Religion's Impact on Drug Use and Transmission of HIV, STIs, BBIs

宗教对吸毒和艾滋病毒、性传播感染、BBI 传播的影响

• 批准号: 8580123
• 负责人: MICHAEL PAUL ERIKSEN
• 金额: $ 18.13万
• 依托单位: GEORGIA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-01 至 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8580123
• 关键词: AIDS prevention; Awareness; Behavioral; Belief; Binding; Blood; Case-Control Studies; Characteristics; Chlamydia; Church; Communities; Data; Disease; Drug Addiction; Drug usage; Elements; Enrollment; Epidemiology; Exposure to; Freedom; Gonorrhea; Graph; HIV; HIV Infections; HIV Seropositivity; HIV/STD; Hepatitis C; Herpesviridae; Hour; Immunologic Deficiency Syndromes; Incidence; Individual; Infection; Intervention; Knowledge; Life; Measures; Metric; Names; Neighborhoods; Organizational Affiliation; Outcome; Pathway interactions; Patient Self-Report; Persons; Pharmaceutical Preparations; Play; Prayers; Prevalence; Prevention; Preventive; Preventive Intervention; Recruitment Activity; Relative (related person); Religion; Religion and Spirituality; Religious Belief; Reporting; Research; Respondent; Risk; Role; Sexually Transmitted Diseases; Sorting - Cell Movement; Specific qualifier value; Spirituality; Stress; Testing; Time; Training; Universities; base; behavior change; disorder prevention; drug abuse prevention; help-seeking behavior; improved; inner city; member; non-drug; prevent; sex; social; transmission process

Assessing the impact of religious organizations on HIV and drug-use prevention requires an understanding of personal religiosity (both inward spirituality and outward manifestations of devotion); of religious organization activtty; and of the network of relationships that connects persons to each other and to organizations. To measure impact, we propose a case-control study (with longitudinal followup) of 80 HIV-positive and 160 HIVnegative persons (divided even by sex) recruited from a stressed inner-city Atlanta neighborhood to ascertain the influence of religious organization activity on HIV status, sexually transmitted diseases (STIs), blood-borne infections (BBIs), and drug use. We will develop a person-time metric for exposure to religious organization HIV preventive activity (e.g., person-hours spent in contact with religious organization representatives). We will assess the impact of such exposure in the context of potential confounding by personal religiosity, network associations, and other demographic and behavioral variables, and will quantify the impact of religious organizations on these outcomes using the Prevented Fraction, an epidemiologic measure of association that specifies the portion of disease prevented that can be attributed to a specific preventive factor or intervention. We will enroll the religious organizations named by respondents, in order to assess organizations' activities, commitment, and connections with each other. A bipartite network (organizations and respondents) will be used to examine the affiliation network of organizations (how they are connected through people). The affiliation network will be compared to the network determined from religious organizations' self reported connections. The gap between these two, which we hypothesize to be considerable, is a measure of the unrecognized potential for intervention that can be achieved by improved interaction of religious organizations. Thus, the logical train that drives the proposal is as follows: Religious organization activity will be significantly associated with HIV-negativity and nondrug-use, but its impact, as measured by the PF, will be small. The interconnections among religious organizations are far greater than they realize.

评估宗教组织对艾滋病毒和毒品预防的影响需要了解 个人宗教信仰（奉献的内在灵性和外在表现）；宗教组织 Activtty;以及将人与彼此和组织联系起来的关系网络。到 测量影响，我们提出了80个HIV阳性和160个HIVNEDEGENT的病例对照研究（纵向随访） 从一个压力的市中心亚特兰大社区招募的人（甚至被性别分开）以确定 宗教组织活动对艾滋病毒状况，性传播疾病（性传播疾病）的影响 感染（BBI）和吸毒。我们将开发一个人的时间指标，以暴露于宗教组织艾滋病毒 预防活动（例如，花费在与宗教组织代表接触的人数时）。我们将 在个人宗教信仰，网络中潜在混淆的背景下，评估这种暴露的影响 协会以及其他人口和行为变量，将量化宗教的影响 组织使用预防分数的组织，这是一种对关联的流行病学衡量标准 指定疾病的一部分，可以归因于特定的预防因素或干预措施。 我们将招募受访者命名的宗教组织，以评估组织的活动， 承诺，彼此之间的联系。双方网络（组织和受访者）将是 用于检查组织的隶属网络（他们如何通过人建立联系）。这 将将隶属网络与宗教组织自我报告的网络进行比较 连接。我们假设这两个之间的差距是相当多的，是对 无法通过改善宗教组织的相互作用来实现的干预潜力。 因此，推动该提案的逻辑火车如下：宗教组织活动将大大重要 与艾滋病毒负性和非药物使用相关，但PF衡量的影响很小。这 宗教组织之间的互连远大于他们意识到的。