Addressing Economic Empowerment to Reduce HIV Risk among Adolescent Girls and Young Women in Kenya

解决肯尼亚少女和年轻妇女的经济赋权问题以降低艾滋病毒风险

基本信息

批准号：
10762300
负责人：
Margaret Gichane
金额：
$ 17.56万
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：
2023
资助国家：
美国
起止时间：
2023-09-10 至 2028-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10762300
关键词：
19 year old AIDS prevention Address Adolescent HIV risk Adult Affect Africa Age Communities Data Collection Development Disparate Doctor of Philosophy Economics Educational workshop Effectiveness Feedback Female Adolescents Focus Groups Funding Goals HIV HIV diagnosis HIV risk Household Incidence Income Individual Intervention Investigation Kenya Knowledge Measurement Measures Mentored Research Scientist Development Award Mentors Mentorship Methodology Methods Outcomes Research Parents Population Poverty Principal Investigator Process Property Psychometrics Public Health Qualitative Research Research Research Personnel Research Priority Resources Risk Risk Behaviors Risk Reduction Role Sampling Savings Schools Socioeconomic Status Testing Training Transact United States National Institutes of Health Unsafe Sex Validation Woman Youth career cognitive interview design disparity reduction economic determinant economic impact empowerment evidence base experience improved learning strategy multidisciplinary novel pilot test post intervention preventive intervention skills social determinants structural determinants theories therapy development tool transmission process young woman

19 year old AIDS prevention Address Adolescent HIV risk Adult Affect Africa Age Communities Data Collection Development Disparate Doctor of Philosophy Economics Educational workshop Effectiveness Feedback Female Adolescents Focus Groups Funding Goals HIV HIV diagnosis HIV risk Household Incidence Income Individual Intervention Investigation Kenya Knowledge Measurement Measures Mentored Research Scientist Development Award Mentors Mentorship Methodology Methods Outcomes Research Parents Population Poverty Principal Investigator Process Property Psychometrics Public Health Qualitative Research Research Research Personnel Research Priority Resources Risk Risk Behaviors Risk Reduction Role Sampling Savings Schools Socioeconomic Status Testing Training Transact United States National Institutes of Health Unsafe Sex Validation Woman Youth career cognitive interview design disparity reduction economic determinant economic impact empowerment evidence base experience improved learning strategy multidisciplinary novel pilot test post intervention preventive intervention skills social determinants structural determinants theories therapy development tool transmission process young woman

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项目摘要

Project Summary Poverty increases HIV risk for adolescent girls and young women (AGYW) in Africa. AGYW experiencing poverty are more likely to engage in age disparate, transactional, and condomless sex, which increases their risk of HIV acquisition. The HIV incidence of AGYW is a public health concern in Kenya where AGYW (ages 15-24) account for 28% of new HIV diagnoses and nearly half of AGYW across the nation are living in poverty. To address the linkages between poverty and HIV risk, economic empowerment may be an essential strategy to reducing HIV incidence in this population. However, there remains gaps in how economic empowerment is measured and addressed in HIV prevention interventions for AGYW. Without valid and reliable tools to measure economic empowerment, there will remain a gap in how to design and assess the impact of economic empowerment HIV prevention interventions for AGYW in high burden settings. The goal of this Mentored Research Scientist Development Award (K01) application for Principal Investigator Dr. Margaret W. Gichane, PhD, MSPH is to improve measurement of economic empowerment to inform the adaptation of a combination cash transfer intervention for AGYW in Kenya. To achieve career and research goals, Dr. Gichane has assembled a multidisciplinary mentoring team with expertise in qualitative research, scale development, intervention adaptation, and economic empowerment. Her training aims are to: 1) Acquire foundational knowledge and skills in grounded theory to expand conceptualizations of economic empowerment; 2) Develop methodological expertise in scale development and validation; and 3) Cultivate expertise in participatory intervention development. Specific aims of the proposal are to: 1) characterize economic empowerment among AGYW; 2) develop and validate an economic empowerment scale for AGYW; and 3) adapt and pilot test a cash transfer intervention and measure the feasibility, acceptability and preliminary impact on economic empowerment and HIV risk behaviors. The proposed mentoring, training, and research plan in this K01 application will prepare Dr. Gichane for an independent research career focused on identifying and addressing economic determinants of HIV transmission among AGYW globally.

项目摘要贫困增加了非洲青春期女孩和年轻妇女（AGYW）的艾滋病毒风险。 AGYW经历贫困更有可能从事年龄不同，交易和无避孕套性别，这增加了他们的获取艾滋病毒的风险。 AGYW的艾滋病毒发病率是肯尼亚的公共卫生问题（年龄 15-24）占新艾滋病毒诊断的28％，全国近一半的AGYW生活在贫困中。为了解决贫困与艾滋病毒风险之间的联系，赋予经济权能可能是一个必不可少的策略降低该人群中的艾滋病毒发病率。但是，赋予经济能力的差距仍然存在差距在AGYW的HIV预防干预措施中测量和解决。没有有效和可靠的工具衡量赋予经济能力，如何设计和评估经济影响仍然存在差距赋予AGYW高负担环境的AGYW的授权HIV预防干预措施。这个指导的目标研究科学家发展奖（K01）首席研究员玛格丽特·W·吉凡（Margaret W. Gichane）申请，博士学位，MSPH是为了提高对经济能力的衡量，以告知组合的适应肯尼亚AGYW的现金转移干预措施。为了实现职业和研究目标，Gichane博士拥有组建了一个具有定性研究，规模开发的专业知识的多学科指导团队，干预适应和赋权。她的培训目的是：1）获得基础扎根理论中的知识和技能，扩大对经济赋权的概念化； 2）发展规模开发和验证方面的方法论专业知识； 3）培养参与性的专业知识干预开发。该提案的具体目的是：1）表征赋予经济权能 agyw; 2）开发和验证AGYW的经济授权量表； 3）适应和飞行员测试现金转移干预并衡量对经济的可行性，可接受性和初步影响赋权和艾滋病毒风险行为。该K01的拟议指导，培训和研究计划申请将为Gichane博士做好准备的独立研究职业，专注于识别和解决全球AGYW艾滋病毒传播的经济决定因素。