Research Training for Substance Use Mediated HIV Epidemic in Kazakhstan

纽约州立大学下州分校的纽约国际培训和研究项目（NYS-ITRP） 健康科学大学建议培训卫生保健专业人员如何改善COVID-19 哈萨克斯坦阿拉木图艾滋病毒感染者（PLWH）的预防和疫苗接种接受/获得 （KZ）.为了使我们的培训更加有效，我们将与我们在哈萨克斯坦（KZ）的合作伙伴合作， 国立医科大学公共卫生学院与中央大学全球健康研究中心 亚洲，评估230名艾滋病毒携带者对COVID-19疫苗的态度和接受程度。的COVID-19 大流行对发病率和死亡率、社会经济福祉和 心理健康自2020年3月以来，KZ登记了超过375，000例冠状病毒感染病例 超过4,000人死亡。大流行病在KZ造成了严重的社会混乱和混乱， 在PLWH中，这些影响包括KZ的艾滋病毒治疗服务中断， 对艾滋病毒感染者坚持抗逆转录病毒疗法和艾滋病毒治疗结果的潜在负面影响。此外，本发明还提供了一种方法， PLWH可能容易受到次优COVID-19治疗和疫苗获取的影响。最后，新冠肺炎 艾滋病病毒携带者对疫苗的犹豫可能是充分护理的另一个障碍。具体目标是 建议是：1）检查阿拉木图230名艾滋病毒携带者对COVID-19疫苗的态度和接受程度， KZ;和2）为KZ的国家艾滋病中心卫生保健专业人员开发和举办网络研讨会， 提高对艾滋病毒感染者接受COVID-19疫苗接种因素的认识， KZ与我们的合作伙伴，一个由KZ和美国流行病学家，临床医生 该项目将研究艾滋病毒携带者和社会工作者对COVID-19疫苗的态度和接受程度， KZ这项研究将为我们的合作者提供关键数据，以创建健康网络研讨会内容 艾滋病中心网络中的护理提供者，我们的合作伙伴以前与他们建立了 合作。网络研讨会的内容将集中在大流行对艾滋病毒感染者的影响，疫苗犹豫， 艾滋病毒感染者接种疫苗的障碍，以及卫生保健工作者与艾滋病毒感染者的沟通，以克服 这些障碍。

The New York State International Training and Research Program (NYS-ITRP) at SUNY Downstate Health Sciences University proposes to train health care professionals on how to improve COVID-19 prevention and vaccination acceptance/access in people living with HIV (PLWH) in Almaty, Kazakhstan (KZ). To inform our training we will collaborate with our in-country Kazakhstan (KZ) partners, Kazakh National Medical University School of Public Health and Global Health Research Center of Central Asia, to assess COVID-19 vaccine attitudes and acceptance among 230 PLWH. The COVID-19 pandemic has had a substantial impact on morbidity and mortality, socioeconomic wellbeing and mental health. Since March 2020, over 375,000 cases of coronavirus infection were registered in KZ with >4,000 deaths. The pandemic has caused severe social disruption and dislocation in KZ, most significantly among PLWH. These effects include the disruption of HIV treatment services in KZ and potential negative impact on ART adherence and HIV treatment outcomes among PLWH. In addition, PLWH maybe vulnerable to suboptimal COVID-19 treatment and vaccine access. Finally, COVID-19 vaccine hesitancy in PLWH may be an additional barrier to adequate care. The specific aims of this proposal are to: 1) examine COVID-19 vaccine attitudes and acceptance among 230 PLWH in Almaty, KZ; and 2) develop and conduct a webinar for KZ’s National AIDS Center health care professionals to improve knowledge on factors that contribute to COVID-19 vaccination acceptance among PLWH in KZ. In collaboration with our partners, a multidisciplinary team of KZ and US epidemiologists, clinicians and social workers, the project will study COVID-19 vaccine attitudes and acceptance among PLWH in KZ. This study will provide the critical data for our collaborators to create webinar content for health care providers in AIDS Center networks, with whom our partners have previously established collaborations. Webinar contents will focus on the pandemic’s impact on PLWH, vaccine hesitancy and barriers to vaccination in PLWH, and health care worker communications with PLWH to overcome these barriers.