Stop-and-Frisk, Arrest, and Incarceration and STI/HIV Risk in Minority MSM

少数男男性接触者中的拦截搜查、逮捕和监禁以及性传播感染/艾滋病毒风险

基本信息

批准号：
10442045
负责人：
Maria Rabia Khan
金额：
$ 49.15万
依托单位：
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-01 至 2023-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10442045
关键词：
20 year old AIDS prevention Address Administrative Supplement Affect Agriculture Applications Grants Award Bisexual Caring Chicago Communicable Diseases Communities Community Health Networks Computer Simulation Criminal Justice Crowding Data Data Sources Development Discrimination Disease Doctor of Philosophy Education Educational Status Epidemiology Funding Future Gays HIV HIV Infections HIV prevention trials network HIV risk HIV/STD Health Health Personnel Healthcare Heterosexuals Hispanics Historically Black Colleges and Universities Homophobia Human immunodeficiency virus test Imprisonment Individual Institution Intervention Intervention Studies Interview Jail Knowledge Lawyers Life Cycle Stages Light Link Manuscripts Maryland Mediating Mental Depression Methods Minority Minority Groups Modeling National Institute of Drug Abuse New York New York City North Carolina Outcome Parents Pathway interactions Pharmaceutical Preparations Pilot Projects Police Policies Population Poverty Preparation Prevention Prevention approach Prevention program Prisons Process Program Development Provider Psyche structure Qualitative Methods Race Recording of previous events Research Research Personnel Risk Role Sampling Sex Orientation Sexual and Gender Minorities Site Social Work Social isolation Social support Structure Students Training Universities Violence Vulnerable Populations Work addiction base black men who have sex with men care systems cohesion cohort college community organizations community setting court design distrust epidemiology study evidence base experience geographic risk healthcare community implementation determinants improved meetings member men men who have sex with men men&apos s group novel pre-exposure prophylaxis prevent preventive intervention primary care services programs racial and ethnic racism recruit screening service organization sex risk sexual minority social stigma substance use transgender women transmission process undergraduate student

项目摘要

PARENT AWARD ABSTRACT Minority gay, bisexual, or other sexual minority men contend with stigma and discrimination based on sexual orientation and race, resulting in social isolation, and poverty risk that disproportionately impacts all minority groups. These factors contribute to mental/drug disorders, sex risk, and disproportionate STI/HIV, with half of black gay men and one-quarter of Hispanic gay men HIV-infected. Another prevalent structural determinant of STI/HIV that disproportionately affects minority MSM, yet that remains largely unexamined in this group, is criminal justice involvement (CJI). CJI for many minority MSM begins early in the life course with police stops and searches; our preliminary studies in New York City indicate one-third of minority MSM approximately 20 years of age have been stopped and searched (or “frisked”) in the past 12 months. CJI evolves to arrest and detainment and for many, incarceration, with over half of some minority MSM groups experiencing jail or prison incarceration. Each step of the criminal justice process–being stopped by police, arrested, detained while awaiting trial often in over-crowded conditions, interacting with court-appointed lawyers–can be disempowering, demeaning, and for some may present physical threat. In other populations, CJI has been documented as a determinant of disrupted social and support networks, depression, substance use, and sex risk (leading to increased STI/HIV infection). Our understanding of pathways mediating associations between CJI and STI/HIV risk has informed development of programs for heterosexual minorities affected by CJI. This proposal is motivated by the prospect of developing policies and prevention programs for minority MSM. The effects of CJI on STI/HIV may differ for minority MSM; CJI may work synergistically with low social support, stigma/discrimination, and poverty to have particularly strong effects in this group. In addition, pathways linking CJI and STI/HIV risk also may differ for minority MSM. For example, while disruption of network ties may place minority MSM at risk, as we have observed in heterosexual minorities, other pathways may be equally critical because of high baseline risk of stigma and poverty. To address current critical gaps in our understanding of the effects of CJI on health, we have compiled a compendium of data sources to examine the effect of CJI on STI/HIV risk in minority MSM. Using the HIV Prevention Trials Network 061 (HPTN 061) cohort of black MSM and the Project 18 (P18) Cohorts 1 and 2 of minority MSM, we will evaluate longitudinal associations between multiple levels of CJI (stop-and-frisk, arrest, incarceration) and STI/HIV risk outcomes. We will describe the potential mediating roles of CJI-related disruption of social support networks, stigma, poverty, and resulting depression and substance use. In light of recent calls for changes to criminal justice policy, we aim to use computer simulation to model the impact of implementing polices to reduce CJI and improve correctional settings on HIV transmission in minority MSM and the larger population. Findings will inform evidence-based discussions about how to modify policy and programs to reduce HIV risk in a highly vulnerable population.

家长奖摘要少数同性恋、双性恋或其他性少数男性面临基于性的耻辱和歧视取向和种族，导致社会孤立，以及对所有少数群体造成不成比例影响的贫困风险这些因素导致精神/药物障碍、性风险和不成比例的性传播感染/艾滋病毒，其中一半。黑人男同性恋和四分之一的西班牙裔男同性恋感染艾滋病毒的另一个普遍的结构性决定因素。性传播感染/艾滋病毒对少数男男性接触者的影响尤为严重，但这一群体在很大程度上仍未得到检查，刑事司法参与 (CJI) 对于许多少数族群 MSM 来说，CJI 在生命历程的早期就开始于警察的阻止。和搜索；我们在纽约市的初步研究表明，三分之一的少数族群男男性行为者大约为 20 过去 12 个月内，数岁以上的人被拦截和搜查（或“搜身”）。拘留，对许多人来说，监禁，超过一半的少数 MSM 群体经历过监禁或监禁刑事司法程序的每一步——被警察拦截、逮捕、拘留。等待审判的环境往往过于拥挤，与法庭指定的律师互动——可以 CJI 是一种剥夺他人权利、侮辱人格的行为，并且对某些人可能构成身体威胁。被记录为社会和支持网络中断、抑郁、药物滥用和性的决定因素风险（导致 STI/HIV 感染增加）。 CJI 和 STI/HIV 风险为受 CJI 影响的异性恋少数群体制定了计划。该提案的动机是为少数男男性接触者制定政策和预防计划的前景。 CJI 对性传播感染/艾滋病毒的影响对于少数 MSM 可能会有所不同；CJI 可能与低社会支持协同作用，此外，耻辱/歧视和贫困对这一群体产生特别强烈的影响。例如，少数 MSM 的 CJI 和 STI/HIV 风险也可能不同，而网络联系的中断可能会导致这种情况。正如我们在异性恋少数群体中观察到的那样，少数 MSM 面临风险，其他途径可能同样重要因为耻辱和贫困的基线风险很高，以解决我们目前在认识上的重大差距。为了了解 CJI 对健康的影响，我们编制了一份数据源概要来检查 CJI 对健康的影响使用 HIV 预防试验网络 061 (HPTN 061) 黑人 MSM 群体中的 STI/HIV 风险。以及少数 MSM 的项目 18 (P18) 队列 1 和 2，我们将评估之间的纵向关联我们将描述多层次的 CJI（拦截搜身、逮捕、监禁）和性传播感染/艾滋病毒风险结果。 CJI 相关的社会支持网络破坏、耻辱、贫困以及由此产生的潜在中介作用鉴于最近要求改变刑事司法政策的呼声，我们的目标是使用。计算机模拟对实施警察减少 CJI 和改善惩教的影响进行建模少数男男性接触者和更多人群中艾滋病毒传播的情况调查结果将为基于证据的信息提供信息。关于如何修改政策和计划以降低高度脆弱人群的艾滋病毒风险的讨论。

项目成果

期刊论文数量（3）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Barriers to syphilis testing among men who have sex with men: a systematic review of the literature.

男男性行为者梅毒检测的障碍：文献的系统回顾。

DOI：
10.1071/sh19044
发表时间：
2020-06-26
期刊：
Sexual health
影响因子：
1.6
作者：
R. Turpin;A. Rosario;Typhanye Dyer
通讯作者：
Typhanye Dyer

Using the Meaningful Involvement of People Living with HIV/AIDS (MIPA) Framework to Assess the Engagement of Sexual Minority Men of Color in the US HIV Response: a Literature Review.

使用艾滋病毒/艾滋病患者的有意义的参与（MIPA）框架来评估性少数有色人种男性在美国艾滋病毒应对中的参与：文献综述。

DOI：
发表时间：
2023-10
期刊：
影响因子：
0
作者：
Coleman, Jordan Lee;Jones, Mickaya;Washington, Dejuan;Almirol, Ellen;Forberg, Peter;Dyer, Typhanye V;Spieldenner, Andrew;Martinez, Omar;Rodriguez;Parker, Sharon D;Schneider, John A;Brewer, Russell
通讯作者：
Brewer, Russell

Sexual Risk Behavior and Lifetime HIV Testing: The Role of Adverse Childhood Experiences.

性危险行为和终生艾滋病毒检测：不良童年经历的作用。