Optimizing PrEP Utilization among Alcohol and Other Drug (AOD) Using Women of Color

使用有色人种女性优化酒精和其他药物 (AOD) 的 PrEP 使用

• 批准号: 10166405
• 负责人: JESSY G DEVIEUX
• 金额: $ 14.75万
• 依托单位: FLORIDA INTERNATIONAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2021-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10166405
• 关键词: AIDS prevention; Adherence; Administrative Supplement; Adopted; Advocacy; Affect; African American; Alcohol consumption; Area; COVID-19; COVID-19 pandemic; Caring; Centers for Disease Control and Prevention (U.S.); Clinical Services; Color; Communities; Community Healthcare; Continuity of Patient Care; County; Data; Data Collection; Drug usage; Economics; Employment; Enrollment; Female; Florida; HIV; HIV risk; Haitian; Health Personnel; High Prevalence; Household; Individual; Internet; Interview; Knowledge; Measures; Mental Health; Methods; Modeling; National Institute on Alcohol Abuse and Alcoholism; Oral; Parents; Participant; Patients; Perception; Phase; Population; Populations at Risk; Preparation; Prevention; Prevention strategy; Provider; Quality of Care; Recommendation; Reporting; Research; Research Personnel; Resources; Risk; Risk Factors; Safety; Sampling; Services; Signal Transduction; Social Distance; Social isolation; Stress; Structure; Surveys; Telephone; Time; Time Study; Trust; Victimization; Videoconferences; Violence; Woman; Work; alcohol and other drug; alcohol services; ancillary care; base; community based participatory research; coronavirus disease; environmental stressor; ethnic minority population; experience; falls; health care delivery; health care settings; health disparity; improved; interest; intimate partner violence; medication compliance; member; minority communities; novel coronavirus; pandemic disease; pre-exposure prophylaxis; preservation; prevention service; public health emergency; public health relevance; response; sex; social; social stigma; social structure; socioeconomics; sound; stressor; study population; uptake

Project Summary This administrative supplement (PA-18-591) in response to NOT-AA-20-011, leverages an existing NIAAA U34 study for time-sensitive research on the impact of social environmental stressors related to COVID-19 on patient and provider experience in the HIV continuum of care for the most HIV-affected ethnic minority female populations in S. Florida, now in one of the epicenters of the new pandemic. The public health emergency posed by COVID-19 has caused unprecedented disruption in daily living, social structures, and employment as mitigation mandates of social distancing have been enforced to slow the spread of illness. Emerging evidence suggests that the most severe consequences from the novel coronavirus and the mitigation efforts will fall upon U.S. ethnic minority populations historically burdened by health disparities. The parent study, “Optimizing PrEP Utilization among Alcohol and Other Drug (AOD) Using Women of Color” (U34AA026219), is the first such project devoted to improving implementation and uptake of PrEP among African American, LatinX and Haitian women in the HIV hotspots of S. Florida and has produced a replicable model driven by community-based participatory research (CBPR). Before COVID-19, these study populations had limited economic resources, prevalent health disparities and reported high levels of intimate partner violence. The possible deleterious effects of the pandemic have not yet been investigated or reported for women of color in the South or for the HIV health care providers that serve them. The supplement will utilize longitudinal, mixed methods data collection within the parent study’s social ecological framework to fill critical knowledge gaps about the pandemic’s impact on engagement in care and adherence to PrEP and supportive services for alcohol and drug use, mental health, and other ancillary care in the three key ethnic minority populations of women. Our specific aims include: 1) remotely assess experiences in AOD use, engagement in care, PrEP medication adherence, and HIV risk factors among a sample of women of color at risk for HIV who are currently enrolled participants in the parent study, comparing measures taken pre-COVID-19, (T1), to post-COVID assessments, (T2 and T3), taken 3 months apart; 2) measure via internet surveys changes in health services delivery and social distancing due to the pandemic on access to and perceived quality of care, patient trust, and provider stress among a group of health care workers who participated in the community mobilization phase of the parent study; and 3) remotely conduct semi-structured interviews with a subset of women from Aim 1 and health providers from Aim 2 to explore COVID-related experiences, needs, areas for improvement in care, and strategies to engage and retain AOD-using women in the HIV continuum of care. The methods and implementation of the proposed aims will be fulfilled within the parent study’s CBPR framework and will inform efforts to offset the adverse stressors of the pandemic and preserve gains that have been made in HIV prevention in these populations.

项目概要 本行政补充 (PA-18-591) 是为了响应 NOT-AA-20-011，利用现有的 NIAAA U34 关于与 COVID-19 相关的社会环境压力源对患者影响的时间敏感研究 以及提供者在为受艾滋病毒影响最严重的少数族裔女性提供艾滋病毒连续护理方面的经验 佛罗里达州南部的人口现在处于新的大流行的震中之一，造成了公共卫生紧急情况。 COVID-19 对日常生活、社会结构和就业造成了前所未有的破坏 已经执行了社会疏远的缓解措施，以减缓疾病的传播。 表明新型冠状病毒带来的最严重后果和缓解措施将落在 美国少数民族人口历来承受着健康差异的负担。母研究“优化 PrEP”。 有色人种女性在酒精和其他药物 (AOD) 中的利用”(U34AA026219)，是第一个此类项目 致力于改善非裔美国人、拉丁裔和海地妇女对 PrEP 的实施和接受 在佛罗里达州南部的艾滋病毒热点地区，并产生了一个由社区参与驱动的可复制模型 研究 (CBPR) 在 COVID-19 之前，这些研究人群的经济资源有限，健康状况普遍。 差异和报告的亲密伴侣暴力行为的严重程度。 尚未对南方有色人种妇女或艾滋病毒卫生保健提供者进行调查或报告 为他们服务的补充将利用父研究中的纵向、混合方法数据收集。 社会生态框架，以填补有关大流行对护理参与影响的关键知识空白 遵守 PrEP 以及酒精和药物使用、心理健康和其他辅助护理的支持服务 我们的具体目标包括：1) 远程评估经验。 女性样本中 AOD 的使用、护理参与度、PrEP 药物依从性和 HIV 危险因素 目前已登记参加家长研究的有感染艾滋病毒风险的有色人种，比较所采取的措施 COVID-19 之前（T1）到 COVID 后评估（T2 和 T3），间隔 3 个月进行 2) 通过互联网进行测量； 调查由于大流行而导致的卫生服务提供和社会距离的变化 一群医护人员对护理质量的感知、患者的信任和提供者的压力 参与家长研究的社区动员阶段；3) 远程进行半结构化 采访目标 1 中的一部分女性和目标 2 中的医疗服务提供者，探讨与新冠病毒相关的问题 经验、需求、护理方面需要改进的领域以及吸引和留住使用 AOD 的女性的策略 艾滋病毒连续护理的方法和实施将在以下范围内实现。 家长研究的 CBPR 框架，将为抵消大流行的不利压力源的努力提供信息， 维护这些人群在预防艾滋病毒方面取得的成果。

项目成果

Understanding the Impact of Intimate Partner Violence Type and Timing on Pre-exposure Prophylaxis Knowledge, Acceptability, Sexual Behavior, and Gender Roles Among Women of Color.

了解亲密伴侣暴力类型和时间对有色人种女性暴露前预防知识、可接受性、性行为和性别角色的影响。

• 发表时间: 2022-08
• 影响因子: 2.5
• 作者: Villalba, Karina;Jean;Rosenberg, Rhonda;Cook, Robert L;Ichite, Amanda;Martin, Pilar;Dévieux, Jessy G
• 通讯作者: Dévieux, Jessy G

Assessing the Preliminary Efficacy of a Nonrandomized, Clinic-Based HIV Risk Reduction Pilot Intervention for PrEP-Initiated, Alcohol- and Other Drug-Using Women of Color in Miami, FL.

评估针对佛罗里达州迈阿密开始 PrEP、酗酒和其他吸毒的有色人种女性的非随机、基于临床的 HIV 风险降低试点干预措施的初步效果。

• 发表时间: 2023-12
• 作者: Ichite, Amanda;Jean-Gilles, Michele;Rosenberg, Rhonda;Abbamonte, John;Devieux, Jessy G
• 通讯作者: Devieux, Jessy G