结构因素对黑人男同性恋者（HISTORY 研究）中使用甲基苯丙胺的影响：一项纵向队列研究的方案。

Structural Influences on Methamphetamine Use Among Black Sexual Minority Men (HISTORY Study): Protocol for a Longitudinal Cohort Study.

机构信息

Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, United States.

Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.

出版信息

JMIR Res Protoc. 2024 Oct 31;13:e63761. doi: 10.2196/63761.

DOI:10.2196/63761

PMID:39481101

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11565090/

Abstract

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.

摘要

背景

性少数群体男性受冰毒使用的影响不成比例，最近的研究表明，黑人性少数群体男性中冰毒使用的比例有所增加。黑人性少数群体男性在实现最佳健康方面面临独特的结构性障碍。鉴于冰毒的有害影响，以及现有的健康差距，黑人性少数群体男性中冰毒使用的增加构成了一个重大的公共卫生关注问题。

目的

“历史上的健康影响和克服种族歧视的斗争（HISTORY）”研究正在调查暴露于社区层面结构性种族主义和歧视（SRD）对佐治亚州亚特兰大的黑人性少数群体男性使用冰毒的潜在影响，并将确定干预目标，以改善该人群中冰毒使用的预防和治疗。

方法

这项研究使用混合方法和多层次设计，历时 5 年，并采用参与式方法。将通过定期评估调查、生态瞬间评估和医疗记录摘要，从一个基于社区的黑人性少数群体男性队列（N=300）中收集个体层面的定量数据。将使用公开可用的行政数据构建社区层面的 SRD 衡量标准。定性数据收集将包括对研究参与者的一部分（n=40）进行纵向、重复的深入访谈。最后，我们将使用参与式小组模型构建过程，根据我们的定性和定量数据构建黑人性少数群体男性中 SRD 和冰毒使用的因果图，这反过来又将转化为针对结构性干预的可行建议。