Labor Migration and Multilevel HIV Prevention

劳动力流动与艾滋病多层次预防

• 批准号: 8526485
• 负责人: STEVAN MERRILL WEINE
• 金额: $ 19.58万
• 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/8526485
• 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; HIV risk; 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; 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）：这个中期职业研究者奖旨在支持继续研究开发和指导活动的斯蒂文韦内医学博士，精神病学教授在伊利诺伊大学芝加哥。在过去的15年里，韦内博士表现出对以患者为导向的研究和指导新研究者的坚定承诺。他是一名精神病学家，也是创伤，移民和艾滋病毒/艾滋病影响家庭的既定研究员，自1998年以来一直担任联邦资助的首席研究员。他的总体研究使命是制定、实施和评估针对移民和难民生活的复杂现实生活环境可行、可接受且有效的心理社会干预措施。该提案的目标包括：1）培训和指导学生、受训人员和初级教师开展以患者为导向的研究，特别是多层次艾滋病毒预防和难民及移民研究; 2）接受高级研究人员就预防性干预措施开发的混合方法、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进行的咨询;（3）扩大研究活动，以建立干预内容和方法，为制定和评价多层次的流动人口艾滋病预防干预措施提供必要的支持。指导计划包括个人指导、被指导者与高级指导者直接协商、正式课程和研讨会、关于研究道德的培训以及被指导者直接参与研究项目。有三项拟议的研究建立在一项正在进行的为期五年的NICHD资助的研究（5 R 01 MH 076118 -02）基础上，该研究正在塔吉克斯坦和俄罗斯进行，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使用混合方法建立证据基础，发展多层次的干预与劳动力移民。研究2设计了一个多层次的艾滋病预防干预塔吉克劳动移民通过社区研究者合作。研究3试点组成部分的多层次干预，检查参与，保留，结果和调解人，并估计参数为未来的大规模R 01调查。 公共卫生相关性：劳动力迁移影响全球数十亿人，增加了家庭负担和不稳定性，改变了社会格局，并与艾滋病毒风险行为增加有关。俄罗斯和中亚是世界上艾滋病发病率最高的地区之一，始发国和接受国的条件对艾滋病毒预防工作构成严重障碍。由于塔吉克斯坦受到劳动力迁移的严重影响，并且是世界上最贫穷的国家之一，因此它面临着艾滋病毒/艾滋病流行的巨大风险。为受移民影响的人群建立艾滋病预防服务需要了解如何在劳动力移民的复杂情况下进行干预。这项为期五年的K24辅导、研究和培训咨询计划旨在改善对移民劳工及其家庭的艾滋病毒预防服务。该研究利用社会科学和行为方法，为塔吉克斯坦和俄罗斯受移民影响的人制定并部分试行多层次的艾滋病毒预防干预措施。有三项研究获得了这个中期职业研究者奖。这些研究的目的是建立干预内容和方法，需要制定和评估多层次的干预劳动力移民。它们还为指导初级调查员提供了基础。