Strengthening community responses to economic vulnerability and HIV inequities

加强社区应对经济脆弱性和艾滋病毒不平等问题的对策

• 批准号: 10476669
• 负责人: Kristi E Gamarel
• 金额: $ 27.78万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-05-20 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10476669
• 关键词: AIDS prevention; Address; Adherence; Area; Benchmarking; Black race; Black, Indigenous, People of Color; Businesses; Caring; Color; Communities; Consultations; Continuity of Patient Care; Data; Data Collection; Economics; Education; Emergency Situation; Employment; Ensure; Entrepreneurship; Epidemic; Funding; Future; Gender; Generations; Goals; Grant; HIV; HIV risk; Health Disparities Research; Health Personnel; Homelessness; Housing; Human immunodeficiency virus test; Incidence; Income; Indigenous; Institutional Racism; Intervention; Interview; Latina; Legal; Measures; Mentors; Michigan; Names; Occupations; Outcome; Participant; Periodicity; Persons; Phase; Plant Roots; Poverty; Prevalence; Public Health; Randomized; Randomized Controlled Trials; Reporting; Research; Resources; Respondent; Sexual and Gender Minorities; Surveys; System; Training; Treatment Efficacy; United States; United States National Institutes of Health; Viral; Work; acceptability and feasibility; aged; antiretroviral therapy; arm; base; care outcomes; cisgender; community center; comparison intervention; efficacy trial; empowerment; experience; financial literacy; follow-up; food insecurity; gender minority community; housing instability; implementation process; improved; peer; pilot test; post intervention; pre-exposure prophylaxis; programs; public health relevance; racial and ethnic; racism; recruit; response; retention rate; social media; social structure; therapy design; transgender women; transphobia; treatment as usual; uptake; women of color

ABSTRACT In the United States, transgender women of color (`trans women of color') experience cyclical, interlocking systems of structural and institutional oppression rooted in racism and transphobia, which fuel economic vulnerability. Together, cycles of intersecting racism, transphobia, and economic vulnerability create conditions that give rise to extreme HIV inequities among trans women of color. Microeconomic interventions – designed to improve financial standing by increasing income generation and access to financial resources through entrepreneurship, cash transfers, and training — have the potential to address structural factors underlying HIV risk. Over the past few years, several trans-led organizations, including the Trans Sistas of Color Project, have integrated microeconomic strategies, specifically emergency assistance (i.e., unconditional cash grants) into their programming. Building on our formative work in Detroit, this project seeks to adapt and examine the acceptability and feasibility of an enhanced microeconomic intervention designed to address HIV prevention and care continua outcomes. The enhanced microeconomic intervention builds on our community partner's existing microeconomic interventions, which includes: (1) an emergency assistance; and (2) peer and legal support to obtain legal gender affirmation (i.e., legal name and gender markers on identification documents). The existing intervention will be enhanced to include (1) weekly educational sessions on economic empowerment (i.e., job acquisition, income generation through micro-business, and financial literacy) and HIV prevention and care; (2) employment-focused mentoring; (3) weekly social media posts of job openings in Detroit; and (4) an unconditional grant ($1,200) for use towards acquiring self-led or formal employment. Our community advisory board composed of trans women of color will provide ongoing consultation. The proposed research plan is directly in line with the prioritization of sexual and gender minority communities for health disparities research and the Ending the HIV Epidemic (EHE) initiative, as well as NIH priority areas for reducing HIV incidence. Findings will provide the necessary groundwork to examine intervention efficacy and implementation processes in a future, large-scale trial.

抽象的 在美国，跨性别女性有色女性（“有色跨性别女性”）经历周期性的互锁 结构性和机构压迫的系统源于种族主义和跨性别恐惧症，这助长了经济 脆弱性。共同的种族主义，跨性别恐惧症和经济脆弱性共同创造了条件 这引起了有色跨性别女性的极端艾滋病毒不平等。微观经济干预 - 设计 通过增加收入的产生和获得财务资源来提高财务状况 企业家精神，现金转移和培训 - 有可能解决艾滋病毒基础的结构性因素 风险。在过去的几年中，包括彩色项目的跨性别组织，包括跨性别组织 综合微观经济策略，特别是紧急援助（即无条件现金赠款） 他们的编程。在我们在底特律的形成性工作的基础上，该项目试图适应和检查 旨在解决艾滋病毒预防的增强的微观经济干预的可接受性和可行性 护理继续取得成果。增强的微观经济干预是基于我们社区合作伙伴的 现有的微观经济干预措施，其中包括：（1）紧急援助； （2）同行和法律 支持获得法律性别影响（即身份证明文件上的法律名称和性别标记）。 现有的干预措施将得到加强，包括（1）每周有关经济的教育会议 授权（即，工作获取，通过微型企业产生收入和金融素养）和艾滋病毒 预防和关怀； （2）以就业为中心的心理； （3）每周社交媒体职位空缺职位 底特律; （4）无条件的赠款（$ 1,200）用于获得自我领导或正式就业。我们的 由有色跨性别女性组成的社区顾问委员会将提供持续的咨询。提议 研究计划直接符合性和性别少数民族的优先级别的健康 差异研究和结束艾滋病毒流行（EHE）倡议，以及NIH优先领域 减少艾滋病毒事件。调查结果将为检查干预效率和 在未来的大规模试验中实施过程。