Investigating the Impact of Substance Use, Intimate Partner Violence, and COVID-19 on HIV Care Engagement among Young Black Sexual Minority Men with HIV in the US South

调查药物使用、亲密伴侣暴力和 COVID-19 对美国南部感染艾滋病毒的年轻黑人性少数男性的艾滋病毒护理参与度的影响

• 批准号: 10431827
• 负责人: Erik D. Storholm
• 金额: $ 24.58万
• 依托单位: SAN DIEGO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-07-01 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10431827
• 关键词: 2019-nCoV; Acute; Address; Advocacy; Age; Alcohols; Attention; Black American; Black race; Buffers; COVID-19; COVID-19 impact; COVID-19 morbidity; COVID-19 mortality; COVID-19 pandemic; Caring; Child Abuse; Chronic; Cohort Studies; Communities; Continuity of Patient Care; Coping Skills; Data; Development; Dimensions; Disasters; Economics; Elements; Emotional; Employment; Equation; Ethnic group; Etiology; Event; Exposure to; Family; Financial Hardship; Future; Grant; HIV; HIV Seronegativity; HIV Seropositivity; HIV risk; Heterogeneity; Home; Housing; Imprisonment; Infection; Intervention; Lead; Learning; Light; Link; Literature; Location; Measurement; Measures; Mediating; Mental Health; Mental Health Services; Methamphetamine; Modeling; Natural Disasters; Outcome; Persons; Play; Prevalence; Quarantine; Research; Risk; Risk Behaviors; Risk Factors; Role; Sampling; Social support; Stress; Substance abuse problem; Surveys; Technology; Terrorism; Testing; Texas; Time; Transportation; United States; Viral; Virus; Work; base; cohort; condomless anal sex; design; economic impact; experience; health economics; health inequalities; improved; innovation; intimate partner violence; minority stress; pandemic disease; psychologic; psychosocial; psychosocial stressors; racial and ethnic; recruit; reduced substance use; resilience; severe weather; sexual minority men; sexually active; social; social structure; stressor; substance use; syndemic; theories; therapy development; transmission process

SUMMARY/ABSTRACT Among sexual minority men, young Black sexual minority men are the most disproportionately impacted by HIV, with the majority of new infections among sexual minority men occurring among this group. Intimate partner violence (IPV) is one of the most understudied factors that may exacerbate these disparities. Little is known about the impact of substance use and IPV on HIV care continuum (CC) outcomes and HIV transmission risk behaviors among young Black sexual minority men with HIV (YBSMM+). Both IPV and substance use leading to IPV may help explain poorer CC engagement among YBSMM+ and are likely to be exacerbated by the COVID-19 pandemic, which is having devastating health and economic impacts. The COVID-19 pandemic is also likely to interfere with CC engagement and viral suppression. The research that we propose is designed to overcome these gaps and limitations, and to identify modifiable intervention targets for strengthening the CC during times of acute psychosocial and economic stress. We propose to use existing data and to collect new data from the United Black Element+ project (UBE+; R01 MH102171). We will use structural equation modeling to explore the associations between substance use and IPV and their impact on HIV care engagement, viral suppression, condomless anal sex, and to determine if distinct forms of resilience (global resiliency, coping skills, and social support) buffer associations between these relationships among YBSMM+ in the U.S. South. This study can shed new light on the associations between substance use, IPV and CC outcomes and risk and will support the submission of an intervention development grant (R34) to develop a resiliency and advocacy-based intervention that reduces the impact of substance use and IPV on CC engagement and retention among YBSMM+. The project’s focus on the role that resiliency factors may play in moderating harmful effects of substance abuse and IPV among YBSMM+ is innovative. This research can inform the development and adaptation of substance use, IPV, and CC interventions for YBSMM+.

摘要/摘要 在性少数男性中，年轻的黑人性少数男性受艾滋病毒影响最为严重， 性少数男性中的大多数新感染发生在该群体的亲密伴侣中。 暴力（IPV）是可能加剧这些差距的最未被充分研究的因素之一。 物质使用和 IPV 对 HIV 护理连续体 (CC) 结果和 HIV 传播风险行为的影响 感染艾滋病毒的年轻黑人性少数男性 (YBSMM+) IPV 和导致 IPV 的物质使用可能有助于解释。 YBSMM+ 中的 CC 参与度较差，并且可能因 COVID-19 大流行而加剧，这种情况正在 COVID-19 大流行也可能会干扰 CC 的参与。 我们提出的研究旨在克服这些差距和限制，并 确定可修改的干预目标，以在严重的心理社会和经济时期加强 CC 我们建议使用现有数据并从 United Black Element+ 项目（UBE+；R01）收集新数据。 MH102171）。我们将使用结构方程模型来探索物质使用和 IPV 之间的关联。 它们对艾滋病毒护理参与、病毒抑制、无套肛交的影响，并确定不同形式的 复原力（整体复原力、应对技能和社会支持）缓冲这些关系之间的关联 美国南部的 YBSMM+ 这项研究可以为物质使用、IPV 和 CC 之间的关联提供新的线索。 结果和风险，并将支持提交干预开发补助金（R34）以培养弹性 基于倡导的干预措施，减少物质使用和 IPV 对 CC 参与和保留的影响 YBSMM+ 项目的重点是弹性因素在减轻有害影响方面可能发挥的作用。 YBSMM+ 中的药物滥用和 IPV 具有创新性，这项研究可以为发展和适应提供信息。 YBSMM+ 的物质使用、IPV 和 CC 干预措施。

项目成果

What's in Your Dataset? Measuring Engagement in HIV Care Using Routinely Administered Items with a Population Disproportionately Burdened by HIV.

您的数据集中有什么？

• 发表时间: 2024-04
• 影响因子: 4.4
• 作者: Vincent, Wilson;Siconolfi, Daniel E;Pollack, Lance;Campbell, Chadwick K;Kegeles, Susan M;Storholm, Erik D
• 通讯作者: Storholm, Erik D