Medical Mistrust as a Barrier to COVID-19 and HIV Services Among Transgender Women of Color

医疗不信任是有色人种跨性别女性获得 COVID-19 和 HIV 服务的障碍

• 批准号: 10452205
• 负责人: Dustin T Duncan
• 金额: $ 40.43万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-11 至 2023-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10452205
• 关键词: AIDS prevention; AIDS/HIV problem; Address; Adherence; Administrative Supplement; Area; Asian Pacific Islander; Asians; Attention; Award; Behavior; COVID-19; COVID-19 pandemic; COVID-19 prevention; COVID-19 testing; COVID-19 vaccine; Caring; Cessation of life; Clinic; Color; Communities; Dancing; Data; Enrollment; Fibrinogen; Funding; Gender Identity; General Population; HIV; Health Personnel; Incidence; Inequality; Infrastructure; Intervention; Interview; Knowledge; Latina; Medical; Methods; Neighborhood Health Center; Neighborhoods; Network-based; New York City; Outcome; Participant; Phase; Population; Population Research; Prevalence; Prevention; Race; Research; Role; SARS-CoV-2 transmission; Sampling; Science; Serious Adverse Event; Services; Sexual and Gender Minorities; Social Network; Subgroup; Surveys; Time; United States; United States National Institutes of Health; Woman; antiretroviral therapy; base; cohort; community organizations; contextual factors; coronavirus disease; experience; follow-up; gender minority; health disparity; high risk; high risk population; innovation; interest; metropolitan; mortality; multidisciplinary; pandemic disease; parent grant; pre-exposure prophylaxis; racial disparity; racial minority; recruit; social; social capital; social cohesion; social disparities; social exclusion; social stigma; success; transgender women; uptake; vaccine acceptance

PROJECT SUMMARY This administrative supplement project seeks to study COVID-19 testing and vaccine uptake and HIV services (e.g., pre-exposure prophylaxis [PrEP] uptake and adherence) among transgender women (TW) of color (TWOC) in the New York City metropolitan statistical area (MSA). With this supplement, we will randomly enroll participants from the ongoing NIH-funded Trying To Understand Relationships, Networks and Neighborhoods among Trans women of color (TURNNT) Study (R01MD013554; PI: Dustin Duncan) in the quantitative phase of the proposed study (n=150) and the qualitative phase of the proposed study (n=40) to address the aims of the research. We are currently recruiting 300 Black, Latina and Asian TW in the TURNNT cohort using clinic- and community-based recruitment methods in partnership with Callen-Lorde Community Health Center (a major provider of healthcare for TW in NYC) and via venue-based recruitment (e.g., community organizations and dance clubs). The proposed project represents the largest study of COVID-19 in any population of TWOC to-date and presents a remarkable opportunity to study COVID-19 and HIV services among TWOC who experience intersectional stigmas and multiple forms of marginalization and inequality. This supplement will accelerate the science and impact of the parent grant, capitalizing on the existing TURNNT infrastructure and generate new knowledge that can be used to increase COVID-19 testing and vaccine uptake and HIV services, including by investigating the role of medical mistrust as a contributing factor for TWOC. This proposal is aligned with the administrative supplement and NIMHD’s special attention to sexual and gender minority (SGM) populations and research on HIV/AIDS in populations that experience health disparities. This project will accelerate the science on COVID-19 and HIV disparities. This research will provide a context-specific and nuanced understanding of how social contextual factors, i.e. medical mistrust, may contribute to COVID-19 and HIV prevention and care behaviors in TWOC, which will in turn inform contextually appropriate HIV prevention and care interventions.

项目摘要 该行政补充项目旨在研究COVID-19检测和疫苗接种以及艾滋病毒服务 (e.g.,暴露前预防[PrEP]摄取和坚持）在跨性别女性（TW）的颜色 （TWOC）在纽约市大都市统计区（MSA）。有了这个补充，我们将随机招募 参与者来自正在进行的NIH资助的尝试了解关系，网络和社区 有色人种跨性别女性（TURNNT）研究（R 01 MD 013554; PI：Dustin邓肯）定量阶段 拟议研究的定性阶段（n=150）和拟议研究的定性阶段（n=40），以解决以下目标 研究我们目前正在招募300名黑人，拉丁裔和亚洲TW在TURNNT队列使用诊所- 和社区为基础的招聘方法与卡伦-洛德社区卫生中心（a 纽约市TW医疗保健的主要提供者）和通过基于场所的招聘（例如，社区组织 舞蹈俱乐部）。拟议的项目代表了TWOC任何人群中最大的COVID-19研究 提供了一个研究TWOC中COVID-19和HIV服务的绝佳机会， 遭受交叉的耻辱和多种形式的边缘化和不平等。该补充将 加速科学和母基金的影响，利用现有的TURNNT基础设施， 产生可用于增加COVID-19检测和疫苗接种以及艾滋病毒服务的新知识， 包括通过调查医疗不信任作为TWOC的促成因素的作用。这项建议是 与行政补充文件和国家土著和人口问题研究所对性和性别少数群体的特别关注保持一致 (SGM)艾滋病毒/艾滋病的研究和在经历健康差距的人群中的艾滋病毒/艾滋病研究。这个项目 将加速对COVID-19和HIV差异的科学研究。这项研究将提供一个特定的背景和 对社会背景因素（即医疗不信任）如何导致COVID-19的微妙理解， TWOC中的艾滋病毒预防和护理行为，这反过来将为适当的艾滋病毒预防提供信息 护理干预。