Psychiatric Disorders and HIV Risk Behaviors among Young Injection Drug Users

年轻注射吸毒者的精神疾病和艾滋病毒危险行为

基本信息

批准号：
7290940
负责人：
LAWRENCE J OUELLET
金额：
$ 36.03万
依托单位：
UNIVERSITY OF ILLINOIS AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-09-25 至 2010-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7290940
关键词：
AIDS prevention Acquired Immunodeficiency Syndrome Address Age Attitude Behavior Behavior Therapy Behavioral Chicago Clinical Cognitive Computer Assisted DSM-IV Diagnosis Disease Drug usage Drug user Equipment Exhibits Family history of Future HIV Hepatitis Illicit Drugs Imprisonment Infection Injecting drug user Injection of therapeutic agent Intervention Interview Knowledge Measures Mediating Mental disorders Modeling Motivation Needle Sharing Needles Neighborhoods Participant Pharmaceutical Preparations Population Prevalence Prevention Prevention program Psychiatric therapeutic procedure Rate Recommendation Recording of previous events Recruitment Activity Research Research Personnel Respondent Risk Risk Behaviors Risk Reduction Sampling Self Efficacy Self-Administered Services Sexual abuse Surveys Symptoms Testing Training Unsafe Sex cohort design outreach prevention service programs psychologic service utilization skills social trend

项目摘要

DESCRIPTION (provided by applicant): Studies of injection drug users (IDU) in drug treatment have shown elevated rates of co-morbid psychiatric disorders or symptoms, which likely present challenges to effective drug treatment and HIV/HCV risk reduction programs. However, many questions relevant to targeted treatment and risk reduction services for young IDU not in treatment, remain unanswered. We seek to better understand the relationships between injection drug use (IDU), psychiatric problems, service utilization, and HIV risk behavior, in order to form recommendations for targeted outreach and HIV-prevention programs for young IDUs. Our specific aims are: (1) to estimate the prevalence of psychiatric disorders and symptoms among young IDU; (2) to examine the sociodemographic and drug use correlates of psychiatric problems; (3) to identify gaps in access to psychiatric care, drug treatment, and HIV/STD prevention services among young IDUs with and without psychiatric problems; (4) to compare the rates of unsafe sex and injection behaviors among young IDUs with and without psychiatric problems; (5) to compare HIV-prevention knowledge, pro-prevention attitudes and norms, and self-efficacy for prevention behavior of young IDUs with and without psychiatric problems; and (6) to test an Information-Motivation-Behavioral Skills (IMB) model of HIV risk behavior on a sample of young IDUs. We will recruit 800 IDUs ages 18 to 25 years from Chicago neighborhoods through respondent driven sampling. Trained clinicians will administer the Psychiatric Research Interview for Substance and Mental Disorders (PRISM) to assess psychiatric disorders and symptoms. Respondents will also complete an ACASI survey to assess risk behavior, treatment and service history, socio-demographic background, and social-cognitive measures. Results of this study will provide (1) general prevalence estimates of psychiatric disorders among young IDU, (2) knowledge about gaps in access to psychiatric care, drug treatment, and prevention services, and (3) information about the relationships between psychiatric disorders and treatment/service utilization and HIV/HCV risk behaviors that may be informative to the design of future drug treatment and HIV/HCV prevention efforts that target young IDUs.

描述（由申请人提供）：对戒毒治疗中注射吸毒者 (IDU) 的研究表明，共病精神疾病或症状的发生率较高，这可能对有效的戒毒治疗和 HIV/HCV 风险降低计划提出挑战。然而，与未接受治疗的年轻注射吸毒者的针对性治疗和风险降低服务相关的许多问题仍未得到解答。我们力求更好地了解注射吸毒 (IDU)、精神问题、服务利用和艾滋病毒风险行为之间的关系，以便为针对年轻注射吸毒者的有针对性的外展和艾滋病毒预防计划提出建议。我们的具体目标是： (1) 估计年轻注射吸毒者中精神疾病和症状的患病率； (2) 检查精神问题的社会人口统计学和药物使用的相关性； (3) 查明有或没有精神问题的年轻注射吸毒者在获得精神科护理、药物治疗和艾滋病毒/性病预防服务方面的差距； (4) 比较有和没有精神问题的年轻注射吸毒者的不安全性行为和注射行为发生率；（5）比较有精神问题和无精神问题的青年注射吸毒者的艾滋病预防知识、支持预防的态度和规范以及预防行为的自我效能； (6) 以年轻注射吸毒者为样本，测试艾滋病毒危险行为的信息-动机-行为技能 (IMB) 模型。我们将通过受访者驱动抽样从芝加哥社区招募 800 名年龄在 18 至 25 岁的注射吸毒者。训练有素的临床医生将进行物质和精神障碍精神病学研究访谈 (PRISM)，以评估精神障碍和症状。受访者还将完成 ACASI 调查，以评估风险行为、治疗和服务历史、社会人口背景和社会认知指标。这项研究的结果将提供（1）年轻注射吸毒者中精神疾病的一般患病率估计，（2）有关获得精神护理、药物治疗和预防服务方面差距的知识，以及（3）有关精神疾病与精神疾病之间关系的信息。治疗/服务利用和艾滋病毒/丙型肝炎病毒风险行为，可能有助于设计未来针对年轻注射吸毒者的药物治疗和艾滋病毒/丙型肝炎病毒预防工作。