黑人性少数群体男性使用甲基苯丙胺的结构性影响因素(HISTORY 研究):纵向队列研究协议》。

IF 1.4 Q3 HEALTH CARE SCIENCES & SERVICES
Samuel C O Opara, Sabriya L Linton, Brian W Weir, Natalie D Crawford, David P Holland, Antonio Newman, McKinsey Bullock, Marcus O Reed, Srija Dutta, Kamini Doraivelu, Charles Stephens, Justin C Smith, Yeeli Mui, Sophia A Hussen
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引用次数: 0

摘要

背景:性少数群体男性受使用甲基苯丙胺的影响尤为严重,最近的研究表明,黑人性少数群体男性使用甲基苯丙胺的情况尤其增多。黑人性少数群体男性在实现最佳健康方面面临着独特的结构性障碍。鉴于甲基苯丙胺的有害影响,并考虑到现有的健康差异,黑人性少数群体男性使用甲基苯丙胺的增加构成了一个重大的公共健康问题:健康影响和克服昨日种族歧视的斗争(HISTORY)研究正在调查人口普查区一级的结构性种族主义和歧视(SRD)对佐治亚州亚特兰大黑人性少数群体男性吸食甲基苯丙胺的潜在影响,并将确定干预目标,以改善对该人群吸食甲基苯丙胺的预防和治疗:本研究采用混合方法和多层次设计,为期 5 年,并采用参与式方法。个人层面的定量数据将通过定期评估调查、生态学瞬间评估和病历摘要等方式从黑人性少数群体男性(人数=300)的社区队列中收集。人口普查区一级的 SRD 指标将使用公开的行政数据构建。定性数据收集将包括对研究参与者的一个子集(人数=40)进行纵向、重复的深度访谈。最后,我们将利用参与式小组模型构建过程,在定性和定量数据的基础上,生成黑人性少数群体男性 SRD 和甲基苯丙胺使用的因果关系图,进而转化为可操作的结构性干预建议:HISTORY 研究于 2023 年 3 月开始注册,预计将于 2024 年 11 月完成:HISTORY研究将作为未来结构性干预的重要背景,以减轻黑人性少数群体男性使用甲基苯丙胺和SRD的影响:DERR1-10.2196/63761。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Structural Influences on Methamphetamine Use Among Black Sexual Minority Men (HISTORY Study): Protocol for a Longitudinal Cohort Study.

Background: Sexual minority men are disproportionately affected by methamphetamine use, with recent studies suggesting an increase in use specifically among Black sexual minority men. Black sexual minority men face unique structural barriers to achieving optimal health. Given its harmful effects, and in light of existing health disparities, an increase in methamphetamine use among Black sexual minority men poses a significant public health concern.

Objective: The Health Impacts and Struggles to Overcome the Racial Discrimination of Yesterday (HISTORY) study is investigating the potential impacts of exposure to the census tract-level structural racism and discrimination (SRD) on methamphetamine use among Black sexual minority men in Atlanta, Georgia, and will identify intervention targets to improve prevention and treatment of methamphetamine use in this population.

Methods: This study uses a mixed methods and multilevel design over a 5-year period and incorporates participatory approaches. Individual-level quantitative data will be collected from a community-based cohort of Black sexual minority men (N=300) via periodic assessment surveys, ecological momentary assessments, and medical record abstractions. Census tract-level measures of SRD will be constructed using publicly available administrative data. Qualitative data collection will include longitudinal, repeated in-depth interviews with a subset (n=40) of study participants. Finally, using a participatory group model-building process, we will build on our qualitative and quantitative data to generate causal maps of SRD and methamphetamine use among Black sexual minority men, which in turn will be translated into actionable recommendations for structural intervention.

Results: Enrollment in the HISTORY study commenced in March 2023 and is anticipated to be completed by November 2024.

Conclusions: The HISTORY study will serve as a crucial background upon which future structural interventions can be built, to mitigate the effects of methamphetamine use and SRD among Black sexual minority men.

International registered report identifier (irrid): DERR1-10.2196/63761.

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来源期刊
CiteScore
2.40
自引率
5.90%
发文量
414
审稿时长
12 weeks
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