Universal basic income and structural racism in the US South: Differences in HIV care utilization between low-income African American men living with HIV

美国南部的全民基本收入和结构性种族主义：感染艾滋病毒的低收入非裔美国男性之间艾滋病毒护理利用的差异

• 批准号: 10674200
• 负责人: Brooke E.E. Montgomery
• 金额: $ 37.15万
• 依托单位: UNIV OF ARKANSAS FOR MED SCIS
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-05-14 至 2024-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10674200
• 关键词: Accounting; Adherence; Affect; African American; American; Arkansas; Automobile Driving; Behavior; Black Populations; Black race; Breathing; COVID-19; Capital; Caring; Chronic; Chronic Disease; Communicable Diseases; Communities; Complex; Continuity of Patient Care; Discrimination; Economic Policy; Economics; Empirical Research; Epidemic; Epidemiology; Exposure to; Family; Financial Hardship; General Population; Generations; Geography; Growth; HIV; HIV risk; Health; Health Disparities Research; Health Policy; Health Promotion; Health Sciences; Healthcare; Income; Individual; Institutional Racism; Intervention; Literature; Low income; Methods; Minority Groups; Perception; Pharmaceutical Preparations; Phase; Policies; Poverty; Public Health; Publishing; Qualifying; Recording of previous events; Research Design; Research Methodology; Resource-limited setting; Resources; Risk; Risk Behaviors; Role; Rural; Scientist; Social Sciences; Stimulus; Structural Racism; System; Time; United States; Viral; Wages; base; black men; care systems; design; education research; evidence base; experience; health care availability; health economics; innovation; low socioeconomic status; medication compliance; men; population health; protective factors; racial disparity; racial health disparity; residence; social

PROJECT SUMMARY/ABSTRACT Universal Basic Income (UBI) is a promising strategy aimed at recalibrating economic systems that are grounded in structural racism. Black men have long been the target of oppressive and interconnected systems of finance and healthcare access, leading to a disproportionate burden of exposure to infectious disease with little healthcare support. Yet to our knowledge, no published UBI studies have ever been implemented exclusively with Black men living with HIV in the US. Motivated and inspired by the innovative health and social science being conducted in extremely resource-limited environments in other parts of the world, we recognize an urgent need to better understand the effect of cash transfers on HIV care among Black men in the US South. The proposed study will be based in Arkansas, which, like other Southern states, has a long history of institutional racism and extremely high rates of racial health disparities, poverty, and chronic disease. We will use a mixed methods research design to conduct an in-depth exploration of a UBI intervention to reduce the racial wage gap and promote the use of culturally relevant protective factors. The provision of a UBI is intended to increase receipt and retention of HIV care services and treatment for Black men through the influx of capital and subsequent increases in culturally-based protective factors such as personal agency and social connections. We hypothesize that providing UBI of $500 per month for 6 months will result in increased HIV care utilization among low-income Black men living with HIV. Secondarily, we hypothesize that the effect of UBI will also increase adherence to HIV medication, such that more UBI recipients will achieve and maintain viral suppression compared to individuals in the control condition.

项目概要/摘要 全民基本收入（UBI）是一项很有前途的战略，旨在重新调整经济体系 植根于结构性种族主义。黑人长期以来一直是压迫性和相互关联的系统的目标 财政和医疗保健的获取，导致接触传染病的负担不成比例 医疗保健支持很少。但据我们所知，尚未实施已发表的全民基本收入研究 专门针对美国感染艾滋病毒的黑人男性。受到创新健康和社会的激励和启发 科学是在世界其他地区资源极其有限的环境中进行的，我们认识到 迫切需要更好地了解现金转移对美国黑人艾滋病毒护理的影响 南。拟议的研究将在阿肯色州进行，该州与其他南方州一样，有着悠久的历史 制度性种族主义以及极高的种族健康差异、贫困和慢性病发生率。我们将 采用混合方法研究设计，深入探索全民基本收入干预措施，以减少 种族工资差距并促进使用文化相关的保护因素。 UBI 的规定是 旨在通过涌入增加黑人男性获得和保留艾滋病毒护理服务和治疗的机会 资本的增加以及随后基于文化的保护因素（例如个人代理和社会）的增加 连接。我们假设每月提供 500 美元的 UBI，持续 6 个月将导致艾滋病毒感染率增加 感染艾滋病毒的低收入黑人男性的护理利用率。其次，我们假设影响 UBI 还将提高对 HIV 药物治疗的依从性，以便更多的 UBI 接受者能够实现并维持 与对照条件下的个体相比，病毒抑制。