Novel approaches to understanding mental disorder, substance abuse and HIV-risk a

了解精神障碍、药物滥用和艾滋病毒风险的新方法

基本信息

批准号：
7737706
负责人：
LESLIE B WHITBECK
金额：
$ 14.52万
依托单位：
UNIVERSITY OF NEBRASKA LINCOLN
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-30 至 2011-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7737706
关键词：
18 year old Address Adolescent Affect Antisocial Personality Disorder Area Battered Women Behavior Behavioral Borderline Personality Disorder Build-it Calendar Characteristics Child Cities Client Computer Assisted Data Data Collection Development Diagnosis Diagnostic Disadvantaged Dissociation Economics Event Family Feeling suicidal Foreclosure Funding Gender HIV HIV Infections HIV-1 Infection Pathway Health Homeless persons Homelessness Housing Human immunodeficiency virus test Impulsivity Interview Knowledge Lead Life Life Cycle Stages Liquid substance Living Arrangement Low income Measurement Measures Mental Health Mental disorders Methodology Methods Minor Minority Mothers Movement National Institute of Allergy and Infectious Disease Occupations Pathway interactions Personality Disorders Population Preparation Prevalence Property Provider Psyche structure Psychiatric Diagnosis Psychotic Disorders Recording of previous events Reporting Research Research Design Research Personnel Risk Risk Factors Runaway Sampling Schedule Science Self Mutilation Services Shelter facility Site Staging Stress Substance Use Disorder Substance abuse problem Surveys Symptoms Techniques Time Update Variant Vulnerable Populations Wages Woman Women&apos s Health Work base design experience health disparity improved innovation intimate partner violence meetings men metropolitan named group novel strategies programs prostitute public health relevance suicidal behavior

项目摘要

DESCRIPTION (provided by applicant): This [revised] R21 application seeks two years of support to develop state-of-the-science methodologies to address four important gaps in existing research with homeless women: 1) capture the diversity of circumstances among a fluid and hard-to-access population; 2) increase our understanding of mental and substance use disorders (particularly personality disorders) across the diversity of homeless women; 3) improve our understanding trajectories to homelessness through development of an innovative event history calendar approach; and 4) advance knowledge of homeless women's health and HIV-risk by circumstance and trajectories to homelessness. This research will provide measurement development and preliminary studies for a multi-state longitudinal R01 designed to advance our understanding of mental and substance use disorders among homeless women, their movement into and out of homelessness, the consequences of homelessness for women and minor children in their custody, and women's health, HIV-risk, and HIV testing behaviors. The planned longitudinal research will focus on a growing but poorly understood population of the nation's most vulnerable women. The specific aims of this R21 developmental application are to 1) develop and pilot a sampling plan that will better reflect the diversity of homeless women; 2) develop and pilot an innovative events history calendar for use with homeless women; 3) program and pilot Axis 1 (UM-CIDI) and Axis II (DIPD-IV) diagnostic interview schedules for computer-assisted personal interviews with homeless women; 4) develop and program women's health and HIV-risk measures; and 5) pilot the measures with 200 homeless women in two Midwestern cities. PUBLIC HEALTH RELEVANCE: This [revised] R21 developmental application will set the stage for the first multi-state longitudinal diagnostic study of homeless women. It builds on more than a decade of work with hard to access homeless populations and a prior three-year longitudinal diagnostic study of homeless adolescents. This application will fund the development of innovative measures and sampling techniques specifically for this understudied population and for the piloting of measures with a sample of 200 homeless women in two Midwestern cities.

描述（由申请人提供）：本[修订后的] R21 申请寻求两年的支持，以开发最先进的科学方法，以解决现有无家可归妇女研究中的四个重要差距：1）捕捉流体环境的多样性和难以接触的人群； 2) 增加我们对各种无家可归妇女的精神和物质使用障碍（特别是人格障碍）的了解； 3）通过开发创新的事件历史日历方法，提高我们对无家可归者轨迹的理解； 4) 提高对无家可归妇女的健康状况和艾滋病毒风险的了解，以及无家可归的情况和轨迹。这项研究将为多州纵向 R01 提供测量开发和初步研究，旨在增进我们对无家可归妇女的精神和物质使用障碍、她们进出无家可归的情况、无家可归对妇女和未成年儿童的影响的理解。监护权、妇女健康、艾滋病毒风险和艾滋病毒检测行为。计划中的纵向研究将重点关注不断增长但人们知之甚少的美国最弱势女性群体。 R21 开发应用的具体目标是 1) 制定和试点抽样计划，以更好地反映无家可归妇女的多样性； 2) 开发并试点一个创新的事件历史日历，供无家可归的妇女使用； 3) 计划和试点轴 1 (UM-CIDI) 和轴 II (DIPD-IV) 诊断访谈时间表，用于对无家可归妇女进行计算机辅助个人访谈； 4) 制定妇女健康和艾滋病毒风险措施并制定计划； 5) 在两个中西部城市对 200 名无家可归的妇女进行试点。公共卫生相关性：此[修订版] R21 开发应用将为首次针对无家可归妇女的多州纵向诊断研究奠定基础。它建立在十多年来对难以接触无家可归人群的工作以及之前对无家可归青少年进行的三年纵向诊断研究的基础上。该申请将资助专门针对这一待研究人群的创新措施和抽样技术的开发，以及在中西部两个城市对 200 名无家可归妇女进行样本试点的措施。