The primary goal of this resubmitted K02 application is to further develop Dr. Carrie Oser's productive independent research career and to augment her research focus on HIV, substance abuse treatment, crime, and health disparities by gaining new training on social networks and HIV intervention development. The K02 builds upon her focus on special populations, including both rural drug users and African American drug users. The proposed training goals will provide new instruction in social networks, HIV intervention development, and the responsible conduct of research.
The specific aims are: (1) to identify HIV and HCV risk and longitudinal changes in risk in the social networks of 503 rural out-of-treatment drug using women, as compared to men;and (2) to examine the effect of social networks, including structure (e.g., size, density), function (e.g., emotional and instrument support), and content (e.g., attitudes towards physicians), on HIV and HCV risk behaviors and health services utilization among African American drug using women, as compared to men, across criminal justice status. This significant and innovative study will have strong public healt impacts and will support NIDA's Health Disparities Initiative because of its potential to contribut to our understanding of the cultural and social network correlates of health disparities among both rural and African American drug users. In addition, this study improves upon the methodological limitations of previous research findings by examining various social networks (e.g., egocentric, dyadic, and sociocentric) and using longitudinal data in multilevel models. This proposed project will allow for a practical application of the substantive knowledge and analytical skills acquired from the K02 training activities and will ultimately culminate in the development of forthcoming investigator initiated NIDA grant applications. Specifically, these findings will be used as a foundation for future HIV social networks based intervention to increase special populations'use of preventative health care and subsequently reduce the need for expensive medical services, as well as to decrease HIV risk behaviors including drug use, unprotected sex, and recidivism.

Public Health Relevance

This study is significant to the public health field because of its potential to understand the individual, cultural, and social network factors associated with HI and HCV risk behaviors among two special populations - rural drug users and African American drug users. These findings will be used as a foundation for developing social network based HIV interventions to increase special populations'use of preventative health care and subsequently reduce the need for expensive medical services, as well as to decrease HIV risk behaviors including drug use, unprotected sex, and recidivism.

National Institute of Health (NIH)
National Institute on Drug Abuse (NIDA)
Research Scientist Development Award - Research (K02)
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Study Section
Behavioral and Social Consequences of HIV/AIDS Study Section (BSCH)
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Deeds, Bethany
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University of Kentucky
Social Sciences
Schools of Arts and Sciences
United States
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Harp, Kathi L H; Oser, Carrie B (2016) Factors associated with two types of child custody loss among a sample of African American mothers: A novel approach. Soc Sci Res 60:283-296
Otis, Melanie D; Oser, Carrie B; Staton-Tindall, Michele (2016) Violent Victimization and Substance Dependency: Comparing Rural Incarcerated Heterosexual and Sexual Minority Women. J Soc Work Pract Addict 16:176-201
Stevens-Watkins, Danelle; Knighton, Joi-Sheree'; Allen, Kristin et al. (2016) John Henryism Active Coping as a Cultural Correlate of Substance Abuse Treatment Participation Among African American Women. J Subst Abuse Treat 63:54-60
Vinson, Ebony S; Oser, Carrie B (2016) Risk and Protective Factors for Suicidal Ideation in African American Women With a History of Sexual Violence as a Minor. Violence Against Women :
Knighton, Joi-Sheree'; Stevens-Watkins, Danelle; Oser, Carrie et al. (2016) Perceived Risk of HIV Infection Among Drug-Using African American Male Prisoners: One Year After Community Re-entry. Subst Use Misuse 51:1610-1618
Dickson, Megan F; Staton-Tindall, Michele; Smith, Kirsten E et al. (2016) A Facebook Follow-Up Strategy for Rural Drug-Using Women. J Rural Health :
Oser, Carrie B; Bunting, Amanda M; Pullen, Erin et al. (2016) African American Female Offender's Use of Alternative and Traditional Health Services After Re-Entry: Examining the Behavioral Model for Vulnerable Populations. J Health Care Poor Underserved 27:120-48
Staton-Tindall, Michele; Harp, Kathi L H; Minieri, Alexandra et al. (2015) An exploratory study of mental health and HIV risk behavior among drug-using rural women in jail. Psychiatr Rehabil J 38:45-54
Staton-Tindall, Michele; Webster, J Matthew; Oser, Carrie B et al. (2015) Drug use, hepatitis C, and service availability: perspectives of incarcerated rural women. Soc Work Public Health 30:385-96
Oser, Carrie B; Harp, Kathi L H (2015) Treatment outcomes for prescription drug misusers: the negative effect of geographic discordance. J Subst Abuse Treat 48:77-84

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