Exploratory Center for Behavioral Epidemiology (RMI)

行为流行病学探索中心 (RMI)

• 批准号: 7116709
• 负责人: PAUL J GERTLER
• 金额: $ 49.57万
• 依托单位: UNIVERSITY OF CALIFORNIA BERKELEY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-29 至 2008-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7116709
• 关键词: AIDS education /prevention; NIH Roadmap Initiative tag; behavioral /social science; behavioral /social science research tag; clinical research; disease /disorder prevention /control; employment /unemployment; epidemiology; gender difference; health science research; high risk behavior /lifestyle; human migration; human subject; interdisciplinary collaboration; method development; model design /development; outcomes research; pregnancy; sexually transmitted diseases; social model; socioeconomics

DESCRIPTION (provided by applicant): Human Immunodeficiency Virus/Acquired Immuno-Deficiency Syndrome (HIV/AIDS) is an intractable health problem that has defied over 20 years of concerted approaches from a wide range of disciplines. In fact, despite massive multisectoral attempts to prevent its spread, HIV incidence continues to increase around the globe. Youth (young people between the ages of 15 and 24), and particularly female youth, are at greatest risk for HIV acquisition. As sexually transmitted infections (STIs) in general, and HIV in particular, have become inextricably woven together and exacerbated by issues such as poverty, migration, labor market opportunities, and gender-based power disparities, it has become clear that any effective prevention program must address the underlying structural factors which shape individuals' vulnerability, most notably the economic circumstances that condition their risk-taking choices. What is needed is a truly interdisciplinary approach that integrates existing knowledge about youth HIV/AIDS risk behavior to generate new paradigms of risk behavior, and that will foster new approaches to the development and evaluation of effective interventions to prevent the spread of HIV/AIDS among youth. We propose to integrate theoretical, methodological and analytical aspects of the Economic Sciences, Population Sciences, and Behavioral Sciences to develop new pathways to discovery and intervention in youth vulnerability to HIV/AIDS, STIs, and unintended pregnancies. In particular, we aim to understand how structural factors such as poverty, gender-based power, labor market opportunities, and migration ultimately shape these outcomes. The ultimate goal of this work is to develop effective interventions for the prevention of HIV, STIs, and unintended pregnancies. We will develop this new discipline, called Behavioral Economic Epidemiology (BEE), through a three-year process of structured learning and critique of each others' disciplines, focused integration of theoretical models and methods, and validation and pilot-testing of tools and analytic methods. We will also explore strategies for expanding this new approach into a more formalized and enduring discipline by developing a sustainable market for its production and consumption.

描述（由申请人提供）： 人体免疫机能丧失病毒/获得性免疫机能丧失综合症（艾滋病毒/艾滋病）是一个棘手的健康问题，20多年来，各种学科都采取了协调一致的办法。事实上，尽管为防止艾滋病毒的传播进行了大规模的多部门努力，但艾滋病毒的发病率在地球仪各地继续增加。青年（15至24岁的青年），特别是女青年，感染艾滋病毒的风险最大。由于性传播感染，特别是艾滋病毒，已经变得不可分割地交织在一起，并因贫困，移民，劳动力市场机会和基于性别的权力差距等问题而加剧，很明显，任何有效的预防方案都必须解决形成个人脆弱性的潜在结构性因素，最明显的是制约他们冒险选择的经济环境。现在需要的是一种真正的跨学科方法，将关于青年艾滋病毒/艾滋病危险行为的现有知识结合起来，形成新的危险行为模式，并促进采取新的方法来制定和评价有效的干预措施，以防止艾滋病毒/艾滋病在青年中传播。 我们建议整合经济科学，人口科学和行为科学的理论，方法和分析方面，以开发新的途径来发现和干预青年对艾滋病毒/艾滋病，性传播感染和意外怀孕的脆弱性。特别是，我们的目标是了解结构性因素，如贫困，基于性别的权力，劳动力市场的机会，并最终塑造这些结果。这项工作的最终目标是制定预防艾滋病毒、性传播感染和意外怀孕的有效干预措施。我们将开发这个新的学科，称为行为经济流行病学（BEE），通过三年的结构化学习和相互学科的批评，理论模型和方法的集中整合，以及工具和分析方法的验证和试点测试。我们还将探索战略，通过开发可持续的生产和消费市场，将这一新方法扩展为更正规和持久的学科。