HIV RISK REDUCTION FOR WOMEN WITH SEVERE MENTAL ILLNESS

降低患有严重精神疾病的女性的艾滋病毒风险

• 批准号: 2797711
• 负责人: Pamela Y Collins
• 金额: $ 15.75万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-12-01 至 2003-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2797711
• 关键词: AIDS education /prevention; behavioral /social science research tag; clinical research; clinical trials; female; gender difference; human subject; mental disorders; prejudice; psychosocial separation; sex behavior; socioeconomics; violence; women's health

The AIDS epidemic disproportionately affects women of color who are marginalized socially, economically, and politically. Women with severe mental illness (SMI) in urban city settings represent a high risk group with these demographics, but are further challenged by stigma in addition to cognitive impairment and frequently, psychiatric symptoms related to their mental illness. Established methods of HIV prevention have not curtailed the AIDS epidemic among these women. During the award period the applicant aims to explore social contextual factors that increase risk for these women, and to develop new options for individual risk reduction given these day to day realities. The specific aims of the study are to 1) To assess--quantitatively and qualitatively--the impact of the stigma of mental illness on sexual risk behavior among women with SMI in the United States. 2) To use the results of Aim 1 to refine and further develop the curriculum of HIV prevention in this population. 3) To test the modified intervention for efficacy in a randomized clinical trial of 120 women (N=60 experimental; N=60 controlled) recruited from the outpatient psychiatric clinics of the New York State Psychiatric Institute. The proposed training plan will enable the applicant to contribute to prevention of the HIV among disadvantaged, culturally diverse women with severe mental illness. The applicant's broad goals are 1) to gain a clear understanding of how complex social factors--stigma, poverty, racism, violence, gender inequality--constrain the sexual choices of women, putting them at risk for AIDS, unwanted pregnancies, and STDs; and 2) to amass the skills necessary for developing HIV preventative interventions that are contextually appropriate and relevant for disadvantaged women around the world. The career development award would enable the applicant to receive formal training in the following areas: 1) formal course work in anthropology, sociology, as well as epidemiology in order to master methodologies for assessing contextual needs, developing interventions and testing their effects in the target populations. 2) develop expertise at integrating culture, context, and gender-specific variables into interventions for women with mental illness. 3) become knowledgeable in research design and complete pilot work for a randomized clinical trial testing the HIV preventative intervention developed by the applicant.

艾滋病流行不成比例地影响有色人种的女性 在社会，经济和政治上被边缘化。严重的妇女 城市环境中的精神疾病（SMI）代表了一个高风险群体 有这些人口统计学，但进一步受到污名的挑战 认知障碍和经常的精神病症状 他们的精神疾病。既定的艾滋病毒预防方法尚未 这些妇女限制了艾滋病的流行。在奖励期内 申请人旨在探索社会背景因素，以增加 这些妇女，并为降低个人风险开发新的选择 在这些日常现实。 该研究的具体目的是1）评估 - 定性 - 精神疾病的污名对性风险的影响 在美国患有SMI的妇女的行为。 2）使用结果 AIM 1的完善和进一步发展艾滋病毒预防课程 这个人口。 3）测试在A中修改的干预措施 120名女性的随机临床试验（n = 60实验; n = 60 受控）从新的门诊精神病诊所招募 约克州精神病学院。 拟议的培训计划将使申请人为 在不利的，文化多样的妇女中预防艾滋病毒 严重的精神疾病。申请人的广泛目标是1）明确 了解复杂的社会因素 - 史蒂姆，贫困，种族主义， 暴力，性别不平等 - 构成了妇女的性选择， 使他们有艾滋病，不必要的怀孕和性病的风险；和2）到 积累制定艾滋病毒预防干预措施所需的技能 对于处境不利的妇女来说，这是适当的且相关的 世界各地。职业发展奖将使申请人能够 在以下领域接受正式培训：1）正式课程工作 为了掌握人类学，社会学以及流行病学 评估上下文需求，制定干预措施和 测试其在目标种群中的影响。 2）在 将文化，背景和特定性别变量整合到 对患有精神疾病的妇女的干预措施。 3）知识渊博 研究设计和完整的飞行员工作，用于随机临床试验 测试申请人开发的HIV预防干预措施。