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Published on: January 22, 2016
Structural Influences on Methamphetamine Use Among Black Sexual Minority Men (HISTORY Study): Protocol for a
Samuel C O Opara1, Sabriya L Linton2, Brian W Weir3
1Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, United States.
Methamphetamine use is rising among Black sexual minority men, who face significant health disparities. The HISTORY study examines how structural racism and discrimination impact this trend, aiming to inform interventions.
Area of Science:
- Public Health
- Social Epidemiology
- Health Disparities Research
Background:
- Sexual minority men experience disproportionately high rates of methamphetamine use.
- Black sexual minority men face unique structural barriers impacting their health.
- Increased methamphetamine use in this population is a significant public health concern due to its harmful effects and existing disparities.
Purpose of the Study:
- To investigate the impact of census tract-level structural racism and discrimination (SRD) on methamphetamine use among Black sexual minority men in Atlanta.
- To identify intervention targets for preventing and treating methamphetamine use in this population.
Main Methods:
- A 5-year mixed-methods, multilevel, and participatory design.
- Collection of individual-level quantitative data (surveys, ecological momentary assessments, medical records) from 300 Black sexual minority men.
- Construction of census tract-level SRD measures using administrative data and qualitative data from in-depth interviews with 40 participants.
Main Results:
- Study enrollment began in March 2023 and is expected to conclude in November 2024.
- Data collection is ongoing, with a focus on understanding the relationship between SRD and methamphetamine use.
Conclusions:
- The HISTORY study will provide essential background data for developing future structural interventions.
- Findings will inform strategies to mitigate methamphetamine use and structural racism and discrimination among Black sexual minority men.
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