Understanding typologies of IPV and access to services among drug-involved Black women with criminal-legal involvement who have sex with women and men

了解 IPV 的类型以及与女性和男性发生性关系、涉及刑事法律的涉毒黑人女性获得服务的情况

• 批准号: 10559510
• 负责人: Ariel Richer
• 金额: $ 3.79万
• 依托单位: COLUMBIA UNIV NEW YORK MORNINGSIDE
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-02-01 至 2024-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10559510
• 关键词: Academic skills; Address; Adult; Affect; Alcohol consumption; Baseline Surveys; Behavioral Model; Bisexual; Black race; Caring; Characteristics; Communities; Counseling; Crime; Data; Data Analyses; Data Collection; Development; Discrimination; Drug Legislation; Drug usage; Emergency Situation; Ethnic Origin; Face; Fellowship; Fright; Funding; Future; Gender; HIV; Health Services Accessibility; Heterosexuals; Imprisonment; Improve Access; Inequity; Intervention; Intervention Studies; Interview; Legal; Legal system; Lesbian; Link; Logistic Regressions; Measures; Methods; Minority; National Institute of Drug Abuse; New York City; Not Hispanic or Latino; Participant; Pattern; Pharmaceutical Preparations; Pharmacotherapy; Police; Policies; Population; Population Study; Prevalence; Public Health; Race; Regression Analysis; Reporting; Research; Research Methodology; Research Personnel; Research Training; Risk; Risk Factors; Sampling; Services; Severities; Sex Behavior; Sex Orientation; Sexual Partners; Shelter facility; Stigmatization; Substance abuse problem; Supervision; Survivors; Time; Training; Training Programs; Trauma; Typology; Underrepresented Populations; Violence; Woman; black women; career; convict; experience; follow-up; health care service utilization; health disparity; innovation; insight; intimate partner violence; men; minority stress; parole; perpetrators; person centered; physical assault; probation; programs; service utilization; sex; sexual assault; sexual minority; sexual minority women; skills; social stigma; substance use; surveillance data; theories; training opportunity; treatment services; violence prevention; women who have sex with women

Project Summary/ Abstract: Background: The extremely high rates of intimate partner violence (IPV) experienced by Black women in community supervision programs (CSPs) who use drugs represents a major public health concern given the vast overrepresentation of Black women in the criminal legal system compared to non-Hispanic white women due to racialized drug laws and policies. National IPV surveillance data suggest that the rates of IPV in this population may be even higher among Black bisexual women in CSPs who use drugs. However, there remains a dearth of research that centers the experience of Black women who have sex with women and men (WSWM). Fear of experiencing police violence and experiences of racial and sexual discrimination pose additional challenges for Black WSMW in CSPs who use drugs to access both IPV and drug treatment services. No studies, to date, have examined typologies of IPV and its association to accessing IPV-related services among Black women with multiple intersecting minoritized identities including substance use, sexual behavior, and criminal-legal involvement. To address these gaps, this application has three research aim: 1) Identify typologies of IPV; 2) Examine how membership to latent classes are associated with accessing IPV- related services; and 3) Explore underlying mechanisms that may link IPV class, sexual behavior, and access to and utilization of IPV-related services. Methods: This dissertation study uses a sequential explanatory mixed methods approach with 1) secondary baseline survey data from Project eWORTH, a NIDA-funded HIV intervention study of 352 Black, drug-involved women mandated to CSPs and 2) primary qualitative follow-up data with participants to inform findings from the secondary data analysis. Analysis: Latent class analysis (LCA) will be used to identify underlying classes of IPV and association with sexual behavior (Aim 1) and association of membership in a class with receipt of IPV-related services, controlling for sexual orientation and gender of perpetrator with multinomial regression (Aim 2). LCA is an innovative “person-centered” approach to measure trauma that may identify the number of underlying groups using observed characteristics. Primary data collection and qualitative analysis (Aim 3) will enrich statistical findings from the LCA and multinomial logistic regression analysis. The 2-year research and training program proposed in this F31 Fellowship application will cultivate skills in mixed-methods research, essential to completing my dissertation research and training. It will provide critical academic skills for a career as an independently funded substance abuse and IPV prevention researcher.

项目摘要/摘要： 背景：黑人妇女在 使用药物的社区监督计划（CSP）代表了一个主要的公共卫生问题 与非西班牙裔白人妇女相比 由于种族化的毒品法和政策。国家IPV监视数据表明，IPV的速率 在使用药物的CSP中，黑人双性恋女性中的人口可能更高。但是，仍然存在 研究死亡，以与男女发生性关系的黑人妇女的经历为中心 （WSWM）。害怕经历警察暴力和种族和性歧视姿势的经历 在CSP中，黑人WSMW使用药物访问IPV和药物治疗的其他挑战 服务。迄今为止，尚无研究检查IPV的类型及其与访问IPV相关的关联 黑人妇女中有多个相交的少数身份的服务，包括药物使用，性 行为和法律参与。为了解决这些差距，该应用程序具有三个研究目的：1） 确定IPV的类型； 2）检查潜在类的成员资格与访问IPV- 相关服务； 3）探索可能将IPV类，性行为和访问联系起来的潜在机制 与IPV相关服务的使用和利用。方法：本论文研究使用顺序删除混合 1）来自NIDA资助的HIV Project Eworth的次级基线调查数据 对CSP的352名黑色，毒品涉及的妇女的干预研究和2）原性随访 与参与者的数据向二级数据分析的发现通知。分析：潜在类别分析 （LCA）将用于识别IPV的基本类别以及与性行为的关联（AIM 1）和 与IPV相关服务的班级会员资格协会，控制性取向和 具有多项式回归的性别性别（AIM 2）。 LCA是一种创新的“以人为中心”的方法 测量可能使用观察到的特征来识别基础组的数量的创伤。基本的 数据收集和定性分析（AIM 3）将丰富来自LCA和多项式的统计发现 逻辑回归分析。该F31奖学金提出的为期两年的研究和培训计划 应用将在混合方法研究中培养技能，这对于完成我的论文研究至关重要 训练。它将为职业提供关键的学术技能，作为独立资助的药物滥用和 IPV预防研究人员。