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：黑人女性遭受亲密伴侣暴力（IPV）的比例极高 鉴于吸毒者的社区计划监督（CSP）是一个重大的公共卫生问题 与非西班牙裔白人女性相比，刑事法律系统中黑人女性的比例过高 由于种族化的毒品法律和政策，国家 IPV 监测数据表明 IPV 的比率。 CSP 中吸毒的黑人双性恋女性人数可能更高，但这一情况仍然存在。 缺乏以黑人女性与女性和男性发生性关系的经历为中心的研究 （WSWM）。担心遭受警察暴力以及经历种族和性别歧视。 使用药物获得 IPV 和药物治疗的 CSP 中的黑人 WSMW 面临的额外挑战 迄今为止，还没有研究考察 IPV 的类型及其与访问 IPV 相关服务的关联。 为具有多重交叉少数群体身份的黑人妇女提供服务，包括药物滥用、性行为 为了解决这些差距，该应用程序具有三个研究目标：1) 识别 IPV 的类型；2) 检查潜在类的成员资格如何与访问 IPV 相关联 相关服务；以及 3) 探索可能将 IPV 类别、性行为和访问联系起来的潜在机制 IPV 相关服务的使用和使用 方法：本论文研究采用顺序解释混合法。 方法采用 1) 来自 eWORTH 项目（NIDA 资助的艾滋病毒项目）的二次基线调查数据 对 352 名黑人吸毒妇女进行干预研究，并委托 CSP 进行 2) 初步定性随访 与参与者分享数据，以告知二次数据分析的结果：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（目标 1）以及 接受 IPV 相关服务的类别的会员协会，控制性取向和 LCA 是一种创新的“以人为中心”的方法。 测量创伤，可以使用观察到的主要特征来识别潜在群体的数量。 数据收集和定性分析（目标 3）将丰富 LCA 和多项式的统计结果 F31 奖学金中提出的 2 年研究和培训计划。 应用程序将培养混合方法研究的技能，这对于完成我的论文研究和 它将为独立资助的药物滥用和职业生涯提供关键的学术技能。 IPV预防研究员。