Sustainable Development for Improved HIV Health and Prevention in Kenya (SD4H-Kenya)

肯尼亚改善艾滋病毒健康和预防的可持续发展（SD4H-肯尼亚）

• 批准号: 10872887
• 负责人: Elizabeth Anne BUKUSI
• 金额: $ 10万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-18 至 2024-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10872887
• 关键词: Address; Administrative Supplement; Africa; Aging; California; Clinical Research; Development; Discrimination; Doctor of Philosophy; Economics; Elderly; Ensure; Female; Future; Gender; General Population; Grant; HIV; Health; Inequality; Intervention; Kenya; Lead; Measurement; Measures; Mental Health; Mentorship; Outcome; Participant; Postdoctoral Fellow; Poverty; Prevention; Principal Investigator; Public Health; Publishing; Quality of life; Reporting; Research; Research Personnel; Resources; Sampling; Sampling Studies; San Francisco; Science; Sex Discrimination; Stigmatization; Sustainable Development; System; Testing; Training; Training Programs; Universities; Widow; Widowhood; Woman; Work; aged; design; experience; food insecurity; graduate student; health disparity populations; health training; improved; innovation; next generation; older men; older women; parent grant; population based; social; social stigma; theories

PROJECT SUMMARY/ABSTRACT Older women form the largest group of older people (50+ years) living with HIV (OPLWH) and suffer poorer mental health and quality of life than older men. The experiences of stigma are layered for older women living with HIV including HIV- and aging-related stigma and gender discrimination. Widowed women make up the largest group of OPLWH and due to heightened gender inequalities and the stigmatization of female widowhood in Africa, widowed women living with report poorer HIV-related health outcomes compared to married women living with HIV. This study will compare the experience of intersectional stigma (HIV, aging, gender, poverty, widowhood) among older widowed and married women living and aging with HIV, how this impacts their mental health and quality of life, and their ideas on interventions that can reduce intersectional stigma and improve their quality of life. This study will also assess the association of experienced intersectional stigma with mental health and quality of life, and how these may differ between widowed and married women with HIV aged 50+ years. The project lead, Ms. Odhiambo, is doctoral candidate at Maseno University and a Ph.D. fellow in the parent grant Sustainable Development for HIV Health (SD4H) training program. SD4H aimed to provide training and team mentorship to graduate students at Maseno. Ms. Odhiambo completed her year-long Advanced Training in Clinical Research certificate at University of California San Francisco (UCSF) and is doing field work for her PhD project in Kenya. Her soon to be published study showed that a multisectoral intervention failed to address experiences of enacted stigma among widows living with HIV, necessitating further research on stigma among women living with HIV and interventions to address the stigma. Ms. Odhiambo’s work is built upon the theory of stigma as a fundamental cause of population health disparities. Stigma creates a loss of social and economic resources, increasing food insecurity, poverty, and poor health. Strengths and innovation: This supplement study is among the first evaluating the association of experienced intersectional stigma and quality of life among older women living with HIV in Africa. Secondly, we will adapt the everyday discrimination scale (EDS), another scale developed in the USA context and use it in the local Kenyan context to measure experienced intersectional stigma. The design of EDS is adaptable and allows for measurement of different forms of stigma. Thirdly, we will sample study participants from a population-based health and demographic surveillance system ensuring study participants are a representative sample of the general population of women living with HIV and aged 50+ years. This administrative supplement will support Ms. Odhiambo’s transition from doctoral to post-doctoral studies while still receiving the team mentorship from the parent grant multiple principal investigators. The study will also generate ideas on interventions to address intersectional stigma that Ms. Odhiambo can further develop and test in future grant. Ms. Odhiambo is on a path to becoming the next generation of HIV researchers with transdisciplinary expertise in public health, HIV health, and development sciences and this supplement application will support her development.

项目概要/摘要 老年妇女是感染艾滋病毒 (OPLWH) 并遭受贫困的老年人（50 岁以上）中最大的群体 心理健康和生活质量高于老年男性 老年女性所经历的耻辱是分层的。 艾滋病毒感染者，包括与艾滋病毒和老龄化相关的耻辱和性别歧视，构成了丧偶妇女的主要群体。 由于性别不平等和对女性的污名化，OPLWH 成为最大的群体 在非洲的丧偶妇女中，与艾滋病毒感染者相比，丧偶妇女的艾滋病毒相关健康状况较差 这项研究将比较交叉耻辱（艾滋病毒、衰老、 在感染艾滋病毒和老龄化的年长丧偶和已婚妇女中，这如何 影响他们的心理健康和生活质量，以及他们对可以减少交叉的干预措施的想法 这项研究还将评估经验丰富的交叉群体之间的关联。 心理健康和生活质量的耻辱，以及丧偶和已婚妇女之间的差异 50 岁以上感染艾滋病毒。 该项目负责人 Odhiambo 女士是马塞诺大学的博士生，也是母校的博士研究员。 资助艾滋病毒健康可持续发展 (SD4H) 培训计划 SD4H 旨在提供培训和培训。 Odhiambo 女士在 Maseno 的研究生团队指导下完成了为期一年的高级培训。 获得加州大学旧金山分校 (UCSF) 的临床研究证书，并正在为她进行实地工作 她在肯尼亚的博士项目即将发表的研究表明，多部门干预未能成功。 解决感染艾滋病毒的寡妇遭受耻辱的经历，需要进一步研究 Odhiambo 女士的工作建立了艾滋病毒感染者妇女的耻辱感以及消除这种耻辱感的干预措施。 根据耻辱理论，耻辱是人口健康差异的根本原因。 社会和经济资源，加剧粮食不安全、贫困和健康状况不佳。 优势和创新：这项补充研究是第一个评估关联性的研究之一 非洲老年艾滋病毒感染者经历了交叉耻辱和生活质量。 其次，我们。 将采用日常歧视量表（EDS），这是在美国开发的另一种量表，并将其用于 EDS 的设计具有适应性和适应性。 第三，我们将从不同的群体中抽取研究参与者的样本。 以人口为基础的健康和人口监测系统，确保研究参与者具有代表性 50 岁以上感染艾滋病毒的女性总人口样本。 补充品将支持 Odhiambo 女士从博士过渡到博士后研究，同时仍在接受 来自家长的团队指导会资助多名主要研究者，该研究也将产生想法。 关于解决交叉污名的干预措施，Odhiambo 女士可以在未来进一步开发和测试 Odhiambo 女士正在成为下一代跨学科艾滋病毒研究人员。 公共卫生、艾滋病毒健康和发展科学方面的专业知识，此补充应用程序将支持 她的发展。