One Ballroom

一间宴会厅

基本信息

批准号：
10494112
负责人：
Sean Arayasirikul
金额：
$ 1.55万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-24 至 2022-09-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10494112
关键词：
AIDS prevention Address Age Awareness Behavior Behavioral Sciences Black race Capital Caring Color Communities Complex Data Development Ecological momentary assessment Epidemic Epidemiology Ethnic Origin Face Future Gays Gender Gender Identity Geography HIV HIV Infections HIV risk Homophobia Incidence Infection Intervention Knowledge Latina Latino Link Measures Methodology Methods Minority Mobile Health Application Online Systems Outcome Participant Pathway interactions Persons Phase Plant Roots Population Population Study Populations at Risk Prevalence Prevention Preventive Race Research Research Personnel Respondent Risk Risk Behaviors Sampling San Francisco Sex Orientation Sexism Sexual and Gender Minorities Societies Surveys Time Transcend Typology United States Ursidae Family Vulnerable Populations Work base black men who have sex with men care outcomes cis-male cohort ethnic minority experience high risk innovation intersectionality lens mHealth member men who have sex with men method development population health pre-exposure prophylaxis programs racial and ethnic racism recruit resilience response sexual identity sexual minority social social stigma therapy development time use transgender men transgender women transphobia uptake women of color

项目摘要

ABSTRACT Black and Latino trans women and men who have sex with men – or sexual and gender minorities of color (SGMoC) - account for at least half of all new HIV infections in the United States (U.S.). At the same time there is a significant disparity in knowledge of, access to and uptake of pre-exposure prophylaxis (PrEP) among SGMoC is disproportionately low compared to white MSM and trans women. Numerous studies have articulated disparities in HIV among groups under the SGMoC umbrella. However, most research aggregates experiences based on one axis of stigma such as gay or trans identity. Intersectional HIV stigma, or stigma as the result of multiple, intersecting minority identities, offer a complex lens in which to examine the multiplicative effect of experiencing more than one axis of stigma. SGMoC face stigma as sexual, gender and racial/ethnic minorities. SGMoC with these intersecting identities face racism, sexism, transphobia and a host of other stigmas that put them at high risk of HIV and create barriers to HIV prevention. This study will include a 3-year in-depth longitudinal qualitative phase, a 12-month longitudinal social epidemiologic phase, and an intensive longitudinal ecological momentary assessment phase. We propose to use an innovative and culturally relevant sampling strategy of web-based respondent driven sampling (webRDS) to recruit an online cohort of 900 SGMoC. The online cohort will complete 3 survey assessments in six-month intervals. The 200 highest risk cohort participants will participate in EMA phase with to measure the immediate context of intersectional HIV stigma, HIV prevention behaviors and HIV risk. These participants will receive short random ecological momentary assessments daily for 30 days via a mobile health application. Not only will this study examine intersectional HIV stigma in context of the daily lives of SGMoC, the ecological momentary assessment phase will also inform future development of a context aware, ecological momentary intervention to reduce intersectional HIV stigma and optimize the HIV prevention and care continua.

抽象的与男性发生性关系的黑人和拉丁裔跨性别男性或性别少数颜色（SGMOC） - 美国至少占美国所有新艾滋病毒感染的一半（美国）。同时在那里是对暴露前预防的知识，获取和吸收的显着差异（PREP）与白色MSM和跨性别女性相比，SGMOC的比例低。许多研究已经表达了 SGMOC伞下的艾滋病毒差异。但是，大多数研究聚集了基于一个柱头轴，例如同性恋或反式身份。由于多个相交的少数族裔身份，提供了一个复杂的镜头，可以检查经历了多个柱头轴。 SGMOC面临性别，性别和种族/族裔少数民族的污名。这些与这些相交的身份的SGMOC面临种族主义，性别歧视，变态恐惧症和许多其他污名他们有艾滋病毒的高风险，并为艾滋病毒预防造成障碍。这项研究将包括3年的深入纵向定性阶段，一个12个月的纵向社会流行病学阶段和一个密集的纵向生态瞬时评估阶段。我们建议使用创新和文化上的相关基于Web的受访者驱动抽样（WEBRD）的采样策略，以招募900个在线队列 sgmoc。在线队列将在六个月内完成3个调查评估。 200最高风险队列参与者将参与EMA阶段，以衡量交叉艾滋病毒的直接情况污名，艾滋病毒预防行为和艾滋病毒风险。这些参与者将获得短暂的随机生态瞬间每天通过移动健康申请进行评估30天。这项研究考试交叉口不仅会在SGMOC日常生活的背景下，HIV污名，生态瞬时评估阶段也将告知环境意识的未来发展，生态瞬间干预以减少艾滋病毒污名并优化预防HIV和护理连续性。