ALCOHOL USE AND HIV RISK AMONG IMPOVERISHED WOMEN

贫困妇女的饮酒和艾滋病毒风险

• 批准号: 7125573
• 负责人: Suzanne L Wenzel
• 金额: $ 76.97万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-25 至 2009-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7125573
• 关键词: HIV infections; alcoholism /alcohol abuse; attitude; behavioral /social science research tag; belief; clinical research; condoms; female; high risk behavior /lifestyle; human subject; institutional care facility; interview; sex behavior; social support network; substance abuse related behavior

DESCRIPTION (provided by applicant): This study will achieve a more comprehensive understanding of the relationship between alcohol use/misuse and HIV risk behaviors among the highly vulnerable population of impoverished women by attending to the social context in which these behaviors occur. Representative samples of women will be interviewed in Los Angeles County shelters in three Stages: 1) quantitative social network (N=60) and exploratory qualitative sexual event-level (N=45) interviews; 2) quantitative structured interviews (N=460) informed by Stage 1; (3) qualitative event-level interviews (N=60) informed by Stage 2. Study findings will inform intervention efforts to reduce HIV risk for impoverished women. Specific Aims: (1) To explore the social context of sexual behaviors and alcohol use/misuse through two types of exploratory interviews: a qualitative interview to examine recent sexual events and a quantitative interview to examine social networks (Stage 1); (2) To investigate how women's social network characteristics are associated with their patterns of alcohol use/misuse (Stage 2); (3) To investigate associations of women's social network characteristics and alcohol use/misuse with their propensity toward sexual risk behavior, and the extent to which HIV-related attitudes and beliefs mediate these associations, through individual-level quantitative analysis (Stage 2); (4) To investigate how characteristics of specific sexual events and women's HIV-related attitudes and beliefs are associated with their sexual risk behavior through event-level quantitative analysis; and, for those event-level characteristics found to be associated with sexual risk behavior, to determine how these characteristics are related to women's social network characteristics, alcohol use/misuse, and HIV-related attitudes (Stage 2); (5) To further explore, within a social context, the patterns of relationships between alcohol use/misuse and sexual risk behaviors identified in Aims 2-4 through event-level qualitative analysis (Stage 3).

描述（由申请人提供）：本研究将通过关注这些行为的社会环境，对高度脆弱的贫困妇女人口中的酒精使用/滥用和艾滋病毒风险行为之间的关系进行更全面的了解。妇女的代表样本将分为三个阶段在洛杉矶县庇护所中接受采访：1）定量社交网络（n = 60）和探索性定性性事件级别（n = 45）访谈； 2）定量结构化访谈（n = 460）以第1阶段告知； （3）定性事件级访谈（n = 60）由第2阶段告知。研究结果将为降低贫困妇女的艾滋病毒风险提供干预工作。 具体目的：（1）通过两种探索性访谈探索性行为和酒精使用/滥用酒精的社会背景：一种定性访谈，以检查最近的性事件和定量访谈以检查社交网络（第1阶段）； （2）研究妇女的社交网络特征与她们的酒精使用/滥用模式如何相关（第2阶段）； （3）调查妇女的社交网络特征和酗酒/滥用性风险行为的倾向的关联，以及与艾滋病毒相关的态度和信念在多大程度上通过个人级别的量化分析来调节这些关联的程度（第2阶段）； （4）调查特定性事件的特征以及与妇女与艾滋病毒相关的态度和信念如何通过事件级定量分析与他们的性风险行为相关联；并且，对于那些发现与性风险行为相关的事件级特征，以确定这些特征与妇女的社交网络特征，酒精使用/滥用和与HIV相关的态度有关（第2阶段）； （5）在社会背景下进一步探索酒精使用/滥用和性风险行为之间的关系模式，通过事件级别的定性分析（第3阶段）在目标2-4中确定的性风险行为。