Connecting the Dots: HIV, COVID-19, and Structural Racism in Gender Minority Women

连接点：艾滋病毒、COVID-19 和性别少数女性的结构性种族主义

基本信息

批准号：
10452141
负责人：
TONIA C POTEAT
金额：
$ 16.42万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-09-01 至 2023-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10452141
关键词：
AIDS prevention Adherence Adult Affect Biological Biological Markers COVID-19 COVID-19 diagnosis COVID-19 pandemic COVID-19 testing COVID-19 vaccination Caring Censuses Chronic Chronic stress Cities Communities County Data Data Analyses Data Collection Development Disease Ethnic Origin Family Fright Funding Gender Identity Goals Gonadal Steroid Hormones Government HIV HIV Seronegativity Health Housing Individual Interruption Knowledge Latina Latinx Law Enforcement Link Long COVID Longitudinal cohort Measures Mental Health Neighborhoods Outcome Parents Participant Pathway interactions Persons Physiological Population Positioning Attribute Prevalence Prospective Studies Prospective cohort Proxy Public Health Race Reporting Research Risk Role SARS-CoV-2 infection Safety Science Social Distance Stress Structural Racism Structure Technology Telemedicine Time Transportation United States National Institutes of Health Vaccination Vaccines Viral Woman adverse outcome allostatic load antiretroviral therapy barrier to care biopsychosocial cardiovascular risk factor comorbidity coronavirus disease cost distrust empowerment experience follow-up gender minority health care service health disparity health disparity populations health equity health inequalities innovation novel pandemic disease physical conditioning pre-exposure prophylaxis prospective psychological distress psychosocial public health relevance recruit residential segregation segregation social social exclusion social stigma socioeconomics substance use telehealth transgender transgender women transportation access uptake vaccine hesitancy violence victimization

项目摘要

Project Summary/Abstract Transgender women, particularly Black and Latina transgender women living with HIV, are particularly vulnerable to the socioeconomic and psychosocial impacts of the COVID-19 pandemic. However, data are lacking on how the intersection of HIV, COVID-19, and structural racism affect the physical health and psychosocial outcomes among transgender women. Understanding these relationships and identifying factors that may modify them are important steps towards advancing health equity. This study combines and supplements data from existing NIH-funded prospective studies with transgender women (with and without HIV) to assess longitudinal relationships between HIV and COVID-19 disease experiences and to examine associations between structural racism, HIV, and pandemic-related health inequities among transgender women. This innovative study will analyze data from 450 transgender women to assess health outcomes along lines of race/ethnicity, HIV status, and technology access. This innovative research will provide novel information that can be used to guide public health efforts to reduce health disparities.

项目摘要/摘要跨性别妇女，尤其是黑人和拉丁裔跨性别妇女，有艾滋病毒的妇女特别容易受到COVID-19的社会经济和社会心理影响大流行。但是，缺乏有关HIV，COVID-19和结构的相交的数据种族主义会影响跨性别妇女的身体健康和社会心理结局。了解这些关系和识别可能改变它们的因素很重要促进健康公平的步骤。这项研究结合了来自与跨性别妇女（有和没有艾滋病毒）的现有NIH资助的前瞻性研究评估艾滋病毒与199疾病经历之间的纵向关系，并研究结构性种族主义，艾滋病毒和与大流行有关的健康不平等之间的关联在变性妇女中。这项创新的研究将分析来自450个变性者的数据妇女沿种族/种族，艾滋病毒状况和技术评估健康成果使用权。这项创新的研究将提供可用于指导公众的新颖信息健康努力减少健康差异。