The Impact of Mobility on HIV Care in New York City and the Dominican Republic

流动性对纽约市和多米尼加共和国艾滋病毒护理的影响

• 批准号: 8478032
• 负责人: Barbara S Taylor
• 金额: $ 12.81万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCIENCE CENTER
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-03 至 2015-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8478032
• 关键词: Academic Medical Centers; Acquired Immunodeficiency Syndrome; Address; Adherence; Affect; Africa South of the Sahara; Air; Anti-Retroviral Agents; Antiretroviral drug resistance; Antiretroviral resistance; Area; Basic Science; Behavior; Biostatistical Methods; Canada; Caring; Case-Control Studies; Chronic Disease; Cities; Clinic; Clinical Research; Collaborations; Communicable Diseases; Communities; Country; Data; Diagnosis; Dominican; Dominican Republic; Epidemic; Ethnography; Exposure to; Failure; Future; Goals; HIV; HIV-1; Health Services Accessibility; Healthcare; Height; Incidence; Individual; Institution; International; Interruption; Intervention; Interview; Investigation; Joints; Knowledge; Latino; Life; Link; Measures; Medical; Mentorship; Methods; Mexico; Minority; Motivation; New York; New York City; Nomads; Not Hispanic or Latino; Outcome; Participant; Pathway interactions; Pattern; Population; Portraits; Process; Prostitution; Recording of previous events; Regimen; Reporting; Research; Research Personnel; Resources; Review Literature; Risk; Risk Behaviors; Side; Site; Social support; Southeastern Asia; Specialist; Structure; Surveys; Techniques; Testing; Therapeutic; Time; Travel; Treatment Failure; Treatment outcome; Twin Multiple Birth; United Nations; United States National Institutes of Health; Virus Diseases; Washington; antiretroviral therapy; base; comparative; condoms; design; effective intervention; ethnographic method; evidence base; experience; follow-up; health care service utilization; improved; informant; innovation; instructor; migration; multidisciplinary; novel; patient population; programs; skills; social; success; treatment center

The candidate is an instructor in infectious diseases at Columbia University Medical Center (CUMC), and her long-term goal is to become an independent investigator studying the interaction between social and structural factors and HIV treatment outcomes in international and domestic Latino communities. Her short-term goals are to expand her experience in international research, refine her skills in biostatistical methods, and further the understanding of the interaction between mobility and HIV care outcomes in mobile communities. She has an extensive track record of basic science and clinical research, and has been building the framework for this project in the Dominican Republic (DR) for the past four years. CUMC sits at one end of the New York-Dominican Republic air-bridge, a pattern of circular migration between the two countries. Our goal is to understand the interactions between mobility and HIV treatment amongst Dominicans in our own HIV treatment center in Washington Heights, New York (WH), and in Santo Domingo (SD), DR. Our primary hypothesis is that individual mobility leads to interruptions in antiretroviral therapy, and, in turn, to antiretroviral treatment failure. We will undertake a qualitative assessment of mobility using comparative ethnography in the Dominican pafient population at both sites (WH and SD), and use that knowledge to develop a community-appropriate and evidence based measure of mobility. We will then conduct case-control studies to assess mobility as a predictor of treatment failure at both sites. We will also examine differences in those failing with and without antiretroviral drug resistance. This research will take place at CUMC and collaborafing institutions in the DR with the mentorship of Dr. Scott Hammer, an internationally recognized HIV investigator. Dr. Jennifer Hirsch, a specialist in HIV and migration, and Dr. Louise Kuhn, an expert in HIV treatment outcomes in resource-limited settings. CUMC serves the largest community of Dominicans outside of the DR, and the collaborating institutions in the DR have long histories of successful clinical research and existing research initiatives with CUMC.

该候选人是哥伦比亚大学医学中心（CUMC）的传染病讲师

项目成果

Incidence of Diabetes Mellitus and Obesity and the Overlap of Comorbidities in HIV+ Hispanics Initiating Antiretroviral Therapy.

• DOI: 10.1371/journal.pone.0160797
• 发表时间: 2016
• 期刊: PloS one
• 影响因子: 3.7
• 作者: Gomes A;Reyes EV;Garduno LS;Rojas R;Mir Mesejo G;Del Rosario E;Jose L;Javier C;Vaughan C;Donastorg Y;Hammer S;Brudney K;Taylor BS
• 通讯作者: Taylor BS

High risk of obesity and weight gain for HIV-infected uninsured minorities.

• DOI: 10.1097/qai.0000000000000010
• 发表时间: 2014-02-01
• 期刊: Journal of acquired immune deficiency syndromes (1999)
• 作者: Taylor BS;Liang Y;Garduño LS;Walter EA;Gerardi MB;Anstead GM;Bullock D;Turner BJ
• 通讯作者: Turner BJ