Spirituality and Health among HIV+ Native Americans

艾滋病毒美洲原住民的灵性与健康

• 批准号: 7126780
• 负责人: KAREN C FIELAND
• 金额: $ 3.23万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-20 至 2008-09-19
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7126780
• 关键词: AIDS; HIV infections; Native Americans; alternative medicine; behavioral /social science research tag; clinical research; coping; health; health care service utilization; health disparity; health services research tag; high risk behavior /lifestyle; human subject; interview; predoctoral investigator; psychological tests; psychometrics; quality of life; religion

DESCRIPTION (provided by applicant): There is a dearth of research addressing the physical and mental health, HIV risk behaviors, and HIV prevention needs of Native Americans. Among HIV+ individuals, Native Americans experience mental health, alcohol/drug abuse, and antiretroviral medication utilization disparities. This study employs a mixed methodological design, combining qualitative and quantitative methodologies and proposes two innovative and significant aims. First, I will conduct a qualitative study with HIV+ Native Americans and HIV service providers to identify and examine the barriers to HIV service utilization; to explore the relationship of holistic care to service utilization; and, to explore the role and nature of spirituality in coping with living with HIV. Second, I will conduct a secondary data analyses on a national pilot study of a community-based sample of 130 HIV+ urban Native Americans to analyze the reliability and validity of spirituality measures among this population; and to examine spirituality as a mediator and moderator of the impact of discrimination and trauma in relation to health outcomes, including mental and physical health, related risk behaviors (sexual and alcohol/drug), and medication adherence.

描述（由申请人提供）：缺乏解决身体和心理健康，艾滋病毒风险行为和预防艾滋病毒的需求的研究。在艾滋病毒+个人中，美洲原住民经历了心理健康，酒精/药物滥用和抗逆转录病毒药物利用率。这项研究采用了混合的方法论设计，结合了定性和定量方法，并提出了两个创新和重要的目标。首先，我将向HIV+美国原住民和艾滋病毒服务提供商进行定性研究，以识别和检查HIV服务利用的障碍；探索整体护理与服务利用的关系；并且，探索灵性在应对艾滋病毒生活中的作用和性质。其次，我将对一项针对130名艾滋病毒+城市原住民的社区样本的国家试点研究进行二级数据分析，以分析该人群中精神措施的可靠性和有效性；并将灵性视为歧视和创伤对健康结果的影响的调解人和主持人，包括精神和身体健康，相关的风险行为（性和酒精/药物）以及药物依从性。