Labor Migration and Multilevel HIV Prevention

劳动力流动与艾滋病多层次预防

• 批准号: 8317731
• 负责人: STEVAN MERRILL WEINE
• 金额: $ 19.68万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-01 至 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8317731
• 关键词: AIDS prevention; AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Address; Award; Central Asia; Chicago; Collaborations; Communities; Complex; Consultations; Country; Data; Data Analyses; Data Collection; Epidemic; Ethics; Evaluation; Evidence based intervention; Faculty; Family; Family Process; Funding; Future; Goals; HIV; Health; Illinois; Individual; Intervention; Investigation; Labor Migrations; Life; Mediator of activation protein; Mentors; Meta-Analysis; Methodology; Methods; Midcareer Investigator Award in Patient-Oriented Research; Mission; Modeling; Moscow; National Institute of Child Health and Human Development; Nomads; Outcome; Persons; Population; Prevention; Preventive; Preventive Intervention; Principal Investigator; Process; Psychiatrist; Psychiatry; Public Health; Refugees; Research; Research Activity; Research Design; Research Ethics; Research Personnel; Research Project Grants; Research Training; Risk; Risk Behaviors; Russia; Services; Social Change; Social Environment; Students; Tajikistan; Testing; Training; Trauma; Universities; Work; base; behavioral/social science; career; comparative; design; evidence base; health organization; improved; migration; patient oriented research; pilot trial; prevention service; professor; programs; psychologic; psychosocial; public health relevance; research and development; social; therapy development

DESCRIPTION (provided by applicant): This Mid-Career Investigator Award is designed to support the continued research development and mentoring activities of Stevan Weine MD, Professor of Psychiatry at the University of Illinois at Chicago. Over the past 15 years, Dr. Weine has demonstrated a strong commitment to patient-oriented research and mentoring new investigators. He is a psychiatrist and an established researcher in trauma, migration, and HIV/AIDS impacted families, with continuous federal funding as Principal Investigator since 1998. His overall research mission is to develop, implement, and evaluate psychosocial interventions that are feasible, acceptable, and effective with respect to the complex real-life contexts where migrants and refugees live. Goals for this proposal include: 1) training and mentoring students, trainees, and junior faculty in patient-oriented research generally, and multilevel HIV prevention and refugee and migrant research specifically; 2) receiving consultation from senior researchers regarding mixed methods in preventive intervention development, research collaborations with families and communities, and ethics in HIV/AIDS and migration research; 3) expanding research activities so as to build the intervention content and methodology needed to develop and evaluate multilevel HIV preventive interventions for labor migrants. The mentoring plan incorporates individual mentoring, mentees direct consultation from the senior mentors, formal courses and seminars, training regarding research ethics, and mentees' direct involvement in a research project. There are three proposed studies that build off an ongoing five year NICHD funded study (5R01MH076118-02) being conducted in Tajikistan and Russia that investigates the social, cultural, and psychological constructions of masculinity and their impact on HIV risk and prevention. Study 1 uses mixed methods to build an evidence base for developing multilevel interventions with labor migrants. Study 2 designs a multilevel HIV preventive intervention for Tajik labor migrants through a community-researcher collaborative. Study 3 pilots components of the multilevel intervention, examines engagement, retention, outcomes, and mediators, and estimates parameters for a future large scale R01 investigation. PUBLIC HEALTH RELEVANCE: Impacting billions globally, labor migration adds to family burdens and instability, changes the social landscape, and is associated with increased HIV risk behaviors. In Russia and Central Asia, where AIDS rates are amongst the world's highest, conditions in both sending and receiving countries pose serious obstacles to HIV prevention. Because Tajikistan is so highly impacted by labor migration and is one of the world's poorest countries, it is at substantial risk for an HIV/AIDS epidemic. To build HIV prevention services for migration- impacted populations calls for understanding how to intervene amongst the complex circumstances of labor migration. This five-year K24 program of mentoring, research, and training consultation is designed to improve HIV preventive services for labor migrants and their families. The research draws upon social science and behavioral methods to develop and partially pilot a multilevel HIV preventive intervention for migration- impacted persons in Tajikistan and Russia. There are three studies for this Midcareer Investigator Award. These studies are designed to build the intervention content and methodology needed to develop and evaluate multilevel interventions for labor migrants. They also provide the basis for mentoring junior investigators.

描述（由申请人提供）：该中期职业研究者奖旨在支持芝加哥伊利诺伊大学精神病学教授steven Weine博士的持续研究发展和指导活动。在过去的15年里，Weine博士一直致力于以患者为导向的研究和指导新的研究人员。他是一名精神病学家，也是创伤、移民和艾滋病毒/艾滋病影响家庭方面的知名研究员，自1998年以来一直担任联邦政府资助的首席研究员。他的总体研究任务是开发、实施和评估针对移民和难民生活的复杂现实环境的可行、可接受和有效的社会心理干预措施。该提案的目标包括：1)培训和指导学生、学员和初级教师进行以患者为导向的研究，特别是多层次的艾滋病预防和难民和移民研究；2)接受高级研究人员关于预防干预发展的混合方法、与家庭和社区的研究合作以及艾滋病毒/艾滋病和移民研究中的伦理问题的咨询；3)扩大研究活动，构建针对外来务工人员的多层次艾滋病预防干预措施开发和评估所需的干预内容和方法。师徒计划包括个人指导、师徒直接咨询资深导师、正式课程和研讨会、有关研究伦理的培训以及师徒直接参与研究项目。在塔吉克斯坦和俄罗斯进行的一项由联合国儿童健康与发展中心资助的为期五年的研究（5R01MH076118-02）正在调查男性气质的社会、文化和心理结构及其对艾滋病毒风险和预防的影响。研究1采用混合方法，为制定针对外来务工人员的多层次干预措施建立证据基础。研究二采用社区-研究者合作的方式，设计了塔吉克族外来务工人员多层次艾滋病预防干预方案。研究3试点多层次干预的组成部分，检查参与、保留、结果和中介因素，并估计未来大规模R01调查的参数。