HIV Risk, Drug Use, Social Networks: Homeless Persons Transitioned to Housing

艾滋病毒风险、吸毒、社交网络：无家可归者转向住房

基本信息

批准号：
8709798
负责人：
Suzanne L Wenzel
金额：
$ 67.06万
依托单位：
UNIVERSITY OF SOUTHERN CALIFORNIA
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-03-01 至 2018-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8709798
关键词：
AIDS prevention AIDS/HIV problem Accounting Address Admission activity Adult Affect African American Attention Behavior Belief Characteristics Data Disadvantaged Drug usage Economics Ensure Ethnography Face Focus Groups HIV HIV diagnosis HIV risk HIV/STD Harm Reduction Health Services Healthcare Homeless persons Homelessness Housing Human immunodeficiency virus test Individual Infection Interview Knowledge Life Los Angeles Medical Mental Health Mental disorders Modeling Persons Pharmaceutical Preparations Policies Population Prevention Prevention program Procedures Provider Public Health Research Risk Risk Behaviors Risk-Taking Sampling Services Sexual Partners Shadowing (Histology)Shelter facility Social Network Structure Substance abuse problem Symptoms Testing Time Vulnerable Populations Woman condoms health disparity high risk men peer prevention service programs public health relevance sex sexually active social supported housing transitional housing transmission process

项目摘要

DESCRIPTION (provided by applicant): We utilize a social ecological model to understand longitudinal changes in HIV risk and prevention behaviors among chronically homeless, predominantly African American men and women who transition into permanent supportive housing (PSH). Homeless persons face disproportionate risk of HIV and drug use. PSH is intended as the locus of integrated health services for this vulnerable population, yet there has been almost no research to understand HIV risk and prevention among residents, or the provision of HIV prevention services within PSH, except specifically for people living with HIV/AIDS. Some evidence suggests that transitioning to housing could increase rather than decrease risk behaviors over time, although research to clarify these complexities is absent. Specific Aims are as follows: 1) To examine how transition to PSH is associated with HIV risk and prevention behaviors over time; 2) To examine how transition to PSH is associated with changes in social networks of PSH residents, and how networks are associated with changes in HIV risk and prevention behaviors over time; 3) To examine how transition to PSH is associated with changes in drug use and mental health symptoms among PSH residents, and how changes in these individual characteristics are associated with HIV risk and prevention behaviors over time; 4) To determine whether and how PSH providers promote HIV prevention, and to understand policies and procedures that may impact HIV risk among residents; 5) To synthesize findings from Aims 1- 4 to inform specific strategies to reduce risk of HIV transmission and to enhance HIV prevention services for residents in PSH. Aims 1-3 will be addressed through structured interviews (baseline, 3, 6, 12 months) with consecutive admissions to PSH (N=405 at 12 months). Aim 4 will be addressed through individual interviews with supervisory staff (N=30) and focus groups with front line staff (N=100) of PSH programs, and ethnographic shadowing of PSH residents (N=30). Aim 5 will synthesize findings of Aims 1-4 through focus groups with 50 PSH providers and 50 residents.

描述（由申请人提供）：我们利用一种社会生态模型来了解长期无家可归的非洲裔美国男女之间的艾滋病毒风险和预防行为的纵向变化，这些男女过渡为永久性支持住房（PSH）。无家可归者面临艾滋病毒和吸毒的风险不成比例。 PSH旨在作为该脆弱人群综合卫生服务的源头，但几乎没有研究来了解居民之间的艾滋病毒风险和预防，或者在PSH内提供艾滋病毒预防服务，除非针对艾滋病毒/艾滋病患者。一些证据表明，过渡到住房可能会增加而不是随着时间的流逝而降低风险行为，尽管澄清这些复杂性的研究是不存在的。具体目的如下：1）检查向PSH过渡如何与艾滋病毒风险和预防行为有关； 2）检查向PSH的过渡与PSH居民的社交网络变化以及网络如何与艾滋病毒风险和预防行为的变化相关联如何； 3）检查向PSH的过渡与PSH居民之间的药物使用和心理健康症状的变化有关，以及这些个人特征的变化如何与HIV风险和预防行为随着时间的流逝而相关； 4）确定PSH提供者是否以及如何促进预防HIV，并了解可能影响居民艾滋病毒风险的政策和程序； 5）从目标1-4综合发现，以告知特定策略，以降低艾滋病毒传播的风险并增强PSH居民的艾滋病毒预防服务。 AIMS 1-3将通过结构化访谈（基线，3，6，12个月）来解决，并连续入院PSH（12个月时n = 405）。 AIM 4将通过与监督人员（n = 30）的个人访谈以及具有PSH计划的前线人员（n = 100）的焦点小组以及PSH居民的民族志阴影（n = 30）来解决。 AIM 5将通过拥有50个PSH提供者和50个居民的焦点小组综合目标1-4的发现。