mixed-methods, computer-assisted telephone interviews with MSM residents (N=30) who live in these residences upon entry and at a 3-month follow-up interview. Finally, in order to better understand factors that may facilitate o inhibit the wider proliferation of recovery residences for segments of the LGBTI population, we will conduct key-informant interviews with recovery residence operators (N=10) in densely populated urban areas across the US who are affiliated with the National Alliance for Recovery Residences (NARR). The proposed study represents the first study of MSM experiences in recovery residences and the first study of an MSM recovery residence. Drs. Mericle (PI) and Polcin (Co-I) are among the few researchers in the nation who have conducted research on recovery residences and will be joined by Drs. Adam Carrico (Co-I) and Ronald Stall (Consultant) who have expertise in substance abuse and associated health problems among MSM. The findings from this study will enhance the understanding of the role that recovery residences can play in reducing HIV/AIDS risk among MSM. More importantly, this research will establish the magnitude of the effects that recovery residences may have on key health and service use outcomes among MSM, a critical first step to future trials of the effectiveness of recovery residences and services delivered in recovery residences to improve health outcomes among MSM and reduce health disparities among individuals in the larger LGBTI community.