Addressing Health Disparities among Transgender Women

解决跨性别女性的健康差异

• 批准号: 9119638
• 负责人: Rachel L. Kaplan
• 金额: $ 18.15万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-01 至 2018-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9119638
• 关键词: AIDS prevention; AIDS/HIV problem; Address; Affect; Area; California; Centers for Disease Control and Prevention (U.S.); Communities; Conflict (Psychology); Contracts; Data; Development; Discrimination; Doctor of Philosophy; Epidemic; Epidemiology; Evidence based intervention; Funding Mechanisms; Future; Gender; Goals; HIV; HIV risk; Health; Health Promotion; Incidence; Income; International; Intervention; K-Series Research Career Programs; Knowledge; Lebanon; Low Prevalence; Mental Depression; Mental Health; Mentorship; Middle East; Northern Africa; Population; Populations at Risk; Prevalence; Prevention; Preventive Intervention; Public Health; Research; Research Personnel; Resources; Risk; Risk Behaviors; Risk Reduction; Sampling; San Francisco; Sexual Health; Sexuality; Social Sciences; Social support; Staging; Testing; Training; United States; Universities; Violence; Work; base; career; contextual factors; education research; efficacy testing; experience; health disparity; high risk; housing instability; programs; resilience; response; sex; sexual minority; skills; social; social stigma; successful intervention; therapy development; transgender women; transmission process

DESCRIPTION (provided by applicant): Rachel L. Kaplan, PhD, MPH is a public health researcher at the Center for Research and Education on Gender and Sexuality at San Francisco State University and a postdoctoral scholar at University of California, Berkeley's Mack Center on Mental Health and Social Conflict. Dr. Kaplan's long-term career objective is to become an independent researcher specializing in the development and implementation of sexual and mental health promoting interventions among sexual minority populations in international settings. The proposed training, mentorship, and research plan support this goal and will provide her with the theoretical and practical skills necessary to become an independent intervention researcher. Although transgender women are among the most-at-risk populations for contracting HIV, few studies have been conducted to determine the most feasible and acceptable ways to impact risk. Further, knowledge of sexual and mental health among transgender women has been derived mostly from the United States. There is an urgent need for culturally relevant interventions for this marginalized population in poorly-resourced, high-stigma settings. The proposed study will address these gaps by: (1) exploring the psycho-social and cultural factors that form the context in which transgender women's sexual and mental health are situated; (2) determining how to impact transgender women's sexual and mental health through adaptation of a prevention intervention; and (3) assessing the feasibility and accessibility of the prevention intervention through pilot testing among transgender women in Lebanon. It is expected that this research will reveal prevention needs and strategies specific to transgender women in the Middle East and provide unique and powerful results to inform efficacy testing in future larger- scale trials in international settings.

描述（由申请人提供）：Rachel L. Kaplan，博士，公共卫生硕士，旧金山州立大学性别与性研究与教育中心的公共卫生研究员，加州大学伯克利分校Mack心理健康与社会冲突中心的博士后学者。卡普兰博士的长期职业目标是成为一名独立的研究人员，专门从事在国际环境中促进性少数群体的性和心理健康干预措施的发展和实施。拟议的培训、指导和研究计划将支持这一目标，并将为她提供成为一名独立干预研究人员所需的理论和实践技能。虽然跨性别妇女是感染艾滋病毒风险最高的人群之一，但很少进行研究以确定影响风险的最可行和可接受的方法。此外，变性妇女的性健康和心理健康知识主要来自美国。在资源匮乏、高耻辱感的环境中，迫切需要对这一边缘化人群采取与文化相关的干预措施。本研究将通过以下方式解决这些差距：(1)探索构成跨性别女性性健康和心理健康所处环境的社会心理和文化因素；(2)确定如何通过适应预防干预措施影响跨性别妇女的性健康和心理健康；(3)通过在黎巴嫩跨性别妇女中进行试点测试，评估预防干预的可行性和可及性。预期这项研究将揭示中东地区跨性别妇女的预防需求和策略，并提供独特而有力的结果，为将来在国际环境中进行更大规模的试验提供有效性测试。