Wyoming Meth Use and AIDS Risk: Exploring Rural Culture and Context (WyMAR)

怀俄明州冰毒使用和艾滋病风险：探索农村文化和背景 (WyMAR)

基本信息

批准号：
7425882
负责人：
Anne M Bowen
金额：
$ 7.01万
依托单位：
UNIVERSITY OF WYOMING
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-05-20 至 2010-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7425882
关键词：
AIDS prevention AIDS/HIV problem Acquired Immunodeficiency Syndrome Admission activity Affect Area Behavior Cities Communicable Diseases Communities Contracts County Data Data Analyses Depth Development Disease Disease Outbreaks Drug abuse Drug usage Economics Ensure Epidemic Epidemiologic Studies Epidemiology Female Geographic Locations Grant HIV HIV Infections Health Health Promotion Hepatitis Hepatitis B Hepatitis B Virus Hepatitis C Hepatitis C Incidence Hepatitis C virus Heterosexuals High Prevalence Illicit Drugs Individual Infection Injection of therapeutic agent Interview Knowledge Lead Life Link Methamphetamine Modeling Nature Numbers Oils Paranoia Pharmaceutical Preparations Prevalence Prevention Prevention Research Prevention intervention Process Production Public Health Purpose Questionnaires Range Rate Recruitment Activity Research Research Activity Respondent Rest Risk Risk Behaviors Risk-Taking Rural Rural Community Sampling Sexual Partners Stigmata Structure Time United States Unsafe Sex Woman Wyoming Youth base contextual factors disease transmission disorder prevention disorder risk experience male metropolitan pressure response rural area social social stigma tool transmission process treatment program

项目摘要

DESCRIPTION (provided by applicant): The Wyoming Meth Use and AIDS: Exploring Culture and Context of Rural Risk (WyMAR) is a revised small grant (RO3) submitted in response to the PA, "Drug Abuse Aspects of HIV/AIDS and other infections". This research is important because of the high prevalence of methamphetamine (MA) use in rural areas and little research has examined HIV risk for MA users in rural areas, nor among heterosexuals. MA has been a problem in Wyoming since 1992 and continues to be, as seen by the outbreak of hepatitis among heterosexual methamphetamine injectors in 2003. Drug abuse and HIV/AIDS treatment and prevention issues in extremely rural areas are related to geographic isolation, stigma, strong individualism, and lack of treatment facilities. Little is known about cultural and contextual factors unique to rural recruiting and drug use and sexual risk for HIV among rural users. The WyMAR project will recruit MA users and female sexual partners of MA users for in-depth interviews to accomplish the following Specific Aims: 1) To identify individual, social, community and rural cultural factors that affect HIV risk taking behavior among rural heterosexual injecting and non-injecting methamphetamine users; and 2) To identify individual, social, community, and rural cultural factors that facilitate successful recruiting of rural heterosexual methamphetamine users to participate in research activities. This qualitative study includes in-depth interviews with 40 male and 40 female not-in-treatment heterosexual MA users. In addition, since we assume many of the MA users will also be sexual partners of MA users, we will recruit 20 female non-meth using sexual partners who live in the rural state of Wyoming. These women may provide unique information about pressures to initiate MA use, high risk unprotected sex and may represent an important bridge group for HIV infection. In-depth inerviews will be completed, using Bronfenbrenners bio-ecological model as a guide to identifying themes unique to rural culture and context that place rural MA users at risk for contracting HIV. Quantitative questions, field notes, and in-depth interview data will be triangulated to develop a comprehensive picture of themes across the layers of Bronfenbrenners model and to identify facilitators and barriers to research participation. Finally, in addition to interview questions about individual, community and cultural facilitators and barriers to recruiting, we will examine the results of our targeted sampling and pilot a small version of Respondent Driven Sampling to better explicate Aim 2. Data will be used to inform the development of an RO1 to conduct an epidemiology of rural MA use.

描述（由申请人提供）：怀俄明州的使用和艾滋病：探索文化和农村风险的背景（Wymar）是对PA的修订后的小赠款（RO3），响应PA，“艾滋病毒/艾滋病的药物滥用方面”。这项研究很重要，因为甲基苯丙胺在农村地区的使用率很高，并且很少研究对农村地区的MA使用者或异性恋者中的MA使用者的艾滋病毒风险。自1992年以来，MA一直是怀俄明州的一个问题，从2003年异性甲基苯丙胺注射器中爆发乙型肝炎的爆发。关于农村用户中农村招募和毒品使用以及性风险的文化和背景因素知之甚少。 Wymar项目将招募MA用户的MA用户和女性性伴侣进行深入的访谈，以实现以下特定目标：1）确定影响艾滋病毒的个人，社会，社区和农村文化因素，这些因素影响艾滋病毒的冒险冒险在农村异性恋注射和未注射的甲基苯丙胺使用者中； 2）确定个人，社会，社区和农村文化因素，以促进成功招募农村异性甲基苯丙胺使用者参加研究活动。这项定性研究包括对40名男性和40名女性不接受的异性恋MA使用者进行深入的访谈。此外，由于我们认为许多MA用户也将是MA用户的性伴侣，因此我们将使用生活在怀俄明州农村状态的性伴侣招募20名女性非月球。这些妇女可能会提供有关启动MA使用的压力，高风险不受保护的性行为的独特信息，并且可能代表着一个重要的HIV感染桥梁组。将使用Bronfenbrenners生物生态模型来确定农村文化和环境所特有的主题，使农村MA用户面临艾滋病毒的风险。定量问题，现场注释和深入的访谈数据将被三角分三角，以制定跨布朗芬布恩犬模型的主题的全面图片，并确定促进者和研究参与的障碍。最后，除了采访有关个人，社区和文化促进者以及招聘障碍的问题外，我们还将研究我们的目标抽样和试点的结果，这是受访者驱动的抽样的小型版本，以更好地说明AIM 2。