Southwest Health Equity Research Collaborative
西南健康公平研究合作组织
基本信息
- 批准号:10457777
- 负责人:
- 金额:$ 74.98万
- 依托单位:
- 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:2021-09-01 至 2022-09-19
- 项目状态:已结题
- 来源:
- 关键词:AIDS preventionAddressAdoptionAdvocateAgeAge-YearsAmerican IndiansAreaBisexualCaringCherokee IndianChlamydiaClinicCommunitiesDiagnosisDiagnostic Reagent KitsDiseaseEducationEffectivenessEpidemicEvaluationFamiliarityFocus GroupsFutureGaysGoalsGonorrheaHIVHealth PersonnelHealth ServicesHealth TechnologyHuman immunodeficiency virus testIncidenceIndividualInfectionInterventionInterviewMethodsOklahomaParticipantPhasePrevalencePreventionPrevention approachPrimary PreventionProviderRandomizedRecordsResearchResourcesRuralRural CommunitySecondary PreventionSexually Transmitted DiseasesSurveysSyphilisSyphilis SerodiagnosisTechnologyTestingTrainingUnited StatesUniversitiesWomanWorkbasecondomscontrol trialexperiencehealth equityinformantmHealthmembermenmen who have sex with menparent grantpeerpeer coachingpre-exposure prophylaxispreventprevention serviceprototyperecruitrisk perceptionrural Americansrural areascreeningscreening servicesself testingsexsexual HIV transmissionsexual minoritysocial determinantssocial stigmatransmission processtrial designuptake
项目摘要
PROJECT SUMMARY
In the U.S., incidence rates of HIV and sexually transmitted infections (STIs) are disproportionately high among
gay, bisexual, and other men who have sex with men—referred to herein as sexual minority men (SMM)—
compared to men who have sex with women only.1,2 Roughly 10% of HIV incidence is attributable to increased
transmission due to untreated STIs among SMM,3 64% of syphilis cases occur among SMM,4 and SMM
residing in Ending the HIV Epidemic (EHE) priority jurisdictions have nearly 50% greater odds of STIs
compared to those residing elsewhere.5 Oklahoma is an EHE priority rural state with above average yearly
cases of chlamydia and ranks in the top 10 for gonorrhea and syphilis infections nationwide. Within these
Oklahoma communities, those under the age of 24 account for a quarter of new HIV, chlamydia, and
gonorrhea infections. Less than 28% of rural Oklahomans have received an HIV test during their lifetime and
only 5.7% during the past year, the lowest testing rate among the EHE states.6 Similar to their SMM peers,
rural American Indian (AI) men have seen an increase in HIV incidence—where the AI men now account for
9.3% of new infections in Oklahoma compared to 7.8% in 2016.7-9 AI men and SMM living in rural areas of the
U.S. are less likely to receive HIV prevention messaging, engage in routine testing, identify HIV testing
resources, or receive comprehensive education as compared to their urban counterparts. Rural SMM and AI
men in Oklahoma experience many barriers to HIV and STI testing, including worries about HIV-related stigma,
low perceptions of risk, difficulty communicating with healthcare providers, and confidentiality concerns,10-15
requiring expansion of prevention and screening services. Our proposed research will specifically focus on two
EHE pillars: diagnose (i.e., HIV screening) and prevent (i.e., increase condom use; adoption of Pre-Exposure
Prophylaxis). Our specific aims are as follows: AIM 1 – To refine our preliminary intervention strategy in
partnership with a Community Advisory Board (CAB) and rural peer mentors. In a 4-month formative
phase, we will partner with a CAB to finalize Ending the HIV Epidemic in Rural Oklahoma (e-HERO)
components to be included in an initial intervention prototype. AIM 2 – To assess feasibility, acceptability,
and preliminary impact of the e-HERO intervention. We will pilot and evaluate the finalized intervention in
rural Oklahoma using a randomized control trial design to mimic a future statewide implementation. We will
recruit rural SMM (n = 100) and AI men (n = 100) between 17-29 years of age. We will use RE-AIM19 to guide
the evaluation, which will entail conducting a convergent mixed-method analysis of surveys (SMM and AI
men), HIV/STI testing records, and exit interviews to assess feasibility, acceptability, and preliminary impact of
the intervention.
项目概要
在美国,艾滋病毒和性传播感染 (STI) 的发病率在人群中异常高。
同性恋、双性恋和其他男男性行为者——本文称为性少数男性(SMM)——
与仅与女性发生性行为的男性相比。1,2 大约 10% 的艾滋病毒发病率归因于艾滋病毒感染率的增加
SMM 中因未经治疗的性传播感染而传播,3 64% 的梅毒病例发生在 SMM,4 和 SMM 中
居住在结束艾滋病毒流行 (EHE) 优先管辖区的人,患性传播感染的几率高出近 50%
与居住在其他地方的人相比。5 俄克拉荷马州是 EHE 优先农村州,每年的收入高于平均水平
衣原体病例数居全国前十位。
在俄克拉荷马州社区,24 岁以下的人占新感染艾滋病毒、衣原体和
不到 28% 的俄克拉荷马州农村居民一生中接受过 HIV 检测,并且
去年仅 5.7%,是 EHE 州中检测率最低的 6 与 SMM 同行类似,
美国农村印第安人 (AI) 男性的艾滋病毒发病率有所增加——其中 AI 男性目前占艾滋病毒发病率的比例
俄克拉荷马州新增感染率为 9.3%,而 2016 年 7 月 9 日这一数字为 7.8%。生活在俄克拉荷马州农村地区的 AI 男性和 SMM
美国不太可能收到艾滋病毒预防信息、进行常规检测、识别艾滋病毒检测
与城市盟友相比,他们拥有资源,或接受全面的教育。
俄克拉荷马州的男性在艾滋病毒和性传播感染检测方面遇到许多障碍,包括担心与艾滋病毒相关的耻辱,
风险认知度低、与医疗保健提供者沟通困难以及保密问题,10-15
需要扩大预防和筛查服务。我们提议的研究将特别关注两个方面。
EHE 支柱:诊断(即 HIV 筛查)和预防(即增加安全套的使用;采用暴露前预防措施)
我们的具体目标如下: 目标 1 – 完善我们的初步干预策略
与社区咨询委员会 (CAB) 和农村同伴导师建立伙伴关系,为期 4 个月。
阶段,我们将与 CAB 合作,最终确定结束俄克拉荷马州农村地区的艾滋病毒流行 (e-HERO)
初始干预原型中包含的组件 AIM 2 – 评估可行性、可接受性、
我们将试点并评估最终的干预措施。
俄克拉荷马州将使用随机对照试验设计来模拟未来的司法实施。
招募17-29岁之间的农村SMM(n = 100)和AI男性(n = 100)我们将使用RE-AIM19进行指导。
评估,这将需要对调查(SMM 和 AI
男性)、艾滋病毒/性传播感染检测记录和离职面谈,以评估可行性、可接受性和初步影响
的干预。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Julie Ann Baldwin其他文献
Julie Ann Baldwin的其他文献
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{{ truncateString('Julie Ann Baldwin', 18)}}的其他基金
C-CART: Culturally Centered Addictions Research Training
C-CART:以文化为中心的成瘾研究培训
- 批准号:
10376796 - 财政年份:2021
- 资助金额:
$ 74.98万 - 项目类别:
C-CART: Culturally Centered Addictions Research Training
C-CART:以文化为中心的成瘾研究培训
- 批准号:
10571814 - 财政年份:2021
- 资助金额:
$ 74.98万 - 项目类别:
Factors and Training Approaches that Enhance the Integration of American Indian Culture into Tele-Behavioral Substance Use/Substance Use Disorders Treatment.
促进美洲印第安人文化融入远程行为药物使用/药物使用障碍治疗的因素和培训方法。
- 批准号:
10441963 - 财政年份:2021
- 资助金额:
$ 74.98万 - 项目类别:
C-CART: Culturally Centered Addictions Research Training
C-CART:以文化为中心的成瘾研究培训
- 批准号:
10238380 - 财政年份:2021
- 资助金额:
$ 74.98万 - 项目类别:
Southwest Health Equity Research Collaborative (SHERC)
西南健康公平研究合作组织 (SHERC)
- 批准号:
10707449 - 财政年份:2017
- 资助金额:
$ 74.98万 - 项目类别:
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