Addiction recovery residences to improve health outcomes in high-risk men

成瘾康复住宅可改善高危男性的健康结果

• 批准号: 8846492
• 负责人: AMY Adale MERICLE
• 金额: $ 22.5万
• 依托单位: PUBLIC HEALTH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-04-15 至 2017-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8846492
• 关键词: AIDS/HIV problem; Abstinence; Accidents; Acute; Address; Adult; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Bisexual; Characteristics; Chronic; Communities; Computer Assisted; Data; Dimensions; Discrimination; Drug usage; Face; Future; Gays; HIV; Health; Health Priorities; Health Services; Health Services Accessibility; Health Status; Healthy People 2020; Home environment; Homophobia; Housing; Individual; Intake; Intersex; Interview; Learning; Lesbian; Lesbian Gay Bisexual Transgender Intersex; Letters; Life; Literature; Methods; Mission; Outcome; Pattern; Persons; Pharmaceutical Preparations; Play; Pneumonia; Population; Reaction; Recording of previous events; Records; Recovery; Recruitment Activity; Research; Research Personnel; Risk; Risk Behaviors; Role; Running; Secure; Services; Social support; Structure; Subgroup; Substance abuse problem; Telephone; Telephone Interviews; Texas; Textiles; United States National Institutes of Health; Violence; Viral hepatitis; Work; addiction; austin; effectiveness trial; experience; follow-up; health disparity; help-seeking behavior; high risk; high risk men; improved; informant; information gathering; member; men who have sex with men; operation; organizational structure; programs; public health relevance; research study; residence; sexual minority; sobriety; social; social capital; transgender; urban area

 DESCRIPTION: Lesbian, gay, bisexual, transgender, and intersex (LGBTI) adults face unique health disparities and addressing these disparities is a national health priority. Within this community, men who have sex with men (MSM) are at increased risk for substance abuse, HIV/AIDS, and other adverse health conditions. Addiction recovery residences are a promising mechanism to enhance outcomes among individuals who abuse substances, but the experiences of sexual minorities in these settings have been under-researched. To address this gaps in the literature, the proposed two-year, mixed-methods, formative research study has three specific aims: (1) To examine the service delivery components of a recovery residence serving MSM residents and how this residence may differ from residences not specifically designated for MSM residents; (2) To assess the feasibility of recruiting MSM residents and collecting baseline and 3-month follow-up data on substance abuse to estimate changes in HIV/AIDS risk behavior, health status, and service use; (3) To identify factors that may facilitate or inhibit the opening and operation of recovery residences for MSM and members of the larger LGBTI population. To address these aims, we will conduct in-person interviews with the owner and house managers of an organization that runs 12 recovery residences in Austin, Texas, including a home designated for MSM. We will also collect mixed-methods, computer-assisted telephone interviews with MSM residents (N=30) who live in these residences upon entry and at a 3-month follow-up interview. Finally, in order to better understand factors that may facilitate o inhibit the wider proliferation of recovery residences for segments of the LGBTI population, we will conduct key-informant interviews with recovery residence operators (N=10) in densely populated urban areas across the US who are affiliated with the National Alliance for Recovery Residences (NARR). The proposed study represents the first study of MSM experiences in recovery residences and the first study of an MSM recovery residence. Drs. Mericle (PI) and Polcin (Co-I) are among the few researchers in the nation who have conducted research on recovery residences and will be joined by Drs. Adam Carrico (Co-I) and Ronald Stall (Consultant) who have expertise in substance abuse and associated health problems among MSM. The findings from this study will enhance the understanding of the role that recovery residences can play in reducing HIV/AIDS risk among MSM. More importantly, this research will establish the magnitude of the effects that recovery residences may have on key health and service use outcomes among MSM, a critical first step to future trials of the effectiveness of recovery residences and services delivered in recovery residences to improve health outcomes among MSM and reduce health disparities among individuals in the larger LGBTI community.

 描述：女同性恋、男同性恋、双性恋、跨性别者和双性人 (LGBTI) 成年人面临独特的健康差异，解决这些差异是该社区的国家健康优先事项，男男性行为者 (MSM) 滥用药物的风险更高。 、艾滋病毒/艾滋病和其他不良健康状况的成瘾康复住所是改善药物滥用者的结果的一种有前途的机制，但对这些环境中性少数群体的经历的研究还不够。根据文献，拟议的为期两年的混合方法形成性研究具有三个具体目标：（1）检查为 MSM 居民提供康复住所的服务提供组成部分，以及该住所与非专门为 MSM 居民指定的住所有何不同(2) 评估招募 MSM 居民并收集药物滥用基线和 3 个月随访数据的可行性，以估计 HIV/艾滋病风险行为、健康状况和服务使用的变化； (3) 确定可能的因素；促进 或禁止为 MSM 和更多 LGBTI 人群开放和运营康复住宅。为了实现这些目标，我们将与在德克萨斯州奥斯汀经营 12 个康复住宅的组织的业主和房屋经理进行面对面访谈。包括指定给 MSM 的住所。我们还将在进入这些住所时收集混合方法、计算机辅助的电话访谈，并进行 3 个月的后续访谈。为了更好地理解考虑到可能促进或抑制 LGBTI 人群康复住宅更广泛扩散的因素，我们将对隶属于国家联盟的美国人口稠密城市地区的康复住宅运营商 (N=10) 进行关键信息访谈Mericle (PI) 和 Polcin (Co-I) 博士是该项目中为数不多的研究人员之一。 Adam Carrico 博士（Co-I）和 Ronald Stall（顾问）将参与研究 MSM 的药物滥用和相关健康问题。这项研究的结果将加深人们的理解。更重要的是，这项研究将确定康复住宅对 MSM 的关键健康和服务使用结果可能产生的影响程度，这是未来的关键第一步。康复有效性试验康复住所提供的住所和服务，以改善 MSM 的健康状况，并减少 LGBTI 社区中个体之间的健康差异。