Socioeconomic Instability and HIV Risk Behavior Among Vulnerable Women

弱势妇女的社会经济不稳定和艾滋病毒危险行为

基本信息

批准号：
8789967
负责人：
Meredith Reilly
金额：
$ 4.27万
依托单位：
JOHNS HOPKINS UNIVERSITY
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：
2014-09-01 至 2016-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8789967
关键词：
AIDS/HIV problem Accounting Address Affect Alcohol dependence Baltimore Baseline Surveys Caring Characteristics Child Complex Dancing Data Drug usage Economics Employment Employment Status Environment Epidemic Epidemiology Evaluation Face Factor Analysis Feasibility Studies Feeling Female Funding Future Goals HIV HIV Infections HIV risk HIV/STD Heroin Homelessness Housing Illicit Drugs Imprisonment Incidence Income Individual Infection Interview Knowledge Lead Life Life Experience Longitudinal Surveys Low income Maryland Measurement Measures Methods National Institute of Drug Abuse Nature Occupations Parents Perception Persons Pharmaceutical Preparations Population Population Study Prevention Property Psychometrics Publishing Qualitative Methods Recording of previous events Reporting Research Research Priority Risk Risk Behaviors Role Sampling Secure Security Series Shapes Solutions Subgroup Techniques Time Training United States Vulnerable Populations Woman Work base cohort condoms driving force experience follow-up high risk high risk behavior high risk sexual behavior housing instability intimate partner violence longitudinal analysis prevent programs psychological distress public health relevance sex skills social socioeconomics stressor tool

项目摘要

DESCRIPTION (provided by applicant): In the United States, women account for 20% of new HIV infections each year. Those with a heightened risk include women who engage in transactional sex or use illicit drugs. The social and economic instability (e.g., housing, financil) experienced by some women may drive initiation of or escalate illicit drug use and unprotected transactional sex, amplifying the risk for HIV infection. Female exotic dancers are an important subgroup of vulnerable women who experience socioeconomic instability and commonly engage in sex- and drug-related HIV risk behaviors through their work at exotic dance clubs. Through a sample of exotic dancers in Baltimore, Maryland, the purpose of the proposed research is to investigate the relationship between socioeconomic instability, illicit drug use, an unprotected transactional sex among vulnerable women. Specifically, the study aims to develop a reliable and valid tool for measuring socioeconomic instability among vulnerable women at heightened risk for HIV. Using this tool, the longitudinal association between socioeconomic instability, drug use, and unprotected transactional sex will be evaluated. These findings will be informed by a qualitative exploration of the nature and context of socioeconomic instability and its effect on sex- and drug-related HIV risk behaviors. The proposed research will use quantitative and qualitative data from a parent study that will follow a cohort of exotic dancers for six months. Longitudinal survey data will be used to develop the summary measure of socioeconomic instability and track changes in instability, drug use, and unprotected transactional sex. A series of qualitative interviews will explore dancers' perceptions of instabilty and uncover narratives about socioeconomic instability and HIV risk behavior. The proposed research offers a rich training opportunity to build skills in measurement and mixed methods while addressing NIDA's HIV/AIDS research priorities and strategic goals. Findings will advance knowledge regarding social and economic determinants of drug use and risky sexual behavior, ultimately informing future structural-level prevention and care strategies for people both at risk for and living with HIV.

描述（由申请人提供）：在美国，每年新增艾滋病毒感染者中，女性占 20%。风险较高的人包括从事性交易或使用非法药物的女性。一些妇女经历的社会和经济不稳定（例如住房、财务）可能会导致或加剧非法吸毒和无保护的性交易，从而增加感染艾滋病毒的风险。女性异国舞者是弱势女性的一个重要亚群，她们经历社会经济不稳定，并通过在异国舞蹈俱乐部工作通常从事与性和毒品相关的艾滋病毒危险行为。通过马里兰州巴尔的摩的异国舞者样本，拟议研究的目的是调查社会经济不稳定、非法药物使用、弱势女性中无保护的性交易之间的关系。具体来说，该研究旨在开发一种可靠且有效的工具来衡量艾滋病毒高危女性的社会经济不稳定程度。使用该工具，将评估社会经济不稳定、吸毒和无保护的性交易之间的纵向关联。这些发现将基于对社会经济不稳定的性质和背景及其对性和毒品相关艾滋病毒危险行为的影响的定性探索。拟议的研究将使用来自家长研究的定量和定性数据，该研究将跟踪一群异国舞者六个月。纵向调查数据将用于制定社会经济不稳定的汇总衡量标准，并跟踪不稳定、吸毒和无保护性交易的变化。一系列定性访谈将探讨舞者对不稳定的看法，并揭示有关社会经济不稳定和艾滋病毒危险行为的叙述。拟议的研究提供了丰富的培训机会，以培养测量和混合方法方面的技能，同时解决 NIDA 的艾滋病毒/艾滋病研究重点和战略目标。研究结果将增进对吸毒和危险性行为的社会和经济决定因素的认识，最终为未来针对高危人群的结构性预防和护理策略提供信息感染艾滋病毒并与之共存。