PS11-003 Minority AIDS Research Initiative

PS11-003 少数民族艾滋病研究计划

• 批准号: 8597299
• 负责人: Margaret Rose Pereyra
• 金额: $ 28.07万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-01-01 至 2015-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8597299
• 关键词: PS11; 003; Minority; AIDS; Research

This proposal responds to the category number 5 - "Health Services Research to Assess Feasibility of Dental-based, Pharmacy-based, or other Non-traditional Venue-based HIV Testing and Linkage to Care Opportunities in Underserved Communities" listed in the funding announcement RFA-PS-11-003, Minority HIV/AIDS Research Initiative (MARI) to Build Capacity in Black and Hispanic Communities and Among Black and Hispanic Researchers to Conduct HIV/AIDS Epidemiologic and Prevention Research. The recent introduction of rapid HIV testing offers an especially promising screening approach for facilitating earlier diagnosis of HIV infection. In September, 2006, the Centers for Disease Control and Prevention (CDC) released new testing guidelines making it a priority to bring HIV screening into outpatient health care settings. In December, 2008, the American College of Physicians and HIV Medicine Association issued a guidance statement that recommended that all patients over the age of 13 should be encouraged to receive an HIV test at least once. Several national meetings organized by the CDC, the National Association of Community Health Centers and state dental associations have discussed the roll-out of rapid HIV testing in the dental care setting. Some dentists have also begun to offer HIV rapid testing in their practices. Yet, despite these advances, little data are currently available that inform the feasibility of offering such services. One area of particular interest is that patients do not expect to be offered HIV testing in the dental care setting, and therefore may not accept such services if offered. This has been a concern for dentists in considering offering HIV testing in the dental care setting. To fill this need for information, we propose to explore patients' perspectives about oral HIV rapid testing in the dental care setting. We will conduct a combination of patient interviews, dental record reviews, and qualitative interviews with dentists and dental hygienists to 1) determine the rate at which patients accept an oral HIV rapid test in the dental care setting when offered by a dentist or dental hygienist, 2) describe the reasons patients report for accepting or rejecting an offer of an oral HIV rapid test in the dental care setting, and 3) describe dentists' and dental hygienists' attitudes toward offering and conducting oral HIV rapid testing in the dental care setting. The data collected in this study will be used to inform public health officials, dental care professionals, policymakers and researchers about factors associated with patients' acceptance of oral rapid HIV testing in the dental care setting. The study will also help to identify settings and/or groups of patients most inclined to accept HIV rapid testing in the dental care setting and will provide findings relevant to resource allocation. The proposed project will be a collaboration among the University of Miami Miller School of Medicine, the Jessie Trice Community Health Center, and Care Resource, Inc., all in Miami- Dade County, Florida. Dr. Margaret Pereyra, a Dominican-American Assistant Professor of Epidemiology and Public Health at the University of Miami Miller School of Medicine, will serve as Principal Investigator and will be mentored by Dr. Lisa Metsch, Professor of Epidemiology and Public Health, with over 17 years of experience in conducting NIH and CDC-funded HIV prevention and care research.

本建议回应类别编号5 -“卫生服务研究评估 牙科、药店或其他非传统场所HIV检测的可行性 以及与服务不足社区的护理机会的联系” 公告RFA-PS-11-003，少数民族艾滋病毒/艾滋病研究倡议（MARI）建设能力 在黑人和西班牙裔社区和黑人和西班牙裔研究人员进行 艾滋病流行病学与预防研究。 最近推出的艾滋病毒快速检测提供了一个特别有前途的筛查方法 有助于早期诊断HIV感染。2006年9月，疾病中心 美国疾病控制和预防中心（CDC）发布了新的检测指南，将艾滋病毒作为优先事项， 筛查到门诊医疗机构。2008年12月，美国大学 医生和艾滋病医学协会发表了一份指导声明，建议， 应鼓励所有13岁以上的患者至少接受一次艾滋病毒检测。 疾病预防控制中心、全国社区卫生协会 中心和州牙科协会讨论了在美国推出快速艾滋病毒检测的问题。 牙科护理设置。一些牙医也开始在他们的实践中提供艾滋病毒快速检测。 然而，尽管取得了这些进展，目前几乎没有数据可以说明 提供这样的服务。一个特别令人感兴趣的领域是，患者不希望 在牙科护理环境中提供艾滋病毒检测，因此可能不接受此类服务， 提供。这一直是一个关注牙医在考虑提供艾滋病毒检测在牙科 护理设置。 为了满足这种信息需求，我们建议探讨患者对口服艾滋病毒的看法 在牙科护理环境中进行快速检测。我们会进行一系列的病人访谈， 牙科记录审查，以及与牙医和牙科医师的定性访谈，以1） 确定患者在牙科护理环境中接受口服HIV快速检测的比率 当由牙医或牙科医生提供时，2）描述患者报告的原因 接受或拒绝在牙科护理环境中提供的口服HIV快速检测，以及3） 描述牙医和牙科医师对提供和进行口服艾滋病毒快速治疗的态度 在牙科护理环境中进行测试。本研究所收集的数据将用于告知公众 卫生官员、牙科护理专业人员、政策制定者和研究人员了解 与患者接受口腔快速艾滋病毒检测在牙科保健设置。的 这项研究还将有助于确定最容易接受艾滋病毒的环境和/或患者群体 在牙科保健环境中进行快速检测，并将提供与资源分配有关的结果。 拟议中的项目将是迈阿密大学米勒学院 医学，杰西特里斯社区健康中心，和护理资源公司，全都在迈阿密- 戴德县，佛罗里达。Margaret Pereyra博士，多米尼加裔美国助理教授， 迈阿密大学米勒医学院的流行病学和公共卫生，将担任 作为主要研究者，并将由流行病学教授丽莎梅奇博士指导 和公共卫生，在进行NIH和CDC资助的艾滋病毒方面拥有超过17年的经验 预防和护理研究。