Addressing Economic Marginalization to Improve HIV Prevention and Care Outcomes Among Gender Minorities in the United States

解决经济边缘化问题,改善美国性别少数群体的艾滋病毒预防和护理成果

基本信息

项目摘要

7. PROJECT ABSTRACT The purpose of this career development award is to provide the candidate with the training necessary to become an independent investigator 1) advancing scientific knowledge about how social and economic factors are shaping HIV risk and outcomes among marginalized, priority health disparity populations, and 2) designing effective interventions that reduce HIV prevalence and improve health and well-being within sexual and gender minority populations. Research Aims Transgender and nonbinary people experience significant economic hardships and disproportionately shoulder the burden of the HIV/AIDS epidemic in the United States. Guided by an integrated asset theory and social ecological framework, and using a multistage mixed methods approach, the candidate plans to conduct community-based paticipatory formative research necessary to inform the adaptation of an economic empowerment intervention to improve HIV prevention and care outcomes among transgender and nonbinary people who have sex with men (TGSM) in the U.S. First, the PI will establish a robust Community Collaborative Board (CCB) comprised of key members of the target populations. With the CCB and under the guidance of the mentorship team, the PI will finalize study design and protocol, informed by current pilot study findings. Next, the PI will undertake quantitative (surveys, N=390) and qualitative (interviews, n=36) research to achieve Aim 1: to estimate and qualitatively describe how co-occurring forms of economic hardship, defined as economic marginality, are associated with HIV outcomes among TGSM. Integrated Aim 1 findings and CCB guidance will inform study Aim 2: adaptation of an HIV economic empowerment intervention for economically marginalized TGSM in the U.S. After adapting the intervention, Aim 3 is: to assess acceptability and feasibility of the adapted intervention and generate preliminary data to inform an R01 application by pilot testing with 42 TGSM using a waitlist control design, then refining the intervention with the CCB. The proposed research builds from the infrastructure and community ties developed by Project AFFIRM (R01HD079603/ R01HL151559A1; PI: Bockting) in New York City, San Francisco, and Atlanta and furthers the NIH HIV strategic goal to “advance innovative research to identify and implement effective strategies to mitigate underlying HIV- associated medical and social inequalities that diminish the health and well-being of persons living with or at risk for HIV.”1,p.12 This research is designed to support the training goals of the PI. Training Goals To become an independent investigator, the candidate requires additional training in four core areas: community-based participatory research; asset theory; quantitative methods; and how to adapt, test, assess, and refine socio- behavioral interventions to improve HIV outcomes among key populations. Hosted by The HIV Center at Columbia University and New York State Psychiatric Institute, the candidate will engage in close mentorship, coursework, directed readings, workshops, workgroups, and hands-on research to achieve these training goals.
7. 项目摘要

项目成果

期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)

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Emily Allen Paine其他文献

Lesbian, gay, bisexual, and transgender families and health
女同性恋、男同性恋、双性恋和变性人的家庭与健康
  • DOI:
    10.1111/soc4.12552
  • 发表时间:
    2018
  • 期刊:
  • 影响因子:
    2.7
  • 作者:
    M. Thomeer;Emily Allen Paine;Chénoia Bryant
  • 通讯作者:
    Chénoia Bryant
Sexing the midlife: women's experiences across same-sex and different-sex couples
中年性别:女性在同性和异性伴侣中的经历
Correction to: Latent Constructs of Economic Marginality Associated with Sexual Behavior, Healthcare Access and HIV Outcomes Among Transgender and Nonbinary People in Three U.S. Cities
  • DOI:
    10.1007/s10461-023-04207-9
  • 发表时间:
    2023-11-20
  • 期刊:
  • 影响因子:
    2.400
  • 作者:
    Emily Allen Paine;Dennis Rivera-Cash;Jasmine M. Lopez;Allen J. LeBlanc;Anneliese A. Singh;Walter O. Bockting
  • 通讯作者:
    Walter O. Bockting
Gay, Lesbian, Bisexual, and Transgender Families
男同性恋、女同性恋、双性恋和变性家庭
M115 - Experiences of and Recommendations for LGBTQ+-Affirming Substance Use services: An Exploratory Qualitative Descriptive Study With LGBTQ+ People who Use Opioids and Other Drugs
M115 - 对 LGBTQ+ 肯定的物质使用服务的经验和建议:对使用阿片类药物和其他药物的 LGBTQ+ 人群的探索性定性描述性研究
  • DOI:
    10.1016/j.drugalcdep.2024.111709
  • 发表时间:
    2025-02-01
  • 期刊:
  • 影响因子:
    3.600
  • 作者:
    Margaret Paschen-Wolff;Emily Allen Paine;Avery DeSousa;Tonda L. Hughes;Aimee N.C. Campbell
  • 通讯作者:
    Aimee N.C. Campbell

Emily Allen Paine的其他文献

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{{ truncateString('Emily Allen Paine', 18)}}的其他基金

Addressing Economic Marginalization to Improve HIV Prevention and Care Outcomes Among Gender Minorities in the United States
解决经济边缘化问题,改善美国性别少数群体的艾滋病毒预防和护理成果
  • 批准号:
    10619614
  • 财政年份:
    2022
  • 资助金额:
    $ 18.13万
  • 项目类别:
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