Intersectional discrimination and linkage to HIV prevention and care in transgender women in Ecuador

厄瓜多尔跨性别妇女的交叉歧视及其与艾滋病毒预防和护理的联系

基本信息

批准号：
10762136
负责人：
Rodrigo Armando Aguayo Romero
金额：
$ 20.93万
依托单位：
WHITMAN-WALKER INSTITUTE, INC.
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：
2023-09-15 至 2028-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10762136
关键词：
3-Dimensional AIDS prevention Address African ancestry Age Birth Caring Discrimination Disparity population Ecuador Ecuadorian Epidemic Epidemiologic Methods Exposure to Grant HIV HIV Infections Immigrant Intervention Intervention Trial Interview Knowledge Latin America Link Mentored Research Scientist Development Award Modeling Outcome Pathway interactions Persons Phase Policy Developments Policy Maker Population Positioning Attribute Poverty Prevalence Qualitative Methods Randomized, Controlled Trials Research Research Design Research Personnel Surveys Testing Training United States National Institutes of Health Woman Writing care outcomes career cis-male classism experience high risk high risk population infection rate intersectionality male marginalization nonbinary queer racism sex skills social stigma therapy development transfeminine transgender women

项目摘要

7. Project Summary-Abstract Latin America did not achieve any reductions in new HIV cases in the last decade. In Ecuador, transgender women—those who identify as women or on the transfeminine spectrum and who were assigned a male sex at birth—who have sex with cisgender men are a key population in the HIV epidemic. HIV prevalence in Ecuador is between 20.7%-34.8% among transgender women—the highest in Latin America. Studies are urgently needed to guide HIV prevention and care efforts to curb HIV Infection rates. People with multiple marginalized identities, such as transgender women of African descent living in poverty, are at higher risk of exposure to intersectional discrimination than the general U.S. population and have high rates of HIV. Yet the extent to which Ecuadorian transgender women are burdened by intersectional discrimination and its effect on the linkage to HIV prevention and care outcomes remains unknown. This K01 Award will provide the candidate with training in intersectional qualitative, quantitative, intervention development, and grant writing to address the challenge of intersectional discrimination and HIV burden in transgender women in Ecuador. The proposed research will assess the mechanisms through which intersectional discrimination exerts its impact on linkage to HIV prevention and care for transgender women in Ecuador while extending and deepening candidate’s research skills. In Research Aim 1, the candidate will assess experiences of intersectional discrimination (e.g., HIV stigma, racism, classism) in relation to HIV prevention and care through in-depth qualitative interviews with transgender women (Training Aim 1: application of intersectionality to qualitative methods). In Research Aim 2, the candidate will conduct a survey to characterize and longitudinally test the pathways that link intersectional discrimination with HIV prevention and care linkage outcomes over a 6-month period (Training Aim 2: epidemiological methods and longitudinal quantitative research design). In Research Aim 3, the candidate will implement the first six phases of the systematic ADAPT-ITT model to adapt an HIV intervention for transgender women (Training Aim 3: skills for intervention development). Findings from this study and training will position the candidate to develop an R01 proposal to implement remaining steps of the ADAPT-ITT model and conduct a randomized controlled trial of the intervention (Training Aim 4: grant writing). As an Ecuadorian non-binary queer U.S. immigrant researcher, the candidate has the cultural and research background to leverage this proposed K01 to transition to career independence and address key knowledge and intervention gaps for HIV prevention and care in Ecuador.

7. 项目概要-摘要在过去十年中，拉丁美洲的跨性别者艾滋病毒新增病例没有任何减少。女性——那些被认定为女性或属于跨性别女性谱系并且在出生——与顺性别男性发生性关系的人是厄瓜多尔艾滋病毒流行的关键人群。跨性别女性的比例在 20.7%-34.8% 之间——拉丁美洲最高。需要指导艾滋病毒预防和护理工作，以遏制多重边缘化人群的艾滋病毒感染率。身份的人，例如生活在贫困中的非洲裔跨性别妇女，面临更高的风险与一般美国人口相比，交叉歧视的程度较高，但艾滋病毒感染率却很高。厄瓜多尔跨性别妇女遭受交叉歧视及其对该 K01 奖将为候选人提供与艾滋病毒预防和护理结果的联系。通过交叉定性、定量、干预开发和拨款写作方面的培训来解决厄瓜多尔跨性别妇女面临的交叉歧视和艾滋病毒负担的挑战。研究将评估交叉歧视对联系产生影响的机制。厄瓜多尔跨性别女性的艾滋病毒预防和护理，同时扩大和深化候选人的在研究目标 1 中，候选人将评估交叉歧视的经历（例如，通过深入定性访谈，了解与艾滋病毒预防和护理相关的艾滋病毒耻辱、种族主义、阶级歧视跨性别女性（培训目标 1：交叉性在定性方法中的应用）。候选人将进行一项调查，以描述和纵向测试连接交叉点的路径 6 个月期间歧视与艾滋病毒预防和护理的联系结果（培训目标 2：在研究目标 3 中，候选人将：流行病学方法和纵向定量研究设计。实施系统 ADAPT-ITT 模型的前六个阶段，以适应艾滋病毒干预措施跨性别女性（培训目标 3：干预发展技能）。将使候选人能够制定 R01 提案来实施 ADAPT-ITT 模型的剩余步骤并进行干预的随机对照试验（培训目标 4：拨款写作）。非二元酷儿美国移民研究员，候选人具有文化和研究背景利用拟议的 K01 过渡到职业独立并解决关键知识和干预厄瓜多尔艾滋病毒预防和护理方面的差距。