Impact of COVID-19 Criminal-Legal Practices on HIV Risk among Women Who Use Drugs: A Multi-Methods Qualitative Exploration

COVID-19 刑事法律实践对吸毒女性艾滋病毒风险的影响：多方法定性探索

• 批准号: 10481416
• 负责人: Amy Brooks Smoyer
• 金额: $ 41.46万
• 依托单位: SOUTHERN CONNECTICUT STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-05-01 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10481416
• 关键词: AIDS prevention; Academic Research Enhancement Awards; Acute; Address; Adult; Attention; Behavior; COVID-19; COVID-19 impact; COVID-19 pandemic; COVID-19 prevention; Calendar; Communities; Connecticut; Consensus; Correctional Institutions; Crowding; Data; Drops; Drug usage; Economics; Employment; Environment; Goals; HIV; HIV risk; Harm Reduction; Healthcare; Housing; Imprisonment; Incidence; Individual; Interpersonal Relations; Interruption; Interview; Journals; Justice; Knowledge; Lead; Left; Legal; Legal system; Mediating; Mediation; Mental Health; Methods; Newly Diagnosed; Outcome; Paper; Participant; Peer Review; Persons; Police; Poverty; Prisons; Procedures; Psychiatric Social Work; Public Policy; Qualitative Methods; Research; Risk Behaviors; Sampling; Services; Shapes; Social Distance; Social Work; Social support; Sterility; Students; Syringes; Time; Uncertainty; United States National Institutes of Health; Universities; Woman; Work; addiction; base; care systems; community based service; community engaged research; community setting; condoms; coronavirus disease; digital; drug use behavior; experience; health care availability; health care service; improved; life history; pre-exposure prophylaxis; preventive intervention; prison population; programs; protective factors; psychosocial; response; social science research; socioeconomics; symposium; tool; undergraduate student; web site

Project Summary/Abstract The goal of this R15 Academic Research Enhancement Award (AREA) study is to build knowledge about the impact of COVID-19 shifts in criminal-legal practices on the HIV risk behaviors of justice-involved women who use drugs (WWUD). WWUD are disproportionately impacted by HIV. Incarceration has been identified as one of the myriad individual and structural factors that elevates the HIV risk of WWUD. During the COVID-19 pandemic, the number of women incarcerated in Connecticut was drastically reduced to avoid prison crowding. This change in criminal-legal practices created an opportunity to build knowledge about the impact of non- incarceration responses to illicit behavior on the HIV risk of WWUD. The specific aims of the study are to (1) Provide undergraduate students at Southern Connecticut State University the opportunity to gain significant experience with community engaged research; (2) Identify the pre-COVID-19 HIV risk behaviors and protective factors of justice-involved WWUD; (3) Document and assess HIV risk during COVID-19 among justice-involved WWUD. Multiple methods will be used in this longitudinal qualitative study. First, qualitative life history interviews will be conducted with 30 formerly incarcerated adult WWUD in New Haven, CT, in order to understand and describe their lived experiences and HIV risk prior to COVID-19. This data will create a baseline understanding about their psychosocial conditions and interactions with criminal-legal systems. Next, the same sample of women will participate in individual calendar-based interviews in order to document their HIV risk and interactions with criminal-legal systems during COVID-19 (March 2020 – March 2022). After these interviews have been conducted, a sub-sample of 10 study participants will participate in an 8-week digital storytelling program. The digital stories produced during this stage of the study will offer additional data about participants’ lives during COVID-19 that will triangulate the calendar data and offer a creative tool for sharing findings with community. Rapid Qualitative Inquiry methods will be used to collect, manage, and analyze data in ways that centers team-based work, insiders’ perspectives, and iterative practices that facilitate rapid understanding and dissemination of findings. All aspects of this study will be developed and conducted by a diverse team of undergraduates in partnership with community consultants who have been personally impacted by incarceration and drug use. Students will meet regularly with the PI and consultants, conduct 12 interviews each, co-facilitate the digital storytelling project, analyze data, author papers, and disseminate findings. A website will be developed to share preliminary findings and final analyses, and the study team will present findings at academic conferences, community forums, and through peer-reviewed journals. By diversifying the research workforce and analyzing the COVID-era experiences of WWUD, this project aligns with NIH’s commitment to social science research that addresses the structural determinants of HIV risk.

项目摘要/摘要 R15学术研究增强奖（区域）的目标是建立有关 共同-19犯罪法实践转变对涉及正义妇女的艾滋病毒风险行为的影响 使用药物（WWUD）。 WWUD受艾滋病毒的影响不成比例。监禁已被确定为 在无数个个人和结构因素中，升高了艾滋病毒的风险。在19日期间 大流行，康涅狄格州继承的妇女人数大大减少，以避免监狱拥挤。 犯罪法实践的这种变化创造了一个机会，可以建立有关非 - 监禁对非法行为对艾滋病毒风险的非法行为的反应。该研究的具体目的是（1） 为康涅狄格州立大学南部的本科生提供获得重要的机会 有社区参与研究的经验； （2）识别前旋转前19的艾滋病毒风险行为和保护性 涉及正义的WWUD的因素； （3）在诉讼中，共同审查期间的文件和评估艾滋病毒风险 WWUD。这项纵向定性研究将使用多种方法。首先，定性人生历史 访谈将与康涅狄格州纽黑文的30个以前被监禁的成人WWUD进行 在COVID-19之前了解并描述他们的现场经历和HIV风险。这些数据将创建一个 基线了解他们的社会心理状况以及与犯罪法律系统的互动。下一个， 相同样本的妇女将参加基于日历的访谈，以记录他们的 艾滋病毒的风险和与犯罪法律系统的互动在19220年3月至2022年3月）。之后 进行了访谈，10个研究参与者的子样本将参加为期8周的数字 讲故事计划。在研究的这一阶段所产生的数字故事将提供有关的其他数据 参与者在Covid-19期间的生活将进行三角测量，并提供共享的创意工具 与社区的发现。快速定性查询方法将用于收集，管理和分析数据 以基于团队的工作，内部人士的观点和迭代实践的方式，以促进快速 了解和传播发现。这项研究的所有方面都将由A开发和进行 与个人顾问合作的多元化本科生团队 受影响和吸毒的影响。学生将定期与PI和顾问见面，进行12 访谈每个 发现。将开发一个网站来分享初步发现和最终分析，研究团队将 在学术会议，社区论坛以及通过同行评审的期刊上介绍发现。经过 多元化研究人员和分析WWUD的共同经验，该项目保持一致 NIH致力于社会科学研究，以解决艾滋病毒风险的结构决定者。