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.

项目概要/摘要 这项 R15 学术研究增强奖 (AREA) 研究的目标是建立有关 COVID-19 刑事法律实践的转变对参与司法的妇女的艾滋病毒风险行为的影响 使用药物（WWUD） WWUD 受艾滋病毒影响尤为严重。 COVID-19 期间增加 WWUD 艾滋病毒风险的无数个人和结构因素。 大流行期间，康涅狄格州被监禁的妇女人数大幅减少，以避免监狱拥挤。 刑事法律实践的这一变化创造了一个机会，让人们了解非刑事法律的影响。 监禁应对非法行为对 WWUD 艾滋病毒风险的影响 该研究的具体目的是 (1) 为南康涅狄格州立大学的本科生提供获得重大成果的机会 社区参与研究的经验；(2) 识别 COVID-19 之前的 HIV 风险行为和保护措施 (3) 记录和评估 COVID-19 期间司法人员的 HIV 风险 WWUD。这项定性纵向研究将使用多种方法。首先，定性生活史。 将对康涅狄格州纽黑文市的 30 名曾被监禁的成年 WWUD 进行访谈，以便 了解并描述他们在 COVID-19 之前的生活经历和 HIV 风险。 接下来，了解他们的心理社会状况以及与刑事法律系统的互动。 同样的女性样本将参加基于日历的个人访谈，以记录她们的情况 COVID-19 期间的 HIV 风险以及与刑事法律系统的互动（2020 年 3 月至 2022 年 3 月）。 访谈已经进行，10 名研究参与者的子样本将参加为期 8 周的数字化研究 在这个研究阶段产生的数字故事将提供有关的额外数据。 参与者在 COVID-19 期间的生活，将对日历数据进行三角测量并提供创造性的共享工具 快速定性调查方法将用于收集、管理和分析数据。 以团队工作、内部观点和迭代实践为中心，以促进快速 对研究结果的理解和传播将由一个机构来制定和实施。 多元化的本科生团队与个人社区顾问合作，这些顾问亲自 受监禁和吸毒影响的学生将定期与 PI 和顾问会面，进行 12 每次采访，共同促进数字故事讲述项目、分析数据、撰写论文并传播 研究小组将开发一个网站来分享初步结果和最终分析。 在学术会议、社区论坛和同行评审期刊上展示研究结果。 该项目使研究队伍多样化并分析 WWUD 在新冠病毒时代的经验 NIH 致力于社会科学研究，解决艾滋病毒风险的结构性决定因素。